Improving Inferior Vena Cava Filter Retrieval Rates with the Define, Measure, Analyze, Improve, Control Methodology

Sutphin, Patrick D.; Reis, Stephen P.; Mckune, A.; Ravanzo, Maria; Kalva, Sanjeeva P.; Pillai, Anil K.

doi:10.1016/j.jvir.2014.11.030

Cited by 96 publications

(72 citation statements)

References 18 publications

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“…Our analysis demonstrates that IVCF clinic implementation results in significantly improved retrieval rates, in agreement with previous reports (6,13). Our model for an IVCF clinic involving a database managed by a nurse has a low overall cost, which can easily be recuperated with the resultant additional IVCF retrievals per year.…”

Section: Discussionsupporting

confidence: 89%

Cost-benefit analysis of establishing an inferior vena cava filter clinic

Dowell

Shah

Cooper

et al. 2017

Diagn Interv Radiol

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Section: Discussionsupporting

confidence: 89%

Cost-benefit analysis of establishing an inferior vena cava filter clinic

Dowell

Shah

Cooper

et al. 2017

Diagn Interv Radiol

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“…We report here a 32% retrieval rate, in line with prior studies demonstrating 10% to 30% rates prior to instituting a robust fi lter follow-up program (30,31). With dedicated attention to tracking fi lters placed and recalling patients, retrieval rates may increase to 50% to 60%.…”

Section: Discussionsupporting

confidence: 86%

Factors Associated with Reduced Radiation Exposure, Cost, and Technical Difficulty of Inferior Vena Cava Filter Placement and Retrieval

Neill

Charles

Pflager

et al. 2017

Baylor University Medical Center Proceedings

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“…Even without the cost differential between permanent and retrievable devices, it is inherent that clinic revenue will be increased with improved patient follow‐up, management, and retrieval. At least 1 study at a single institution evaluated the financial feasibility of implementing a quality improvement initiative within their clinical practice 35. They compared baseline retrieval rates with those achieved by issuing letters to patients and then with those achieved with prospective follow‐up of patients.…”

Section: Discussionmentioning

confidence: 99%

Vena Cava Filter Retrieval Rates and Factors Associated With Retrieval in a Large US Cohort

Brown

Raissi

Han

et al. 2017

JAHA

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BackgroundRetrieval of vena cava filters (VCFs) is important for safety as complications increase with longer dwell times. This study assessed VCF retrieval rates and factors associated with retrieval in a national cohort.Methods and Results VCFs were identified by procedural codes from an administrative claims database. Patients were identified who had a VCF placement during a hospitalization from a national commercial administrative claims database. Indications for VCF placement were identified as pulmonary embolism with or without deep vein thrombosis, deep vein thrombosis only, or prophylactic. Patient demographic and clinical characteristics were included in proportional hazard regression models to find associations with early (90‐day) and 1‐year VCF retrieval. Initiation of anticoagulation and the correlation between time‐to‐retrieval and time‐to‐initiation of anticoagulation were observed. Of 54 766 patients receiving a VCF, 36.9% had pulmonary embolism, 43.9% had deep vein thrombosis only, and 19.2% had no apparent venous thromboembolism present. Over the 1 year of follow‐up, the cumulative incidence of VCF retrieval was 18.4%. Retrieval increased over time from a low of 14.0% in 2010 up to ≈24% in 2014. In adjusted time‐to‐event models, increasing age, differing regions, and some comorbidities were associated with poorer retrieval rates. Initiation of anticoagulation was poorly correlated with retrieval, with anticoagulation preceding retrieval by a median of 51 days while those without retrieval had a median of 278 days of exposure to anticoagulation.Conclusions VCF retrieval increased over the study period but remained suboptimal and was weakly correlated with anticoagulation initiation.

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Improving Inferior Vena Cava Filter Retrieval Rates with the Define, Measure, Analyze, Improve, Control Methodology

Cited by 96 publications

References 18 publications

Cost-benefit analysis of establishing an inferior vena cava filter clinic

Cost-benefit analysis of establishing an inferior vena cava filter clinic

Factors Associated with Reduced Radiation Exposure, Cost, and Technical Difficulty of Inferior Vena Cava Filter Placement and Retrieval

Vena Cava Filter Retrieval Rates and Factors Associated With Retrieval in a Large US Cohort

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