Swedish guidelines for diagnosis and treatment of infective endocarditis recommend overuse of transoesophageal echocardiography

Dencker, Magnus; Roijer, Anders

doi:10.1080/00365540802304521

Cited by 4 publications

(2 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…And for these low risk patients strati ed based on clinical judgment, although few recommendations had been formed, guidelines had addressed in the context or in the algorithm that a repeated TEE is not required [10-14, 16, 17, 24], which have been veri ed by recently published Meta-analyses [25,26]. Thus we could agree that the claim of SSID 2007 that TEE is better as well as more cost e cient than TTE as a rst-line examination is outdated, since it was published longer and was blamed for citing studies using obsolete echocardiography methods and mixed methodology [27].…”

Section: Discussionmentioning

confidence: 97%

A Clinical Practice Guideline Appraisal for Appropriate Use of Echocardiography in Adult Infective Endocarditis—When to and by Which Mode to Perform an Echo?

Xie

Zhuang

Liu

et al. 2020

Preprint

View full text Add to dashboard Cite

BackgroundEchocardiography (Echo) is the primary imaging modality of infective endocarditis (IE). The recommendations on timing and mode selection of transesophageal echocardiography (TEE) and transthoracic echocardiography (TTE) are not fully in agreement among different guidelines, which can be confusing for clinical decision makers. Thus, we aimed to appraise the quality of recommendations by appraising the quality of guidelines. MethodsA search of guidelines published in English during 2007 to 2020 which contains recommendations of appropriate use of Echo in IE adult patients has been conducted. PPRAISAL OF GUIDELINES FOR RESEARCH & EVALUATION II (AGREE II) instrument was applied independently by two reviews to assess the integrated quality of identified guidelines. The recommendations of concern were extracted from related chapters.ResultsA total of 9 guidelines meet the criteria with AGREE II score ranging from 36% to 79%, the domain of “stakeholder involvement” got the lowest score. According The most debatable issue is that under what circumstances has the repeated TEE for an initial positive TTE been necessary in suspected IE, the conflicting recommendations on it were presented along with relatively lower evidence level for hardly any related evidence based on.ConclusionsIn the 9 guidelines identified, the recommendations over the appropriate use of Echo are generally satisfying. Clinicians could take into account the guideline quality score when evaluating the recommendations for clinical decision making. More researches with high-grade evidence above the most controversial issues of whether a subsequent TEE is mandatory in uncomplicated native valve IE with an initial positive TTE are needed in the future.

show abstract

Section: Discussionmentioning

confidence: 97%

A Clinical Practice Guideline Appraisal for Appropriate Use of Echocardiography in Adult Infective Endocarditis—When to and by Which Mode to Perform an Echo?

Xie

Zhuang

Liu

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In this case, the claim of SSID 2007 is outdated, which says that TEE is better and more cost-effective than TTE as the rst-line examination. and SSID was blamed for recommending overuse of TEE as well as citing studies based on obsolete echocardiography methods and lack of hand-on knowledge about echo [27].…”

Section: Discussionmentioning

confidence: 99%

An appraisal of clinical practice guidelines for the appropriate use of echocardiography for adult infective endocarditis—the timing and mode of assessment (TTE or TEE)

Xie

Zhuang

Liu

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Echocardiography (echo) is the primary imaging modality for infective endocarditis (IE). However, the recommendations on timing and mode selection for transesophageal echocardiography (TEE) and transthoracic echocardiography (TTE) vary across guidelines, which can be confusing for clinical decision makers. In this case, we aim to appraise the quality of recommendations by appraising the quality of various guidelines.Methods A search of guidelines containing recommendations for the appropriate use of echo in adult IE patients published in English between 2007 and 2019 was conducted. The APPRAISAL OF GUIDELINES FOR RESEARCH & EVALUATION II (AGREE II) instrument was applied independently by two reviewers to assess the integrated quality of the identified guidelines. The recommendations of concern are extracted from related chapters.Results A total of 9 guidelines met the criteria, with AGREE II scores ranging from 36% to 79%, and the domain of “stakeholder involvement” received the lowest score. The most contentious issue is whether a follow-up TEE is mandatory in uncomplicated native valve IE with an initial positive TTE. Conflicting recommendations are presented with a low evidence level based on little evidence.Conclusions In general, the recommendations proposed in the 9 identified guidelines on the appropriate use of echo are satisfying. The guideline quality score can be taken into account by the clinicians when evaluating the recommendations for clinical decisions. Additional studies with high evidence level should be conducted on the most controversial issues of whether a subsequent TEE is mandatory in uncomplicated native valve IE with an initial positive TTE.

show abstract

International experts' practice in the antibiotic therapy of infective endocarditis is not following the guidelines

Tissot‐Dupont

Casalta

Gouriet

et al. 2017

Clinical Microbiology and Infection

View full text Add to dashboard Cite

show abstract

Swedish guidelines for diagnosis and treatment of infective endocarditis recommend overuse of transoesophageal echocardiography

Cited by 4 publications

References 22 publications

A Clinical Practice Guideline Appraisal for Appropriate Use of Echocardiography in Adult Infective Endocarditis—When to and by Which Mode to Perform an Echo?

A Clinical Practice Guideline Appraisal for Appropriate Use of Echocardiography in Adult Infective Endocarditis—When to and by Which Mode to Perform an Echo?

An appraisal of clinical practice guidelines for the appropriate use of echocardiography for adult infective endocarditis—the timing and mode of assessment (TTE or TEE)

International experts' practice in the antibiotic therapy of infective endocarditis is not following the guidelines

Contact Info

Product

Resources

About