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Improving Care for Patients With Pulmonary Hypertension: Comment on “Referral of Patients With Pulmonary Hypertension Diagnoses to Tertiary Pulmonary Hypertension Centers: The Multicenter RePHerral Study”

Improving Care for Patients With Pulmonary Hypertension: Comment on “Referral of Patients With... Pulmonary hypertension is a life-threatening condition. Effective treatments are available for some types of pulmonary hypertension, but Deaño et al find that half of patients referred to pulmonary hypertension centers are referred late in the course, when treatment is unlikely to be effective. In addition, more than half of patients who had started receiving medications did not have the type of pulmonary hypertension that would be expected to respond to these medications. As these drugs have definite harms (liver failure, shock, edema) and no known benefit outside of group 1 pulmonary hypertension, we consider this a Less Is More article. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Improving Care for Patients With Pulmonary Hypertension: Comment on “Referral of Patients With Pulmonary Hypertension Diagnoses to Tertiary Pulmonary Hypertension Centers: The Multicenter RePHerral Study”

JAMA Internal Medicine , Volume 173 (10) – May 27, 2013

Improving Care for Patients With Pulmonary Hypertension: Comment on “Referral of Patients With Pulmonary Hypertension Diagnoses to Tertiary Pulmonary Hypertension Centers: The Multicenter RePHerral Study”

Abstract

Pulmonary hypertension is a life-threatening condition. Effective treatments are available for some types of pulmonary hypertension, but Deaño et al find that half of patients referred to pulmonary hypertension centers are referred late in the course, when treatment is unlikely to be effective. In addition, more than half of patients who had started receiving medications did not have the type of pulmonary hypertension that would be expected to respond to these medications. As these...
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References (21)

Publisher
American Medical Association
Copyright
Copyright © 2013 American Medical Association. All Rights Reserved.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2013.783
Publisher site
See Article on Publisher Site

Abstract

Pulmonary hypertension is a life-threatening condition. Effective treatments are available for some types of pulmonary hypertension, but Deaño et al find that half of patients referred to pulmonary hypertension centers are referred late in the course, when treatment is unlikely to be effective. In addition, more than half of patients who had started receiving medications did not have the type of pulmonary hypertension that would be expected to respond to these medications. As these drugs have definite harms (liver failure, shock, edema) and no known benefit outside of group 1 pulmonary hypertension, we consider this a Less Is More article.

Journal

JAMA Internal MedicineAmerican Medical Association

Published: May 27, 2013

Keywords: patient referral,pulmonary hypertension

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