ArticlePulmonary circulation2016
An international physician survey of chronic thromboembolic pulmonary hypertension management.
Article in Pulmonary circulation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Comparison of Balloon Pulmonary Angioplasty and Pulmonary Vasodilators for Inoperable Chronic Thromboembolic Pulmonary Hypertension: A Systematic Review and Meta-Analysis.Scientific reports · 2020Pooled it
- Chronic Thromboembolic Pulmonary Hypertension in Latvia: Epidemiological Insights and Diagnostic Challenges From 2024.Pulmonary circulation · 2025Article
- Treatment and management of chronic thromboembolic pulmonary hypertension (CTEPH): A global cross-sectional scientific survey (CLARITY).Pulmonary circulation · 2024Article
- Diagnosis and Treatment Patterns of Chronic Thromboembolic Pulmonary Hypertension in Russia, Kazakhstan, Turkey, Lebanon, and Saudi Arabia: A Registry Study.Drugs - real world outcomes · 2024Article
- Dynamic chest radiography for pulmonary vascular diseases: clinical applications and correlation with other imaging modalities.Japanese journal of radiology · 2024Review
- Recognition, diagnosis, and operability assessment of chronic thromboembolic pulmonary hypertension (CTEPH): A global cross-sectional scientific survey (CLARITY).Pulmonary circulation · 2024Article
- Patient perspectives on pulmonary hypertension in the United States: Burdens, expectations, and goals.Pulmonary circulation · 2023Review
- Chronic thromboembolic pulmonary hypertension: diagnosis, operability assessment and patient selection for pulmonary endarterectomy.Annals of cardiothoracic surgery · 2022Review
- Chronic thromboembolic pulmonary hypertension: anticoagulation and beyond.Hematology. American Society of Hematology. Education Program · 2021Article
- The evolving role of interventional cardiology in the treatment of pulmonary hypertension.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2021Review
- Chronic Thromboembolic Pulmonary Hypertension - What Have We Learned From Large Animal Models.Frontiers in cardiovascular medicine · 2021Review
- Does combination therapy work in chronic thromboembolic pulmonary hypertension?International journal of cardiology. Heart & vasculature · 2020Article
- Advances in targeted therapy for chronic thromboembolic pulmonary hypertension.Heart failure reviews · 2019Review
- Discordance between Imaging Modalities in the Evaluation of Chronic Thromboembolic Pulmonary Hypertension: A Combined Experience from Two Academic Medical Centers.Annals of the American Thoracic Society · 2019Article
- The changing landscape of chronic thromboembolic pulmonary hypertension management.European respiratory review : an official journal of the European Respiratory Society · 2017Review
- An epidemiological analysis of the burden of chronic thromboembolic pulmonary hypertension in the USA, Europe and Japan.European respiratory review : an official journal of the European Respiratory Society · 2017Review
- Bridging the science into practice.Pulmonary circulation · 2016Article
- Validation of a claims-based algorithm to identify patients with chronic thromboembolic pulmonary hypertension using electronic health record data.Pulmonary circulationArticle
- Optimizing the diagnosis and assessment of chronic thromboembolic pulmonary hypertension with advancing imaging modalities.Pulmonary circulationReview
- Current organization of specialist pulmonary hypertension clinics: results of an international survey.Pulmonary circulationArticle
Corrections and comments
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Authors and funding
7 authors at 7 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We conducted an international study to evaluate practices in the diagnosis and management of patients with chronic thromboembolic pulmonary hypertension (CTEPH) globally across different regions. Between August and October 2012, CTEPH-treating physicians completed a 15-minute online questionnaire and provided patient record data for their 2-5 most recent patients with CTEPH. Overall, 496 physicians (Europe: 260; United States: 152; Argentina: 52; Japan: 32) completed the questionnaire and provided patient record data for 1,748 patients. The proportion of physicians who described themselves as working in or affiliated with a specialized pulmonary hypertension (PH) center ranged from 38% in France and Italy to 83% in the United States. A large proportion of patients did not undergo ventilation/perfusion scanning (46%-67%) or right heart catheterization (24%-57%) for the diagnosis of CTEPH. Referral rates for pulmonary endarterectomy evaluation ranged from 25% in Japan to 44% in Europe, with higher referral rates in PH centers; the main reasons for lack of referral were that surgery was not considered unless medical treatment was failing and patient refusal. Other variations in management included greater use of phosphodiesterase 5 inhibitors in the United States than in Europe and Japan and greater use of combination treatment in the United States than in Europe. Physicians' perceptions of their treatment strategy were generally consistent with patient record data. Results from this study, which includes a global aspect of CTEPH care, demonstrate not only regional differences in CTEPH management but, more importantly, considerable nonadherence to the diagnosis and treatment guidelines for CTEPH, even in PH centers.
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