Evidence map›Paper›PMID 35386131›Full record

ArticleCJC open2022

Development and Evaluation of an Audit and Feedback Process for Prevention of Acute Kidney Injury During Coronary Angiography and Intervention.

Bryan Ma, Peter Faris, Bryan J Har, Ben Tyrrell, Eleanor Benterud, John A Spertus, Neesh Pannu, Braden J Manns, Michelle M Graham, Matthew T James

Open access · goldAbstract read
In one paragraph

Article in CJC open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Physician Variation and the Impact of Payment Model in Cardiac Imaging.Journal of the American Heart Association · 2023
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Bryan MaDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Peter FarisDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta Canada.
Bryan J HarDepartment of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada.
Ben TyrrellDepartment of Medicine, Faculty of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Eleanor BenterudDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
John A SpertusDepartment of Biomedical and Health Informatics, University of Missouri-Kansas City, Kansas City, Missouri, USA.
Neesh PannuDepartment of Medicine, Faculty of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Braden J MannsDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Michelle M GrahamDepartment of Medicine, Faculty of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Matthew T JamesDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
University of Calgary · CAUniversity of Alberta · CASaint Luke's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Contrast-associated acute kidney injury (CA-AKI) is a potentially preventable complication of coronary angiography and intervention. Relatively little research has been done to determine how knowledge on CA-AKI prevention can be translated into clinical practice. Methods: We developed, implemented, and surveyed end-users about the usability, acceptability, and utility of an audit and feedback process for CA-AKI prevention in Alberta, Canada. The audit and feedback reported on amount of radiocontrast dye used, hemodynamic optimization of intravenous fluids, and CA-AKI incidence for each cardiologist practicing coronary angiography or percutaneous coronary intervention, compared with peers at their site and across the province. Reports were developed through an iterative process involving interventional cardiologists throughout the design process and usability testing. Results: Cardiologists participating in usability testing indicated a preference for the visual displays of data and summarizing indicators on the front page, and endorsed the value of peer-to-peer comparisons of performance measures. Of 31 eligible cardiologists from across Alberta, 17 responded to a survey evaluating the audit and feedback process. Fifteen respondents (88.2%) agreed that the data presented in the audit and feedback report were understandable; 17 respondents (100%) agreed or strongly agreed that the presentation of the report helped them better understand their performance compared with that of their peers; and 14 (82.4%) agreed that the audit and feedback process helped them identify ways to reduce the risk of AKI for their patients. Conclusions: Conducting an audit and providing feedback was an understandable and acceptable intervention to help cardiologists identify ways to improve prevention of CA-AKI during coronary angiography or intervention.

Identifiers

PMID35386131
PMCPMC8978052
OpenAlexW3209090533

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.