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Is aortography in lower limb ischaemia still abused?
D R Andrew1, N J Beasley, D S MacPherson
1Department of Surgery, Glenfield General Hospital, Leicester.
Journal of the Royal Army Medical Corps
|October 1, 1994
Summary
A 1980 study found many aortograms were inappropriate. Recent audits show that following recommendations significantly reduced unnecessary aortography procedures, improving diagnostic accuracy.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
Background:
- A 1980 study identified significant inappropriate referrals (38%) and unclear indications (49%) for aortograms.
- Recommendations were previously proposed to optimize the use of this invasive diagnostic procedure.
Purpose of the Study:
- To re-audit aortography referrals in a specific unit.
- To assess the impact of previous recommendations on referral appropriateness.
Main Methods:
- Conducting a recent audit of aortography referrals.
- Comparing current referral patterns with historical data and recommendations.
Main Results:
- The recent audit demonstrated a substantial reduction in inappropriate aortograms.
- Current practices align with recommendations, minimizing unnecessary investigations.
Conclusions:
- Implementing evidence-based recommendations effectively reduces inappropriate aortography.
- The study validates the long-term benefits of guideline adherence in diagnostic imaging.