AustralieFrV1, PascalFrancis, Corpus, bibRecord, 002308

Revisiting the effect of referral bias on the clinical spectrum of infective endocarditis in adults

Identifieur interne : 002308 ( PascalFrancis/Corpus ); précédent : 002307; suivant : 002309

Revisiting the effect of referral bias on the clinical spectrum of infective endocarditis in adults

Auteurs : Z. A. Kanafani ; S. S. Kanj ; C. H. Cabell ; E. Cecchi ; A. De Oliveira Ramos ; T. Lejko-Zupanc ; P. A. Pappas ; H. Giamerellou ; D. Gordon ; C. Michelet ; P. Munoz ; O. Pachirat ; G. Peterson ; R.-S. Tan ; P. Tattevin ; V. Thomas ; A. Wang ; F. Wiesbauer ; D. J. Sexton

Source :

European journal of clinical microbiology & infectious diseases : (Print) [ 0934-9723 ] ; 2010.

RBID : Pascal:10-0472003

Descripteurs français

Pascal (Inist)
- Endocardite, Symptomatologie, Adulte, Infection, Microbiologie.

English descriptors

KwdEn :
- Adult, Endocarditis, Infection, Microbiology, Symptomatology.

Abstract

Referral bias occurs because of the clustering of patients at tertiary care centers. This may result in the distortion of observed clinical manifestations of rare diseases. This analysis evaluates the effect of referral bias on the epidemiology of infective endocarditis (IE) in the International Collaboration on Endocarditis-Prospective Cohort Study (ICE-PCS). This is a prospective multicenter cohort study comparing transferred and non-transferred patients with IE. Factors independently associated with transfer status were evaluated using multivariable logistic regression. A total of 2,760 patients were included in the analysis, of which 1,164 (42.2%) were transferred from other medical centers. Transferred patients more often underwent surgery for IE (odds ratio [OR]=2.5; 95% confidence interval [CI] 1.9-3.2). They were also more likely to have complications such as stroke (OR=1.5; 95% CI 1.3-1.9), heart failure (OR=1.4; 95% CI 1.1-1.6), and new valvular regurgitation (OR=1.3; 95% CI 1.1-1.6). The in-hospital mortality rates were similar in both groups. Patients with IE who require surgery and suffer complications are referred to tertiary hospitals more frequently than patients with an uncomplicated course. Hospital transfer has no obvious effect on the in-hospital mortality. Referral bias should be taken into consideration when describing the clinical spectrum of IE.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03		`1`		`@0 Eur. j. clin. microbiol. infect. dis. : (Print)`
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A11	`01`	`1`		`@1 KANAFANI (Z. A.)`
A11	`02`	`1`		`@1 KANJ (S. S.)`
A11	`03`	`1`		`@1 CABELL (C. H.)`
A11	`04`	`1`		`@1 CECCHI (E.)`
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A11	`13`	`1`		`@1 PETERSON (G.)`
A11	`14`	`1`		`@1 TAN (R.-S.)`
A11	`15`	`1`		`@1 TATTEVIN (P.)`
A11	`16`	`1`		`@1 THOMAS (V.)`
A11	`17`	`1`		`@1 WANG (A.)`
A11	`18`	`1`		`@1 WIESBAUER (F.)`
A11	`19`	`1`		`@1 SEXTON (D. J.)`
A14	`01`			`@1 American University of Beirut Medical Center @2 Beirut @3 LBN @Z 1 aut. @Z 2 aut.`
A14	`02`			`@1 Duke University Medical Center @2 Durham, NC @3 USA @Z 3 aut. @Z 17 aut. @Z 19 aut.`
A14	`03`			`@1 Duke Clinical Research Institute @2 Durham, NC @3 USA @Z 3 aut. @Z 7 aut.`
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A14	`08`			`@1 Flinders Medical Centre @2 Adelaide @3 AUS @Z 9 aut.`
A14	`09`			`@1 Pontchaillou University @2 Rennes @3 FRA @Z 10 aut. @Z 15 aut.`
A14	`10`			`@1 Hospital General Universitario Gregorio Marañón @2 Madrid @3 ESP @Z 11 aut.`
A14	`11`			`@1 Khon Kaen University @2 Khon Kaen @3 THA @Z 12 aut.`
A14	`12`			`@1 University of Texas Southwestern Medical Center @2 Dallas, TX @3 USA @Z 13 aut.`
A14	`13`			`@1 National Heart Centre @2 Singapore @3 SGP @Z 14 aut.`
A14	`14`			`@1 Medical College Calicut @2 Kerala @3 IND @Z 16 aut.`
A14	`15`			`@1 Vienna General Hospital @2 Vienna @3 AUT @Z 18 aut.`
A20				`@1 1203-1210`
A21				`@1 2010`
A23	`01`			`@0 ENG`
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A44				`@0 0000 @1 © 2010 INIST-CNRS. All rights reserved.`
A45				`@0 32 ref.`
A47	`01`	`1`		`@0 10-0472003`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 European journal of clinical microbiology & infectious diseases : (Print)`
A66	`01`			`@0 DEU`
C01	`01`		`ENG`	@0 Referral bias occurs because of the clustering of patients at tertiary care centers. This may result in the distortion of observed clinical manifestations of rare diseases. This analysis evaluates the effect of referral bias on the epidemiology of infective endocarditis (IE) in the International Collaboration on Endocarditis-Prospective Cohort Study (ICE-PCS). This is a prospective multicenter cohort study comparing transferred and non-transferred patients with IE. Factors independently associated with transfer status were evaluated using multivariable logistic regression. A total of 2,760 patients were included in the analysis, of which 1,164 (42.2%) were transferred from other medical centers. Transferred patients more often underwent surgery for IE (odds ratio [OR]=2.5; 95% confidence interval [CI] 1.9-3.2). They were also more likely to have complications such as stroke (OR=1.5; 95% CI 1.3-1.9), heart failure (OR=1.4; 95% CI 1.1-1.6), and new valvular regurgitation (OR=1.3; 95% CI 1.1-1.6). The in-hospital mortality rates were similar in both groups. Patients with IE who require surgery and suffer complications are referred to tertiary hospitals more frequently than patients with an uncomplicated course. Hospital transfer has no obvious effect on the in-hospital mortality. Referral bias should be taken into consideration when describing the clinical spectrum of IE.
C02	`01`	`X`		`@0 002B05`
C02	`02`	`X`		`@0 002B12A04`
C03	`01`	`X`	`FRE`	`@0 Endocardite @5 01`
C03	`01`	`X`	`ENG`	`@0 Endocarditis @5 01`
C03	`01`	`X`	`SPA`	`@0 Endocarditis @5 01`
C03	`02`	`X`	`FRE`	`@0 Symptomatologie @5 07`
C03	`02`	`X`	`ENG`	`@0 Symptomatology @5 07`
C03	`02`	`X`	`SPA`	`@0 Sintomatología @5 07`
C03	`03`	`X`	`FRE`	`@0 Adulte @5 08`
C03	`03`	`X`	`ENG`	`@0 Adult @5 08`
C03	`03`	`X`	`SPA`	`@0 Adulto @5 08`
C03	`04`	`X`	`FRE`	`@0 Infection @5 09`
C03	`04`	`X`	`ENG`	`@0 Infection @5 09`
C03	`04`	`X`	`SPA`	`@0 Infección @5 09`
C03	`05`	`X`	`FRE`	`@0 Microbiologie @5 13`
C03	`05`	`X`	`ENG`	`@0 Microbiology @5 13`
C03	`05`	`X`	`SPA`	`@0 Microbiología @5 13`
C07	`01`	`X`	`FRE`	`@0 Homme`
C07	`01`	`X`	`ENG`	`@0 Human`
C07	`01`	`X`	`SPA`	`@0 Hombre`
C07	`02`	`X`	`FRE`	`@0 Pathologie de l'appareil circulatoire @5 37`
C07	`02`	`X`	`ENG`	`@0 Cardiovascular disease @5 37`
C07	`02`	`X`	`SPA`	`@0 Aparato circulatorio patología @5 37`
C07	`03`	`X`	`FRE`	`@0 Cardiopathie @5 38`
C07	`03`	`X`	`ENG`	`@0 Heart disease @5 38`
C07	`03`	`X`	`SPA`	`@0 Cardiopatía @5 38`
C07	`04`	`X`	`FRE`	`@0 Pathologie de l'endocarde @5 39`
C07	`04`	`X`	`ENG`	`@0 Endocardial disease @5 39`
C07	`04`	`X`	`SPA`	`@0 Endocardio patología @5 39`
N21				`@1 305`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 10-0472003 INIST
ET :	Revisiting the effect of referral bias on the clinical spectrum of infective endocarditis in adults
AU :	KANAFANI (Z. A.); KANJ (S. S.); CABELL (C. H.); CECCHI (E.); DE OLIVEIRA RAMOS (A.); LEJKO-ZUPANC (T.); PAPPAS (P. A.); GIAMERELLOU (H.); GORDON (D.); MICHELET (C.); MUNOZ (P.); PACHIRAT (O.); PETERSON (G.); TAN (R.-S.); TATTEVIN (P.); THOMAS (V.); WANG (A.); WIESBAUER (F.); SEXTON (D. J.)
AF :	American University of Beirut Medical Center/Beirut/Liban (1 aut., 2 aut.); Duke University Medical Center/Durham, NC/Etats-Unis (3 aut., 17 aut., 19 aut.); Duke Clinical Research Institute/Durham, NC/Etats-Unis (3 aut., 7 aut.); Maria Vittoria Hospital/Turin/Italie (4 aut.); Instituto Dante Pazzanese de Cardiologia/Moema/Brésil (5 aut.); Medical Center Ljubljana/Ljubljana/Slovénie (6 aut.); Attikon University General Hospital/Athens/Grèce (8 aut.); Flinders Medical Centre/Adelaide/Australie (9 aut.); Pontchaillou University/Rennes/France (10 aut., 15 aut.); Hospital General Universitario Gregorio Marañón/Madrid/Espagne (11 aut.); Khon Kaen University/Khon Kaen/Thaïlande (12 aut.); University of Texas Southwestern Medical Center/Dallas, TX/Etats-Unis (13 aut.); National Heart Centre/Singapore/Singapour (14 aut.); Medical College Calicut/Kerala/Inde (16 aut.); Vienna General Hospital/Vienna/Autriche (18 aut.)
DT :	Publication en série; Niveau analytique
SO :	European journal of clinical microbiology & infectious diseases : (Print); ISSN 0934-9723; Allemagne; Da. 2010; Vol. 29; No. 10; Pp. 1203-1210; Bibl. 32 ref.
LA :	Anglais
EA :	Referral bias occurs because of the clustering of patients at tertiary care centers. This may result in the distortion of observed clinical manifestations of rare diseases. This analysis evaluates the effect of referral bias on the epidemiology of infective endocarditis (IE) in the International Collaboration on Endocarditis-Prospective Cohort Study (ICE-PCS). This is a prospective multicenter cohort study comparing transferred and non-transferred patients with IE. Factors independently associated with transfer status were evaluated using multivariable logistic regression. A total of 2,760 patients were included in the analysis, of which 1,164 (42.2%) were transferred from other medical centers. Transferred patients more often underwent surgery for IE (odds ratio [OR]=2.5; 95% confidence interval [CI] 1.9-3.2). They were also more likely to have complications such as stroke (OR=1.5; 95% CI 1.3-1.9), heart failure (OR=1.4; 95% CI 1.1-1.6), and new valvular regurgitation (OR=1.3; 95% CI 1.1-1.6). The in-hospital mortality rates were similar in both groups. Patients with IE who require surgery and suffer complications are referred to tertiary hospitals more frequently than patients with an uncomplicated course. Hospital transfer has no obvious effect on the in-hospital mortality. Referral bias should be taken into consideration when describing the clinical spectrum of IE.
CC :	002B05; 002B12A04
FD :	Endocardite; Symptomatologie; Adulte; Infection; Microbiologie
FG :	Homme; Pathologie de l'appareil circulatoire; Cardiopathie; Pathologie de l'endocarde
ED :	Endocarditis; Symptomatology; Adult; Infection; Microbiology
EG :	Human; Cardiovascular disease; Heart disease; Endocardial disease
SD :	Endocarditis; Sintomatología; Adulto; Infección; Microbiología
LO :	INIST-19903.354000191298580030
ID :	10-0472003

Links to Exploration step

Pascal:10-0472003

Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Revisiting the effect of referral bias on the clinical spectrum of infective endocarditis in adults</title>
<author><name sortKey="Kanafani, Z A" sort="Kanafani, Z A" uniqKey="Kanafani Z" first="Z. A." last="Kanafani">Z. A. Kanafani</name>
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<author><name sortKey="Kanj, S S" sort="Kanj, S S" uniqKey="Kanj S" first="S. S." last="Kanj">S. S. Kanj</name>
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<series><title level="j" type="main">European journal of clinical microbiology & infectious diseases : (Print)</title>
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<front><div type="abstract" xml:lang="en">Referral bias occurs because of the clustering of patients at tertiary care centers. This may result in the distortion of observed clinical manifestations of rare diseases. This analysis evaluates the effect of referral bias on the epidemiology of infective endocarditis (IE) in the International Collaboration on Endocarditis-Prospective Cohort Study (ICE-PCS). This is a prospective multicenter cohort study comparing transferred and non-transferred patients with IE. Factors independently associated with transfer status were evaluated using multivariable logistic regression. A total of 2,760 patients were included in the analysis, of which 1,164 (42.2%) were transferred from other medical centers. Transferred patients more often underwent surgery for IE (odds ratio [OR]=2.5; 95% confidence interval [CI] 1.9-3.2). They were also more likely to have complications such as stroke (OR=1.5; 95% CI 1.3-1.9), heart failure (OR=1.4; 95% CI 1.1-1.6), and new valvular regurgitation (OR=1.3; 95% CI 1.1-1.6). The in-hospital mortality rates were similar in both groups. Patients with IE who require surgery and suffer complications are referred to tertiary hospitals more frequently than patients with an uncomplicated course. Hospital transfer has no obvious effect on the in-hospital mortality. Referral bias should be taken into consideration when describing the clinical spectrum of IE.</div>
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<ET>Revisiting the effect of referral bias on the clinical spectrum of infective endocarditis in adults</ET>
<AU>KANAFANI (Z. A.); KANJ (S. S.); CABELL (C. H.); CECCHI (E.); DE OLIVEIRA RAMOS (A.); LEJKO-ZUPANC (T.); PAPPAS (P. A.); GIAMERELLOU (H.); GORDON (D.); MICHELET (C.); MUNOZ (P.); PACHIRAT (O.); PETERSON (G.); TAN (R.-S.); TATTEVIN (P.); THOMAS (V.); WANG (A.); WIESBAUER (F.); SEXTON (D. J.)</AU>
<AF>American University of Beirut Medical Center/Beirut/Liban (1 aut., 2 aut.); Duke University Medical Center/Durham, NC/Etats-Unis (3 aut., 17 aut., 19 aut.); Duke Clinical Research Institute/Durham, NC/Etats-Unis (3 aut., 7 aut.); Maria Vittoria Hospital/Turin/Italie (4 aut.); Instituto Dante Pazzanese de Cardiologia/Moema/Brésil (5 aut.); Medical Center Ljubljana/Ljubljana/Slovénie (6 aut.); Attikon University General Hospital/Athens/Grèce (8 aut.); Flinders Medical Centre/Adelaide/Australie (9 aut.); Pontchaillou University/Rennes/France (10 aut., 15 aut.); Hospital General Universitario Gregorio Marañón/Madrid/Espagne (11 aut.); Khon Kaen University/Khon Kaen/Thaïlande (12 aut.); University of Texas Southwestern Medical Center/Dallas, TX/Etats-Unis (13 aut.); National Heart Centre/Singapore/Singapour (14 aut.); Medical College Calicut/Kerala/Inde (16 aut.); Vienna General Hospital/Vienna/Autriche (18 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>European journal of clinical microbiology & infectious diseases : (Print); ISSN 0934-9723; Allemagne; Da. 2010; Vol. 29; No. 10; Pp. 1203-1210; Bibl. 32 ref.</SO>
<LA>Anglais</LA>
<EA>Referral bias occurs because of the clustering of patients at tertiary care centers. This may result in the distortion of observed clinical manifestations of rare diseases. This analysis evaluates the effect of referral bias on the epidemiology of infective endocarditis (IE) in the International Collaboration on Endocarditis-Prospective Cohort Study (ICE-PCS). This is a prospective multicenter cohort study comparing transferred and non-transferred patients with IE. Factors independently associated with transfer status were evaluated using multivariable logistic regression. A total of 2,760 patients were included in the analysis, of which 1,164 (42.2%) were transferred from other medical centers. Transferred patients more often underwent surgery for IE (odds ratio [OR]=2.5; 95% confidence interval [CI] 1.9-3.2). They were also more likely to have complications such as stroke (OR=1.5; 95% CI 1.3-1.9), heart failure (OR=1.4; 95% CI 1.1-1.6), and new valvular regurgitation (OR=1.3; 95% CI 1.1-1.6). The in-hospital mortality rates were similar in both groups. Patients with IE who require surgery and suffer complications are referred to tertiary hospitals more frequently than patients with an uncomplicated course. Hospital transfer has no obvious effect on the in-hospital mortality. Referral bias should be taken into consideration when describing the clinical spectrum of IE.</EA>
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<EG>Human; Cardiovascular disease; Heart disease; Endocardial disease</EG>
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   |texte=   Revisiting the effect of referral bias on the clinical spectrum of infective endocarditis in adults
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	Serveur d'exploration sur les relations entre la France et l'Australie
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Serveur d'exploration sur les relations entre la France et l'Australie

Revisiting the effect of referral bias on the clinical spectrum of infective endocarditis in adults

Revisiting the effect of referral bias on the clinical spectrum of infective endocarditis in adults

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