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When to Order a Respiratory Viral Panel (RVP): Physician Use in Clinical Practice
BACKGROUND: Multiplex RVP assays are frequently offered at medical centers to screen for viruses using nucleic acid technology. The University of Pittsburgh Medical Center (UPMC) uses the Genmark eSensor RVP detecting 14 virus types/subtypes. This study evaluated how RVPs are used in a large medical...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5631003/ http://dx.doi.org/10.1093/ofid/ofx163.855 |
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author | Linn, Alexandra Wang, Li Silveira, Fernanda P Williams, John V Zimmerman, Richard Rinaldo, Charles R Michaels, Marian |
author_facet | Linn, Alexandra Wang, Li Silveira, Fernanda P Williams, John V Zimmerman, Richard Rinaldo, Charles R Michaels, Marian |
author_sort | Linn, Alexandra |
collection | PubMed |
description | BACKGROUND: Multiplex RVP assays are frequently offered at medical centers to screen for viruses using nucleic acid technology. The University of Pittsburgh Medical Center (UPMC) uses the Genmark eSensor RVP detecting 14 virus types/subtypes. This study evaluated how RVPs are used in a large medical center to better understand physician practices. METHODS: A 32 question, descriptive survey, created using the Qualtrics survey database, was sent via email to pediatric, emergency, internal, and family physicians at large academic hospitals in the UPMC network. The anonymous survey was sent 3 times between January 2017 and March 2017. Survey data were analyzed using the SPSS statistics software. RESULTS: 543/1,265 (43%) survey responses were received; 492 were evaluable. 56% were female; 42% see children, 45% see adults, 13% see both; 16% see patients in the ED. Training levels included 51% residents/fellows and 49% attendings. Of doctors responding, 87% order RVPs. Most (85%) have changed treatment decisions based on a RVP result; 53% changed management ~50% of the time. CONCLUSION: Physicians order RVPs most frequently if they believe the results will change treatment. RVPs are ordered more for young and elderly patients, and those with underlying immunosuppression or chronic illness. Cost does not limit physician ordering and most are unaware of it. Suspected influenza or specific virus is also considered. DISCLOSURES: J. V. Williams, Quidel: Scientific Advisor, Consulting fee GlaxoSmithKline: Scientific Advisor, Consulting fee R. Zimmerman, Sanofi: Grant Investigator, Grant recipient |
format | Online Article Text |
id | pubmed-5631003 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-56310032017-11-07 When to Order a Respiratory Viral Panel (RVP): Physician Use in Clinical Practice Linn, Alexandra Wang, Li Silveira, Fernanda P Williams, John V Zimmerman, Richard Rinaldo, Charles R Michaels, Marian Open Forum Infect Dis Abstracts BACKGROUND: Multiplex RVP assays are frequently offered at medical centers to screen for viruses using nucleic acid technology. The University of Pittsburgh Medical Center (UPMC) uses the Genmark eSensor RVP detecting 14 virus types/subtypes. This study evaluated how RVPs are used in a large medical center to better understand physician practices. METHODS: A 32 question, descriptive survey, created using the Qualtrics survey database, was sent via email to pediatric, emergency, internal, and family physicians at large academic hospitals in the UPMC network. The anonymous survey was sent 3 times between January 2017 and March 2017. Survey data were analyzed using the SPSS statistics software. RESULTS: 543/1,265 (43%) survey responses were received; 492 were evaluable. 56% were female; 42% see children, 45% see adults, 13% see both; 16% see patients in the ED. Training levels included 51% residents/fellows and 49% attendings. Of doctors responding, 87% order RVPs. Most (85%) have changed treatment decisions based on a RVP result; 53% changed management ~50% of the time. CONCLUSION: Physicians order RVPs most frequently if they believe the results will change treatment. RVPs are ordered more for young and elderly patients, and those with underlying immunosuppression or chronic illness. Cost does not limit physician ordering and most are unaware of it. Suspected influenza or specific virus is also considered. DISCLOSURES: J. V. Williams, Quidel: Scientific Advisor, Consulting fee GlaxoSmithKline: Scientific Advisor, Consulting fee R. Zimmerman, Sanofi: Grant Investigator, Grant recipient Oxford University Press 2017-10-04 /pmc/articles/PMC5631003/ http://dx.doi.org/10.1093/ofid/ofx163.855 Text en © The Author 2017. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Abstracts Linn, Alexandra Wang, Li Silveira, Fernanda P Williams, John V Zimmerman, Richard Rinaldo, Charles R Michaels, Marian When to Order a Respiratory Viral Panel (RVP): Physician Use in Clinical Practice |
title | When to Order a Respiratory Viral Panel (RVP): Physician Use in Clinical Practice |
title_full | When to Order a Respiratory Viral Panel (RVP): Physician Use in Clinical Practice |
title_fullStr | When to Order a Respiratory Viral Panel (RVP): Physician Use in Clinical Practice |
title_full_unstemmed | When to Order a Respiratory Viral Panel (RVP): Physician Use in Clinical Practice |
title_short | When to Order a Respiratory Viral Panel (RVP): Physician Use in Clinical Practice |
title_sort | when to order a respiratory viral panel (rvp): physician use in clinical practice |
topic | Abstracts |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5631003/ http://dx.doi.org/10.1093/ofid/ofx163.855 |
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