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Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions
INTRODUCTION: Placement of removable inferior vena cava filters (rIVCFs) has increased, but this has not been accompanied by timely removal, with retrieval rates as low as 8.5% at some institutions. Failure to remove rIVCFs that were not medically necessary resulted in increased complications. This...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of Kansas Medical Center
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710506/ https://www.ncbi.nlm.nih.gov/pubmed/36467449 http://dx.doi.org/10.17161/kjm.vol15.18449 |
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author | Nygard, Adam S. Hanna, Nick M. Fiore, Gerre A. Rohr, Aaron M. Alli, Adam S. Collins, Zach S. Irani, Neville R. |
author_facet | Nygard, Adam S. Hanna, Nick M. Fiore, Gerre A. Rohr, Aaron M. Alli, Adam S. Collins, Zach S. Irani, Neville R. |
author_sort | Nygard, Adam S. |
collection | PubMed |
description | INTRODUCTION: Placement of removable inferior vena cava filters (rIVCFs) has increased, but this has not been accompanied by timely removal, with retrieval rates as low as 8.5% at some institutions. Failure to remove rIVCFs that were not medically necessary resulted in increased complications. This study discussed the development of an inferior vena cava (IVC) filter follow-up protocol. METHODS: A method to monitor IVC filter placement and retrieval was developed. A weekly report was generated detailing placement and removal of rIVCFs. A standardized retrieval calculator was utilized to determine efficacy of removal. An IVC filter Retrieval Assessment Form was developed. Managing physicians and patients with medically unnecessary filters were sent letters with a retrieval checklist and order form. If not removed within one year, additional letters were sent. Standardized IVC filter reporting templates were created and utilized after insertion of all filters with retrieval status. Letters eventually were built into the electronic medical record for direct routing. RESULTS: From 2015 to 2020, IVC filters were placed in 719 patients. Of those, 58% were eligible for retrieval. Initial rates of rIVCF removal in eligible patients were as low as 30–33% in 2015. The retrieval rate of eligible filters rose to 44% in September 2018. The rate of retrieval rose to 61% in January 2021. CONCLUSIONS: Employing a systemic protocol to aid in follow-up of patients following rIVCF placement may improve rates of retrieval. Regular evaluation and revision of the process demonstrated a significant role in achieving an increase in retrieval rates. |
format | Online Article Text |
id | pubmed-9710506 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | University of Kansas Medical Center |
record_format | MEDLINE/PubMed |
spelling | pubmed-97105062022-12-01 Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions Nygard, Adam S. Hanna, Nick M. Fiore, Gerre A. Rohr, Aaron M. Alli, Adam S. Collins, Zach S. Irani, Neville R. Kans J Med Original Research INTRODUCTION: Placement of removable inferior vena cava filters (rIVCFs) has increased, but this has not been accompanied by timely removal, with retrieval rates as low as 8.5% at some institutions. Failure to remove rIVCFs that were not medically necessary resulted in increased complications. This study discussed the development of an inferior vena cava (IVC) filter follow-up protocol. METHODS: A method to monitor IVC filter placement and retrieval was developed. A weekly report was generated detailing placement and removal of rIVCFs. A standardized retrieval calculator was utilized to determine efficacy of removal. An IVC filter Retrieval Assessment Form was developed. Managing physicians and patients with medically unnecessary filters were sent letters with a retrieval checklist and order form. If not removed within one year, additional letters were sent. Standardized IVC filter reporting templates were created and utilized after insertion of all filters with retrieval status. Letters eventually were built into the electronic medical record for direct routing. RESULTS: From 2015 to 2020, IVC filters were placed in 719 patients. Of those, 58% were eligible for retrieval. Initial rates of rIVCF removal in eligible patients were as low as 30–33% in 2015. The retrieval rate of eligible filters rose to 44% in September 2018. The rate of retrieval rose to 61% in January 2021. CONCLUSIONS: Employing a systemic protocol to aid in follow-up of patients following rIVCF placement may improve rates of retrieval. Regular evaluation and revision of the process demonstrated a significant role in achieving an increase in retrieval rates. University of Kansas Medical Center 2022-11-28 /pmc/articles/PMC9710506/ /pubmed/36467449 http://dx.doi.org/10.17161/kjm.vol15.18449 Text en © 2022 The University of Kansas Medical Center https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Original Research Nygard, Adam S. Hanna, Nick M. Fiore, Gerre A. Rohr, Aaron M. Alli, Adam S. Collins, Zach S. Irani, Neville R. Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions |
title | Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions |
title_full | Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions |
title_fullStr | Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions |
title_full_unstemmed | Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions |
title_short | Blueprint for Implementing and Improving Eligible Inferior Vena Cava Filter Retrieval Across Institutions |
title_sort | blueprint for implementing and improving eligible inferior vena cava filter retrieval across institutions |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710506/ https://www.ncbi.nlm.nih.gov/pubmed/36467449 http://dx.doi.org/10.17161/kjm.vol15.18449 |
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