New technologies for spreading information are greatly increasing the pace at which health organisations respond to clinical data on device usage, according to a new study.
Researchers writing in the US journal Circulation: Cardiovascular Quality and Outcomes found that the use of search engines, smart phones and other new technologies led to strikingly rapid changes in clinical practice following studies of drug-eluting stents (DES).
According to Matthew T. Roe, M.D., lead author of the study, the very rapid worldwide spread of medical data means that studies presented at medical conferences can have an almost instant impact on patient treatment.
Researchers examined the impact on clinical practice of studies presented in September 2006 that found DES use to be associated with a higher risk of late stent thrombosis. The use of DES fell from 90% of patients who received coronary stents to 67% in six months, then to 58% in the following nine months. “To our knowledge, this was the most rapid change in practice patterns in cardiology,” Roe said.
The report concluded that the rapid spread of information through electronic media may become the “predominant stimulus for changes in practice in the future”.
Clyde W. Yancy, M.D., President of the American Heart Association, commented: “The opportunity to widely share important findings that promptly impact practice is becoming a powerful tool to drive change. The requirements for prompt but thorough peer review and nimble responsiveness to new data are evident. Managing this new health IT space will require focus, assessment and realignment.”
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