Generalist and Cardiologist Care for Congestive Heart Failure
Authors: Andrew D. Auerbach
Journal: Annals of Internal Medicine (2000)

Letters19 September 2000Generalist and Cardiologist Care for Congestive Heart FailureAndrew D. Auerbach, MD, MPH, Russell S. Phillips, MD, and Mary Beth Hamel, MD, MPHAndrew D. Auerbach, MD, MPHUniversity of California, San Francisco; San Francisco, CA 94143-0120 (Auerbach)Beth Israel Deaconess Medical Center; Boston, MA 02215 (Phillips, Hamel)Search for more papers by this author, Russell S. Phillips, MDUniversity of California, San Francisco; San Francisco, CA 94143-0120 (Auerbach)Beth Israel Deaconess Medical Center; Boston, MA 02215 (Phillips, Hamel)Search for more papers by this author, and Mary Beth Hamel, MD, MPHUniversity of California, San Francisco; San Francisco, CA 94143-0120 (Auerbach)Beth Israel Deaconess Medical Center; Boston, MA 02215 (Phillips, Hamel)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-133-6-200009190-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Nurhussein points out differences between patients cared for by cardiologists and those cared for by generalists and wonders whether use of angiotensin-converting enzyme (ACE) inhibitors affects patient survival. Similar proportions of patients in each category received ACE inhibitors at the time of discharge. However, models adjusting for use of ACE inhibitors at discharge did not change short-term (30-day) or longer-term mortality findings. It remains possible that differences in dosing of ACE inhibitors may have affected patient survival, but our data do not permit us to discern these differences directly.Our Table 1 displays in-hospital mortality, whereas our ...Reference1. Shojania KG, Wachter RM. Unreliability of physician “report cards” to assess cost and quality of care [Letter]. JAMA. 2000;283:52-4. MedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of California, San Francisco; San Francisco, CA 94143-0120 (Auerbach)Beth Israel Deaconess Medical Center; Boston, MA 02215 (Phillips, Hamel) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoResource Use and Survival of Patients Hospitalized with Congestive Heart Failure: Differences in Care by Specialty of the Attending Physician Andrew D. Auerbach , Mary Beth Hamel , Roger B. Davis , Alfred F. Connors Jr. , Carol Regueiro , Norman Desbiens , Lee Goldman , Robert M. Califf , Neal V. Dawson , Neil Wenger , Humberto Vidaillet , Russell S. Phillips , and Generalist and Cardiologist Care for Congestive Heart Failure M.A. Nurhussein Generalist and Cardiologist Care for Congestive Heart Failure Sanjay Srivatsa and Hamid R. Amjadi Metrics 19 September 2000Volume 133, Issue 6Page: 482KeywordsACE inhibitorsAngiotensin converting enzymeCaregiversHealth care qualityHeart failureMortalityPatientsQuality of life ePublished: 19 September 2000 Issue Published: 19 September 2000 CopyrightCopyright © 2000 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...