{"id":"https://openalex.org/W4389945321","doi":"https://doi.org/10.1161/circ.148.suppl_1.17201","title":"Abstract 17201: Referral Patterns and Clinical Outcomes in Patients With Severe Aortic Stenosis","display_name":"Abstract 17201: Referral Patterns and Clinical Outcomes in Patients With Severe Aortic Stenosis","publication_year":2023,"publication_date":"2023-11-07","ids":{"openalex":"https://openalex.org/W4389945321","doi":"https://doi.org/10.1161/circ.148.suppl_1.17201"},"language":"en","primary_location":{"id":"doi:10.1161/circ.148.suppl_1.17201","doi":"https://doi.org/10.1161/circ.148.suppl_1.17201","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.148.suppl_1.17201","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5019973890","display_name":"Azin Vakilpour","orcid":"https://orcid.org/0000-0002-9231-3674","observed_orcids":["https://orcid.org/0000-0002-9231-3674"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Azin Vakilpour","raw_affiliation_strings":["Cardiovascular Medicine, Univ of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiovascular Medicine, Univ of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079135645","display_name":"Michael G. Levin","orcid":"https://orcid.org/0000-0002-9937-9932","observed_orcids":["https://orcid.org/0000-0002-9937-9932"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Levin","raw_affiliation_strings":["Univ of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022190967","display_name":"Emeka C. Anyanwu","orcid":"https://orcid.org/0000-0001-6143-4994","observed_orcids":["https://orcid.org/0000-0001-6143-4994"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Emeka Anyanwu","raw_affiliation_strings":["Cardiovascular Medicine, Univ of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiovascular Medicine, Univ of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111932761","display_name":"Srinivas Denduluri","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Srinivas Denduluri","raw_affiliation_strings":["Univ of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072084788","display_name":"Jennifer N Lee","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jennifer N Lee","raw_affiliation_strings":["Haddon Township, NJ"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Haddon Township, NJ","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026388061","display_name":"Tiffany Sharkoski","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tiffany Sharkoski","raw_affiliation_strings":["Univ of Pennylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Pennylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057065254","display_name":"Srinath Adusumalli","orcid":"https://orcid.org/0000-0003-0341-1836","observed_orcids":["https://orcid.org/0000-0003-0341-1836"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Srinath Adusumalli","raw_affiliation_strings":["Cardiovascular Medicine, Univ of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiovascular Medicine, Univ of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049001881","display_name":"Mahesh K. Vidula","orcid":"https://orcid.org/0000-0002-7701-8757","observed_orcids":["https://orcid.org/0000-0002-7701-8757"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mahesh K Vidula","raw_affiliation_strings":["Univ of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026092252","display_name":"Juan Lopez\u2010Mattei","orcid":"https://orcid.org/0000-0002-1177-8761","observed_orcids":["https://orcid.org/0000-0002-1177-8761"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Juan Lopez-Mattei","raw_affiliation_strings":["FL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"FL","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043337072","display_name":"Jesse L. Chittams","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jesse Chittams","raw_affiliation_strings":["Univ of Pennylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Pennylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":null,"display_name":"David B Jones","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David B Jones","raw_affiliation_strings":["Cardiovascular Medicine, Univ of Pennsylvania, Philadelphia, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiovascular Medicine, Univ of Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019511489","display_name":"Carlton Hartwell","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Carlton Hartwell","raw_affiliation_strings":["Lee Health, FL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lee Health, FL","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040683535","display_name":"Michael Bolooki","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael Bolooki","raw_affiliation_strings":["Lee Health, FL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lee Health, FL","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040097341","display_name":"Jamieson MacDonald Bourque","orcid":"https://orcid.org/0000-0003-0727-199X","observed_orcids":["https://orcid.org/0000-0003-0727-199X"]},"institutions":[{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jamieson Bourque","raw_affiliation_strings":["Univ of Virginia, Charlottesville, VA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Virginia, Charlottesville, VA","institution_ids":["https://openalex.org/I51556381"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5043760436","display_name":"Marielle Scherrer\u2010Crosbie","orcid":"https://orcid.org/0000-0001-6375-9266","observed_orcids":["https://orcid.org/0000-0001-6375-9266"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marielle Scherrer-Crosbie","raw_affiliation_strings":["Univ of Pennylvania, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Pennylvania, PA","institution_ids":["https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"148","issue":"Suppl_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10300","display_name":"Congenital Heart Disease Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/severe-aortic-stenosis","display_name":"severe aortic stenosis","score":0.996999979019165},{"id":"https://openalex.org/keywords/aortic-valve-replacement","display_name":"aortic valve replacement","score":0.9679999947547913},{"id":"https://openalex.org/keywords/referral-patterns","display_name":"referral patterns","score":0.7799999713897705},{"id":"https://openalex.org/keywords/provider-specialty","display_name":"provider specialty","score":0.9449999928474426},{"id":"https://openalex.org/keywords/cardiology-referral","display_name":"cardiologist referral","score":0.7149999737739563},{"id":"https://openalex.org/keywords/echocardiogram","display_name":"echocardiogram","score":0.7110000252723694},{"id":"https://openalex.org/keywords/timing-of-valve-surgery","display_name":"timing of valve surgery","score":0.5009999871253967},{"id":"https://openalex.org/keywords/racial-disparities","display_name":"racial disparities","score":0.7080000042915344},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.7490000128746033},{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.5080000162124634},{"id":"https://openalex.org/keywords/kidney-disease","display_name":"kidney disease","score":0.7260000109672546}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9641263484954834},{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.7055338621139526},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.6934056282043457},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6310784220695496},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.6057195663452148},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.5917642116546631},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5032772421836853},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.43080461025238037},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.07523027062416077}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circ.148.suppl_1.17201","doi":"https://doi.org/10.1161/circ.148.suppl_1.17201","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.148.suppl_1.17201","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.7300000190734863}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4412558834","https://openalex.org/W3214781104","https://openalex.org/W4394798920","https://openalex.org/W7130609156","https://openalex.org/W4283698404","https://openalex.org/W3162100377","https://openalex.org/W4318189262","https://openalex.org/W2131801291","https://openalex.org/W4404359468","https://openalex.org/W2613399238"],"abstract_inverted_index":{"Introduction:":[0],"Once":[1],"aortic":[2,15],"stenosis":[3],"(AS)":[4],"becomes":[5],"severe,":[6],"close":[7],"clinical":[8],"follow-up":[9],"by":[10,50,135,140,145,154,186,192,199,222,229,287],"cardiac":[11,51,90,146,200,230,288],"specialists":[12,52,148,202],"and":[13,79,108,142,161,171,178,194,212,253],"timely":[14],"valve":[16],"replacement":[17],"(AVR)":[18],"are":[19],"necessary":[20],"to":[21,71,114,133,152,270],"optimize":[22],"patient":[23],"outcomes.":[24],"Discrepancies":[25],"exist":[26],"in":[27,74],"the":[28,84,99,104],"care":[29],"of":[30,64,101,168,175,183,189,196,209,245],"AS.":[31],"Hypothesis:":[32],"Provider":[33,266],"specialty":[34,87,267],"impacts":[35,268],"referral":[36,49,119,221,228,269],"for":[37,120],"AVR":[38,102,204,271,285],"after":[39,103,215,272],"an":[40,61,75,273],"initial":[41,105],"echocardiogram":[42],"(echo)":[43],"revealing":[44],"severe":[45,66,277],"AS,":[46],"with":[47,118,164,263,275,283],"greater":[48],"vs.":[53,93],"non-cardiologists.":[54],"Methods:":[55],"Patients":[56,150],"were":[57,80,112,131,156,259],"identified":[58],"based":[59,82],"on":[60,83],"echo":[62,134,153,227,274],"finding":[63],"new":[65,276],"AS":[67,278],"from":[68],"Jan":[69],"2019":[70],"Dec":[72],"2022":[73],"academic":[76],"health":[77],"system":[78],"compared":[81],"ordering":[85],"provider\u2019s":[86],"(cardiology":[88],"or":[89],"surgery":[91,147,201,231],"specialist":[92],"non-cardiologist).":[94],"The":[95,123],"primary":[96],"endpoint":[97],"was":[98],"rate":[100,167,174],"echo.":[106],"Univariable":[107],"multivariable":[109],"logistic":[110],"regression":[111],"used":[113],"identify":[115],"characteristics":[116],"associated":[117,262],"AVR.":[121,264],"Results:":[122],"study":[124],"cohort":[125],"included":[126],"2,131":[127],"patients:":[128],"630":[129],"(30%)":[130],"referred":[132,151,185,191,198],"a":[136,165,172,206],"non-cardiologist,":[137],"992":[138],"(46%)":[139],"cardiology,":[141],"509":[143],"(24%)":[144],"(Table).":[149],"non-cardiologists":[155],"older,":[157],"more":[158,162],"frequently":[159],"Black,":[160],"symptomatic,":[163],"lower":[166],"vascular":[169],"diseases":[170],"higher":[173,284],"heart":[176],"failure":[177],"kidney":[179],"disease.":[180],"Thirty-four":[181],"percent":[182],"patients":[184,190,197],"non-cardiologists,":[187],"62%":[188],"cardiology":[193,223],"81%":[195],"underwent":[203],"at":[205],"median":[207],"time":[208],"58,":[210],"64":[211],"24":[213],"days":[214],"their":[216],"echocardiogram,":[217],"respectively":[218],"(P<0.001).":[219],"Echo":[220],"(OR:":[224,232,236,241,250,256],"2.76,":[225],"P<0.001),":[226,234,238,243,252],"7.50;":[233],"age":[235],"0.96,":[237],"Black":[239],"race":[240],"0.60,":[242],"presence":[244],">=2":[246,254],"CV":[247],"risk":[248],"factors":[249,261],"1.99,":[251],"comorbidities":[255],"1.54,":[257],"P=0.001)":[258],"independent":[260],"Conclusion:":[265],"despite":[279],"baseline":[280],"characteristic":[281],"adjustment,":[282],"rates":[286],"specialists.":[289]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2023-12-20T00:00:00"}
