{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T19:53:59Z","timestamp":1767988439834,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T00:00:00Z","timestamp":1586995200000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the impact of 2016 ASE\/EACVI guidelines on Diastolic Function (DF) reporting during routine clinical practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Transthoracic echos performed 9\u00a0months before and 18\u00a0months after the 2016 guidelines (DF2016) were retrospectively analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty thousand eight hundred forty three echos performed between July 1, 2015, and September 30, 2017, were analyzed. Quarterly trends showed a stable proportion of normal DF (nDF), diastolic dysfunction (DD), indeterminate DF (DF\u2010I), and nonreported DF (DF\u2010NR) for 3 quarters preceding DF2016. After DF2016 release, reporting of DD decreased by 57% (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), nDF increased by 76% (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), DF\u2010NR increased by 266% (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), and DF\u2010I did not change significantly (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.40). Grade 1 DD decreased by 64% (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), grade 2 DD decreased by 51% (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), and grade 3 DD did not change significantly (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.18). Provider level analysis showed increased heterogeneity in grade 1 DD reporting and decreased heterogeneity in DD grades 2 or higher, after DF2016. Systolic dysfunction reporting remained relatively stable (22%\u219221%\u219220%) compared to a significant decrease in isolated DD (35%\u219221%\u219210%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The 2016 guidelines update has impacted DF reporting patterns significantly. The likelihood of reporting DD decreased significantly, especially for grades 1 and 2. Inter\u2010provider heterogeneity in DF reporting improved for grades 2 and 3 but worsened for grade 1. There was more than threefold increase in failure to report DF, suggesting a decrease in provider confidence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.14645","type":"journal-article","created":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T12:40:19Z","timestamp":1587040819000},"page":"546-553","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of the 2016 ASE\/EACVI Guidelines on diastolic function reporting in routine clinical practice"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4988-5834","authenticated-orcid":false,"given":"Prabhakaran","family":"Gopalakrishnan","sequence":"first","affiliation":[{"name":"Division of Cardiology Aultman Hospital Canton 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