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Circulation. Cardiovascular Quality and Outcomes

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https://www.readbyqxmd.com/read/29903937/focusing-on-the-future-of-cardiovascular-outcomes-research-highlights-from-the-american-heart-association-american-stroke-association-quality-of-care-and-outcomes-research-2018-scientific-sessions
#1
Michael P Thompson, Alexander C Fanaroff, Joshua D Parker, Saraschandra Vallabhajosyula, Madeline R Sterling
No abstract text is available yet for this article.
June 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29903936/medicare-accountable-care-organizations-are-not-associated-with-reductions-in-the-use-of-low-value-coronary-revascularization
#2
John M Hollingsworth, Brahmajee K Nallamothu, Phyllis Yan, Sarah Ward, Sunny Lin, Carrie H Colla, Valerie A Lewis, John Z Ayanian, Brent K Hollenbeck, Andrew M Ryan
BACKGROUND: Because specialty care accounts for half of Medicare expenditures, improving its value is critical to the success of Medicare accountable care organizations (ACOs) in curbing spending growth. However, whether ACOs have reduced low-value specialty care without compromising use of high-value services remains unknown. METHODS AND RESULTS: Using national Medicare data, we identified 2 cohorts: beneficiaries for whom the value of coronary revascularization is lower (those with ischemic heart disease without angina, congestive heart failure, or recent admission for acute myocardial infarction) and beneficiaries for whom its value is higher (those with recent acute myocardial infarction admission)...
June 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29895613/return-to-work-after-acute-myocardial-infarction-the-importance-of-patients-preferences
#3
EDITORIAL
Rachel P Dreyer, Victoria Vaughan Dickson
No abstract text is available yet for this article.
June 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29895612/adverse-change-in-employment-status-after-acute-myocardial-infarction-analysis-from-the-translate-acs-study
#4
Haider J Warraich, Lisa A Kaltenbach, Gregg C Fonarow, Eric D Peterson, Tracy Y Wang
BACKGROUND: Inability to resume employment after acute myocardial infarction (MI) has important implications for patients. We sought to assess the prevalence of and outcomes associated with adverse change in employment after MI in a national US cohort. METHODS AND RESULTS: The TRANSLATE-ACS study (Treatment with Adenosine Diphosphate Receptor Inhibitors: Longitudinal Assessment of Treatment Patterns and Events after Acute Coronary Syndrome) assessed employment status at baseline and 1 year among 9319 patients with MI (mean age, 60...
June 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29884658/remote-pharmacist-practice-model-of-collaboration-in-primary-care-potential-for-benefit-or-an-opportunity-lost
#5
EDITORIAL
Glen J Pearson
No abstract text is available yet for this article.
June 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29884657/cluster-randomized-trial-to-evaluate-a-centralized-clinical-pharmacy-service-in-private-family-medicine-offices
#6
Barry L Carter, Barcey Levy, Brian Gryzlak, Yinghui Xu, Elizabeth Chrischilles, Jeffrey Dawson, Mark Vander Weg, Alan Christensen, Paul James, Linnea Polgreen
BACKGROUND: The use of clinical pharmacists in primary care has improved the control of several chronic cardiovascular conditions. However, many private physician practices lack the resources to implement team-based care with pharmacists. The purpose of this study was to evaluate whether a centralized, remote, clinical pharmacy service could improve guideline adherence and secondary measures of cardiovascular risk in primary care offices in rural and small communities. METHODS AND RESULTS: This study was a prospective trial in 12 family medicine offices cluster randomized to either the intervention or usual care...
June 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29860234/examining-the-influence-of-component-outcomes-on-the-composite-at-the-design-stage
#7
Paul M Brown, Justin A Ezekowitz
No abstract text is available yet for this article.
June 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29853466/evolution-of-age-and-female-representation-in-the-most-cited-randomized-controlled-trials-of-cardiology-of-the-last-20-years
#8
Quoc Dinh Nguyen, Eric Peters, Andreanne Wassef, Philippe Desmarais, Delphine Rémillard-Labrosse, Maxime Tremblay-Gravel
BACKGROUND: Older adults and women have historically been underrepresented in randomized controlled trials of cardiology. Recent temporal evolution and factors influencing representation are incompletely investigated. We aimed to contrast age and female representation in the most influential randomized controlled trials in cardiology of the last 20 years to population prevalence and to assess the study factors affecting representation. METHODS AND RESULTS: Using Web of Science, we selected the 25 most-cited cardiology articles each year between 1996 and 2015, and extracted mean age, percentage of women, funding source, sample size, disease condition, intervention type, and exclusion criteria...
June 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29853465/exploring-the-healthcare-value-of-percutaneous-coronary-intervention-appropriateness-outcomes-and-costs-in-michigan-hospitals
#9
Daniel M Alyesh, Milan Seth, David C Miller, James M Dupree, John Syrjamaki, Devraj Sukul, Simon Dixon, Eve A Kerr, Hitinder S Gurm, Brahmajee K Nallamothu
BACKGROUND: Assessments of healthcare value have largely focused on measuring outcomes of care at a given level of cost with less attention paid to appropriateness. However, understanding how appropriateness relates to outcomes and costs is essential to determining healthcare value. METHODS AND RESULTS: In a retrospective cohort study design, administrative data from fee-for-service Medicare patients undergoing percutaneous coronary intervention (PCI) in Michigan hospitals between June 30, 2010, and December 31, 2014, were linked with clinical data from a statewide PCI registry to calculate hospital-level measures of (1) appropriate use criteria scores, (2) 90-day risk-standardized readmission and mortality rates, and (3) 90-day risk-standardized episode costs...
June 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29848476/neighborhood-socioeconomic-disadvantage-and-care-after-myocardial-infarction-in-the-national-cardiovascular-data-registry
#10
Jacob A Udell, Nihar R Desai, Shuang Li, Laine Thomas, James A de Lemos, Phyllis Wright-Slaughter, Wenying Zhang, Matthew T Roe, Deepak L Bhatt
BACKGROUND: Patients living in disadvantaged neighborhoods are at high risk for adverse outcomes after acute myocardial infarction (MI). Whether residential socioeconomic status (SES) is associated with quality of in-hospital care among patients presenting with MI is unclear. METHODS AND RESULTS: Multivariable logistic regression was used to examine the relationship between SES, quality of care, and in-hospital cardiovascular outcomes among patients with MI from diverse SES neighborhoods from July 2008 to December 2013, at 586 participating hospitals in the Acute Coronary Treatment and Intervention Outcomes Network Registry-Get With The Guidelines quality improvement program...
June 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29844021/correction-to-2016-acc-aha-clinical-performance-and-quality-measures-for-adults-with-atrial-fibrillation-or-atrial-flutter-a-report-of-the-american-college-of-cardiology-american-heart-association-task-force-on-performance-measures
#11
https://www.readbyqxmd.com/read/29794035/comparison-of-acute-ischemic-stroke-care-and-outcomes-between-comprehensive-stroke-centers-and-primary-stroke-centers-in-the-united-states
#12
Shumei Man, Xin Zhao, Ken Uchino, M Shazam Hussain, Eric E Smith, Deepak L Bhatt, Ying Xian, Lee H Schwamm, Shreyansh Shah, Yosef Khan, Gregg C Fonarow
BACKGROUND: To improve stroke care, the Brain Attack Coalition recommended establishing primary stroke center (PSC) and comprehensive stroke center (CSC) certification. This study aimed to compare ischemic stroke care and in-hospital outcomes between CSCs and PSCs. METHODS AND RESULTS: We analyzed patients with acute ischemic stroke who were hospitalized at stroke centers participating in Get With The Guidelines-Stroke from 2013 to 2015. Multivariable logistic regression models were generated to examine the association between stroke center certification (CSC versus PSC) and performances and outcomes...
June 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29752391/ischemia-establishing-the-primary-end-point
#13
Sripal Bangalore, David J Maron, Harmony R Reynolds, Gregg W Stone, Sean M O'Brien, Karen P Alexander, Judith S Hochman
No abstract text is available yet for this article.
May 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29752390/pregnancy-after-fontan-palliation-caution-when-details-are-lost-in-translation
#14
EDITORIAL
Melinda B Davis, Ian S Rogers
No abstract text is available yet for this article.
May 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29752389/pregnancy-in-women-with-a-fontan-circulation-a-systematic-review-of-the-literature
#15
Alvaro Garcia Ropero, Shankar Baskar, Jolien W Roos Hesselink, Andrea Girnius, Dominica Zentner, Lorna Swan, Magalie Ladouceur, Nicole Brown, Gruschen R Veldtman
BACKGROUND: The Fontan operation has provided life-saving palliation and adult survival for individuals born with single ventricle physiology. Many now seek advice about safe pregnancy. Little data are, however, available, consisting mainly of anecdotal experience and small series. This article seeks to review the published literature and identify lessons learnt from this collective experience. METHODS AND RESULTS: We conducted a systematic review to evaluate maternal and fetal outcomes of pregnancy in women with a Fontan circulation...
May 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29752388/predicting-the-benefits-of-percutaneous-coronary-intervention-on-1-year-angina-and-quality-of-life-in-stable-ischemic-heart-disease-risk-models-from-the-courage-trial-clinical-outcomes-utilizing-revascularization-and-aggressive-drug-evaluation
#16
Zugui Zhang, Philip Jones, William S Weintraub, G B John Mancini, Steven Sedlis, David J Maron, Koon Teo, Pamela Hartigan, William Kostuk, Daniel Berman, William E Boden, John A Spertus
BACKGROUND: Percutaneous coronary intervention (PCI) is a therapy to reduce angina and improve quality of life in patients with stable ischemic heart disease. However, it is unclear whether the quality of life after PCI is more dependent on the PCI or other patient-related factors. To address this question, we created models to predict angina and quality of life 1 year after PCI and medical therapy. METHODS AND RESULTS: Using data from the 2287 stable ischemic heart disease patients randomized in the COURAGE trial (Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation) to PCI plus optimal medical therapy (OMT) versus OMT alone, we built prediction models for 1-year Seattle Angina Questionnaire angina frequency, physical limitation, and quality of life scores, both as continuous outcomes and categorized by clinically desirable states, using multivariable techniques...
May 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29748356/variation-in-lipid-lowering-therapy-use-in-patients-with-low-density-lipoprotein-cholesterol-%C3%A2-190-mg-dl-insights-from-the-national-cardiovascular-data-registry-practice-innovation-and-clinical-excellence-registry
#17
Salim S Virani, Kevin F Kennedy, Julia M Akeroyd, Pamela B Morris, Vera A Bittner, Frederick A Masoudi, Neil J Stone, Laura A Petersen, Christie M Ballantyne
BACKGROUND: Patients with low-density lipoprotein cholesterol (LDL-C) ≥190 mg/dL are at high risk of atherosclerotic cardiovascular disease events. Treatment guidelines recommend intensive treatment in these patients. Variation in the use of lipid-lowering therapies (LLTs) in these patients in a national sample of cardiology practices is not known. METHODS AND RESULTS: Using data from the American College of Cardiology National Cardiovascular Data Registry-Practice Innovation and Clinical Excellence registry, we assessed the proportion of patients with LDL-C ≥190 mg/dL (n=49 447) receiving statin, high-intensity statin, LLT associated with ≥50% LDL-C lowering, ezetimibe, or a PCSK9 (proprotein convertase subtilisin/kexin type 9) inhibitor between January 2013 and December 2016...
May 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29748355/of-signal-and-noise-overcoming-challenges-in-blood-pressure-measurement-to-optimize-hypertension-care
#18
Matthew F Muldoon, Ian M Kronish, Daichi Shimbo
No abstract text is available yet for this article.
May 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29748354/increasing-use-of-anticoagulants-in-germany-and-its-impact-on-hospitalization-for-intracranial-bleeding
#19
Jan-Erik Gülker, Knut Kröger, Bernd Kowall, Markus Dingelstadt, Andreas Stang
No abstract text is available yet for this article.
May 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29748353/gastrointestinal-bleeding-with-edoxaban-versus-warfarin-results-from-the-engage-af-timi-48-trial-effective-anticoagulation-with-factor-xa-next-generation-in-atrial-fibrillation-thrombolysis-in-myocardial-infarction
#20
James Aisenberg, Prapti Chatterjee-Murphy, Kathryn Friedman Flack, Jeffrey I Weitz, Christian T Ruff, Francesco Nordio, Michele F Mercuri, Youngsook Choi, Elliott M Antman, Eugene Braunwald, Robert P Giugliano
BACKGROUND: The ENGAGE AF-TIMI 48 trial (Effective Anticoagulation With Factor Xa Next Generation in Atrial Fibrillation-Thrombolysis In Myocardial Infarction) compared higher-dose edoxaban regimen (HD-ER) and lower-dose edoxaban regimen with well-managed warfarin in 21 105 patients with atrial fibrillation. The risk factors and clinical impact of gastrointestinal bleeding (GIB) in this trial have not been described in detail. METHODS AND RESULTS: This analysis was undertaken to identify risk factors for major GIB (MGIB) and compare the severity and outcomes of GIB with edoxaban and warfarin...
May 2018: Circulation. Cardiovascular Quality and Outcomes
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