2020 AHA/ACC Key Data Elements and Definitions for Coronary Revascularization: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards (Writing Committee to Develop Clinical Data Standards for Coronary Revascularization)

TY - JOUR

T1 - 2020 AHA/ACC Key Data Elements and Definitions for Coronary Revascularization

T2 - A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards (Writing Committee to Develop Clinical Data Standards for Coronary Revascularization)

AU - Dehmer, Gregory J.

AU - Badhwar, Vinay

AU - Bermudez, Edmund A.

AU - Cleveland, Joseph C.

AU - Cohen, Mauricio G.

AU - D'Agostino, Richard S.

AU - Ferguson, T. Bruce

AU - Hendel, Robert C.

AU - Isler, Maria Lizza

AU - Jacobs, Jeffrey P.

AU - Jneid, Hani

AU - Katz, Alan S.

AU - Maddox, Thomas M.

AU - Shahian, David M.

N1 - Funding Information: Heart disease is the leading cause of death in the United States ( 1 ), and coronary artery disease is the most common type of heart disease ( 2 ). The annual estimated cost of heart disease in the United States is $218 billion ( 3 ). A substantial portion of this expense is related to the cost of hospitalizations for interventional cardiology and cardiac surgery ( 3 ). As healthcare costs continue to rise, increased emphasis is placed on the need to develop platforms to measure outcomes, quality, and value in medicine and surgery. Large databases, such as the Society of Thoracic Surgeons (STS) National Database, the ACC National Cardiovascular Data Registry (NCDR), and the Get With The Guidelines–Coronary Artery Disease database, contain a wealth of information on cardiac surgical procedures, invasive cardiac procedures, and selected clinical conditions but do not contain information about healthcare economics (charges and costs) and only limited data on longitudinal outcome. To address these limitations, the STS and NCDR metrics must be linked to other sources of data such as Centers for Medicare and Medicaid Services data. Such linkages of large data sets facilitate comparative effectiveness research as well as the study of longitudinal outcomes and healthcare economics, as exemplified by the ASCERT (American College of Cardiology Foundation–Society of Thoracic Surgeons Collaboration on the Comparative Effectiveness of Revascularization Strategies) trial of coronary artery bypass grafting and percutaneous coronary intervention, funded by the National Heart, Lung, and Blood Institute of the National Institutes of Health ( 4–6 ). The success of this type of research, using linked data sets, depends on the harmonization of clinical data standards and definitions across databases. The purpose of this article is to publish consensus-based key data elements and definitions for databases capturing information about coronary revascularization.

PY - 2020/4/28

Y1 - 2020/4/28

KW - ACC/AHA Clinical Data Standards

KW - acute coronary syndrome

KW - clinical trials

KW - coronary artery bypass graft

KW - coronary artery disease

KW - coronary revascularization

KW - percutaneous coronary intervention

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U2 - 10.1016/j.jacc.2020.02.010

DO - 10.1016/j.jacc.2020.02.010

M3 - Article

C2 - 32202924

AN - SCOPUS:85083802455

SN - 0735-1097

VL - 75

SP - 1975

EP - 2088

JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

IS - 16

ER -