Progress Towards a National Cardiac Procedure Database—Development of the Australasian Society of Cardiac and Thoracic Surgeons (ASCTS) and Melbourne Interventional Group (MIG) Registries - 10/08/11

Doi : 10.1016/j.hlc.2010.10.002

William Chan, MBBS ^a,^{^{1
On behalf of ASCTS, MIG Investigators (see Appendix A).}}, David J. Clark, MBBS ^b,^{^{1
On behalf of ASCTS, MIG Investigators (see Appendix A).}}, Andrew E. Ajani, MBBS, MD ^c,^f,^g,^{^{1
On behalf of ASCTS, MIG Investigators (see Appendix A).}}, Cheng-Hon Yap, MBBS, MS ^c,^f,^{^{1
On behalf of ASCTS, MIG Investigators (see Appendix A).}}, Nick Andrianopoulos, MBBS ^f,^{^{1
On behalf of ASCTS, MIG Investigators (see Appendix A).}}, Angela L. Brennan, RN ^f,^{^{1
On behalf of ASCTS, MIG Investigators (see Appendix A).}}, Diem T. Dinh, PhD ^f,^{^{1
On behalf of ASCTS, MIG Investigators (see Appendix A).}}, Gilbert C. Shardey, MBBS ^d,^{^{1
On behalf of ASCTS, MIG Investigators (see Appendix A).}}, Julian A. Smith, MBBS ^e,^{^{1
On behalf of ASCTS, MIG Investigators (see Appendix A).}}, Christopher M. Reid, PhD ^f,^{^{1
On behalf of ASCTS, MIG Investigators (see Appendix A).}}, Stephen J. Duffy, MBBS, PhD ^a,^f,^{^{1
On behalf of ASCTS, MIG Investigators (see Appendix A).},}^⁎
^a Department of Cardiology and Cardiac Surgery, Alfred Hospital, Melbourne, Victoria, Australia
^b Department of Cardiology and Cardiac Surgery, Austin Hospital, Melbourne, Victoria, Australia
^c Department of Cardiology and Cardiac Surgery, Royal Melbourne Hospital, Melbourne, Victoria, Australia
^d Department of Cardiology and Cardiac Surgery, Cabrini Medical Centre, Melbourne, Victoria, Australia
^e Department of Cardiology and Cardiac Surgery, Monash Medical Centre, Melbourne, Victoria, Australia
^f Centre of Cardiovascular Research & Education in Therapeutics, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
^g University of Melbourne, Melbourne, Victoria, Australia

Corresponding author at: Heart Centre, The Alfred Hospital, 3rd Floor, W.S. Philip Block, Commercial Road, Melbourne 3004, Victoria, Australia. Tel.: +61 3 9076 2732; fax: +61 3 9076 2461.

Résumé

Since the call for a National Cardiac Procedures Database in 2001, much work has been accomplished in both cardiac surgery and interventional cardiology in an attempt to establish a unified, systematic approach to data collection, defining a common minimum dataset pertinent to the Australian context, and instituting quality control measures to ensure integrity and privacy of data. In this paper we outline the aims of the Australasian Society of Cardiac and Thoracic Surgeons (ASCTS) and the Melbourne Interventional Group (MIG) registries, and propose a comprehensive set of standardised data elements and their definitions to facilitate transparency in data collection, consistency between these and other data sets, and encourage ongoing peer-review. The aims are to improve outcomes for patients by determining key performance indicators and standards of performance for hospital units, to allow estimation of procedural risks and likelihood of outcomes for patients, and to report outcomes to relevant stake-holders and the public.

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Keywords : Database, Percutaneous coronary intervention, Cardiac surgery, Performance indicators, Auditing, Quality assurance

Plan

Introduction

History of ASCTS, MIG and International Cardiac Procedure Databases

ASCTS Victorian Database Project

Melbourne Interventional Group

Moving Forward: ASCTS and MIG Data Set and Definitions

Aims of ASCTS and MIG Cardiac Procedure Database

Establishing Key Performance and Safety Indicators

Establishing a Set of Standardised Data Set Elements

Establishing a Predictive Risk-adjustment Model for CABG and PCI Pertinent to the Australian Context

Determining Long-term Clinical Outcomes

Performing Cost-effectiveness Analysis for Emerging Therapeutic Procedural Strategies

Compare Treatment of Privately Insured Versus Public Patients

ASCTS and MIG Outcomes

Towards a National Cardiac Procedure Database

Future Directions

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Vol 20 - N° 1

P. 10-18 - janvier 2011 Retour au numéro

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Progress Towards a National Cardiac Procedure Database—Development of the Australasian Society of Cardiac and Thoracic Surgeons (ASCTS) and Melbourne Interventional Group (MIG) Registries - 10/08/11

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