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Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. BACKGROUND:Although Medicare Advantage (MA) plans provide coverage to >50% of Medicare beneficiaries, it is unclear whether MA claims can be used similarly to Medicare Fee-For-Service (FFS) claims for clinical outcomes assessment.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Traditional cardiac rehabilitation (CR) improves cardiovascular outcomes and reduces mortality, but less is known about the relative benefit of intensive CR (ICR) which incorporates greater lifestyle education through 72 sessions (versus 36 in CR).
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. BACKGROUND:Differences in the quality of hospitals where Black and White patients receive coronary artery bypass grafting (CABG) surgery have been documented.
Circulation: Cardiovascular Interventions, Ahead of Print. Utilization trends were stratified by region, urbanicity, distressed communities index, community versus academic center, Medicare versus dual enrollment status, indication, urgency, and presence of dissection with malperfusion.
Circulation: Cardiovascular Interventions, Ahead of Print. BACKGROUND:Lower-limb amputation rates in patients with chronic limb-threatening ischemia vary across the United States, with marked disparities in amputation rates by gender, race, and income status.
10 , 11 , 12 , 13 As healthcare systems increasingly adopt value-based care models, extending monitoring beyond 48 hours can improve patient outcomes, reduce missed diagnoses, and help contain healthcare resource utilization. Long-term outcome of non-sustained ventricular tachycardia in structurally normal hearts. 2016;11(8).
Circulation: Cardiovascular Interventions, Volume 18, Issue 1 , Page e014592, January 1, 2025. We additionally compared end points across treatment arms using trial-adjudicated outcomes versus claims-based outcomes.RESULTS:Trial-adjudicated deaths were perfectly identified by claims.
Circulation: Cardiovascular Quality and Outcomes, Volume 16, Issue 11 , Page e010148, November 1, 2023. BACKGROUND:Although disparities in cardiac rehabilitation (CR) participation are well documented, the role of community-level distress is poorly understood.
Circulation, Volume 150, Issue Suppl_1 , Page A4142159-A4142159, November 12, 2024. While TR can worsen the clinical outcomes in HF patients, its impact on gender, racial and socioeconomic factors remains largely unexplored.
Cardiovascular medications frequently lead this category, often contributing to adverse clinical outcomes, including emergency department visits and hospitalizations. Circulation. Circulation. The good news is that these metrics are evolving to better meet the unique needs of older, frail patients. BMC Med2015;13(74).
A new joint guideline from the American Heart Association (AHA), the American College of Cardiology (ACC) and nine other medical societies reports early diagnosis and treatment of peripheral artery disease is essential to improve outcomes and reduce amputation risk, heart attack, stroke and death for people with Peripheral Artery Disease (PAD).
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Type 2 myocardial infarction (T2MI) and type 1 myocardial infarction (T1MI) differ with respect to demographics, comorbidities, treatments, and clinical outcomes.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. The Cox proportional hazards model was used to estimate hazard ratios of outcomes with 95% CIs.RESULTS:In cohort 1, we identified 1159 and 3477 patients in the pLAAO and direct oral anticoagulant groups with a mean age of 78.1 versus 40.8% versus 8.97/100
Bundle-Branch Block Morphology and Other Predictors of Outcome After Cardiac Resynchronization Therapy in Medicare Patients. Circulation 2010, 122, 2022–2030. [6] Long-term mortality with cardiac resynchronization therapy in the Cardiac Resynchronization-Heart Failure (CARE-HF) trial. Heart Fail. 2012, 14, 628–634. [5]
Circulation, Volume 150, Issue Suppl_1 , Page A4141439-A4141439, November 12, 2024. The outcome follow-up began after the 6-month period. Background:Catheter ablation (CA) is increasingly used for treatment of atrial fibrillation (AF). However, CA has not been widely adopted in the older population with AF.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. We evaluated trends in stroke and death among Medicare beneficiaries with AF between 2013 and 2019.METHODS:Medicare METHODS:Medicare fee-for-service beneficiaries >65 years old (20112019) were included. per 1000 patient-years).
Adult Cardiac Surgery Database Lead Author Title Publication Date Jacob Raphael Red Blood Cell Transfusion and Pulmonary Complications: The Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis The Annals of Thoracic Surgery January 2024 Joseph Sabik Multi-Arterial versus Single-Arterial Coronary Surgery: Ten Year Follow-up of One Million (..)
Program Designations Access and Publications (A&P) 1 Participant User File (PUF) 2 Task Force on Funded Research (TFR) 3 Special Projects 4 Adult Cardiac Surgery Database Lead Author Title Publication Date William Keeling 2 National Trends in Emergency Coronary Artery Bypass Grafting European Journal of Cardiothoracic Surgery October 2023 Jake (..)
Circulation: Heart Failure, Ahead of Print. CONCLUSIONS:Bariatric surgery and pharmacotherapies with weight loss effects are associated with a lower risk of adverse outcomes among older patients with HF and obesity; however, overall utilization remains low. In propensity-matched analysis over a median follow-up of 2.8 0.99];P=0.04).CONCLUSIONS:Bariatric
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. METHODS:Using Medicare-linked data from the Evolut Low Risk trial, we identified 619 patients: 606 (322 TAVR/284 SAVR) and 593 (312 TAVR/281 SAVR) were analyzed at 1 and 2 years, respectively. Secondary outcomes DAH30and DAH90were higher in TAVR (DAH30, 26.0±3.6
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. The primary outcome was referral to community-based rehabilitation (physical, occupational, or speech therapy) at discharge. 2.44]), and having Medicare insurance (1.12 [1.02–1.23]) Female sex (odds ratio, 1.24 [95% CI, 1.12–1.38]),
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. BACKGROUND:Transcatheter left atrial appendage occlusion (LAAO) is an alternative to oral anticoagulants (OACs) for stroke prevention in patients with atrial fibrillation, but the predictors of LAAO use in routine care are unclear.
Circulation, Ahead of Print. The primary outcome was the use of optimal GDMT within 12 months of HFrEF diagnosis. 0.76]) compared with Medicare (HR, 0.85 [95% CI, 0.77–0.92]);Pinteractionsex×insurance 0.92]);Pinteractionsex×insurance status=0.005) and for younger patients (age <65 years: HR, 0.65 [95% CI, 0.58–0.74])
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