Details

Autor(en) / Beteiligte

• Maddox, Thomas M.
• Song, Yang
• Allen, Joseph
• Chan, Paul S.
• Khan, Adeela
• Lee, Jane J.
• Mitchell, Joshua
• Oetgen, William J.
• Ponirakis, Angelo
• Segawa, Claire
• Spertus, John A.
• Thorpe, Fran
• Virani, Salim S.
• Masoudi, Frederick A.

Titel

Trends in U.S. Ambulatory Cardiovascular Care 2013 to 2017

Ist Teil von

• Journal of the American College of Cardiology, 2020-01, Vol.75 (1), p.93-112

Ort / Verlag

Elsevier Inc

Erscheinungsjahr

2020

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• The National Cardiovascular Data Registry PINNACLE (Practice Innovation and Clinical Excellence) Registry is the largest outpatient cardiovascular practice registry in the world. It tracks real-world management and quality of 4 common cardiovascular conditions: heart failure, coronary artery disease, atrial fibrillation, and hypertension. In 2013, the PINNACLE Registry contained information on 2,898,505 patients, cared for by 4,859 providers in 431 practices. By 2017, the registry contained information on 6,040,996 patients, cared for by 8,853 providers in 724 practices. During this time period, care processes for PINNACLE patients generally improved. Among patients with heart failure, combined beta-blocker and renin-angiotensin antagonist medication rates increased from 60.7% to 72.8%. Among patients with coronary artery disease, statin medication rates increased from 66% to 80.1%. Among patients with atrial fibrillation, oral anticoagulation rates increased from 52.7% to 65.2%. In contrast, blood pressure control rates among patients with hypertension were largely stable. PINNACLE data also fueled a variety of quality measurement programs and 51 peer-reviewed publications. [Display omitted] •The NCDR PINNACLE registry tracks management and quality of 4 common cardiovascular conditions: HF, CAD, AF, and HTN.•By 2017, the registry contained information on 6,040,996 patients, cared for by 8,853 providers in 724 practices. Between 2013 and 2017, care processes for PINNACLE patients generally improved.•PINNACLE registry participation should be considered by practices seeking to monitor and improve practice patterns.•The PINNACLE registry should continue to monitor current practice patterns and opportunities for improvement.