Circulation-Cardiovascular Quality and Outcomes最新文献

{"title":"Bridging the Gap: Improving Awareness of ANOCA for Patients and Providers.","authors":"Samit M Shah","doi":"10.1161/CIRCOUTCOMES.125.012372","DOIUrl":"10.1161/CIRCOUTCOMES.125.012372","url":null,"abstract":"","PeriodicalId":49221,"journal":{"name":"Circulation-Cardiovascular Quality and Outcomes","volume":" ","pages":"e012372"},"PeriodicalIF":6.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Student's Perspective: Navigating the Health Care System as a Patient.","authors":"Alex J Portillo","doi":"10.1161/CIRCOUTCOMES.125.012095","DOIUrl":"10.1161/CIRCOUTCOMES.125.012095","url":null,"abstract":"","PeriodicalId":49221,"journal":{"name":"Circulation-Cardiovascular Quality and Outcomes","volume":" ","pages":"e012095"},"PeriodicalIF":6.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Different by Design: Heterogeneity in Models of Risk Prediction and Clinical Decision Support in Screening for Atrial Fibrillation.","authors":"Michael A Rosenberg","doi":"10.1161/CIRCOUTCOMES.125.012281","DOIUrl":"10.1161/CIRCOUTCOMES.125.012281","url":null,"abstract":"","PeriodicalId":49221,"journal":{"name":"Circulation-Cardiovascular Quality and Outcomes","volume":" ","pages":"e012281"},"PeriodicalIF":6.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter by Rich-Edwards et al Regarding Article, \"Assessing the Accuracy of Cardiovascular Disease Prediction Using Female-Specific Risk Factors in Women Aged 45 to 69 Years in the UK Biobank Study\".","authors":"Janet W Rich-Edwards, Kathryn M Rexrode, Tiange Liu, Chuan Hong, Johanna Quist-Nelson, Marie-Louise Meng, Hanne Dahl Vonen, Michael J Pencina, Ricardo Henao","doi":"10.1161/CIRCOUTCOMES.125.011970","DOIUrl":"10.1161/CIRCOUTCOMES.125.011970","url":null,"abstract":"","PeriodicalId":49221,"journal":{"name":"Circulation-Cardiovascular Quality and Outcomes","volume":" ","pages":"e011970"},"PeriodicalIF":6.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response by Doust et al to Letter Regarding Article \"Assessing the Accuracy of Cardiovascular Disease Prediction Using Female-Specific Risk Factors in Women Aged 45 to 69 Years in the UK Biobank Study\".","authors":"Jenny Doust, Mohammad Reza Baneshi, Hsin-Fang Chung, Louise Forsyth Wilson, Gita Devi Mishra","doi":"10.1161/CIRCOUTCOMES.125.012021","DOIUrl":"10.1161/CIRCOUTCOMES.125.012021","url":null,"abstract":"","PeriodicalId":49221,"journal":{"name":"Circulation-Cardiovascular Quality and Outcomes","volume":" ","pages":"e012021"},"PeriodicalIF":6.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-Effectiveness of Gamification, Financial Incentives, or Both to Increase Physical Activity Among Patients With Elevated Risk for Cardiovascular Disease.","authors":"Louise B Russell, Kevin G M Volpp, Mitesh S Patel, Neel P Chokshi, Samantha Coratti, David Farraday, Laurie Norton, Charles Rareshide, Jingsan Zhu, Tamar Klaiman, Julia E Szymczak, Dylan S Small, Alexander C Fanaroff","doi":"10.1161/CIRCOUTCOMES.124.011839","DOIUrl":"10.1161/CIRCOUTCOMES.124.011839","url":null,"abstract":"<p><strong>Background: </strong>The BE ACTIVE trial (Behavioral Economic Approaches to Increase Physical Activity Among Patients with Elevated Risk for Cardiovascular Disease) documented the effectiveness, compared with an attention control arm that received daily text messages, of gamification, financial incentives, or gamification+financial incentives to increase steps/day. Increases in daily step count are associated with longer life expectancy, but understanding the cost-effectiveness of these interventions is essential for payers and other stakeholders seeking to implement findings.</p><p><strong>Methods: </strong>We built a probabilistic Markov model to compare intervention costs with lifetime estimates of life-years and quality-adjusted life-years for 2 sets of comparisons: (1) each behavioral intervention versus attention control, and (2) each trial arm, including attention control, versus no intervention. Since the durability of changes in steps/day post-intervention is unknown, we modeled optimistic, intermediate, and pessimistic scenarios.</p><p><strong>Results: </strong>Over the 12-month intervention, per-participant cost to deliver attention control was $878, gamification $938, financial incentives $1534, and gamification+financial incentives $1712. Compared with attention control, gamification's cost-effectiveness ranged from $261 (95% CI, 259-263) per life-year gained if mean steps/day during the last 18 weeks of follow-up are maintained (optimistic), to $30 550 (95% CI, 30 503-30 597) per life-year if steps/day continue to decline at the rate observed during the full 26-week follow-up (pessimistic). Gamification+financial incentives cost <$50 000/life-year only under the optimistic and intermediate scenarios. Financial incentives was dominated by gamification and gamification+financial incentives. When all 4 trial arms, including attention control, were compared with no intervention, gamification again cost <$50 000/life-year across all durability scenarios.</p><p><strong>Conclusions: </strong>Across a range of scenarios about the durability of increases in steps/day post-intervention, gamification consistently cost <$50 000 per life-year gained, the threshold for high value interventions set by American College of Cardiology/American Heart Association guidelines. Gamification+financial incentives was high-value except in the pessimistic scenario. Financial incentives was dominated.</p><p><strong>Registration: </strong>URL: https://www.clinicaltrials.gov; Unique identifier: NCT03911141.</p>","PeriodicalId":49221,"journal":{"name":"Circulation-Cardiovascular Quality and Outcomes","volume":" ","pages":"e011839"},"PeriodicalIF":6.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the Volume-Based Procurement Policy on the Use of Coronary Stents in China: Cross-Sectional Study.","authors":"Zhao Yang, Wei Zhao, Liangyu Ni, Linlin Da, Yongyi Wu, Yuxi Li, Qiyun Zhu, Jianping Li, Dennis Ross-Degnan, Bin Jiang","doi":"10.1161/CIRCOUTCOMES.124.011374","DOIUrl":"10.1161/CIRCOUTCOMES.124.011374","url":null,"abstract":"","PeriodicalId":49221,"journal":{"name":"Circulation-Cardiovascular Quality and Outcomes","volume":" ","pages":"e011374"},"PeriodicalIF":6.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: 2025 AHA/ACC Clinical Performance and Quality Measures for Patients With Chronic Coronary Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Performance Measures.","authors":"Marlene S Williams, Glenn N Levine, Dinesh Kalra, Anandita Agarwala, Diana Baptiste, Joaquin E Cigarroa, Rebecca L Diekemper, Marva V Foster, Martha Gulati, Timothy D Henry, Dipti Itchhaporia, Jennifer S Lawton, L Kristin Newby, Kelly C Rogers, Krishan Soni, Jacqueline E Tamis-Holland","doi":"10.1161/HCQ.0000000000000141","DOIUrl":"https://doi.org/10.1161/HCQ.0000000000000141","url":null,"abstract":"","PeriodicalId":49221,"journal":{"name":"Circulation-Cardiovascular Quality and Outcomes","volume":"18 7","pages":"e000141"},"PeriodicalIF":6.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Automated Coronary Artery Calcium From Routine Chest Computed Tomography Scans and Cardiovascular Risk in Patients With Colorectal or Gastric Cancer.","authors":"Subin Kim, Seonji Kim, Min Jae Cha, Hyo Song Kim, Han Sang Kim, Woo Jin Hyung, Iksung Cho, Seng Chan You","doi":"10.1161/CIRCOUTCOMES.124.011656","DOIUrl":"10.1161/CIRCOUTCOMES.124.011656","url":null,"abstract":"<p><strong>Background: </strong>As cardiovascular disease (CVD) is the leading cause of noncancer mortality in colorectal or gastric cancer patients, it is essential to identify patients at increased CVD risk. Coronary artery calcium (CAC) is an established predictor of atherosclerotic CVD; however, its application is limited in this population. This study evaluates the association between automated CAC scoring using chest computed tomography and atherosclerotic CVD risk in colorectal or gastric cancer patients.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted using electronic health records linked to claims data of colorectal or gastric cancer patients who underwent non-ECG-gated chest computed tomography at 2 tertiary hospitals in South Korea between 2011 and 2019. CAC was automatically quantified using deep learning software and used to classify patients into 4 groups (CAC=0, 0<CAC≤100, 100<CAC≤400, CAC>400). The primary outcome was major adverse cardiovascular events (myocardial infarction, stroke, or cardiovascular mortality), and assessed using the multivariable Fine and Gray subdistribution hazard model. A meta-analysis was performed to calculate pooled subdistribution hazard ratios.</p><p><strong>Results: </strong>A total of 3153 patients were included in this study (36.5% women; 36.3% CAC=0; 38.1% 0<CAC≤100; 14.1% 100<CAC≤400; 11.5% CAC>400). The mean follow-up period was 4.1 years. The incidence rate of MACE was 5.28, 8.03, 9.99, and 29.14 per 1000 person-years in CAC=0, 0<CAC≤100, 100<CAC≤400, and CAC>400. Compared with CAC=0, the risk of MACE was not significantly different in patients with 0<CAC≤100 (subdistribution hazard ratio, 1.43 [95% CI, 0.41-5.01]), and 100<CAC≤400 (subdistribution hazard ratio, 0.99 [95% CI, 0.48-2.04]). Patients with CAC>400 had 2.33 (95% CI, 1.24-4.39) times higher risk of MACE compared with those with CAC=0.</p><p><strong>Conclusions: </strong>CAC>400 was associated with an increased risk of MACE compared with CAC=0 among colorectal or gastric cancer patients. CAC quantified on routine chest computed tomography scans provides prognostic information for atherosclerotic CVD risk in this population.</p>","PeriodicalId":49221,"journal":{"name":"Circulation-Cardiovascular Quality and Outcomes","volume":" ","pages":"e011656"},"PeriodicalIF":6.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Value of Secondary Data in Global Health Cardiovascular Inequalities.","authors":"Mariana Lobo, João Vasco Santos","doi":"10.1161/CIRCOUTCOMES.125.012340","DOIUrl":"10.1161/CIRCOUTCOMES.125.012340","url":null,"abstract":"","PeriodicalId":49221,"journal":{"name":"Circulation-Cardiovascular Quality and Outcomes","volume":" ","pages":"e012340"},"PeriodicalIF":6.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}