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血管外科学会血管质量改进计划中的开放性和血管内动脉瘤修复术。

Open and endovascular aneurysm repair in the Society for Vascular Surgery Vascular Quality Initiative.

作者信息

Spangler Emily L, Beck Adam W

机构信息

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL.

出版信息

Surgery. 2017 Dec;162(6):1195-1206. doi: 10.1016/j.surg.2017.06.008. Epub 2017 Jul 31.

Abstract

The Society for Vascular Surgery Vascular Quality Initiative is a patient safety organization and a collection of procedure-based registries that can be utilized for quality improvement initiatives and clinical outcomes research. The Vascular Quality Initiative consists of voluntary participation by centers to collect data prospectively on all consecutive cases within specific registries which physicians and centers elect to participate. The data capture extends from preoperative demographics and risk factors (including indications for operation), through the perioperative period, to outcomes data at up to 1-year of follow-up. Additionally, longer-term follow-up can be achieved by matching with Medicare claims data, providing long-term longitudinal follow-up for a majority of patients within the Vascular Quality Initiative registries. We present the unique characteristics of the Vascular Quality Initiative registries and highlight important insights gained specific to open and endovascular abdominal aortic aneurysm repair.

摘要

血管外科学会血管质量改进计划是一个患者安全组织,也是一系列基于手术的登记系统,可用于质量改进计划和临床结局研究。血管质量改进计划由各中心自愿参与,前瞻性收集特定登记系统内所有连续病例的数据,医生和中心可选择参与这些登记系统。数据收集范围从术前人口统计学和风险因素(包括手术指征),到围手术期,再到长达1年随访的结局数据。此外,通过与医疗保险理赔数据匹配可实现更长时间的随访,为血管质量改进计划登记系统中的大多数患者提供长期纵向随访。我们介绍了血管质量改进计划登记系统的独特特征,并强调了在开放性和血管腔内腹主动脉瘤修复方面获得的重要见解。

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