Science News

QCOR 2017 Scientific Sessions
Quality of Care and Outcomes Research
April 2–3, 2017
The Ritz-Carlton, Pentagon City | Arlington, VA

Selected science from Sunday, April 2

Welcome to #QCOR17
Steven Houser, PhD, FAHA, president of the American Heart Association, welcomes attendees to QCOR 2017 in Arlington, VA.

QCOR 2017 Program Highlights
Mikhail Kosiborod, conference chair, and Adrian Hernandez, conference vice chair, provide an overview of the programming at #QCOR17 in Arlington, VA.

Physician Specific Practice Patterns and 30-day Heart Failure Readmission Rates: Is One Way Better Than the Other?
Anish B Bhatt | University of Texas Southwestern, Dallas, TX

RESULTS: 3 HF management patterns may reduce length of stay without increasing 30-day readmission.
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Trends in Publication and Methodological Quality of Major Non-inferiority Cardiovascular Trials From 1990-2016: a Systematic Review
John W Welsh | Yale University, New Haven, CT

RESULTS: Trends indicate more publication of non-inferiority trials, more non-inferiority findings, and design may bias toward non-inferiority.
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PCSK9 Inhibitors in Familial Hypercholesterolemia: a Meta-analysis of 9 Randomized Controlled Trials
Avinainder Singh | Brigham & Women's Hospital, Boston, MA

RESULTS: PCSK9's effective in FH compared to placebo.
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Association of Body Mass Index With Bleeding in Patients Taking Warfarin for Atrial Fibrillation or Venous Thromboembolism
Kyle Stahlbaum | University of Michigan, Ann Arbor, MI

RESULTS: Warfarin therapy in underweight and normal weight patients findings: major/life-threatening bleeding more common in VTE patients; minor bleeding more common in AF.
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Selected science from Monday, April 3

Patient-Centered Care Workshop
Mikhail Kosiborod, MD, QCOR 2017 conference chair, interviews Nancy Albert, PhD, RN about the Patient-Centered Care workshop.

Real World Evidence and Implementation Science
Adrian Hernandez, MD, MHS and John Spertus, MD, MPH discuss the science presented in two sessions during QCOR 2017.

Abstract Oral Session: QCOR 2017 Young Investigator Award Finalists

WINNER Electronic Health Record-Based Overestimation of Failure to Prescribe Statins in Patients With Coronary Artery Disease in a Large, Academic, Multispecialty Clinic Practice
Eric Y Shin, Emory University School of Medicine, Atlanta, GA

RESULTS: Evaluation of EHR data compared with manual chart review for CAD patients’ receipt of statin prescriptions showed EHR overestimated the gap in care.
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Personalizing the Intensity of Blood Pressure Control: Modeling the Heterogeneity of Risks and Benefits From the SPRINT Trial
Krishna K Patel | Saint Luke's Mid America Heart Institute, University of Missouri-Kansas City, Kansas City, MO

RESULTS: A risk-model for BP treatment benefit vs. harm for hypertensive, high-risk, non-diabetic patients.
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Patient Provider Communication and Patient-centered Outcomes Among Patients With Atherosclerotic Cardiovascular Disease in United States: Medical Expenditure Panel Survey 2010-2013
Victor Okunrintemi, Baptist Health South Florida, Miami, FL

RESULTS: Patient-physician communication and patient-centered outcomes were strongly related in this study of patients with ASCVD.
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A Comparison of Methods for Identifying Hospital Performance Outliers in Cardiac Surgery
Xiaoting Wu | University of Michigan, Ann Arbor, MI

RESULTS: Comparison study suggests that indirect standardization methods may be best for hospital performance quality improvement measurement.
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Poster Session II

Impact of Medication Adherence on Risk of Stroke, Major Bleeding and Other Outcomes in Atrial Fibrillation Patients Using Novel Oral Anticoagulants (Dabigatran and Rivaroxaban)
Chinmay G Deshpande | University of Rhode Island, Kingston, RI

RESULTS: Stroke and DVTPE risk reduced; bleeding risk not significantly increased.
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Income Level Disparities in Consumer Reported Domains of Healthcare Experience Among Those With Established Atherosclerotic Cardiovascular Disease in United States: Insights From Medical Expenditure Panel Survey 2010-2013
Victor Okunrintemi | Baptist Health South Florida, Miami, FL

RESULTS: Socio-economic status (SES) disparities for atherosclerotic cardiovascular disease (ASCVD) patients found to exist in all healthcare-experience quality metrics.
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Reassessing the Impact of Hospital PCI Volume on STEMI Outcomes
James R Langabeer II | University of Texas Health Science Center, Houston, TX

RESULTS: Higher-volume PCI hospitals = significantly shorter treatment times.
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A Qualitative Study of Patient-reported Challenges to Heart Failure Home Management
Jonathan Sevilla-Cazes, Perelman School of Medicine, Philadelphia, PA

RESULTS: Early palliative care referrals may be more beneficial vs. anticipation of HF challenges.
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Other studies of note

Impact of Depressive Disorder on Access to Care and Quality of Care in Veterans With Cardiovascular Disease
Pallavi Srivastava | Stony Brook University Medical Center, Stony Brook, NY

Abstract (opens in new window)

Trust in the Medical Profession is Associated with Medication Adherence and Health-Related Quality of Life in Hispanic Adults with Hypertension
Lilia S Meltzer | UCLA, Los Angeles, CA

Abstract (opens in new window)(link opens in new window)