Science News

QCOR 2019 Scientific Sessions
Quality of Care and Outcomes Research
April 5–6, 2019
The Ritz-Carlton Pentagon City | Arlington, Virginia
Welcome to #QCOR19 coverage from Washington, D.C. This is where you'll find results from the most interesting science presented at the conference (see our embargo policy), along with in-depth discussion from AHA volunteers.

Friday's selected science


Leveraging behavioral economics for better CV outcomes

QCOR 2019 Vice-Chair Michael Ho, MD interviews Mitesh Patel, MD, MBA, MS about his research on using principles of behavioral economics to achieve better outcomes for patients recovering from a cardiac event.

QCOR19 Career Development Luncheon

QCOR 2019 Career Development Luncheon

Attendees of Friday's lunch at Quality of Care and Outcomes Research 2019 Scientific Sessions in Arlington, Virginia listened to speakers and presenters at this year's lunch.

Early Career Investigator Award Finalists

Readmission Rates Across All Insurance Types After Passage of the Hospital Readmissions Reduction Program: A Nationwide Analysis
Enrico Giuseppe Ferro | Smith Center for Outcomes Res in Cardiology, Beth Israel Deaconess Medical Center, Boston, MA

  • RESULTS: Implementation of the Hospital Readmission Reduction Program (HRRP) was associated with reduction in hospital readmissions for targeted conditions.
  • Ferro's Abstract (opens in new window)

WINNER Association of Medicaid Expansion with Cardiovascular Mortality - A Quasi-experimental Analysis
Sameed Ahmed M Khatana | University of Pennsylvania, Philadelphia, PA


Association of Ambient Air PM2.5 Concentration with Health Status in Patients Following Myocardial Infarction
Ali O Malik | Saint Luke's Mid America Heart Institute, Kansas City, MO


Disparities in the Use of Direct Oral Anticoagulant Treatment of Venous Thromboembolism in the United States, 2010-2016
Ashwin S Nathan | University of Pennsylvania, Philadelphia, PA

  • RESULTS: In a cohort analysis in a population of commercially-insured patients with VTE, blacks were more likely to receive warfarin than direct oral anticoagulants.
  • Nathan's Abstract (opens in new window)

Cardiovascular Disease in Transgender Populations
Tran Nguyen | George Washington Hospital, Washington, DC

Secular Trends in Racial and Socioeconomic Status Disparities in the Rate of Coronary Revascularization Among Post-Menopausal Women Before and After 2005 for Acute Coronary Syndrome: The Women Health Initiative
Tarryn Tertulien | Brown University, Providence, RI

  • RESULTS: Women's Health Initiative data for acute coronary syndrome (ACS) or coronary disease (CHD) revascularization comparing black, Hispanic, and white post-menopausal women suggests lower rates of revascularization for black than white women, and for women of low vs high socioeconomic status.
  • Tertulian's Abstract (opens in new window)

Are We Ready for High(er) Sensitivity Troponin Assays? The Positive Predictive Value of a Contemporary Troponin Assay for Acute Myocardial Infarction
Andrew E. Levy | University of Colorado, Aurora, CO

  • RESULTS: Going forward, high-sensitivity troponin (hsTn) assays will likely detect more non-AMI troponin elevations, requiring guidance on how to use this assay appropriately and evaluate and treat non-ACS patients.
  • Levy's Abstract (opens in new window)

Cardiovascular Health Amongst Asian-Americans: National Health and Nutrition Examination Study
Rajat Kalra | University of Minnesota, Minneapolis, MN

  • RESULTS: NHANES 2011-2016 surveys revealed a decline in ideal weight, diet, and physical activity in Asian-Americans. Diet and BP were better in foreign-born Asian-Americans than those born in America.
  • Kalra's Abstract (opens in new window)

Comparative Effectiveness and Safety of Oral Anticoagulants across Baseline Kidney Function
Xiaoxi Yao | Mayo Clinic, Rochester, MN

  • RESULTS: Findings from a US administrative database showed that novel oral anticoagulants were as effective and safe as warfarin across the range of kidney function.
  • Yao's Abstract (opens in new window)

Saturday's selected science

QCOR 2019 Award Winners

QCOR 2019 Early Career Investigator Award Finalists

Some of this year's EC Investigator Award Finalists posed at the Council Awards Dinner Friday night with Adrian F. Hernandez, MD, MHS (rear) and Vice-Chair Michael Ho, MD (right). The winner was Sameed Ahmed M Khatana of the University of Pennsylvania (center).


Real world data for evidence generation a trialist's perspective

QCOR Conference Chair Adrian Hernandez, MD, MHS and Bob Harrington, MD, AHA President-Elect, discuss some of the insights and questions arising out of a session they participated in on using real-world data for evidence generation.

Robert A. Harrington, MD, FAHABob Harrington, AHA President-Elect, gave the QCOR Presidential Address. Dr. Harrington thanked the conference planning committee, led by Drs. Adrian Hernandez and Michael Ho. He also recognized Dr. Tracy Wang, Chair of the Quality of Care and Outcomes Research Council, and Dr. William Borden, Vice-Chair.  He covered recent AHA achievements, research programs and key strategies promoting a healthy lifestyle. He encouraged attendees to volunteer for local AHA events and support advocacy and  fundraising initiatives. You can read the full text of his speech.

BRAVE: Blood Pressure and Vascular Health Around Menopause
Muhammad Ahmer Wali | McGill University Health Center, Montreal, QC, Canada

  • RESULTS: Even with normal office blood pressure, an abnormal pattern of blood pressure variability (BPV) was noted to be common in perimenopausal women, suggesting a value for measuring blood pressure variability in this population as an aid in risk determination.
  • Wali's Abstract (opens in new window)

The Corrie Myocardial infarction, COmbined-device, Recovery Enhancement (MiCORE) Study: 30-Day Readmission Rates and Cost-Effectiveness of a Novel Digital Health Intervention for Acute Myocardial Infarction Patients
Francoise A. Marvel | Johns Hopkins University School of Medicine, Baltimore, MD

  • RESULTS: Using the Johns Hopkins' Corrie mobile health platform for post MI patients, the study authors found a lower risk of hospital readmissions and health-related costs and higher patient activation.
  • Marvel's Abstract (opens in new window)

Using mHealth to Assess Physical Activity Guideline Adherence in Smokers: A Secondary Analysis of mActive-Smoke
Rongzi Shan | Johns Hopkins University School of Medicine, Baltimore, MD

  • RESULTS: Over 12 weeks, moderate-vigorous physical activity (MVPA) in adult smokers was low and typically did not meet physical activity guideline recommendations.
  • Shan's Abstract (opens in new window)

Social Determinants of Health and 90 Day Mortality after Hospitalization for Heart Failure in the REasons for Geographic and Racial differences in Stroke (REGARDS) Study
Madeline R. Sterling | Weill Cornell Medical College, New York,

  • RESULTS: The four individual social determinants of health (SDOH) associated with increased risk of 90-day mortality after HF hospitalization include: black race, social isolation, and living in a rural area and in a health professional shortage area.
  • Sterling's Abstract (opens in new window)

Healthcare Resource Use and Expenditures in Younger Women and Men Newly Diagnosed with Paroxysmal Supraventricular Tachycardia (PSVT)
Naomi C Sacks | Precision Xtract, Boston, MA

  • RESULTS: In a review of an insured patient database, spending increased for younger patients after paroxysmal supraventricular tachycardia (PSVT) diagnosis; women had less spending and lower ablation rates than men.
  • Sacks's Abstract (opens in new window)

Abstracts
Released April 4 at 5:00 p.m. ET on Circulation: Cardiovascular Quality and Outcomes website

QCOR 2019 Abstracts Table of Contents (link opens in new window)

To link to a specific abstract:

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