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Data standards for transcatheter aortic valve implantation: the European Unified Registries for Heart Care Evaluation and Randomised Trials (EuroHeart).
Eur Heart J Qual Care Clin Outcomes. 2023 08 07; 9(5):529-536.EH

Abstract

AIMS

Standardized data definitions are necessary for the quantification of quality of care and patient outcomes in observational studies and randomised controlled trials (RCTs). The European Unified Registries for Heart Care Evaluation and Randomised Trials (EuroHeart) project of the European Society of Cardiology (ESC) aims to create pan-European data standards for cardiovascular diseases and interventions, including transcatheter aortic valve implantation (TAVI).

METHODS AND RESULTS

We followed the EuroHeart methodology for cardiovascular data standard development. A Working Group of 29 members representing 12 countries was established and included a patient representative, as well as experts in the management of valvular heart disease from the European Association of Percutaneous Cardiovascular Interventions (EAPCI), the European Association of Cardiovascular Imaging (EACVI) and the Working Group on Cardiovascular Surgery. We conducted a systematic review of the literature and used a modified Delphi method to reach consensus on a final set of variables. For each variable, the Working Group provided a definition, permissible values, and categorized the variable as mandatory (Level 1) or additional (Level 2) based on its clinical importance and feasibility. In total, 93 Level 1 and 113 Level 2 variables were selected, with the level 1 variables providing the dataset for registration of patients undergoing TAVI on the EuroHeart IT platform.

CONCLUSION

This document provides details of the EuroHeart data standards for TAVI processes of care and in-hospital outcomes. In the context of EuroHeart, this will facilitate quality improvement, observational research, registry-based RCTs and post-marketing surveillance of devices, and pharmacotherapies.

ONE-SENTENCE SUMMARY

The EuroHeart data standards for transcatheter aortic valve implantation (TAVI) are a set of internationally agreed data variables and definitions that once implemented will facilitate improvement of quality of care and outcomes for patients receiving TAVI.

Authors+Show Affiliations

Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LS2 9JT Leeds, UK. Leeds Institute for Data Analytics, University of Leeds, LS2 9JT Leeds, UK. Department of Cardiology, Leeds Teaching Hospitals NHS Trust, LS1 3EX Leeds, UK.Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, 38 751 85 Uppsala, Sweden.Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, 38 751 85 Uppsala, Sweden.Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LS2 9JT Leeds, UK. Department of Cardiology, Leeds Teaching Hospitals NHS Trust, LS1 3EX Leeds, UK.Institute of Cardiovascular Sciences, University of Birmingham, B15 2SQ Birmingham, UK.Keele Cardiovascular Research Group, Keele University, ST5 5BG Stoke on Trent, UK.Heart Center Leipzig, University of Leipzig, 04109 Leipzig, Germany.Bristol Heart Institute, Bristol University, BS8 1TH Bristol, UK.Department of Cardiovascular Surgery, Faculty of Medicine, Albert-Ludwigs-University of Freiburg, University Heart Center Freiburg, 79189 Freiburg, Germany.Heart Institute; Department of Cardiology; Cardiovascular Imaging Section; Hospital University Germans Trias i Pujol, 08916 Badalona, Spain.Clinical and Experimental Cardiology Unit, AOU Sassari, 07100 Sassari, Italy.Cardiovascular Imaging Unit, San Raffaele Hospital, Milan, Vita-Salute University, 20132 San Raffaele Milan, Italy.ESC Patient Forum, Denmark.Medical Clinic I, University of Giessen, 35390 Giessen, Germany. Kerckhoff Heart Center, 61231 Bad Nauheim, Germany.Cardiology Department, Bichat Hospital, APHP and Université Paris-Cité, 75006 Paris, France.Heart Centre Dresden, Department of Internal Medicine and Cardiology, Technische Universitaet, 01069 Dresden, Germany.Department: Medizinische Klinik I, Landshut-Achdorf Hospital, 84036 Landshut, Germany. Klinikum der Universität München, Ludwig-Maximilians-Universität, 80539 Munich, Germany. German Centre for Cardiovascular Research (DZHK), Munich Heart Alliance, 80539 Munich, Germany.NIHR Biomedical Research Unit, University of Leicester, LE1 7RH Leicester, UK.Department of Cardiology, University Hospital and National University of Ireland Galway, H91 YR71 Galway, Ireland.Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, 40-055 Katowice, Poland.Cardiothoracic and Vascular Dpt. University of Pisa, 56126 Pisa, Italy.Department of Cardiology, University of Medicine and Pharmacy "Carol Davila" -Euroecolab, Emergency Institute for Cardiovascular Diseases 050474 Bucharest, Romania.Department of cardiology, Rigshospitalet, Copenhagen University Hospital, 2100 Copenhagen, Denmark.Centro de Documentação, Centro Hospitalar de Lisboa Ocidental, Nova Medical School, Hospital de Santa Cruz, 1169056 Lisbon, Portugal.Department of Interventional Cardiology, Cardiovascular Institute, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), 08036 Barcelona, Spain.Aarhus University Hospital & The Danish Heart Foundation, 8200 Denmark.IRCCS San Donato Hospital, 20097 Milan, Italy.Leeds Institute for Data Analytics, University of Leeds, LS2 9JT Leeds, UK. School of Dentistry, University of Leeds, LS2 9JT Leeds, UK.ANMCO Research Center-Heart Care Foundation, 50121 Florence, Italy.Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, 38 751 85 Uppsala, Sweden.Division of Cardiovascular Medicine, NIHR Oxford Biomedical Research Centre, University of Oxford, OX1 2JD Oxford, UK.Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, LS2 9JT Leeds, UK. Leeds Institute for Data Analytics, University of Leeds, LS2 9JT Leeds, UK. Department of Cardiology, Leeds Teaching Hospitals NHS Trust, LS1 3EX Leeds, UK.

Pub Type(s)

Systematic Review
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

36195332

Citation

Aktaa, Suleman, et al. "Data Standards for Transcatheter Aortic Valve Implantation: the European Unified Registries for Heart Care Evaluation and Randomised Trials (EuroHeart)." European Heart Journal. Quality of Care & Clinical Outcomes, vol. 9, no. 5, 2023, pp. 529-536.
Aktaa S, Batra G, James SK, et al. Data standards for transcatheter aortic valve implantation: the European Unified Registries for Heart Care Evaluation and Randomised Trials (EuroHeart). Eur Heart J Qual Care Clin Outcomes. 2023;9(5):529-536.
Aktaa, S., Batra, G., James, S. K., Blackman, D. J., Ludman, P. F., Mamas, M. A., Abdel-Wahab, M., Angelini, G. D., Czerny, M., Delgado, V., De Luca, G., Agricola, E., Foldager, D., Hamm, C. W., Iung, B., Mangner, N., Mehilli, J., Murphy, G. J., Mylotte, D., ... Gale, C. P. (2023). Data standards for transcatheter aortic valve implantation: the European Unified Registries for Heart Care Evaluation and Randomised Trials (EuroHeart). European Heart Journal. Quality of Care & Clinical Outcomes, 9(5), 529-536. https://doi.org/10.1093/ehjqcco/qcac063
Aktaa S, et al. Data Standards for Transcatheter Aortic Valve Implantation: the European Unified Registries for Heart Care Evaluation and Randomised Trials (EuroHeart). Eur Heart J Qual Care Clin Outcomes. 2023 08 7;9(5):529-536. PubMed PMID: 36195332.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Data standards for transcatheter aortic valve implantation: the European Unified Registries for Heart Care Evaluation and Randomised Trials (EuroHeart). AU - Aktaa,Suleman, AU - Batra,Gorav, AU - James,Stefan K, AU - Blackman,Daniel J, AU - Ludman,Peter F, AU - Mamas,Mamas A, AU - Abdel-Wahab,Mohamed, AU - Angelini,Gianni D, AU - Czerny,Martin, AU - Delgado,Victoria, AU - De Luca,Giuseppe, AU - Agricola,Eustachio, AU - Foldager,Dan, AU - Hamm,Christian W, AU - Iung,Bernard, AU - Mangner,Norman, AU - Mehilli,Julinda, AU - Murphy,Gavin J, AU - Mylotte,Darren, AU - Parma,Radoslaw, AU - Petronio,Anna Sonia, AU - Popescu,Bodgan A, AU - Sondergaard,Lars, AU - Teles,Rui C, AU - Sabaté,Manel, AU - Terkelsen,Christian J, AU - Testa,Luca, AU - Wu,Jianhua, AU - Maggioni,Aldo P, AU - Wallentin,Lars, AU - Casadei,Barbara, AU - Gale,Chris P, PY - 2022/09/23/received PY - 2022/09/30/accepted PY - 2022/09/26/revised PY - 2023/8/8/medline PY - 2022/10/5/pubmed PY - 2022/10/4/entrez KW - Aortic valve KW - Data definitions KW - Data standards KW - EuroHeart KW - Quality of care KW - Registry KW - TAVI KW - Variables SP - 529 EP - 536 JF - European heart journal. Quality of care & clinical outcomes JO - Eur Heart J Qual Care Clin Outcomes VL - 9 IS - 5 N2 - AIMS: Standardized data definitions are necessary for the quantification of quality of care and patient outcomes in observational studies and randomised controlled trials (RCTs). The European Unified Registries for Heart Care Evaluation and Randomised Trials (EuroHeart) project of the European Society of Cardiology (ESC) aims to create pan-European data standards for cardiovascular diseases and interventions, including transcatheter aortic valve implantation (TAVI). METHODS AND RESULTS: We followed the EuroHeart methodology for cardiovascular data standard development. A Working Group of 29 members representing 12 countries was established and included a patient representative, as well as experts in the management of valvular heart disease from the European Association of Percutaneous Cardiovascular Interventions (EAPCI), the European Association of Cardiovascular Imaging (EACVI) and the Working Group on Cardiovascular Surgery. We conducted a systematic review of the literature and used a modified Delphi method to reach consensus on a final set of variables. For each variable, the Working Group provided a definition, permissible values, and categorized the variable as mandatory (Level 1) or additional (Level 2) based on its clinical importance and feasibility. In total, 93 Level 1 and 113 Level 2 variables were selected, with the level 1 variables providing the dataset for registration of patients undergoing TAVI on the EuroHeart IT platform. CONCLUSION: This document provides details of the EuroHeart data standards for TAVI processes of care and in-hospital outcomes. In the context of EuroHeart, this will facilitate quality improvement, observational research, registry-based RCTs and post-marketing surveillance of devices, and pharmacotherapies. ONE-SENTENCE SUMMARY: The EuroHeart data standards for transcatheter aortic valve implantation (TAVI) are a set of internationally agreed data variables and definitions that once implemented will facilitate improvement of quality of care and outcomes for patients receiving TAVI. SN - 2058-1742 UR - https://www.unboundmedicine.com/medline/citation/36195332/Data_standards_for_transcatheter_aortic_valve_implantation:_the_European_Unified_Registries_for_Heart_Care_Evaluation_and_Randomised_Trials__EuroHeart__ DB - PRIME DP - Unbound Medicine ER -