Abstract
Background: Cardiovascular observational registries characterise patients and describe the manner and use of therapeutic strategies. They facilitate analyses on the quality of care among participating institutions and document variations in clinical practice which can be benchmarked against best practice recommendations. The Cooperative National Registry of Acute Coronary care, Guideline Adherence and Clinical Events (CONCORDANCE) is an Australian observational registry that describes management and outcomes in patients with acute coronary syndromes (ACS) and feeds back both performance and outcome measures to participating hospitals.
Methods: The CONCORDANCE registry has been designed within a
comparative effectiveness research (CER) framework to collect and report data
from hospitals located in geographically diverse regions of Australia.
Information including patient demographics, presenting characteristics, past
medical history, in-hospital management and outcomes at six months and two
years are entered into a web-based database using an electronic clinical record
form (eCRF). Individual hospital information is returned to the sites in a real
time confidential report detailing information on key performance indicator
(KPI) process measures and outcomes benchmarked against the aggregated study
cohort. Governance rules ensure data security and protect patient and clinician
confidentiality. Consistent with a CER framework, additional characteristics of
the registry include: (a) the capacity to evaluate associations between the
inter and intra hospital systems and the provision of evidence based care and
outcomes, (b) ongoing data collection from representative hospitals which allow
spatial and temporal analysis of change in practice and the application of
treatment modalities in the real world setting and (c) the provision of a data
spine for quality improvement strategies and practical clinical trials.
Conclusion: The CONCORDANCE registry is a clinician-driven initiative
describing clinical care for ACS patients admitted to Australian hospitals. The
registry generates high quality data which is fed back to clinicians, and key
stakeholders in ACS care. Using a CER approach, the registry describes the
translation of randomised trial evidence into practice, and provides insights
into strategies that could improve care and ultimately patient outcomes.
Original language | English |
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Pages (from-to) | 533-541 |
Number of pages | 9 |
Journal | Heart Lung and Circulation |
Volume | 22 |
Issue number | 7 |
DOIs |
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Publication status | Published - Jul 2013 |
Externally published | Yes |