Report of the National Heart, Lung, and Blood Institute working group on outcomes research in cardiovascular disease

Report of the National Heart, Lung, and Blood Institute working group on outcomes research in cardiovascular disease
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DOI:
10.1161/circulationaha.105.536102
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发表时间:
2005-06-14
期刊:
影响因子:
37.8
通讯作者:
Weintraub, WS
Weintraub, WS
中科院分区:
医学1区
文献类型:
--
作者:
Krumholz, HM;Peterson, ED;Weintraub, WS

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国家心肺和血液研究所召集了一个心血管疾病结果研究工作组。工作组力求就与心血管疾病有关的成果研究中的研究优先事项提供指导。在本文件中,“结果研究”被定义为产生知识以改进临床决策和医疗保健提供以优化患者结果的调查努力。工作组确定了以下优先领域:(1)高患病率心血管疾病的国家监测项目;(2)以患者为中心的护理;(3)将最好的科学转化为临床实践;(4)将干预措施的成本放在其现实世界有效性的背景下进行的研究。在每个专题中,工作组介绍了可为研究所和公众服务的举措的实例。此外,专家组确定了以下对该领域很重要的领域:(1)促进现有数据的使用;(2)促进与其他联邦机构的合作;(3)对成果研究基础科学进行调查,重点是方法上的进步;(4)加强适当的研究部门,让具有成果研究专长的个人参与;(5)扩大培训新的成果研究调查员的机会。工作组的结论是,对简历结果研究的专门投资可以直接改善在美国提供的护理。
The National Heart, Lung, and Blood Institute convened a working group on outcomes research in cardiovascular disease (CVD). The working group sought to provide guidance on research priorities in outcomes research related to CVD. For the purposes of this document, "outcomes research" is defined as investigative endeavors that generate knowledge to improve clinical decision making and healthcare delivery to optimize patient outcomes. The working group identified the following priority areas: (1) national surveillance projects for high-prevalence CV conditions; (2) patient-centered care; (3) translation of the best science into clinical practice; and (4) studies that place the cost of interventions in the context of their real-world effectiveness. Within each of these topics, the working group described examples of initiatives that could serve the Institute and the public. In addition, the group identified the following areas that are important to the field: (1) promotion of the use of existing data; (2) facilitation of collaborations with other federal agencies; (3) investigations into the basic science of outcomes research, with an emphasis on methodological advances; (4) strengthening of appropriate study sections with individuals who have expertise in outcomes research; and (5) expansion of opportunities to train new outcomes research investigators. The working group concluded that a dedicated investment in CV outcomes research could directly improve the care delivered in the United States.