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Global CMR Registry (GCMR)

Global Cardiovascular Magnetic Resonance Registry

The Global CMR Registry aims to promote collaboration of CMR sites worldwide in setting imaging and reporting standards, assessing its diagnostic impact on patient care, and determining the cost-effectiveness of CMR imaging. It will be the largest collective body of evidence reflecting the current clinical applications in patient care, which healthcare payers and governing bodies alike can depend on when metrics such as testing appropriateness, common indications, and diagnostic effectiveness are called for. It will also be able to reflect any changes in patient impact from CMR over time as technical development evolves. Furthermore, it will allow an assessment of improvements in diagnostic and therapeutic thinking, risk stratification, and cost-effectiveness relevant to current patient management.

研究概览

详细说明

A global CMR registry can be a crucial infrastructure of our CMR community that has many benefits. First, it is the largest collective body of evidence reflecting the current clinical applications in patient care, which healthcare payers and governing bodies alike can depend on when metrics such as testing appropriateness, common indications, and diagnostic effectiveness are needed. Second, it reflects any change in patient impact from CMR over time as technical developments evolve. Third, it allows an assessment for improvement of diagnostic and therapeutic evaluation, risk stratification, and cost-effectiveness analysis relevant to patient management.

Some practical questions that a global CMR registry may be able ot address include:

  1. Variations in CMR protocols within specific clinical indications
  2. Variations in CMR post-processing, analysis, and reporting
  3. Practice adherence to appropriateness criteria and guidelines
  4. Clinical effectiveness of CMR over a long period of clinical application and/or technological advance
  5. Differences in CMR utility across centers, regions, or countries

The data collection process will be a collective effort on part of specialized health professionals across various CMR sites worldwide. All of the data will be extracted from existing registries and databases. Health professionals in the U.S. and abroad will first upload patient data and images onto the registry/database that they currently use. Then if they choose to, they can transmit relevant patient de-identified data onto the global registry using a user-friendly web interface. CMR sites without a database will be invited to use CMR Cooperative or REDCAP. De-identified data (usually submitted in excel or CSV format) will be harmonized and uploaded to the registry website (www.gcmr-scmr.org), which is a firewall and password-protected database that resides at an IT vendor (Center for Systems Biology at Massachusetts General Hospital) in Boston, Massachusetts. The pooled data will be used for retrospective analysis/research approved by the GCMR steering committee and SCMR.

研究类型

观察性的

注册 (预期的)

80000

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

不超过 89年 (孩子、成人、年长者)

接受健康志愿者

有资格学习的性别

全部

取样方法

非概率样本

研究人群

The registry data will be collected from patients of various clinical CMR sites that have agreed to contribute their data to the registry.

描述

Inclusion Criteria:

  • Cardiovascular disease, underwent CMR, CT, or ECG

Exclusion Criteria:

  • Patients who are 90 years and older

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 时间观点:追溯

队列和干预

团体/队列
干预/治疗
Cardiovascular Magnetic Resonance Imaging
Cardiovascular imaging techniques (other subsidiary techniques such as CT and ECG will also be followed)

Cardiac magnetic resonance imaging (CMR) has emerged as both a remarkably powerful diagnostic and prognostic tool for the assessment of cardiovascular disease. The high spatial resolution of CMR and the ability to characterize soft tissue provides the opportunity for unique diagnostic assessment of a myriad of cardiac pathology, including ischemic heart disease (IHD), preoperative assessment, intra- cardiac mass and thrombus, pericardial disease, valvular heart disease, and cardiomyopathy evaluation.

Between individual CMR programs, GCMR will offer information useful in assessing the differences in protocol, performance, and clinical adaptation by varying geographic regions, institutional environments, and expertise. Such an assessment is critical for uncovering possible reasons for disparities in performance and obtaining opportunities for advancement.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Mortality
大体时间:Mortality will be tracked through study completion, for each year
death from various causes including cardiovascular death
Mortality will be tracked through study completion, for each year
Heart Failure
大体时间:Through study completion, for each year
heart failure development or worsening of heart failure
Through study completion, for each year
Acute myocardial infarction
大体时间:Through study completion, for each year
Through study completion, for each year

次要结果测量

结果测量
大体时间
Cardiac Intervention (Implantable cardioverter-defibrillator or ICD)
大体时间:Through study completion, for each year
Through study completion, for each year
Cardiac Intervention (pacemakers)
大体时间:Through study completion, for each year
Through study completion, for each year
Cardiac Intervention (cardiac surgery)
大体时间:Through study completion, for each year
Through study completion, for each year
Cardiac Intervention (coronary revascularization)
大体时间:Through study completion, for each year
Through study completion, for each year

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 学习椅:Raymond Y. Kwong, MD, MPH、Brigham and Women's Hospital

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2014年1月1日

初级完成 (预期的)

2020年12月1日

研究注册日期

首次提交

2016年6月13日

首先提交符合 QC 标准的

2016年6月17日

首次发布 (估计)

2016年6月20日

研究记录更新

最后更新发布 (估计)

2016年6月20日

上次提交的符合 QC 标准的更新

2016年6月17日

最后验证

2016年6月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • SCMR_GRANT_001

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

是的

IPD 计划说明

Participating sites will send relevant de-identified to the data management team for harmonization. The aggregate data will be used for retrospective analyses and research. Researchers requesting data access for either grant proposals or sub-studies will be required to submit a proposal to the GCMR steering committee (composed of various experts in the CMR community) for approval.

If approved, data access will be given to the researchers for a specific time period determined by the magnitude of the work involved, and only for the purposes of the grant proposal or sub-study.

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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