Cardiovascular Diseases Clinical Trial
Official title:
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.
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.
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Time Perspective: Retrospective
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