TY - JOUR
T1 - A call for an evidence-based approach to the heart team for patients with severe aortic stenosis
AU - Coylewright, Megan
AU - Mack, Michael J.
AU - Holmes, David R.
AU - O'Gara, Patrick T.
N1 - Publisher Copyright:
© 2015 American College of Cardiology Foundation.
PY - 2015/4/14
Y1 - 2015/4/14
N2 - Application of a Heart Team approach is now a central concept in the care of patients with severe aortic stenosis. It has Class I recommendations from American and European professional societies and is required for reimbursement for transcatheter aortic valve replacement in the United States. The rationale for changing traditional practice models is to improve patient selection, procedural planning, and management of patients at high or prohibitive surgical risk, thus improving outcomes. Although the concept is intuitive, a clear definition of the Heart Team, and data supporting its effectiveness, are lacking. Other specialties, including oncology, provide a precedent for investigation of the use of a multidisciplinary team and its impact on patient care. We highlight the need for clear definitions and shared metrics to advance our understanding of an optimal Heart Team approach, focusing on patient, clinician, and health system outcomes.
AB - Application of a Heart Team approach is now a central concept in the care of patients with severe aortic stenosis. It has Class I recommendations from American and European professional societies and is required for reimbursement for transcatheter aortic valve replacement in the United States. The rationale for changing traditional practice models is to improve patient selection, procedural planning, and management of patients at high or prohibitive surgical risk, thus improving outcomes. Although the concept is intuitive, a clear definition of the Heart Team, and data supporting its effectiveness, are lacking. Other specialties, including oncology, provide a precedent for investigation of the use of a multidisciplinary team and its impact on patient care. We highlight the need for clear definitions and shared metrics to advance our understanding of an optimal Heart Team approach, focusing on patient, clinician, and health system outcomes.
KW - aortic valve stenosis
KW - multidisciplinary
KW - outcome and process assessment (health care)
KW - patient-centered care
KW - quality of health care
KW - transcatheter aortic valve replacement
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U2 - 10.1016/j.jacc.2015.02.033
DO - 10.1016/j.jacc.2015.02.033
M3 - Review article
C2 - 25857913
AN - SCOPUS:84926389529
SN - 0735-1097
VL - 65
SP - 1472
EP - 1480
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 14
ER -