ACD: Access your bespoke Centre Report

Adult Cardiac Database: Download your Bespoke Centre Report

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Bespoke Centre Reports are now available for participating hospitals using data from the Adult Cardiac Database. This report provides a detailed summary of the hospital’s data in the registry, including statistical charts, comparative data and benchmarking outcomes.

Hospitals can access their bespoke report by clicking on the ‘Centre Report’ button in the ACD tool ‘Downloads’ page. When prompted enter your login details and your report will automatically download.

If you have any questions about the data in your report, please contact EACTSFeedback@uhb.nhs.uk.

To join the EACTS Quality Improvement Programme and access the EACTS Adult Cardiac Database, please contact quip@eacts.co.uk.

Leading Heart Surgery Societies Call for Improved Strategies to Treat Rheumatic Heart Disease

Declaration details global initiative for people living with RHD

Experts from the world’s major heart surgery organizations—including The Society of Thoracic Surgeons (STS), the American Association for Thoracic Surgery (AATS), the Asian Society for Cardiovascular and Thoracic Surgery (ASCVTS), and the European Association for Cardio-Thoracic Surgery (EACTS)—are calling for urgent action to develop and implement effective strategies for treating rheumatic heart disease (RHD), which affects 33 million people and kills 320,000 annually. The joint statement, known as the “Cape Town Declaration,” was published online today in The Annals of Thoracic Surgery and eight other journals.

The statement originated during a December 2017 conference in Cape Town, South Africa, arranged to commemorate the 50th anniversary of the world’s first successful heart transplant operation. The conference was attended by representatives from STS, AATS, ASCVTS, and EACTS, as well as from numerous other national and pan-national heart surgery organizations, including the Australian and New Zealand Society of Cardiac and Thoracic Surgeons, the Brazilian Society of Cardiovascular Surgery, and the World Heart Foundation.

“The Cape Town Declaration represents the first truly worldwide initiative on rheumatic heart disease and involves every major cardiothoracic surgical organization throughout the globe,” said STS President Keith S. Naunheim, MD. “While this may only be the first step, we look forward to a joint effort that involves not just surgical organizations but industry, regulatory agencies, legislative bodies, and charitable foundations. Only through such a coordinated effort can we hope to roll back the tide of global rheumatic heart disease.”

RHD accounts for a major proportion of cardiovascular disease in children and young adults in low- and middle-income countries. It most often begins in childhood as strep throat. Left untreated, strep can progress to rheumatic fever and then RHD, which is characterized by one or more damaged heart valves. Although virtually eliminated in Europe and North America, RHD remains a leading cause of cardiovascular mortality in Africa, the Middle East, Central and South Asia, the South Pacific, and impoverished pockets of developed nations.

“The global burden of mortality from what is essentially a treatable disease remains underrecognized by different factions of society, including many health care providers,” said AATS President David H. Adams, MD. “The Cape Town Declaration is a call to arms to work together to treat those currently suffering from RHD and hopefully to one day shift the focus to prevention through access to appropriate antibiotic treatments of streptococcal infections.”

Currently, the only effective treatment for RHD is open heart surgery; however, this life-saving operation is not readily available in the affected regions. In those populations most vulnerable to RHD, the need for heart surgery is estimated at 300 operations per 1 million people. However, there is a serious shortage of both heart surgeons and hospitals that perform cardiac surgery in those areas most susceptible to the disease; for example, there is only one cardiac center per 33 million people in Africa. Furthermore, valve reconstruction as opposed to valve replacement in rheumatic disease is often possible and associated with better survival after surgery, and these techniques need to be broadly expanded through educational efforts in affected regions.

“The majority of people in the developing world are still lacking access to quality cardiac surgery,” said Friedhelm Beyersdorf, MD, Editor-in-Chief of the European Journal of Cardio-Thoracic Surgery. “The recent 50th anniversary of the world’s first heart transplantation in Cape Town should be the turning point.”

ASCVTS President Shinichi Takamoto, MD, PhD, agreed. “We need a coordinated international effort, which draws upon the experience of fighting this disease in Asia, Africa, and elsewhere in the world, to make true progress in eliminating RHD.”

Previous efforts to address RHD have focused on prevention and, while important, have failed to eradicate the disease, meaning that surgery likely will remain an integral part of RHD treatment for several generations. The declaration signatories are proposing a comprehensive solution with two principal aims:

  • To establish an international coalition of individuals from cardiac surgery societies and representatives from industry, cardiology, and government to evaluate and endorse the development of cardiac care in low- to middle-income countries.
  • To advocate for the training of cardiac surgeons and other key specialized caregivers at identified and endorsed centers in low- to middle-income countries.

More specifically, the declaration sets forth that the proposed international coalition should include two representatives each from STS, AATS, ASCVTS, and EACTS, along with one person from the device manufacturing industry and another from the World Heart Foundation. This group will be responsible for establishing criteria for the clinical care and training centers, as well as selecting and endorsing the centers. In addition, the declaration states that providers should receive training relevant to the conditions and resource-constrained settings that they can expect to encounter in their own countries. The statement also calls for the identification and endorsement of up to three clinical care and training centers to form a program nucleus as quickly as possible.

In addition to The Annals of Thoracic Surgery, the Cape Town Declaration will be published simultaneously in the following journals: Asian Cardiovascular and Thoracic Annals, Cardiovascular Journal of Africa, Chinese Circulation Journal, European Journal of Cardio-Thoracic Surgery, Journal of Thoracic and Cardiovascular Surgery, Polish Journal of Cardiothoracic Surgery, South African Medical Journal, and the South Africa Heart Journal.

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Latin America Cardiovascular Surgery Conference: Abstract Submission Closes Next Friday, August 3, 2018

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The Society of Thoracic Surgeons and the European Association for Cardio-Thoracic Surgery invite you to submit an abstract for the upcoming second annual
Latin America Cardiovascular Surgery Conference, which will be held November 15-17 in Cartagena, Colombia.

Abstract topics include the multidisciplinary approach to:

– Coronary artery disease
– Valvular heart disease
– Thoracic aortic disease
– Congenital heart disease – new for 2018!
– Atrial fibrillation
– Surgical management of heart failure

Check out the preliminary program, and if you are interested in submitting an abstract for consideration as an oral or poster presentation, review the Abstract Submission Instructions and Policies and submit your abstract by Friday, August 3.

If you have questions about abstract submission, contact STS Education Manager Michelle Taylor at mtaylor@sts.org.

You also can register for the conference. Bring your whole cardiac surgery team to this important event. Early bird registration rates are in effect through August 14, 2018. Scholarship applications will be available soon through The Thoracic Surgery Foundation.

If you have any questions about registration or housing, contact info@cardiovascularsurgeryconference.org

Highlights of July issue of ICTVS journal

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The new online-only issue of ICTVS journal is published now. Matthias Siepe, Editor-in-Chief, and EACTS invites you to read and share the following selection of recently published articles:

Statistical primer: basics of survival analysis for the cardiothoracic surgeon.
Author: Daniel J.F.M. Thuijs et al.

Surgical repair of atrioventricular septal defects: incidence and mode of failure of the left atrioventricular valve.
Author: Thierry Bové et al.

Risk factors for spinal cord ischaemia after thoracic endovascular aortic repair.
Author: Toshifumi Hiraoka et al.

Extracorporeal resuscitation as a further modifier of clinical outcome in patients with left ventricular assist device implantation and Interagency Registry for Mechanically Assisted Circulatory Support level 1.
Author: Edis Ljajikj et al.

Acute exercise is not cardioprotective and may induce apoptotic signalling in heart surgery: a randomized controlled trial.
Author: Benedikte T. Smenes et al.

As of now: ICVTS Journal is online-only

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In order to move with the times, the Interactive CardioVascular and Thoracic Surgery (ICVTS) journal will be online only from July 2018. Most scholars already use electronic devices (laptop, tablet and/or smartphone) to read news from around the globe, to find out about the latest academic research and to share this information as well as their own work with their peers. That’s why EACTS decide to change the printed to the online version. The new version will provide market-leading functionality to all users; none of which can be offered in the print environment.

In detail:
– easily search and quickly find specific articles one is interested in
– enlarge images to view more details
– play videos
– gain access to the raw data of a study, which in the medical area is increasingly requested.

ICVTS will remain free of article processing charges (APCs) for the authors, with free access for all readers. All articles will still be published in monthly issues and each article will also include a downloadable PDF for those who prefer to have something in their hands and read on paper.

For all the people who want to get a notification about new articles, please sign here via your magazine account.

More Information about the journal: https://academic.oup.com/icvts

 

Join the team of the EACTS Residents Committee

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The EACTS Residents Committee is looking for a resident to join the team. The Residents Committee is devoted to representing the views and interests of European residents, identify issues in training and facilitate education. The Committee aims to find common ground in current European Training Programmes in order to develop standards in surgical training. It collaborates with other agencies in manpower planning. The Committee encourages membership of EACTS, promotes communication channels and supports academic activity. It works together with the domains and other committees of EACTS (and other organisations, other disciplines, cardiology). Its members endeavour to carry out their tasks with commitment and transparency and ensure accessibility to the Committee for all European surgeons in training.

Click here to apply for this position, providing a letter of motivation along with your CV and publication list. The final selection would take place at the Council Meeting in October and allowing the new member to attend the Residents Committee meeting in February 2019.  The deadline for applications is 30 September 2018.

 

The ADULT CARDIAC DATABASE: New feature available!

The EACTS Quality Improvement Team has developed a new feature on the Adult Cardiac Database Benchmarking Tool to help surgeons compare the monthly performance of their hospitals against other participating hospitals.

This feature has been developed thanks to the Quality and Outcomes Research Unit at University Hospitals Birmingham (UHB), who have used data contained in the Adult Cardiac Database to develop indicators, from which control charts have been created.

Control Charts measure the average monthly performance for your hospital against data for all other hospitals. To interpret these ACD Control Charts correctly, compare the rolling average (purple line), against the upper/lower lines (control limits). These control limits show you how your hospital is performing, through 4 simple intervals: ‘outstanding’, ‘good’, ‘caution’ or ‘action’.

See more details of the intervals below:

See below a Control Chart showing ‘Caution’ for in-hospital mortality rate:

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  • Outstanding (-3SD) – you are performing better than the 99.73% confidence limit for the process, fantastic!
  • Good (-2SD) – you are still performing better than the 95.45% confidence limit for the process
  • Caution (+2SD) – when the rolling average is between the caution and action lines, the process may need adjustment
  • Action (+3SD) – the process has moved out of control and requires adjustment, action needed

 

The Adult Cardiac Database is a collaborative registry and benchmarking platform of adult cardiac surgical data from hospitals in Europe, with the goal of improving clinical outcomes for patients. If your hospital is interested in being part of this quality improvement initiative, please email quip@eacts.co.uk.

EACTS Cardio-Thoracic Masters Jeopardy 2018

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Following the resounding success of previous competitions, EACTS will again host the EACTS Cardio-Thoracic Masters Jeopardy competition during the 32nd Annual Meeting in Milan, 18-20 October 2018.

The winning team will have a unique opportunity to attend the STS 55th Annual Meeting in San Diego, California, 27-29 January 2019.

Participation is open to all EACTS residents.

How to participate: –

  1. Create a team comprised of two “Cardio-Thoracic” trainees or one “cardiac” trainee and one “thoracic” trainee
  2. Each team member to sign up here by 26th July 2018
  3. Each team member to provide a letter of eligibility from their head of training, which includes a commitment that they can attend the 32nd EACTS Annual Meeting and the STS Annual Meeting in San Diego (should they win).
  4. Each team member will be required to take an individual online screening examination and answer 60 questions in 20 minutes.
  5. Top 4 national teams will compete in Milan. The winning team will go on to compete at the STS Annual Meeting in San Diego.

The individual online screening exam will be open 30th July – 13th August 2018 on the Thoracic Surgical Curriculum (TSC) website. Entrants will be provided with a user ID and password and a link with instructions to access the exam. There will be a short questionnaire before commencing the screening exam.

The European Competition

The top four national teams will compete during the EACTS Annual Meeting in Milan, on Friday 19th October 2018. Two rounds of Jeopardy will be conducted in a live competition with the top two teams competing in the final round on Saturday 20th October 2018. The team with the best overall score will be the EACTS 2018 Jeopardy Winners. The winners will go forward to play against the winners of the US Resident Jeopardy Winners during the STS 55th Annual Meeting.

Any questions regarding this competition may be directed to Stephanie Whiting-Taylor (Stephanie.WhitingTaylor@Eacts.co.uk).

We encourage you to enter this hugely popular and exciting competition for residents and we look forward to seeing you in Milan.