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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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

website

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

 

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ESTS-EACTS Gender Bias Survey

ESTS-EACTS Gender Bias Survey

COMPLETE THE ESTS-EACTS GENDER BIAS SURVEY – Due 15 January, 2021

 

Dear ESTS and EACTS Members,
Numbers revealing a gender gap in surgery are periodically reported by national and international institutions but data on perceptions of gender equality within the cardio-thoracic community are scarce.
Furthermore, identifying the causes of the disproportionately low female representation in cardio-thoracic surgery is challenging, and thus, solving this problem remains difficult. To better understand the reasons underlying this phenomenon, we would like to assess the perception and impact of gender bias on our speciality.
The Boards of ESTS and EACTS have jointly approved this project with the aim to depict a clearer European demographic situation and report gender equality’s experience by both male and female members.
This survey is entirely anonymous and will take 5-7 minutes to complete.
Thank you in advance for your participation. Click Here To Complete The Survey.
Please contact C.Pompili@Leeds.Ac.Uk (ESTS)  and  J.Kluin@Amsterdamumc.Nl (EACTS) if you have any questions or concerns about this survey and if you want to actively take part on this
project.