Twelve years ago, Ellwood1 described
"a technology of experience" by which observational databases would be used
to learn about how best to improve implementation of medical interventions.
Ellwood envisioned a unified national database containing information on all
facets of patient care. Researchers and decision makers would have the ability
to analyze relevant data to answer questions of interest. Although a single
national database of this kind has not been realized, a number of very large
registries have been successfully assembled and used to learn about important
associations between treatments and outcomes.2
In this issue of THE JOURNAL, Cannon et al3
report on the relation between speed of performing primary angioplasty and
in-hospital mortality among patients with acute myocardial infarction. Taking
advantage of a multicenter database containing information about more than
750,000 patients, the authors focused on 27,080 patients who presented with
ST-segment elevation or left bundle-branch block and who were treated with
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 5
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.