Robert Lawrence McNamara MD, MHS
Associate Professor of Medicine (Cardiology)
Application of evidence-based medicine to improving outcomes in patients with cardiovascular disease
Current projects include evaluating differences in the treatment and outcome of patients with myocardial infarction among the US, the UK, and Sweden, designing ways to evaluate hospital performance in treating patients with acute myocardial infarction through use of the electronic health record, and establishing quality performance standards for noninvasive cardiac imaging.
My research has centered on evaluating the use of evidence-based medicine on the diagnosis and management of patients with cardiovascular disease. I have sought to identify areas in clinical medicine with significant variation in care, use various methodologies to obtain and analyze the different strategies and outcomes, and provide a sound base of evidence on which to recommend clinical decisions. The methodologies include primary data collection, secondary data analysis, synthesis of results of various studies into clinically useful forms such as meta-analyses and cost-effectiveness analysis, qualitative studies, establishing clinical practice guidelines and data standards, and promoting quality assurance and improvement.
- McNamara RL. Cardiovascular registry research comes of age. Heart 2010:96:908-910
- Moore C, Tham E, Samuels K, McNamara RL, Galante N, Stachenfeld N, Shelley K, Silverman D. Tissue Doppler of Early Mitral Filling Correlates with Simulated Volume Loss in Healthy Subjects. Academic Emergency Medicine. 2010: 17;1-7
- Estes NA 3rd, Halperin JL, Calkins H, Ezekowitz MD, Gitman P, Go AS, McNamara RL, Messer JV, Ritchie JL, Romeo SJ, Waldo AL, Wyse DG. ACC/AHA/Physician Consortium 2008 clinical performance measures for adults with nonvalvular atrial fibrillation or atrial flutter: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures and the Physician Consortium for Performance Improvement (Writing Committee to Develop Clinical Performance Measures for Atrial Fibrillation): developed in collaboration with the Heart Rhythm Society. Circulation 2008 117(8):1101-20. J Am Coll of Cardiol 2008 51(8):865-84.
- Pearte CA, Myerson M, Coresh J, McNamara RL, Rosamond W, Taylor H, Manolio TA. Atherosclerosis Risk In Communities Study. Variation and temporal trends in the use of diagnostic testing during hospitalization for acute myocardial infarction by age, gender, race, and geography. Am J of Cardiology 2008 101(9):1219-25.
- McNamara RL, Herrin J, Wang Y, Curtis J, Bradley EH, Magid DJ, Rathore S, Nallamothu BK, Peterson E, Blaney M, Frederick P, Krumholz HM. Impact of Delay in Door-to-Needle Time on Mortality in Patients with ST-Segment Myocardial Infarction. Am J of Cardiol 2007 Oct 15100(8):1227-32.
- Douglas P, Iskandrian AE, Krumholz HM, Gillam L, Hendel R Jollis J, Peterson E, Chen J, Masoudi F, Mohler E, McNamara RL, Patel M, Spertus J. Achieving Quality in Cardiovascular Imaging: Proceedings From the American College of Cardiology–Duke University Medical Center Think Tank on Quality in Cardiovascular Imaging. J Am Coll Cardiol 2006; 48 2141-2151
- Bradley EH, Herrin J, Wang Y, Barton BA, Webster TR, Mattera JA, Roumanis SA, Curtis JP, Nallamathou BK, Magid DJ, McNamar RL, Parkosewich J, Loeb JM, Krumholz HM. Reducing door-to-balloon times in patients with ST segment elevation myocardial infarction. New Eng J Med 2006 355:2308-2320.