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Yale China Project

Press and Recognition

"China’s out of control ‘silent killer’ affects one-third of adults" YaleNews, October 25, 2017

"As Heart Attacks Rise In China, So Does Attention To Quality Of Care" NPR, June 23, 2014

Harlan Krumholz
China Friendship Award
People's Republic of China (2014)

China Friendship Award

Dr. Harlan M. Krumholz, meets China's Premier, Li Keqiang, at the Great Hall of the People in Beijing to receive China's Friendship Award, given to 'foreign experts who have made outstanding contributions to the country's economic and social progress.'

Presentations

For a recent presentation from Dr. Krumholz about the blueprint of Yale CORE – Shenzhen Project in 2018, please view the video below.

Project Collective Wisdom

This is a presentation by Harlan Krumholz about the blueprint of Yale CORE – Shenzhen Project, a 5-year collaboration between Yale University, the city of Shenzhen, and the Shenzhen Medical Information Center.

For a presentation from Dr. Krumholz at the 2016 Yale-China Association of Mayors Conference, please view the video below.

Dr. Krumholz at the 2016 Yale-China Association of Mayors Conference

Dr. Krumholz at the 2016 Yale-China Association of Mayors Conference

Visual Abstracts and Publications

Million Persons Project MPP

Linderman GC, Lu J, Lu Y, Sun X, Xu W, Nasir K, Schulz W, Jiang L, Krumholz HM. Association of body mass index with blood pressure among 1.7 million Chinese adults. JAMA Network Open. 2018;1(4):e181271. View PowerPoint Slide Version or PDF Version or Visual Abstract

Qu H, Lu Y, Gudbranson E, Bucholz EM, Xuan S, Masoudi FA, Spertus JA, Zheng X, Li J, Krumholz HM. Large-Scale Epidemiologic Studies of Cardiovascular Diseases in China: Need for Improved Data Collection, Methods, Transparency, and Documentation. Global Heart. 2017 Dec 13. pii: S2211-8160(17)30056-X. doi: 10.1016/j.gheart.2017.07.002. PMID: 29248362

Su M, Zhang Q, Lu J, Li X, Tian N, Wang Y, Yip W, Cheng KK, Mensah GA, Horwitz RI, Mossialos E, Krumholz HM, Jiang L. Protocol for a nationwide survey of primary health care in China: the China PEACE (Patient-centered Evaluative Assessment of Cardiac Events) MPP (Million Persons Project) Primary Health Care Survey. BMJ Open. 2017 Aug 28;7(8):e016195. PMID: 28851781

Lu J, Lu Y, Wang X, Li X, Linderman GC, Wu C, Cheng X, Mu L, Zhang H, Liu J, Su M, Zhao H, Spatz ES, Spertus JA, Masoudi FA, Krumholz HM, Jiang L. Prevalence, awareness, treatment, and control of hypertension in China: data from 1.7 million adults in a population-based screening study (China PEACE Million Persons Project). The Lancet. doi: 10.1016/S0140-6736(17)32478-9. View PowerPoint Slide Version or PDF Version

Su M, Zhang Q, Bai X, Wu C, Li Y, Mossialos E, Mensah GA, Masoudi FA, Lu J, Li X, Salas-Vega S, Zhang A, Lu Y, Nasir K, Krumholz HM, Jiang L. Availability, cost, and prescription patterns of antihypertensive medications in primary health care in China: a nationwide cross-sectional survey. The Lancet. doi: 10.1016/S0140-6736(17)32476-5.View PowerPoint Slide Version or PDF Version

Lu J, Xuan S, Downing NS, Wu C, Li L, Krumholz HM, Jiang L. Protocol for the China PEACE (Patient-centered Evaluative Assessment of Cardiac Events) Million Persons Project pilot. BMJ Open.2016;6:e010200. View PowerPoint Slide Version or PDF Version

China PEACE-I Retrospective

Downing NS, Wang Y, Dharmarajan K, Nuti SV, Murugiah K, Du X, Zheng X, Li X, Li J, Masoudi FA, Spertus JA, Jiang L, Krumholz HM. Quality of Care in Chinese Hospitals: Processes and Outcomes After ST-segment Elevation Myocardial Infarction. J Am Heart Assoc. 2017;6. View PowerPoint Slide Version or PDF Version

Li X, Murugiah K, Li J, Masoudi FA, Chan PS, Hu S, Spertus JA, Wang Y, Downing NS, Krumholz HM, Jiang L. Urban-Rural Comparisons in Hospital Admission, Treatments, and Outcomes for ST-Segment-Elevation Myocardial Infarction in China from 2001 to 2011: A Retrospective Analysis From the China PEACE Study (Patient-Centered Evaluative Assessment of Cardiac Events). Circ Cardiovasc Qual Outcomes. 2017;10(11). PMID: 29158421. View PowerPoint Slide Version or PDF Version

Murugiah K, Wang Y, Nuti SV, Li X, Li J, Zheng X, Downing NS5, Desai NR, Masoudi FA, Spertus JA, Jiang L, Krumholz HM; China PEACE Collaborative Group. Are non-ST-segment elevation myocardial infarctions missing in China?. Eur Heart J Acute Cardiovasc Care. 2017 Oct 1;3(4):319-327. doi: 10.1093/ehjqcco/qcx025 View PowerPoint Slide Version or PDF Version

Zhao S, Murugiah K, Li N, Li X, Xu ZH, Li J, Cheng C, Mao H, Downing NS, Krumholz HM, Jiang LX. Admission Glucose and In-hospital Mortality after Acute Myocardial Infarction in Patients with or without Diabetes: A Cross-sectional Study. Chin Med J (Engl). 2017 Apr 5;130(7):767-775. doi: 10.4103/0366-6999.202733. PMID: 28345539 View PowerPoint Slide Version or PDF Version

Li J, Li X, Ross JS, Wang Q, Wang Y, Desai NR, Xu X, Nuti SV, Masoudi FA, Spertus JA, Krumholz HM, Jiang L. Fibrinolytic therapy in hospitals without percutaneous coronary intervention capabilities in China from 2001 to 2011: China PEACE-retrospective AMI study. Eur Heart J Acute Cardiovasc Care. 2016. View PowerPoint Slide Version or PDF Version

Du X, Spatz ES, Dreyer RP, Hu S, Wu C, Li X, Li J, Wang S, Masoudi FA, Spertus JA, Nasir K, Krumholz HM, Jiang L. Sex Differences in Clinical Profiles and Quality of Care Among Patients With ST-Segment Elevation Myocardial Infarction From 2001 to 2011: Insights From the China Patient-Centered Evaluative Assessment of Cardiac Events (PEACE)-Retrospective Study. J Am Heart Assoc. 2016;5. View PowerPoint Slide Version or PDF Version

Li X, Li J, Masoudi FA, Spertus JA, Lin Z, Krumholz HM, Jiang L, China PEACE Collaborative Group. China PEACE risk estimation tool for in-hospital death from acute myocardial infarction: an early risk classification tree for decisions about fibrinolytic therapy. BMJ Open. 2016;6:e013355 View PowerPoint Slide Version or PDF Version

Zhang L, Li J, Li X, Nasir K, Zhang H, Wu Y, Hu S, Wang Q, Downing NS, Desai NR, Masoudi FA, Spertus JA, Krumholz HM, Jiang L. National Assessment of Statin Therapy in Patients Hospitalized with Acute Myocardial Infarction: Insight from China PEACE-Retrospective AMI Study, 2001, 2006, 2011. PLoS One. 2016;11:e0150806. View PowerPoint Slide Version or PDF Version

Zheng X, Curtis JP, Hu S, Wang Y, Yang Y, Masoudi FA, Spertus JA, Li X, Li J, Dharmarajan K, Downing NS, Krumholz HM, Jiang L. Coronary Catheterization and Percutaneous Coronary Intervention in China: 10-Year Results From the China PEACE-Retrospective CathPCI Study. JAMA Intern Med. 2016;176:512-21. View PowerPoint Slide Version or PDF Version

Guan W, Murugiah K, Downing N, Li J, Wang Q, Ross JS, Desai NR, Masoudi FA, Spertus JA, Li X, Krumholz HM, Jiang L. National quality assessment evaluating spironolactone use during hospitalization for acute myocardial infarction (AMI) in China: China Patient-centered Evaluation Assessment of Cardiac Events (PEACE)-Retrospective AMI Study, 2001, 2006, and 2011. J Am Heart Assoc. 2015;4:e001718. View PowerPoint Slide Version or PDF Version

Li J, Li X, Wang Q, Hu S, Wang Y, Masoudi FA, Spertus JA, Krumholz HM, Jiang L. ST-segment elevation myocardial infarction in China from 2001 to 2011 (the China PEACE-Retrospective Acute Myocardial Infarction Study): a retrospective analysis of hospital data . Lancet. 2015;385:441-51. View PowerPoint Slide Version or PDF Version

Li Q, Lin Z, Masoudi FA, Li J, Li X, Hernandez-Diaz S, Nuti SV, Li L, Wang Q, Spertus JA, Hu FB, Krumholz HM, Jiang L. National trends in hospital length of stay for acute myocardial infarction in China. BMC Cardiovasc Disord. 2015;15:9. View PowerPoint Slide Version or PDF Version

Liu J, Masoudi FA, Spertus JA, Wang Q, Murugiah K, Spatz ES, Li J, Li X, Ross JS, Krumholz HM, Jiang L. Patterns of use of angiotensin-converting enzyme inhibitors/angiotensin receptor blockers among patients with acute myocardial infarction in China from 2001 to 2011: China PEACE-Retrospective AMI Study. J Am Heart Assoc. 2015;4. View PowerPoint Slide Version or PDF Version

Yin ES, Downing NS, Li X, Singer SJ, Curry LA, Li J, Krumholz HM, Jiang L. Organizational culture in cardiovascular care in Chinese hospitals: a descriptive cross-sectional study. BMC Health Serv Res. 2015;15:569. View PowerPoint Slide Version or PDF Version

Zhan L, Masoudi FA, Li X, Hu S, Venkatesh AK, Spertus JA, Lin Z, Desai NR, Li J, Krumholz HM, Jiang L. Trends in cardiac biomarker testing in China for patients with acute myocardial infarction, 2001 to 2011: China PEACE-retrospective AMI study. PLoS One 2015;10:e0122237. View PowerPoint Slide Version or PDF Version

Zhang H, Masoudi FA, Li J, Wang Q, Li X, Spertus JA, Ross JS, Desai NR, Krumholz HM, Jiang L. National assessment of early beta-blocker therapy in patients with acute myocardial infarction in China, 2001-2011: The China Patient-centered Evaluative Assessment of Cardiac Events (PEACE)-Retrospective AMI Study. Am Heart J. 2015;170:506-15.e1. View PowerPoint Slide Version or PDF Version

Zhang L, Desai NR, Li J, Hu S, Wang Q, Li X, Masoudi FA, Spertus JA, Nuti SV, Wang S, Krumholz HM, Jiang L. National Quality Assessment of Early Clopidogrel Therapy in Chinese Patients With Acute Myocardial Infarction (AMI) in 2006 and 2011: Insights From the China Patient-Centered Evaluative Assessment of Cardiac Events (PEACE)-Retrospective AMI Study. J Am Heart Assoc. 2015;4. View PowerPoint Slide Version or PDF Version

Gao Y, Masoudi FA, Hu S, Li J, Zhang H, Li X, Desai NR, Krumholz HM, Jiang L. Trends in early aspirin use among patients with acute myocardial infarction in China, 2001-2011: the China PEACE-Retrospective AMI study. J Am Heart Assoc. 2014;3:e001250. View PowerPoint Slide Version or PDF Version

Li J, Dharmarajan K, Li X, Lin Z, Normand SL, Krumholz HM, Jiang L. Protocol for the China PEACE (Patient-centered Evaluative Assessment of Cardiac Events) retrospective study of coronary catheterisation and percutaneous coronary intervention. BMJ Open. 2014;4:e004595.

Dharmarajan K, Li J, Li X, Lin Z, Krumholz HM, Jiang L. The China Patient-Centered Evaluative Assessment of Cardiac Events (China PEACE) retrospective study of acute myocardial infarction: study design. Circ Cardiovasc Qual Outcomes. 2013;6:732-40.

China PEACE-I Prospective

Du X, Pi Y, Dreyer RP, Li J, Li X, Downing NS, Li L, Feng F, Zhan L, Zhang H, Guan W, Xu X, Li SX, Lin Z, Masoudi FA, Spertus JA, Krumholz HM, Jiang L. The china patient-centered evaluative assessment of cardiac events (PEACE) prospective study of percutaneous coronary intervention: Study design. Catheter Cardiovasc Interv. 2016.

Li J, Dreyer RP, Li X, Du X, Downing NS, Li L, Zhang HB, Feng F, Guan WC, Xu X, Li SX, Lin ZQ, Masoudi FA, Spertus JA, Krumholz HM, Jiang LX1; China PEACE Collaborative Group China Patient-centered Evaluative Assessment of Cardiac Events Prospective Study of Acute Myocardial Infarction: Study Design. Chin Med J (Engl). 2016. View PowerPoint Slide Version or PDF Version

Zheng X, Dreyer RP, Hu S, Spatz ES, Masoudi FA, Spertus JA, Nasir K, Li X, Li J, Wang S, Krumholz HM, Jiang L. Age-specific gender differences in early mortality following ST-segment elevation myocardial infarction in China. Heart. 2015;101:349-55. View PowerPoint Slide Version or PDF Version

China PEACE-III Mobile Health Intervention

Huo X, Spatz ES, Ding Q, Horak P, Zheng X, Masters C, Zhang H, Irwin ML, Yan X, Guan W, Li J, Li X, Spertus JA, Masoudi FA, Krumholz HM, Jiang L. Design and rationale of the Cardiovascular Health and Text Messaging (CHAT) Study and the CHAT-Diabetes Mellitus (CHAT-DM) Study: two randomised controlled trials of text messaging to improve secondary prevention for coronary heart disease and diabetes. BMJ Open. 2017 Dec 21;7(12):e018302. PMID: 29273661

China PEACE-V Chronic Disease Registries

Rao C, Bongiovanni T, Li X, Gao H, Zhang H, Li J, Zhao Y, Yuan X, Hua K, Hu S, Krumholz HM, Jiang L, Zheng Z. The China Patient-Centred Evaluative Assessment of Cardiac Events (China PEACE)-Prospective Study of 3-Vessel Disease: rationale and design. BMJ Open.. 2016;6:e009743.

The Lancet Commission for Primary Healthcare

Li X, Lu J, Hu S, Cheng KK, De Maeseneer J, Meng Q, Mossialos E, Xu DR, Yip W, Zhang H, Krumholz HM, Jiang L, Hu S. The primary health-care system in China. Lancet. 2017 Dec 9;390(10112):2584-2594. PMID: 29231837 View PowerPoint Slide Version or PDF Version

QingDao Port Study

Spatz ES, Jiang X, Lu J, Masoudi FA, Spertus JA, Wang Y, Li X, Downing NS, Nasir K, Du X, Li J, Krumholz HM, Liu X, Jiang L. Qingdao Port Cardiovascular Health Study: a prospective cohort study. BMJ Open 2015;5:e008403.

Other

Yuan X, Zhang H, Zheng Z, Rao C, Zhao Y, Wang Y, Krumholz HM, Hu S. Trends in mortality and major complications for patients undergoing coronary artery bypass grafting among Urban Teaching Hospitals in China: 2004 to 2013. Eur Heart J Qual Care Clin Outcomes. 2017 Oct 1;3(4):312-318. doi: 10.1093/ehjqcco/qcx021. PMID: 29044398

Zheng Z, Zhang H, Yuan X, Rao C, Zhao Y, Wang Y, Normand SL, Krumholz HM, Hu S. Comparing Outcomes of Coronary Artery Bypass Grafting Among Large Teaching and Urban Hospitals in China and the United States. Circ Cardiovasc Qual Outcomes. 2017 Jun;10(6). doi: 10.1161/CIRCOUTCOMES.116.003327. PMID: 28611187

Rao C, Zhang H, Gao H, Zhao Y, Yuan X, Hua K, Hu S, Zheng Z. The Chinese Cardiac Surgery Registry: Design and Data Audit. Ann Thorac Surg. 2016;101:1514-20.

Jiang L, Krumholz HM, Li X, Li J, Hu S. Achieving best outcomes for patients with cardiovascular disease in China by enhancing the quality of medical care and establishing a learning health-care system. Lancet. 2015;386:1493-505. View PowerPoint Slide Version or PDF Version

Zhang H, Yuan X, Zhang H, Chen S, Zhao Y, Hua K, Rao C, Wang W, Sun H, Hu S, Zheng Z. Efficacy of Long-Term beta-Blocker Therapy for Secondary Prevention of Long-Term Outcomes After Coronary Artery Bypass Grafting Surgery. Circulation. 2015;131:2194-201.

Zhang H, Yuan X, Osnabrugge RL, Meng D, Gao H, Zhang S, Rao C, Hu S, Zheng Z. Influence of diabetes mellitus on long-term clinical and economic outcomes after coronary artery bypass grafting. Ann Thorac Surg. 2014;97:2073-9.

Hu S, Zheng Z, Yuan X, Wang Y, Normand SL, Ross JS, Krumholz HM. Coronary artery bypass graft: contemporary heart surgery center performance in China. Circ Cardiovasc Qual Outcomes. 2012;5:214-21.

Fan H, Zheng Z, Feng W, Wang W, Song Y, Lin Y, Hu S. Risk factors and prevention of upper gastrointestinal hemorrhage after a coronary artery bypass grafting operation. Surg Today. 2010;40:931-5.

Hu S, Zheng Z, Yuan X, Wang W, Song Y, Sun H, Xu J. Increasing long-term major vascular events and resource consumption in patients receiving off-pump coronary artery bypass: a single-center prospective observational study. Circulation. 2010;121:1800-8.