Abstract

IntroductionThe Vascular Risk in Adult New Zealanders (VARIANZ) datasets contain a range of routinely-collected New Zealand health data relevant to cardiovascular disease (CVD) and related conditions. The datasets enable exploration of cardiovascular-related treatment, service utilisation, outcomes and prognosis.ProcessesEach dataset is constructed by anonymised individual-level linkage of eight national administrative health databases to identify all New Zealand adults aged ≥20 years who have recorded contact with publicly-funded New Zealand health services during a given year from 2006 onwards, when data quality is considered sufficient.Data contentsIndividual-level data for each VARIANZ dataset can include variables covering demography, dispensing of cardiovascular disease (CVD) preventive medications and prior hospitalisations for atherosclerotic CVD, heart failure, atrial fibrillation and diabetes. If required, VARIANZ datasets can be individually linked to follow-up national routinely collected health data in subsequent years, including all-cause mortality events and fatal/non-fatal CVD events, to create VARIANZ longitudinal cohorts. Bespoke linkage can also be undertaken to include other national and regional administrative health data such as non-CVD related hospitalisations in order to explore CVD comorbidities or novel risk factors. Furthermore, a subset of the VARIANZ datasets based on specific health contacts (such as CVD hospitalisations only) can also be identified, and some data can be requested for years prior to 2006. The New Zealand routinely-collected health databases used to construct the VARIANZ datasets do not capture primary care diagnostic classifications or certain CVD risk factor data such as smoking status, blood pressure or lipid profiles.ConclusionThe Vascular Risk in Adult New Zealanders (VARIANZ) datasets capture the majority of the New Zealand population in a given year and are available from 2006 onwards, or earlier than 2006 for some datasets based on specific health contacts. VARIANZ data can be used to explore a range of research questions regarding management, outcomes and prognosis for CVD.

Highlights

  • Introduction The Vascular Risk in AdultNew Zealanders (VARIANZ) datasets contain a range of routinelycollected New Zealand health data relevant to cardiovascular disease (CVD) and related conditions

  • Baseline Vascular Risk in Adult New Zealanders (VARIANZ) datasets focussed on specific health contacts, such as CVD hospitalisations only, can be constructed and some data can be requested for years prior to 2006

  • VARIANZ datasets for a given year can be individually linked to data in subsequent years to create VARIANZ cohort studies

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Summary

Conclusion

To ensure safe projects are conducted using the VARIANZ data, a template will be provided to allow completion of a data access proposal (DAP) that outlines the proposed research and the specific data required. Links to the profiles of each of the Leadership team are available at: https://www.fmhs.auckland.ac.nz/en/soph/about/ our-departments/epidemiology-and-biostatistics/ research/view-study.html The DAP applications will be considered according to the consistency of the research proposal with VIEW programme objectives (listed on the website above), originality of the study question and robustness of the methodology. The VARIANZ datasets contain detailed individual-level linked administrative health data regarding CVD and related conditions. Subsets of the VARIANZ datasets can be identified based on specific health contacts such as CVD hospitalisations only, and can be requested for years prior to 2006 subject to data availability. The VARIANZ datasets are a rich CVD data resource that can be used to explore a range of research questions regarding the management, outcomes and prognosis for CVD

Background
Ethical Approval
Jan 2007 31 Dec 2011
Strengths and Limitations
Limitations
Findings
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