Abstract

Until the 1980s, the British used canaries in the coal mines to detect carbon monoxide and warn coal miners of its lethal presence. The University of Florida group acting as canaries has sounded the alarm on the scientific structure and validity of many Vascular Quality Initiative (VQI)-based publications. In some sense, this is not a new concern with large database studies, but rather one that a variety of guidelines have been implemented to address.

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