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Editor's Perspective

One Year at Circulation: Cardiovascular Quality and Outcomes

Harlan M. Krumholz, MD, SM

From the Section of Cardiovascular Medicine and the Robert Wood Johnson Clinical Scholars Program, Department of Medicine; Section of Health Policy and Administration, School of Public Health, Yale University School of Medicine; and the Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Conn.

Correspondence to Dr Krumholz, 1 Church St, Suite 200, New Haven CT 06510. E-mail harlan.krumholz@yale.edu

An extract of the first 250 words of the full text is provided, because this article has no abstract.

With this issue, we celebrate completion of the inaugural year of Circulation: Cardiovascular Quality and Outcomes. Since our launch in September 2008, we have sought to create a venue for the most outstanding contributions in a field that stands at the intersection of scholarship and service. From the outset, we declared our aspiration to publish content that would substantially contribute to improving practice and policy.

Establishing a journal is fraught with challenges, not the least of which is name recognition. Although "short" may equate to "more easily remembered," the relatively expanded title of the journal is true to our original intent to clearly convey our interest in uniting scholarship with practical application.¹

Articulating an intention to publish important work and the hope that our journal could provide a powerful service are hardly enough to ensure success. We were unknown, and our early articles would have an initial 18-month delay before being listed in PubMed, the great nexus of medical literature. We had no track record, no impact factor, no status, and an uncertain readership. In addition, we had a focus that many still find difficult to describe. Outcomes research is not a condition-defined field like heart failure, a procedural one based on interventions, or a technology-based topic such as imaging. Because of the traditional organization of cardiovascular medicine, we do not have a natural constituency based on a specific type of clinical care. We are instead a journal that crosses the traditional areas of cardiovascular medicine and stroke to . . . [Full Text of this Article]