TY - JOUR
T1 - Quality indicators for the care and outcomes of adults with atrial fibrillation
T2 - Task Force for the development of quality indicators in atrial fibrillation of the European Heart Rhythm Association (EHRA) of the European Society of Cardiology (ESC): Developed in collaboration with the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), and the Latin-American Heart Rhythm Society (LAHRS)
AU - Arbelo, Elena
AU - Aktaa, Suleman
AU - Bollmann, Andreas
AU - D'Avila, André
AU - Drossart, Inga
AU - Dwight, Jeremy
AU - Hills, Mellanie True
AU - Hindricks, Gerhard
AU - Kusumoto, Fred M
AU - Lane, Deirdre A
AU - Lau, Dennis H
AU - Lettino, Maddalena
AU - Lip, Gregory Y H
AU - Lobban, Trudie
AU - Pak, Hui-Nam
AU - Potpara, Tatjana
AU - Saenz, Luis C
AU - Van Gelder, Isabelle C
AU - Varosy, Paul
AU - Gale, Chris P
AU - Dagres, Nikolaos
PY - 2021/4
Y1 - 2021/4
N2 - AIMS: To develop quality indicators (QIs) that may be used to evaluate the quality of care and outcomes for adults with atrial fibrillation (AF).METHODS AND RESULTS: We followed the ESC methodology for QI development. This methodology involved (i) the identification of the domains of AF care for the diagnosis and management of AF (by a group of experts including members of the ESC Clinical Practice Guidelines Task Force for AF); (ii) the construction of candidate QIs (including a systematic review of the literature); and (iii) the selection of the final set of QIs (using a modified Delphi method). Six domains of care for the diagnosis and management of AF were identified: (i) Patient assessment (baseline and follow-up), (ii) Anticoagulation therapy, (iii) Rate control strategy, (iv) Rhythm control strategy, (v) Risk factor management, and (vi) Outcomes measures, including patient-reported outcome measures (PROMs). In total, 17 main and 17 secondary QIs, which covered all six domains of care for the diagnosis and management of AF, were selected. The outcome domain included measures on the consequences and treatment of AF, as well as PROMs.CONCLUSION: This document defines six domains of AF care (patient assessment, anticoagulation, rate control, rhythm control, risk factor management, and outcomes), and provides 17 main and 17 secondary QIs for the diagnosis and management of AF. It is anticipated that implementation of these QIs will improve the quality of AF care.
AB - AIMS: To develop quality indicators (QIs) that may be used to evaluate the quality of care and outcomes for adults with atrial fibrillation (AF).METHODS AND RESULTS: We followed the ESC methodology for QI development. This methodology involved (i) the identification of the domains of AF care for the diagnosis and management of AF (by a group of experts including members of the ESC Clinical Practice Guidelines Task Force for AF); (ii) the construction of candidate QIs (including a systematic review of the literature); and (iii) the selection of the final set of QIs (using a modified Delphi method). Six domains of care for the diagnosis and management of AF were identified: (i) Patient assessment (baseline and follow-up), (ii) Anticoagulation therapy, (iii) Rate control strategy, (iv) Rhythm control strategy, (v) Risk factor management, and (vi) Outcomes measures, including patient-reported outcome measures (PROMs). In total, 17 main and 17 secondary QIs, which covered all six domains of care for the diagnosis and management of AF, were selected. The outcome domain included measures on the consequences and treatment of AF, as well as PROMs.CONCLUSION: This document defines six domains of AF care (patient assessment, anticoagulation, rate control, rhythm control, risk factor management, and outcomes), and provides 17 main and 17 secondary QIs for the diagnosis and management of AF. It is anticipated that implementation of these QIs will improve the quality of AF care.
KW - Atrial fibrillation
KW - Outcome measures
KW - Quality indicators
UR - http://www.scopus.com/inward/record.url?scp=85094129928&partnerID=8YFLogxK
U2 - 10.1093/europace/euaa253
DO - 10.1093/europace/euaa253
M3 - Review article
C2 - 32860039
SN - 1099-5129
VL - 23
SP - 494
EP - 495
JO - Europace
JF - Europace
IS - 4
M1 - euaa253
ER -