Quality indicators for the care and outcomes of adults with atrial fibrillation

Elena Arbelo; Suleman Aktaa; Andreas Bollmann; André D'Avila; Inga Drossart; Jeremy Dwight; Mellanie True Hills; Gerhard Hindricks; Fred M. Kusumoto; Deirdre A. Lane; Dennis H. Lau; Maddalena Lettino; Gregory Y.H. Lip; Trudie Lobban; Hui Nam Pak; Tatjana Potpara; Luis C. Saenz; Isabelle C. Van Gelder; Paul Varosy; Chris P. Gale; Nikolaos Dagres; Serge Boveda; Thomas Deneke; Pascal Defaye; Giulio Conte; Radoslaw Lenarczyk; Rui Providencia; Jose M. Guerra; Yoshihide Takahashi; Cristiano Pisani; Santiago Nava; Andrea Sarkozy; Taya V. Glotzer; Mario Martins Oliveira

doi:10.1093/europace/euaa253

Quality indicators for the care and outcomes of adults with atrial fibrillation

Elena Arbelo
, Suleman Aktaa
, Andreas Bollmann
, André D'Avila
, Inga Drossart
, Jeremy Dwight
, Mellanie True Hills
, Gerhard Hindricks
, Fred M. Kusumoto
, Deirdre A. Lane
, Dennis H. Lau
, Maddalena Lettino
, Gregory Y.H. Lip
, Trudie Lobban
, Hui Nam Pak
, Tatjana Potpara
, Luis C. Saenz
, Isabelle C. Van Gelder
, Paul Varosy
, Chris P. Gale

Nikolaos Dagres, Serge Boveda, Thomas Deneke, Pascal Defaye, Giulio Conte, Radoslaw Lenarczyk, Rui Providencia, Jose M. Guerra, Yoshihide Takahashi, Cristiano Pisani, Santiago Nava, Andrea Sarkozy, Taya V. Glotzer, Mario Martins Oliveira

School of Medicine

University of Barcelona
University of Leeds
Leipzig University
Hospital SOS Cárdio
Sophia Antipolis
ESC Patient Forum
American Foundation for Women's Health
Mayo Clinic Jacksonville, FL
Liverpool Heart and Chest Hospital NHS Foundation Trust
University of Adelaide
Azienda Ospedaliera San Gerardo Monza
Arrhythmia Alliance/AF Association/STARS
Yonsei University
University of Belgrade
Fundación Cardioinfantil - Instituto de Cardiología
University of Groningen
University of Colorado Anschutz Medical Campus
Clinique Pasteur Toulouse
Heart Centre RHÖN-KLINIKUM Campus Bad Neustadt
CHU de Grenoble
Cardiocentro Ticino Foundation
Medical University of Silesia in Katowice
Barts Health NHS Trust
Servei de Microbiologia Hospital de la Santa Creu i Sant Pau
Institute of Science Tokyo
Heart Institute
Instituto Nacional de Cardiologia Ignacio Chavez
University of Antwerp
Department of Cardiology

Research output: Contribution to journal › Article › peer-review

88 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	494-495
Number of pages	2
Journal	Europace
Volume	23
Issue number	4
DOIs	https://doi.org/10.1093/europace/euaa253
State	Published - Apr 2021

Keywords

Atrial fibrillation
Outcome measures
Quality indicators

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10.1093/europace/euaa253

Cite this

Arbelo, E., Aktaa, S., Bollmann, A., D'Avila, A., Drossart, I., Dwight, J., Hills, M. T., Hindricks, G., Kusumoto, F. M., Lane, D. A., Lau, D. H., Lettino, M., Lip, G. Y. H., Lobban, T., Pak, H. N., Potpara, T., Saenz, L. C., Van Gelder, I. C., Varosy, P., ... Oliveira, M. M. (2021). Quality indicators for the care and outcomes of adults with atrial fibrillation. Europace, 23(4), 494-495. https://doi.org/10.1093/europace/euaa253

@article{94b027707f5e413e962fa858804e8099,

title = "Quality indicators for the care and outcomes of adults with atrial fibrillation",

abstract = "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.",

keywords = "Atrial fibrillation, Outcome measures, Quality indicators",

author = "Elena Arbelo and Suleman Aktaa and Andreas Bollmann and Andr{\'e} D'Avila and Inga Drossart and Jeremy Dwight and Hills, \{Mellanie True\} and Gerhard Hindricks and Kusumoto, \{Fred M.\} and Lane, \{Deirdre A.\} and Lau, \{Dennis H.\} and Maddalena Lettino and Lip, \{Gregory Y.H.\} and Trudie Lobban and Pak, \{Hui Nam\} and Tatjana Potpara and Saenz, \{Luis C.\} and \{Van Gelder\}, \{Isabelle C.\} and Paul Varosy and Gale, \{Chris P.\} and Nikolaos Dagres and Serge Boveda and Thomas Deneke and Pascal Defaye and Giulio Conte and Radoslaw Lenarczyk and Rui Providencia and Guerra, \{Jose M.\} and Yoshihide Takahashi and Cristiano Pisani and Santiago Nava and Andrea Sarkozy and Glotzer, \{Taya V.\} and Oliveira, \{Mario Martins\}",

year = "2021",

month = apr,

doi = "10.1093/europace/euaa253",

language = "English",

volume = "23",

pages = "494--495",

journal = "Europace",

issn = "1099-5129",

publisher = "Oxford University Press",

number = "4",

}

Arbelo, E, Aktaa, S, Bollmann, A, D'Avila, A, Drossart, I, Dwight, J, Hills, MT, Hindricks, G, Kusumoto, FM, Lane, DA, Lau, DH, Lettino, M, Lip, GYH, Lobban, T, Pak, HN, Potpara, T, Saenz, LC, Van Gelder, IC, Varosy, P, Gale, CP, Dagres, N, Boveda, S, Deneke, T, Defaye, P, Conte, G, Lenarczyk, R, Providencia, R, Guerra, JM, Takahashi, Y, Pisani, C, Nava, S, Sarkozy, A, Glotzer, TV & Oliveira, MM 2021, 'Quality indicators for the care and outcomes of adults with atrial fibrillation', Europace, vol. 23, no. 4, pp. 494-495. https://doi.org/10.1093/europace/euaa253

TY - JOUR

T1 - Quality indicators for the care and outcomes of adults with atrial fibrillation

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

AU - Boveda, Serge

AU - Deneke, Thomas

AU - Defaye, Pascal

AU - Conte, Giulio

AU - Lenarczyk, Radoslaw

AU - Providencia, Rui

AU - Guerra, Jose M.

AU - Takahashi, Yoshihide

AU - Pisani, Cristiano

AU - Nava, Santiago

AU - Sarkozy, Andrea

AU - Glotzer, Taya V.

AU - Oliveira, Mario Martins

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 - https://www.scopus.com/pages/publications/85094129928

U2 - 10.1093/europace/euaa253

DO - 10.1093/europace/euaa253

M3 - Article

C2 - 32860039

AN - SCOPUS:85094129928

SN - 1099-5129

VL - 23

SP - 494

EP - 495

JO - Europace

JF - Europace

IS - 4

ER -

Quality indicators for the care and outcomes of adults with atrial fibrillation

Abstract

Keywords

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