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

Authors
  • Arbelo, Elena
  • Aktaa, Suleman1
  • Bollmann, Andreas2
  • D'Avila, André3
  • Drossart, Inga4
  • Dwight, Jeremy5
  • Hills, Mellanie True6
  • Hindricks, Gerhard2
  • Kusumoto, Fred M7
  • Lane, Deirdre A8
  • Lau, Dennis H9
  • Lettino, Maddalena10
  • Lip, Gregory Y H8
  • Lobban, Trudie11
  • Pak, Hui-Nam12
  • Potpara, Tatjana13
  • Saenz, Luis C14
  • Van Gelder, Isabelle C15
  • Varosy, Paul16
  • Gale, Chris P1
  • And 14 more
Type
Published Article
Journal
EP Europace
Publisher
Oxford University Press
Publication Date
Apr 05, 2021
Volume
23
Issue
4
Pages
494–495
Identifiers
DOI: 10.1093/europace/euaa253
PMID: 32860039
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To develop quality indicators (QIs) that may be used to evaluate the quality of care and outcomes for adults with atrial fibrillation (AF). 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. 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. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: [email protected].

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