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

Authors
 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 
Citation
 EUROPACE, Vol.23(4) : 494-495, 2021-04 
Journal Title
EUROPACE
ISSN
 1099-5129 
Issue Date
2021-04
MeSH
Adult ; Advisory Committees ; Atrial Fibrillation* / diagnosis ; Atrial Fibrillation* / therapy ; Humans ; Quality Indicators, Health Care ; Risk Factors ; Systematic Reviews as Topic
Keywords
Atrial fibrillation ; Outcome measures ; Quality indicators
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.
Full Text
https://academic.oup.com/europace/article/23/4/494/5898806
DOI
10.1093/europace/euaa253
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Pak, Hui Nam(박희남) ORCID logo https://orcid.org/0000-0002-3256-3620
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187046
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