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

2020; Oxford University Press; Volume: 23; Issue: 4 Linguagem: Inglês

10.1093/europace/euaa253

1532-2092

Elena Arbelo, Suleman Aktaa, Andreas Bollmann, André d’Ávila, Inga Drossart, Jeremy Dwight, Mellanie True Hills, Gerhard Hindricks, Fred Kusumoto, Deirdre A. Lane, Dennis H. Lau, Maddalena Lettino, Gregory Y.H. Lip, Trudie Lobban, Hui‐Nam Pak, Tatjana Potpara, Luis Carlos Sáenz, Isabelle C. Van Gelder, Paul Varosy, Chris P Gale, Nikolaos Dagres, Serge Bovéda, Thomas Deneke, Pascal Defaye, Giulio Conte, Radosław Lenarczyk, Rui Providência, María José Guerra Palmero, Yoshihide Takahashi, Cristiano Pisani, Santiago Nava, Andrea Sarkozy, Taya V. Glotzer, Mário Oliveira,

Health Systems, Economic Evaluations, Quality of Life

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.