Development of an international standard set of outcome measures for patients with atrial fibrillation: a report of the International Consortium for Health Outcomes Measurement (ICHOM) atrial fibrillation working group

被引：57

作者：

Seligman, William H. ^{[1
]}

Das-Gupta, Zofia ^{[1
]}

Jobi-Odeneye, Adedayo O. ^{[1
]}

Arbelo, Elena ^{[2
,3
,4
]}

Banerjee, Amitava ^{[5
]}

Bollmann, Andreas ^{[6
,7
]}

Caffrey-Armstrong, Bridget ^{[8
]}

Cehic, Daniel A. ^{[9
]}

Corbalan, Ramon ^{[10
]}

Collins, Michael

Dandamudi, Gopi ^{[11
]}

Dorairaj, Prabhakaran ^{[12
]}

Fay, Matthew ^{[13
,14
]}

Van Gelder, Isabelle C. ^{[15
]}

Goto, Shinya ^{[16
]}

Granger, Christopher B. ^{[17
]}

Gyorgy, Bathory ^{[18
]}

Healey, Jeff S. ^{[19
]}

Hendriks, Jeroen M. ^{[20
,21
]}

Hills, Mellanie True ^{[22
]}

Hobbs, F. D. Richard ^{[23
]}

Huisman, Menno V. ^{[24
]}

Koplan, Kate E. ^{[25
]}

Lane, Deirdre A. ^{[26
,27
]}

Lewis, William R. ^{[28
]}

Lobban, Trudie ^{[29
]}

Steinberg, Benjamin A. ^{[30
]}

McLeod, Christopher J. ^{[31
]}

Moseley, Spencer

Timmis, Adam ^{[32
,33
]}

Yutao, Guo ^{[34
]}

Camm, A. John ^{[35
]}

机构：

[1] Int Consortium Hlth Outcomes Measurement, Hamilton House, London WC1H 9BB, England

[2] Univ Barcelona, Hosp Clin, Carrer Villarroel 170, E-08036 Barcelona, Spain

[3] Inst Invest August Pi & Sunyer, IDIBAPS, Rossello 149-153, Barcelona 08036, Spain

[4] Ctr Invest Biomed Red Enfermedades Cardiovasc CIB, Av Monforte Lemos 3-5,Pabellon 11,Planta 0, Madrid 28029, Spain

[5] UCL, Inst Hlth Informat, 222 Euston Rd, London NW1 2DA, England

[6] Leipzig Heart Inst, Russenstr 69A, D-04289 Leipzig, Germany

[7] Leipzig Heart Digital, Russenstr 69A, D-04289 Leipzig, Germany

[8] Dr Steevens Hosp, Steevens Lane, Dublin D08 W2A8, Ireland

[9] GenesisCare, Bldg 1&11,41-43 Bourke Rd, Alexandria, NSW 2015, Australia

[10] Pontificia Univ Catolica Chile, Div Cardiovasc, Av Libertador Bernardo OHiggins 340, Santiago, Chile

[11] CHI Franciscan, 2709 Hemlock St, Bremerton, WA 98310 USA

[12] Publ Hlth Fdn India, Unit 316, 3rd Floor,Rectangle 1 Bldg,Plot D-4, New Delhi 110017, India

[13] Univ Warwick, Sch Med, Coventry CV4 7AL, W Midlands, England

[14] Affin Care, Westcliffe Rd, Shipley BD18 3EE, England

[15] Univ Groningen, Univ Med Ctr Groningen, Hanzepl 1, NL-9713 GZ Groningen, Netherlands

[16] Tokai Univ, 143 Shimokasuya, Isehara, Kanagawa 2591193, Japan

[17] Duke Univ, Sch Med, Dept Med, Durham, NC 27710 USA

[18] AIM Alliance Kft, Budapest, Hungary

[19] McMaster Univ, Populat Hlth Res Inst, 237 Barton St East, Hamilton, ON L8L 2X2, Canada

[20] Univ Adelaide, South Australian Hlth & Med Res Inst, Ctr Heart Rhythm Disorders, North Terrace, Adelaide, SA 5000, Australia

[21] Royal Adelaide Hosp, North Terrace, Adelaide, SA 5000, Australia

[22] Amer Fdn Womens Hlth, StopAfib Org, POB 541, Greenwood, TX 76246 USA

[23] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Radcliffe Observ Quarter, Radcliffe Primary Care Bldg, Oxford OX2 6GG, England

[24] Leiden Univ, Dept Thrombosis & Hemostasis, Med Ctr, Akbinusdreef 2, NL-2333 ZA Leiden, Netherlands

[25] Kaiser Permanente Georgia, Southeast Permanente Med Grp, 9,3495 Piedmont Rd NE, Atlanta, GA 30305 USA

[26] Univ Liverpool, Liverpool Ctr Cardiovasc Sci, Brownlow Hill, Liverpool L69 3BX, Merseyside, England

[27] Univ Liverpool, Fac Hlth & Life Sci, Liverpool Heart & Chest Hosp, Brownlow Hill, Liverpool L69 3BX, Merseyside, England

[28] Case Western Reserve Univ, MetroHlth Syst, 2500 MetroHlth Dr, Cleveland, OH 44109 USA

[29] Arrhythmia Alliance & AF Assoc, Unit 6B, Essex House,Cromwell Business Pk, Chipping Norton OX7 5SR, England

[30] Univ Utah, Hlth Sci Ctr, Div Cardiovasc Med, 50 N Med Dr, Salt Lake City, UT 84132 USA

[31] Mayo Clin, Dept Cardiovasc Med, 4500 San Pablo Rd S, Jacksonville, FL 32224 USA

[32] Barts & London Queen Marys Sch Med & Dent, Garrod Bldg,Turner St, London E1 2AD, England

[33] Barts Heart Ctr, Dept Intervent Cardiol, London EC1A 7BE, England

[34] Chinese Peoples Liberat Army Gen Hosp, 28 Fuxing Rd, Beijing, Peoples R China

[35] St Georges Univ London, Dept Clin Cardiol, Blackshaw Rd, London SW17 0QT, England

来源：

EUROPEAN HEART JOURNAL | 2020年 / 41卷 / 10期

基金：

美国国家卫生研究院; 欧盟地平线“2020”;

关键词：

Atrial fibrillation; Outcomes; Patient-reported; Value-based health care; CENTERED OUTCOMES; GLOBAL BURDEN; MANAGEMENT; WARFARIN; REGISTRY; ASSOCIATION; RIVAROXABAN; GUIDELINES; COUNTRIES; ABLATION;

D O I：

10.1093/eurheartj/ehz871

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims As health systems around the world increasingly look to measure and improve the value of care that they provide to patients, being able to measure the outcomes that matter most to patients is vital. To support the shift towards valuebased health care in atrial fibrillation (AF), the International Consortium for Health Outcomes Measurement (ICHOM) assembled an international Working Group (WG) of 30 volunteers, including health professionals and patient representatives to develop a standardized minimum set of outcomes for benchmarking care delivery in clinical settings. Methods and results Using an online-modified Delphi process, outcomes important to patients and health professionals were selected and categorized into (i) tong-term consequences of disease outcomes, (ii) complications of treatment outcomes, and (iii) patient-reported outcomes. The WG identified demographic and clinical variables for use as case-mix risk adjusters. These included baseline demographics, comorbidities, cognitive function, date of diagnosis, disease duration, medications prescribed and AF procedures, as well as smoking, body mass index (BMI), alcohol intake, and physical activity. Where appropriate, and for ease of implementation, standardization of outcomes and case-mix variables was achieved using ICD codes. The standard set underwent an open review process in which over 80% of patients surveyed agreed with the outcomes captured by the standard set. Conclusion Implementation of these consensus recommendations could help institutions to monitor, compare and improve the quality and delivery of chronic AF care. Their consistent definition and collection, using ICD codes where applicable, could also broaden the implementation of more patient-centric clinical outcomes research in AF.

引用

页码：1132 / 1140

页数：9

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