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-Reference-Cited by-同舟云学术

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

Published:2020-01-29 Issue:10 Volume:41 Page:1132-1140
ISSN:0195-668X
Container-title:European Heart Journal
language:en
Short-container-title:

Author:

Seligman William H¹^ORCID,Das-Gupta Zofia¹^ORCID,Jobi-Odeneye Adedayo O¹^ORCID,Arbelo Elena²³⁴^ORCID,Banerjee Amitava⁵^ORCID,Bollmann Andreas⁶⁷⁸,Caffrey-Armstrong Bridget⁹^ORCID,Cehic Daniel A¹⁰^ORCID,Corbalan Ramon¹¹,Collins Michael¹²^ORCID,Dandamudi Gopi¹³,Dorairaj Prabhakaran¹⁴,Fay Matthew¹⁵¹⁶^ORCID,Van Gelder Isabelle C¹⁷,Goto Shinya¹⁸,Granger Christopher B¹⁹,Gyorgy Bathory²⁰^ORCID,Healey Jeff S²¹^ORCID,Hendriks Jeroen M²²^ORCID,Hills Mellanie True²³^ORCID,Hobbs F D Richard²⁴^ORCID,Huisman Menno V²⁵,Koplan Kate E²⁶,Lane Deirdre A²⁷^ORCID,Lewis William R²⁸,Lobban Trudie²⁹^ORCID,Steinberg Benjamin A³⁰^ORCID,McLeod Christopher J³¹,Moseley Spencer³²,Timmis Adam³³³⁴^ORCID,Yutao Guo³⁵^ORCID,Camm A John³⁶^ORCID

Affiliation:

1. International Consortium for Health Outcomes Measurement, Hamilton House, London WC1H 9BB, UK

2. Hospital Clínic, Universitat de Barcelona, Carrer de Villarroel, 170, 08036 Barcelona, Spain

3. IDIBAPS, Institut d'Investigacio, August Pi I Sunyer, Rossello, 149-153, 08036 Barcelona, Spain

4. Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Av. Monforte de Lemos, 3-5. Pabellon 11. Planta 0 28029 Madrid, Spain

5. Institute of Health Informatics, University College London, 222 Euston Road, London NW1 2DA, UK

6. Department of Electrophysiology, Heart Center Leipzig, University of Leipzig, Strumpellstrabe 39, 04289 Leipzig, Germany

7. Leipzig Heart Institute, Russenstrabe 69A, 04289 Leipzig, Germany

8. Leipzig Heart Digital, Russenstrabe 69A, 04289 Leipzig, Germany

9. Health Service Executive, Dr. Steevens' Hospital, Steeven's Lane, Dublin 8, D08 W2A8, Ireland

10. GenesisCare, Buildings 1&11, The Mill, 41-43 Bourke Road, Alexandria, NSW 2015, Australia

11. Cardiovascular Division, Pontificia Universidad Catolica de Chile, Av Libertador Bernardo O'Higgins 340, Santiago, Region Metropolitana, Chile

12. Overland Park, KS 66207, USA

13. CHI Franciscan, 2709 Hemlock Street, Bremerton, WA 98310, USA

14. Public Health Foundation of India, Unit No 316, 3rd Floor, Rectangle -1 Building, Plot No D-4, District Centre Saket, New Delhi-110017, India

15. University of Warwick Medical School, The University of Warwick, Coventry CV4 7AL, UK

16. Affinity Care, Westcliffe Road, Shipley, BD18 3EE, UK

17. University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, Netherlands

18. Tokai University, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan

19. Department of Medicine, Duke University School of Medicine, Durham, NC 27710, USA

20. AIM Alliance Kft, Budapest, Hungary

21. Population Health Research Institute, McMaster University, 237 Barton Street East, Hamilton, Ontario, ON L8L 2X2, Canada

22. Centre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, North Terrace, Adelaide SA 5000, Australia

23. StopAfib.org, American Foundation for Women's Health, PO Box 541, Greenwood, TX 76246, USA

24. Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Oxford OX2 6GG, UK

25. Department of Thrombosis and Hemostasis, Leiden University Medical Center, Akbinusdreef 2, 2333 ZA Leiden, Netherlands

26. The Southeast Permanente Medical Group, Kaiser Permanente Georgia, 9, 3495 Piedmont Rd NE, Atlanta, GA 30305, USA

27. Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Faculty of Health and Life Sciences, University of Liverpool, Brownlow Hill, Liverpool L69 3BX, UK

28. MetroHealth System, Case Western Reserve University, 2500 MetroHealth Drive, Cleveland, OH 44109, USA

29. Arrhythmia Alliance & AF Association, Unit 6B, Essex House, Cromwell Business Park, Chipping Norton, OX7 5SR, UK

30. Division of Cardiovascular Medicine, University of Utah Health Sciences Center, 50 N Medical Dr, Salt Lake City, UT 84132, USA

31. Department of Cardiovascular Medicine, Mayo Clinic, 4500 San Pablo Rd S, Jacksonville, FL 32224, USA

32. Tampa, FL, USA

33. Barts and The London School of Medicine and Dentistry, Garrod Building, Turner Street, Whitechapel, London E1 2AD, UK

34. Department of Interventional Cardiology, Barts Heart Centre, W Smithfield, London EC1A 7BE, UK

35. Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing, China

36. Department of Clinical Cardiology, St George's University of London, Blackshaw Road, Tooting, London SW17 0QT, UK

Abstract

Abstract 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 value-based 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) long-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.

Funder

National Institute for Health Research

NIHR

School for Primary Care Research

Collaboration for Leadership in Health Research and Care

Biomedical Research Centre

Oxford Medtech and In-Vitro Diagnostics Co-operative

National Heart, Lung, And Blood Institute

National Institutes of Health

BigData@Heart Consortium

Innovative Medicines Initiative-2 Joint Undertaking

European Union’s Horizon 2020