European Society of Cardiology quality indicators update for the care and outcomes of adults with heart failure. The Heart Failure Association of the ESC

Amr Abdin, Chris Wilkinson, Suleman Aktaa, Michael Böhm, Marija Polovina, Giuseppe Rosano, Mitja Lainscak, Lars H Lund, Theresa McDonagh, Marco Metra, Marianna Adamo, Richard Mindham, Massimo Piepoli, Magdy Abdelhamid, Stefan Störk, Maria P Tokmakova, Petar Seferović, Andrew J S Coats, Chris P Gale

Research output: Contribution to journalArticlepeer-review

Abstract

AIMS: To update the European Society of Cardiology (ESC) quality indicators (QIs) for the evaluation of the care and outcomes of adults with heart failure.

METHODS AND RESULTS: The Working Group comprised experts in heart failure including members of the ESC Clinical Practice Guidelines Task Force for heart failure, members of the Heart Failure Association, and a patient representative. We followed the ESC methodology for QI development. The 2023 focused guideline update was reviewed to assess the suitability of the recommendations with strongest association with benefit and harm against the ESC criteria for QIs. All the new proposed QIs were individually graded by each panellist via online questionnaires for both validity and feasibility. The existing heart failure QIs also underwent voting to 'keep', 'remove' or 'modify'. Five domains of care for the management of heart failure were identified: (1) structural QIs, (2) patient assessment, (3) initial treatment, (4) therapy optimization, and (5) patient health-related quality of life. In total, 14 'main' and 3 'secondary' QIs were selected across the five domains.

CONCLUSION: This document provides an update of the previously published ESC QIs for heart failure to ensure that these measures are aligned with contemporary evidence. The QIs may be used to quantify adherence to clinical practice as recommended in guidelines to improve the care and outcomes of patients with heart failure.

Original languageEnglish
Number of pages9
JournalEuropean journal of heart failure
Early online date12 Jul 2024
DOIs
Publication statusE-pub ahead of print - 12 Jul 2024

Bibliographical note

© 2024 The Author(s). European Journal of Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.

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