Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

European Society of Cardiology quality indicators for the care and outcomes of adults with pulmonary arterial hypertension. Developed in collaboration with the Heart Failure Association of the European Society of Cardiology

Aktaa, Suleman ; Gale, Chris P. ; Brida, Margarita ; Giannakoulas, George ; Kovacs, Gabor ; Adir, Yochai ; Benza, Raymond L. ; Böhm, Michael ; Coats, Andrew and D'Alto, Michele , et al. (2023) In European Journal of Heart Failure 25(4). p.469-477
Abstract

Aims: To develop a suite of quality indicators (QIs) for the evaluation of the care and outcomes for adults with pulmonary arterial hypertension (PAH). Methods and results: We followed the European Society of Cardiology (ESC) methodology for the development of QIs. This included (i) the identification of key domains of care for the management of PAH, (ii) the proposal of candidate QIs following systematic review of the literature, and (iii) the selection of a set of QIs using a modified Delphi method. The process was undertaken in parallel with the writing of the 2022 ESC/European Respiratory Society (ERS) guidelines for the diagnosis and treatment of pulmonary hypertension and involved the Task Force chairs, experts in PAH, Heart... (More)

Aims: To develop a suite of quality indicators (QIs) for the evaluation of the care and outcomes for adults with pulmonary arterial hypertension (PAH). Methods and results: We followed the European Society of Cardiology (ESC) methodology for the development of QIs. This included (i) the identification of key domains of care for the management of PAH, (ii) the proposal of candidate QIs following systematic review of the literature, and (iii) the selection of a set of QIs using a modified Delphi method. The process was undertaken in parallel with the writing of the 2022 ESC/European Respiratory Society (ERS) guidelines for the diagnosis and treatment of pulmonary hypertension and involved the Task Force chairs, experts in PAH, Heart Failure Association (HFA) members and patient representatives. We identified five domains of care for patients with PAH: structural framework, diagnosis and risk stratification, initial treatment, follow-up, and outcomes. In total, 23 main and one secondary QIs for PAH were selected. Conclusion: This document presents the ESC QIs for PAH, describes their development process and offers scientific rationale for their selection. The indicators may be used to quantify and improve adherence to guideline-recommended clinical practice and improve patient outcomes.

(Less)
Please use this url to cite or link to this publication:
@article{c439f572-3672-45bb-9392-2f574a32494c,
  abstract     = {{<p>Aims: To develop a suite of quality indicators (QIs) for the evaluation of the care and outcomes for adults with pulmonary arterial hypertension (PAH). Methods and results: We followed the European Society of Cardiology (ESC) methodology for the development of QIs. This included (i) the identification of key domains of care for the management of PAH, (ii) the proposal of candidate QIs following systematic review of the literature, and (iii) the selection of a set of QIs using a modified Delphi method. The process was undertaken in parallel with the writing of the 2022 ESC/European Respiratory Society (ERS) guidelines for the diagnosis and treatment of pulmonary hypertension and involved the Task Force chairs, experts in PAH, Heart Failure Association (HFA) members and patient representatives. We identified five domains of care for patients with PAH: structural framework, diagnosis and risk stratification, initial treatment, follow-up, and outcomes. In total, 23 main and one secondary QIs for PAH were selected. Conclusion: This document presents the ESC QIs for PAH, describes their development process and offers scientific rationale for their selection. The indicators may be used to quantify and improve adherence to guideline-recommended clinical practice and improve patient outcomes.</p>}},
  author       = {{Aktaa, Suleman and Gale, Chris P. and Brida, Margarita and Giannakoulas, George and Kovacs, Gabor and Adir, Yochai and Benza, Raymond L. and Böhm, Michael and Coats, Andrew and D'Alto, Michele and Escribano-Subias, Pilar and Ferrari, Pisana and Galiè, Nazzareno and Gibbs, J. Simon R. and Gin-Sing, Wendy and Hoeper, Marius M. and Humbert, Marc and Lang, Irene M. and Maron, Bradley A. and Meszaros, Gergely and Noordegraaf, Anton V. and Price, Laura C. and Pepke-Zaba, Joanna and Rådegran, Göran and Reis, Abilio and Sitbon, Olivier and Torbicki, Adam and Ulrich, Silvia and Rosenkranz, Stephan and Delcroix, Marion}},
  issn         = {{1388-9842}},
  keywords     = {{Accountability; Clinical practice guidelines; Outcomes; Pulmonary arterial hypertension; Quality indicators; Treatment}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{469--477}},
  publisher    = {{Elsevier}},
  series       = {{European Journal of Heart Failure}},
  title        = {{European Society of Cardiology quality indicators for the care and outcomes of adults with pulmonary arterial hypertension. Developed in collaboration with the Heart Failure Association of the European Society of Cardiology}},
  url          = {{http://dx.doi.org/10.1002/ejhf.2830}},
  doi          = {{10.1002/ejhf.2830}},
  volume       = {{25}},
  year         = {{2023}},
}