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

Elena Arbelo, Suleman Aktaa, Andreas Bollmann, André D'Avila, Inga Drossart, Jeremy Dwight, Mellanie True Hills, Gerhard Hindricks, Fred M. Kusumoto, Deirdre A. Lane, Dennis H. Lau, Maddalena Lettino, Gregory Y.H. Lip, Trudie Lobban, Hui Nam Pak, Tatjana Potpara, Luis C. Saenz, Isabelle C. Van Gelder, Paul Varosy, Chris P. GaleNikolaos Dagres, Serge Boveda, Thomas Deneke, Pascal Defaye, Giulio Conte, Radoslaw Lenarczyk, Rui Providencia, Jose M. Guerra, Yoshihide Takahashi, Cristiano Pisani, Santiago Nava, Andrea Sarkozy, Taya V. Glotzer, Mario Martins Oliveira

Research output: Contribution to journalArticlepeer-review

36 Citations (Scopus)


Aims: To develop quality indicators (QIs) that may be used to evaluate the quality of care and outcomes for adults with atrial fibrillation (AF). Methods and results: 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. Conclusion: 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.

Original languageEnglish
Pages (from-to)494-495
Number of pages2
Issue number4
Publication statusPublished - 2021 Apr

Bibliographical note

Publisher Copyright:
© 2020 Published on behalf of the European Society of Cardiology. All rights reserved.

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)


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