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Defining and Measuring a Standard Set of Patient Relevant Outcomes in Coronary Artery Disease
- Source :
- American Journal of Cardiology, 121(12), 1477-1488. Elsevier Inc., American Journal of Cardiology, 121(12), 1477-1488. EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC, American Journal of Cardiology, 121, 1477-1488, American Journal of Cardiology, 121, 12, pp. 1477-1488, The American Journal of Cardiology, 121(12), 1477. Elsevier Inc., American journal of cardiology, 121(12), 1477-1488. Elsevier Inc.
- Publication Year :
- 2018
-
Abstract
- Systematic outcome measurement enables to continuously improve treatment results and stimulates dissemination of best practices. For patients with coronary artery disease, no examples yet exist of standard sets of patient-relevant outcome measures that have already been fully implemented at a large scale in clinical care. The aim of this paper is twofold: (1) to share the standard set of outcome measures as developed by Meetbaar Beter, and (2) to show how the standard set is presented and published to support improvement of cardiac care. A step-wise approach was followed by an expert panel to construct a standard set of outcome measures. This resulted in a comprehensive set of relevant outcome measures, comprising 4 generic and 11 treatment-specific outcomes. Both short-term and long-term outcomes measures up to 5 years of follow-up were included. Relevant initial conditions were selected to enable case-mix adjustment. The standard set has been implemented in 21 hospitals across the Netherlands. The results and experiences have been used to finetune the set in 4 reporting cycles in 2012 to 2016, using an annual maintenance cycle. Currently about 83,000 percutaneous coronary interventions and 30,000 coronary artery bypass graftings are included in the dataset, covering the majority of all percutaneous coronary interventions and coronary artery bypass graftings in the Netherlands. In conclusion, Meetbaar Beter has defined and implemented a comprehensive set of patient-relevant outcome measures for coronary artery disease, and the variation of the results among the centers indicates that there are sufficient opportunities to further improve cardiac care in the Netherlands. (C) 2018 Elsevier Inc. All rights reserved.
- Subjects :
- Male
Multivariate analysis
medicine.medical_treatment
Health Status
Vascular damage Radboud Institute for Health Sciences [Radboudumc 16]
Psychological intervention
Coronary Artery Disease
Kaplan-Meier Estimate
030204 cardiovascular system & hematology
Conservative Treatment
Outcome (game theory)
Coronary artery disease
0302 clinical medicine
Postoperative Complications
Quality of life
EUROSCORE
030212 general & internal medicine
Coronary Artery Bypass
Netherlands
DEATH
Middle Aged
Survival Rate
Mental Health
Cardiology
Female
Cardiology and Cardiovascular Medicine
medicine.medical_specialty
MEDLINE
QUESTIONNAIRE
03 medical and health sciences
Percutaneous Coronary Intervention
Internal medicine
medicine
Journal Article
Humans
Surgical Wound Infection
Intensive care medicine
Set (psychology)
Aged
Proportional Hazards Models
business.industry
MORTALITY
Percutaneous coronary intervention
medicine.disease
Patient Outcome Assessment
Logistic Models
HEALTH-CARE
Multivariate Analysis
Quality of Life
business
Subjects
Details
- ISSN :
- 00029149
- Database :
- OpenAIRE
- Journal :
- American Journal of Cardiology, 121(12), 1477-1488. Elsevier Inc., American Journal of Cardiology, 121(12), 1477-1488. EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC, American Journal of Cardiology, 121, 1477-1488, American Journal of Cardiology, 121, 12, pp. 1477-1488, The American Journal of Cardiology, 121(12), 1477. Elsevier Inc., American journal of cardiology, 121(12), 1477-1488. Elsevier Inc.
- Accession number :
- edsair.doi.dedup.....f9a068e8322499fabb7533b5799cca63