Defining and Measuring a Standard Set of Patient-Relevant Outcomes in Coronary Artery Disease

The American Journal of Cardiology
Edgar J DaeterPaul B van der Nat

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 fine-tune 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 graft...Continue Reading

Citations

May 19, 2019·European Heart Journal. Quality of Care & Clinical Outcomes·Dennis van VeghelPaul B van der Nat
Apr 9, 2019·BMJ Open Respiratory Research·Nynke A KampstraPaul B van der Nat
Nov 7, 2019·ERJ Open Research·Nynke A KampstraJan C Grutters
Jul 1, 2020·BMC Health Services Research·Christine KerstingAnne Barzel
Aug 3, 2021·European Urology Open Science·Daan J ReesinkUNKNOWN Santeon MIBC Study Group
Aug 11, 2021·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·G J van SteenbergenP A Tonino
Aug 28, 2021·European Heart Journal. Quality of Care & Clinical Outcomes·Paul B van der NatDennis van Veghel

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