TY - JOUR
T1 - Defining and Measuring a Standard Set of Patient-Relevant Outcomes in Coronary Artery Disease
AU - Meetbaar Beter advisory board
AU - Daeter, Edgar J.
AU - Timmermans, Marijke J. C.
AU - Hirsch, Alexander
AU - Lipsic, Eric
AU - Houterman, Saskia
AU - Amoroso, G.
AU - Aydin, S.
AU - Bax, M.
AU - van Boven, W. J.
AU - Brinckman, S. L.
AU - Dambrink, J. H. E.
AU - de la Fuente, S.
AU - van der Ent, M.
AU - Galema, T. W.
AU - Haenen, J.
AU - Kraaijeveld, A. O.
AU - Magro, M.
AU - Noyez, L.
AU - van Opstal, J. M.
AU - Rensing, B. J. W. M.
AU - van Straten, A. H. M.
AU - Umans, V. A. W. M.
AU - Vernooy, K.
AU - Vos, J.
AU - Waterbolk, T. W.
AU - Rademaker, P.
AU - van Veghel, Dennis
AU - van der Nat, Paul B.
AU - Amoroso, G.
AU - Aydin, S.
AU - Bax, M.
AU - van Boven, W. J.
AU - Brinckman, S. L.
AU - Dambrink, J. H. E.
AU - de la Fuente, S.
AU - van der Ent, M.
AU - Galema, T. W.
AU - Haenen, J.
AU - Kraaijeveld, A. O.
AU - Magro, M.
AU - Noyez, L.
AU - van Opstal, J. M.
AU - Rensing, B. J. W. M.
AU - van Straten, A. H. M.
AU - Umans, V. A. W. M.
AU - Vernooy, K.
AU - Vos, J.
AU - Waterbolk, T. W.
AU - Rademaker, P.
PY - 2018
Y1 - 2018
N2 - 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 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.
AB - 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 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.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85047181856&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/29776654
U2 - https://doi.org/10.1016/j.amjcard.2018.02.037
DO - https://doi.org/10.1016/j.amjcard.2018.02.037
M3 - Article
C2 - 29776654
SN - 0002-9149
VL - 121
SP - 1477
EP - 1488
JO - American Journal of Cardiology
JF - American Journal of Cardiology
IS - 12
ER -