European Society of Cardiology quality indicators update for the care and outcomes of adults with heart failure : the Heart Failure Association of the ESC

Abdin, Amr (author), Lainščak, Mitja (author)

Aims: To update the European Society of Cardiology (ESC) quality indicators (QIs) for the evaluation of the care and outcomes of adults with heart failure. Methods and results: The Working Group comprised experts in heart failure including members of the ESC Clinical Practice Guidelines Task Force for heart failure, members of the Heart Failure Association, and a patient representative. We followed the ESC methodology for QI development. The 2023 focused guideline update was reviewed to assess the suitability of the recommendations with strongest association with benefit and harm against the ESC criteria for QIs. All the new proposed QIs were individually graded by each panellist via online questionnaires for both validity and feasibility. The existing heart failure QIs also underwent voting to 'keep', 'remove' or 'modify'. Five domains of care for the management of heart failure were identified: (1) structural QIs, (2) patient assessment, (3) initial treatment, (4) therapy optimization, and (5) patient health-related quality of life. In total, 14 'main' and 3 'secondary' QIs were selected across the five domains. Conclusion: This document provides an update of the previously published ESC QIs for heart failure to ensure that these measures are aligned with contemporary evidence. The QIs may be used to quantify adherence to clinical practice as recommended in guidelines to improve the care and outcomes of patients with heart failure.

• Language: English
• Keywords: clinical practice guidelines, heart failure, outcomes, quality indicators
• Work type: Article
• Typology: 1.02 - Review Article
• Organization: MF - Faculty of Medicine
• Publication status: Published
• Publication version: Version of Record
• Year: 2024
• Number of pages: Str. 1867-1875
• Numbering: Vol. 26, no. 9
• PID: 20.500.12556/RUL-182702
• UDC: 616.1
• ISSN on article: 1388-9842
• DOI: 10.1002/ejhf.3376
• COBISS.SI-ID: 225925635
• Publication date in RUL: 21.05.2026

Record is a part of a journal

• Title: European journal of heart failure
• Shortened title: Eur. j. heart fail.
• Publisher: Wiley, European Society of Cardiology
• ISSN: 1388-9842
• COBISS.SI-ID: 1217301

Licences

• License: CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
• Link: http://creativecommons.org/licenses/by-nc-nd/4.0/
• Description: The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.

Secondary language

• Language: Slovenian
• Keywords: klinične smernice, srčno popuščanje, rezultati, kazalniki kakovosti