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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Integrating Patient-Reported Outcomes into Clinical Pathways in Atrial Fibrillation: A Framework Aligned with the
Emma Sokolova1,2,3, Olav Goetz4, Ketija Grīnberga1,2
1Department of Internal Diseases, Riga Stradiņš University, LV-1007 Riga, Latvia.
Diagnostics (Basel, Switzerland)
|May 13, 2026
Summary
Integrating patient-reported outcome measures (PROMs) into atrial fibrillation (AF) care requires a system-level redesign. The proposed framework guides how PROMs can improve clinical decisions and patient outcomes in AF management.
Area of Science:
- Cardiology
- Health Services Research
- Patient-Centered Care
Background:
- Atrial fibrillation (AF) presents significant clinical and financial burdens globally.
- Patient-reported outcome measures (PROMs) are crucial for patient-centered care but are underutilized in AF management.
- Limited integration of PROMs hinders comprehensive AF care pathways.
Purpose of the Study:
- To develop a policy-oriented framework for integrating PROMs into AF management.
- To build upon Quality of Life (QoL) assessment and the AF-CARE pathway for enhanced integration.
- To align PROM integration with clinical decision-making and value-based healthcare strategies.
Main Methods:
- Comparison of selected PROMs (AFEQT, SF-36, EQ-5D, AFSS) to assess QoL domain representation.
- Analysis of how uncaptured domains relate to routine care and healthcare delivery.
- Construction of a conceptual framework linking PROM domains to clinical, policy, and follow-up strategies in AF.
Main Results:
- Existing PROMs adequately capture symptom burden but miss key domains like cognition, sleep, sexual health, and economic impact.
- The proposed framework integrates PROMs into AF-CARE components for routine monitoring and improved decision-making.
- The framework supports value-based healthcare strategies and outlines practical implementation for everyday care and health system decisions.
Conclusions:
- Effective integration of PROMs into AF-CARE necessitates a system-level redesign, not just isolated tool implementation.
- The developed framework shifts the focus from *if* PROMs should be used to *how* they can best influence clinical decisions and patient outcomes in AF.
- This approach aims to meaningfully enhance patient care and outcomes within the AF management pathway.
Keywords:
AF-CARE pathwayPROM integrationatrial fibrillationclinical pathwayshealth policyhealth system integrationhealthcare systemspatient-reported outcomesquality of lifevalue-based healthcareMore Related Videos
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