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Updated: Jul 16, 2026
28:13
Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Integrating Patient-Reported Outcomes into Atrial Fibrillation Care Pathways: Implementation Challenges, Health
Emma Sokolova1,2, Sevinc Elif Sen3, Olav Goetz1,4
1Department of Doctoral Studies, Riga Stradiņš University, LV-1007 Riga, Latvia.
Healthcare (Basel, Switzerland)
|July 15, 2026
Summary
Patient-reported outcome measures (PROMs) can enhance atrial fibrillation (AF) care by capturing broader patient impacts beyond symptoms. However, implementation faces challenges like clinician workload and system integration, requiring tailored strategies for success.
Area of Science:
- Cardiology
- Health Services Research
- Digital Health
Background:
- Atrial fibrillation (AF) presents significant long-term burdens, including hospitalizations, reduced quality of life, and rising costs.
- Current patient-reported outcome measures (PROMs) often underrepresent cognitive, emotional, social, and functional aspects of AF.
- The role of PROMs in healthcare delivery and system-level decision-making for AF needs clearer definition.
Purpose of the Study:
- To review the current role of PROMs in atrial fibrillation (AF) management.
- To examine implementation strategies and healthcare system integration of PROMs in AF care.
- To identify barriers and facilitators for effective PROM implementation in AF.
Main Methods:
- A narrative implementation review of literature on AF-specific and generic PROMs.
- Searches conducted across PubMed, Scopus, and Google Scholar.
- Focus on implementation barriers, workflow integration, evidence strength, and healthcare setting variability.
Main Results:
- Existing PROM frameworks incompletely capture key AF burden dimensions (cognitive, emotional, social, functional).
- PROMs show potential for longitudinal monitoring, shared decision-making, and value-based care in AF.
- Implementation barriers include clinician workload, questionnaire fatigue, limited interoperability, and resource variability.
Conclusions:
- Integrating PROMs into AF care can strengthen patient-centered management and system responsiveness.
- Successful PROM implementation requires adaptation to local infrastructure, workflows, and sustainability.
- Future digital health advancements may enhance the clinical and operational value of PROM-guided AF care.
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