Standardized Outcome Measurement for Patients With Coronary Artery Disease: Consensus From the International Consortium for Health Outcomes Measurement (ICHOM).

BACKGROUND: Coronary artery disease (CAD) outcomes consistently improve when they are routinely measured and provided back to physicians and hospitals. However, few centers around the world systematically track outcomes, and no global standards exist. Furthermore, patient-centered outcomes and longitudinal outcomes are under-represented in current assessments. METHODS AND RESULTS: The nonprofit International Consortium for Health Outcomes Measurement (ICHOM) convened an international Working Group to define a consensus standard set of outcome measures and risk factors for tracking, comparing, and improving the outcomes of CAD care. Members were drawn from 4 continents and 6 countries. Using a modified Delphi method, the ICHOM Working Group defined who should be tracked, what should be measured, and when such measurements should be performed. The ICHOM CAD consensus measures were designed to be relevant for all patients diagnosed with CAD, including those with acute myocardial infarction, angina, and asymptomatic CAD. Thirteen specific outcomes were chosen, including acute complications occurring within 30 days of acute myocardial infarction, coronary artery bypass grafting surgery, or percutaneous coronary intervention; and longitudinal outcomes for up to 5 years for patient-reported health status (Seattle Angina Questionnaire [SAQ-7], elements of Rose Dyspnea Score, and Patient Health Questionnaire [PHQ-2]), cardiovascular hospital admissions, cardiovascular procedures, renal failure, and mortality. Baseline demographic, cardiovascular disease, and comorbidity information is included to improve the interpretability of comparisons. CONCLUSIONS: ICHOM recommends that this set of outcomes and other patient information be measured for all patients with CAD.

Impacto de los trastornos crónicos en la esperanza de vida de la población de Cataluña en 1994 y 2006 / Impact of chronic diseases on life expectancy in the population of Catalonia, Spain, in 1994 and 200

Este trabajo analiza los cambios en la prevalencia de determinados trastornos crónicos y estima su impacto en la esperanza de vida de la población de Cataluña. Los trastornos crónicos seleccionados son: hipertensión arterial, diabetes, ictus, enfermedades del corazón, bronquitis crónica, asma, alergias crónicas, enfermedades del aparato locomotor y ansiedad/depresión. La prevalencia de estos trastornos se estima a partir de los datos recogidos por la Encuesta de Salud de Cataluña en 1994 y 2006. Los trastornos crónicos más frecuentemente presentes en la población catalana son los del aparato locomotor, la hipertensión arterial y la depresión y/o ansiedad. Mediante el análisis de los cambios en la esperanza de vida libre de trastornos crónicos se profundiza en el impacto que estas patologías tienen en la esperanza de vida. La importancia de la morbilidad crónica en nuestra sociedad, así como su impacto en los sistemas de salud, requiere de nuevos estudios que profundicen en el conocimiento de este fenómeno (AU)

This paper analyzes the changes in the prevalence of selected chronic conditions and their impact on the life expectancy in the population of Catalonia. The chronic conditions selected are: hypertension, diabetes, stroke, heart diseases, chronic bronchitis, asthma, chronic allergies, musculoskeletal system diseases, and anxiety/depression. The prevalence of these diseases is estimated from data collected by the Health Survey of Catalonia in 1994 and 2006. The most frequently chronic conditions among the Catalan population are the musculoskeletal disorders, the high blood pressure and the depression and/or anxiety. By the analysis of the changes in the life expectancy free of chronic disorders, this study shows the impact of these disorders in the life expectancy. The burden of the chronic morbidity in our community, and its impact on the health systems, requires further studies to increase the knowledge of this phenomenon (AU)

[Impact of chronic diseases on life expectancy in the population of Catalonia, Spain, in 1994 and 2006]. / Impacto de los trastornos crónicos en la esperanza de vida de la población de Cataluña en 1994 y 2006.

This paper analyzes the changes in the prevalence of selected chronic conditions and their impact on the life expectancy in the population of Catalonia. The chronic conditions selected are: hypertension, diabetes, stroke, heart diseases, chronic bronchitis, asthma, chronic allergies, musculoskeletal system diseases, and anxiety/depression. The prevalence of these diseases is estimated from data collected by the Health Survey of Catalonia in 1994 and 2006. The most frequently chronic conditions among the Catalan population are the musculoskeletal disorders, the high blood pressure and the depression and/or anxiety. By the analysis of the changes in the life expectancy free of chronic disorders, this study shows the impact of these disorders in the life expectancy. The burden of the chronic morbidity in our community, and its impact on the health systems, requires further studies to increase the knowledge of this phenomenon.