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Data standards for atrial fibrillation/flutter and catheter ablation: the European Unified Registries for Heart Care Evaluation and Randomized Trials (EuroHeart).
Eur Heart J Qual Care Clin Outcomes. 2023 09 12; 9(6):609-620.EH

Abstract

AIMS

Standardized data definitions are essential for monitoring and assessment of care and outcomes in observational studies and randomized controlled trials (RCTs). The European Unified Registries for Heart Care Evaluation and Randomized Trials (EuroHeart) project of the European Society of Cardiology aimed to develop contemporary data standards for atrial fibrillation/flutter (AF/AFL) and catheter ablation.

METHODS AND RESULTS

We used the EuroHeart methodology for the development of data standards and formed a Working Group comprising 23 experts in AF/AFL and catheter ablation registries, as well as representatives from the European Heart Rhythm Association and EuroHeart. We conducted a systematic literature review of AF/AFL and catheter ablation registries and data standard documents to generate candidate variables. We used a modified Delphi method to reach a consensus on a final variable set. For each variable, the Working Group developed permissible values and definitions, and agreed as to whether the variable was mandatory (Level 1) or additional (Level 2). In total, 70 Level 1 and 92 Level 2 variables were selected and reviewed by a wider Reference Group of 42 experts from 24 countries. The Level 1 variables were implemented into the EuroHeart IT platform as the basis for continuous registration of individual patient data.

CONCLUSION

By means of a structured process and working with international stakeholders, harmonized data standards for AF/AFL and catheter ablation for AF/AFL were developed. In the context of the EuroHeart project, this will facilitate country-level quality of care improvement, international observational research, registry-based RCTs, and post-marketing surveillance of devices and pharmacotherapies.

Authors+Show Affiliations

Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, 751 85 Uppsala, Sweden.Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds Institute for Data Analytics, University of Leeds and Department of Cardiology, Leeds Teaching Hospitals NHS Trust, Leeds LS1 3EX, UK.St George's University, London SW17 0RE, UK.Cardiology Department, Centro Hospitalar de Lisboa Ocidental EPE Hospital de Santa Cruz, 1449-005 Lisboa, Portugal.Division of Cardiology, Department of Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, New York City, NY 10467, USA.Hannover Heart Rhythm Center, Department of Cardiology and Angiology, Hannover Medical School, 30625 Hannover, Germany.Service de Cardiologie, Center Hospitalier Universitaire Trousseau et Faculté de Médecine, Université de Tours, 37044 Tours, France.3rd Cardiology Department, Hippokration General Hospital, Aristotle University Medical School, 54124 Thessaloniki, Greece.Department of Cardiology, Regional Hospital Central Jutland, Silkeborg, and Department of Clinical Medicine, Aarhus University, 8200 AarhusDenmark.Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, 751 85 Uppsala, Sweden.Department of Cardiology, Skåne University Hospital, 221 85 Lund, Sweden.Arrhythmia and Robotic Electrophysiology Unit, Hospital Universitario La Paz, IdiPaz, Universidad Autonoma, 28046 Madrid, Spain.Hospital Clinic, Universitat de Barcelona, Institut de Recerca Biomèdica August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain; CIBER cardiovascular, 28029 Madrid, Spain.Department of Cardiology, Aarhus University Hospital and Department of Clinical Medicine, Aarhus University, 8200 Aarhus, Denmark.Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, 751 85 Uppsala, Sweden.Department of Physiology, Patophysiology and Clinical Immunology, Collegium Medicum of The Jan Kochanowski University, 25-369 Kielce, Poland; Department of Cardiac Surgery, Department of Cardiac Surgery Świętokrzyskie Center of Cardiology, Kielce, Poland.School of Medicine, University of Belgrade and Intensive Arrhythmia Care, Cardiology Clinic, Clinical Center of Serbia, 11000 Belgrade, Serbia.Electrophysiology and Ablation Unit, Bordeaux University Hospital (CHU), LIRYC Institute, 33600 Bordeaux, France.Clinic for Electrophysiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, 32545 Bad Oeynhausen, Germany.Department of Rhythmology, University Heart Center Luebeck, 23538 Lübeck, Germany.ANMCO Research Center, Heart Care Foundation, 50121 Florence, Italy.Department of Medical Sciences, Cardiology and Uppsala Clinical Research Center, Uppsala University, 751 85 Uppsala, Sweden.Division of Cardiovascular Medicine, NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford OX4 2PG, UK.Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds Institute for Data Analytics, University of Leeds and Department of Cardiology, Leeds Teaching Hospitals NHS Trust, Leeds LS1 3EX, UK.

Pub Type(s)

Systematic Review
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

36243903

Citation

Batra, Gorav, et al. "Data Standards for Atrial Fibrillation/flutter and Catheter Ablation: the European Unified Registries for Heart Care Evaluation and Randomized Trials (EuroHeart)." European Heart Journal. Quality of Care & Clinical Outcomes, vol. 9, no. 6, 2023, pp. 609-620.
Batra G, Aktaa S, Camm AJ, et al. Data standards for atrial fibrillation/flutter and catheter ablation: the European Unified Registries for Heart Care Evaluation and Randomized Trials (EuroHeart). Eur Heart J Qual Care Clin Outcomes. 2023;9(6):609-620.
Batra, G., Aktaa, S., Camm, A. J., Costa, F., Di Biase, L., Duncker, D., Fauchier, L., Fragakis, N., Frost, L., Hijazi, Z., Juhlin, T., Merino, J. L., Mont, L., Nielsen, J. C., Oldgren, J., Polewczyk, A., Potpara, T., Sacher, F., Sommer, P., ... Gale, C. P. (2023). Data standards for atrial fibrillation/flutter and catheter ablation: the European Unified Registries for Heart Care Evaluation and Randomized Trials (EuroHeart). European Heart Journal. Quality of Care & Clinical Outcomes, 9(6), 609-620. https://doi.org/10.1093/ehjqcco/qcac068
Batra G, et al. Data Standards for Atrial Fibrillation/flutter and Catheter Ablation: the European Unified Registries for Heart Care Evaluation and Randomized Trials (EuroHeart). Eur Heart J Qual Care Clin Outcomes. 2023 09 12;9(6):609-620. PubMed PMID: 36243903.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Data standards for atrial fibrillation/flutter and catheter ablation: the European Unified Registries for Heart Care Evaluation and Randomized Trials (EuroHeart). AU - Batra,Gorav, AU - Aktaa,Suleman, AU - Camm,A John, AU - Costa,Francisco, AU - Di Biase,Luigi, AU - Duncker,David, AU - Fauchier,Laurent, AU - Fragakis,Nikolaos, AU - Frost,Lars, AU - Hijazi,Ziad, AU - Juhlin,Tord, AU - Merino,José L, AU - Mont,Lluis, AU - Nielsen,Jens C, AU - Oldgren,Jonas, AU - Polewczyk,Anna, AU - Potpara,Tatjana, AU - Sacher,Frederic, AU - Sommer,Philipp, AU - Tilz,Roland, AU - Maggioni,Aldo P, AU - Wallentin,Lars, AU - Casadei,Barbara, AU - Gale,Chris P, PY - 2022/09/06/received PY - 2022/10/12/accepted PY - 2022/10/02/revised PY - 2023/9/13/medline PY - 2022/10/17/pubmed PY - 2022/10/16/entrez KW - Atrial fibrillation KW - Atrial flutter KW - Catheter ablation KW - Data standards KW - Data variables KW - EuroHeart SP - 609 EP - 620 JF - European heart journal. Quality of care & clinical outcomes JO - Eur Heart J Qual Care Clin Outcomes VL - 9 IS - 6 N2 - AIMS: Standardized data definitions are essential for monitoring and assessment of care and outcomes in observational studies and randomized controlled trials (RCTs). The European Unified Registries for Heart Care Evaluation and Randomized Trials (EuroHeart) project of the European Society of Cardiology aimed to develop contemporary data standards for atrial fibrillation/flutter (AF/AFL) and catheter ablation. METHODS AND RESULTS: We used the EuroHeart methodology for the development of data standards and formed a Working Group comprising 23 experts in AF/AFL and catheter ablation registries, as well as representatives from the European Heart Rhythm Association and EuroHeart. We conducted a systematic literature review of AF/AFL and catheter ablation registries and data standard documents to generate candidate variables. We used a modified Delphi method to reach a consensus on a final variable set. For each variable, the Working Group developed permissible values and definitions, and agreed as to whether the variable was mandatory (Level 1) or additional (Level 2). In total, 70 Level 1 and 92 Level 2 variables were selected and reviewed by a wider Reference Group of 42 experts from 24 countries. The Level 1 variables were implemented into the EuroHeart IT platform as the basis for continuous registration of individual patient data. CONCLUSION: By means of a structured process and working with international stakeholders, harmonized data standards for AF/AFL and catheter ablation for AF/AFL were developed. In the context of the EuroHeart project, this will facilitate country-level quality of care improvement, international observational research, registry-based RCTs, and post-marketing surveillance of devices and pharmacotherapies. SN - 2058-1742 UR - https://www.unboundmedicine.com/medline/citation/36243903/Data_standards_for_atrial_fibrillation/flutter_and_catheter_ablation:_The_European_Unified_Registries_for_Heart_Care_Evaluation_and_Randomized_Trials__EuroHeart__ DB - PRIME DP - Unbound Medicine ER -