Appropriateness rating for the application of optimal medical therapy and multidisciplinary care among heart failure patients.

ABSTRACT:

Aims

Clinical guidelines for improving the patients' quality of care vary in clinical practice, particularly in super-aging societies, like in Japan. We aimed to develop a set of appropriate-use criteria (AUC) for contemporary heart failure (HF) management to assist physicians in decision making.

Methods and results

With the use of the RAND methodology, a multidisciplinary writing group developed patient-based clinical scenarios in 10 selected key topics, stratified mainly by HF stage, age, and renal function. Nine nationally recognized expert panellists independently rated the clinical scenario appropriateness twice on a scale of 1-9, as 'appropriate' (7-9), 'may be appropriate' (4-6), or 'rarely appropriate' (1-3). Decisions were based on clinical evidence and professional

SUBMITTER: Shoji S 

PROVIDER: S-EPMC7835502 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature