Heart Failure Reviews

, Volume 19, Issue 2, pp 153–162 | Cite as

Are all outcomes in chronic heart failure rated equally? An argument for a patient-centred approach to outcome assessment

  • Sungwon ChangEmail author
  • Phillip J. Newton
  • Sally Inglis
  • Tim Luckett
  • Henry Krum
  • Peter Macdonald
  • Patricia M. Davidson


Chronic heart failure (CHF) is a multi-dimensional and complex syndrome. Outcome measures are important for determining both the efficacy and quality of care and capturing the patient’s perspective in evaluating the outcomes of health care delivery. Capturing the patient’s perspective via patient-reported outcomes is increasingly important; however, including objective measures such as mortality would provide more complete account of outcomes important to patients. Currently, no single measure for CHF outcomes captures all dimensions of the quality of care from the patient’s perspective. To describe the role of outcome measures in CHF from the perspective of patients, a structured literature review was undertaken. This review discusses the concepts and methodological issues related to measurement of CHF outcomes. Outcome assessment at the level of the patient, provider and health care system were identified as being important. The perspectives of all stakeholders should be considered when developing an outcomes measurement suite to inform CHF health care. This paper recommends that choice of outcome measures should depend on their ability to provide a comprehensive, comparable, meaningful and accurate assessment that are important to patient.


Outcome assessment Patient-centred Chronic heart failure Patient important outcome Outcome measurement Composite endpoints 


Conflict of Interest

Ms S. Chang, Drs P. Newton, S. Inglis, T. Luckett., Profs H. Krum, P. Macdonald and P. Davidson have no conflict of interest or financial ties to disclose.

Supplementary material

10741_2012_9369_MOESM1_ESM.docx (16 kb)
Supplementary material 1 (DOCX 16 kb)


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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Sungwon Chang
    • 1
    • 2
    Email author
  • Phillip J. Newton
    • 3
  • Sally Inglis
    • 3
  • Tim Luckett
    • 4
    • 5
  • Henry Krum
    • 6
  • Peter Macdonald
    • 7
  • Patricia M. Davidson
    • 3
    • 8
  1. 1.Faculty of Health ScienceCurtin UniversitySydneyAustralia
  2. 2.School of Science and HealthUniversity of Western SydneyPenrithAustralia
  3. 3.Centre for Cardiovascular and Chronic CareUniversity of Technology SydneySydneyAustralia
  4. 4.Faculty of HealthUniversity of Technology SydneySydneyAustralia
  5. 5.Improving Palliative Care through Clinical Trials (IMPACC) and South West Clinical SchoolUniversity of New South WalesSydneyAustralia
  6. 6.Centre of Cardiovascular Research and Education in TherapeuticsMonash UniversityMelbourneAustralia
  7. 7.Heart Failure and Transplant Unit, St Vincent’s Hospital SydneyVictor Chang Cardiac Research InstituteDarlinghurstAustralia
  8. 8.St Vincent’s Hospital SydneyUniversity of New South WalesDarlinghurstAustralia

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