. 2018 Feb 2;18(1):36.

doi: 10.1186/s12877-017-0701-3.

Standard set of health outcome measures for older persons

Asangaedem Akpan¹, Charlotte Roberts^{2

3}, Karen Bandeen-Roche⁴, Barbara Batty⁵, Claudia Bausewein⁶, Diane Bell⁷, David Bramley⁸, Julie Bynum⁹, Ian D Cameron¹⁰, Liang-Kung Chen^{11

12}, Anne Ekdahl¹³, Arnold Fertig¹⁴, Tom Gentry¹⁵, Marleen Harkes¹⁶, Donna Haslehurst¹⁷, Jonathon Hope¹⁸, Diana Rodriguez Hurtado¹⁹, Helen Lyndon⁸, Joanne Lynn²⁰, Mike Martin²¹, Ruthe Isden¹⁵, Francesco Mattace Raso²², Sheila Shaibu²³, Jenny Shand²⁴, Cathie Sherrington²⁵, Samir Sinha^{26

27}, Gill Turner²⁸, Nienke De Vries²⁹, George Jia-Chyi Yi³⁰, John Young^{8

31}, Jay Banerjee³²

Affiliations

¹ Department of Medicine for the Elderly, Aintree University Hospital NHS Foundation Trust, Lower Lane, Liverpool, L9 7AL, UK. asan.akpan@aintree.nhs.uk.
² International Consortium on Health Outcomes Measurement, London, UK.
³ International Consortium on Health Outcomes Measurement, Cambridge, USA.
⁴ Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Older Americans Independence Center, Baltimore, USA.
⁵ Oxfordshire Clinical Commissioning Group, Oxford, UK.
⁶ LMU München, Munich University Hospital, Munich, Germany.
⁷ COBIC, London, UK.
⁸ NHS England, London, UK.
⁹ The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, USA.
¹⁰ John Walsh Centre for Rehabilitation Research, Sydney Medical School, University of Sydney, Sydney, Australia.
¹¹ Ageing and Health Research Center, National Yang Ming University, Taipei, Taiwan.
¹² Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei, Taiwan.
¹³ Section of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
¹⁴ Cambridgeshire and Peterborough Clinical Commissioning Group, Cambridge, UK.
¹⁵ AgeUK, London, UK.
¹⁶ Havenziekenhuis, Rotterdam, Netherlands.
¹⁷ Older Person representative, Kingston, Canada.
¹⁸ NHS Digital, Leeds, UK.
¹⁹ Internal Medicine-Geriatrics, Faculty of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.
²⁰ Altarum Institute, Ann Arbor, USA.
²¹ University of Zurich, Zurich, Switzerland.
²² Erasmus University Medical Center, Rotterdam, Netherlands.
²³ Sigma Theta Tau International Honor Society of Nursing, Indiana, USA.
²⁴ UCL Partners, London, UK.
²⁵ The George Institute for Global Health, University of Sydney, Sydney, Australia.
²⁶ Departments of Medicine, Family and Community Medicine and the Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Canada.
²⁷ Sinai Health System and University Health Network, Toronto, Canada.
²⁸ British Geriatrics Society, London, UK.
²⁹ University Nijmegen Medical Centre, Nijmegen, Netherlands.
³⁰ Family caregiver, Taipei, Taiwan.
³¹ University of Leeds, Leeds, UK.
³² University Hospitals of Leicester NHS Trust, Leicester, UK.

PMID: 29394887
PMCID: PMC5797357
DOI: 10.1186/s12877-017-0701-3

Standard set of health outcome measures for older persons

Asangaedem Akpan et al. BMC Geriatr. 2018.

. 2018 Feb 2;18(1):36.

doi: 10.1186/s12877-017-0701-3.

Authors

Affiliations

¹ Department of Medicine for the Elderly, Aintree University Hospital NHS Foundation Trust, Lower Lane, Liverpool, L9 7AL, UK. asan.akpan@aintree.nhs.uk.
² International Consortium on Health Outcomes Measurement, London, UK.
³ International Consortium on Health Outcomes Measurement, Cambridge, USA.
⁴ Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Older Americans Independence Center, Baltimore, USA.
⁵ Oxfordshire Clinical Commissioning Group, Oxford, UK.
⁶ LMU München, Munich University Hospital, Munich, Germany.
⁷ COBIC, London, UK.
⁸ NHS England, London, UK.
⁹ The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, USA.
¹⁰ John Walsh Centre for Rehabilitation Research, Sydney Medical School, University of Sydney, Sydney, Australia.
¹¹ Ageing and Health Research Center, National Yang Ming University, Taipei, Taiwan.
¹² Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei, Taiwan.
¹³ Section of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
¹⁴ Cambridgeshire and Peterborough Clinical Commissioning Group, Cambridge, UK.
¹⁵ AgeUK, London, UK.
¹⁶ Havenziekenhuis, Rotterdam, Netherlands.
¹⁷ Older Person representative, Kingston, Canada.
¹⁸ NHS Digital, Leeds, UK.
¹⁹ Internal Medicine-Geriatrics, Faculty of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.
²⁰ Altarum Institute, Ann Arbor, USA.
²¹ University of Zurich, Zurich, Switzerland.
²² Erasmus University Medical Center, Rotterdam, Netherlands.
²³ Sigma Theta Tau International Honor Society of Nursing, Indiana, USA.
²⁴ UCL Partners, London, UK.
²⁵ The George Institute for Global Health, University of Sydney, Sydney, Australia.
²⁶ Departments of Medicine, Family and Community Medicine and the Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Canada.
²⁷ Sinai Health System and University Health Network, Toronto, Canada.
²⁸ British Geriatrics Society, London, UK.
²⁹ University Nijmegen Medical Centre, Nijmegen, Netherlands.
³⁰ Family caregiver, Taipei, Taiwan.
³¹ University of Leeds, Leeds, UK.
³² University Hospitals of Leicester NHS Trust, Leicester, UK.

PMID: 29394887
PMCID: PMC5797357
DOI: 10.1186/s12877-017-0701-3

Abstract

Background: The International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation for different conditions and populations.This article describes how the ICHOM Older Person Working Group followed a consensus-driven modified Delphi technique to develop multiple global outcome measures in older persons. The standard set of outcome measures developed by this group will support the ability of healthcare systems to improve their care pathways and quality of care. An additional benefit will be the opportunity to compare variations in outcomes which encourages and supports learning between different health care systems that drives quality improvement. These outcome measures were not developed for use in research. They are aimed at non researchers in healthcare provision and those who pay for these services.

Methods: A modified Delphi technique utilising a value based healthcare framework was applied by an international panel to arrive at consensus decisions.To inform the panel meetings, information was sought from literature reviews, longitudinal ageing surveys and a focus group.

Results: The outcome measures developed and recommended were participation in decision making, autonomy and control, mood and emotional health, loneliness and isolation, pain, activities of daily living, frailty, time spent in hospital, overall survival, carer burden, polypharmacy, falls and place of death mapped to a three tier value based healthcare framework.

Conclusions: The first global health standard set of outcome measures in older persons has been developed to enable health care systems improve the quality of care provided to older persons.

Keywords: Health outcomes; Older people.

PubMed Disclaimer

Conflict of interest statement

Ethics approval and consent to participate

This research did not require ethical approval in 2015 when this was done using the MRC ethics decision-assistance tool and complies with national guidelines of Health Research Authority at: https://www.hra.nhs.uk/planning-and-improving-research/research-planning/access-study-support-advice-services/

Written consent to participate in the focus group was obtained.

Consent for publication

All authors have given their consent for this manuscript to be published.

Competing interests

AA – received a honorarium as a research fellow for ICHOM and paid travel/accommodation/registration for ICHOM conference.

CR, KB, BB, CB: declares that they have no competing interests.

DB reports her commercial contract role within strategic consultancy whose primary aim is to see outcomes used more frequently as the currency to improve value in the NHS. She is therefore contracted to work with various health economies, including for some that are working on contracts for older people. No other reported conflicts of interest.

DB: Representative of NHS England.

JB: No reported conflicts of interest.

IC: reports receiving salary support from the National Health and Medical Research Council of Australia. Member of the editorial board of BMC Geriatrics.

LC: Member of the editorial board of BMC Geriatrics .

AE, AF, TG, MH, DH, JH, RI, DRH, HL, JL, MM, FMR, SS, JS: declares that they have no competing interests.

CS reports receiving salary support from the National Health and Medical Research Council of Australia. No other reported conflicts of interest.

SS, GT, NV, GJY, JY, JB: declares that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

**Fig. 1**
Showing the process and timeline for the working group. A flow chart showing the working group process

See this image and copyright information in PMC

References

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Standard set of health outcome measures for older persons

Affiliations

Standard set of health outcome measures for older persons

Authors

Affiliations

Abstract

Conflict of interest statement

Ethics approval and consent to participate

Consent for publication

Competing interests

Publisher’s Note

Figures

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources