SynthesisHealth services research2012
The effectiveness of chronic care management for heart failure: meta-regression analyses to explain the heterogeneity in outcomes.
Synthesis in Health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Person-centred integrated care for people living with Parkinson's, Huntington's and Multiple Sclerosis: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Pooled it
- Elevated bilirubin levels and risk of developing chronic kidney disease: a dose-response meta-analysis and systematic review of cohort studies.International urology and nephrology · 2018Pooled it
- Context, mechanisms and outcomes of integrated care for diabetes mellitus type 2: a systematic review.BMC health services research · 2016Pooled it
- Collaborative chronic care models for mental health conditions: cumulative meta-analysis and metaregression to guide future research and implementation.Medical care · 2013Pooled it
- Trial
- From concept to content: assessing the implementation fidelity of a chronic care model for frail, older people who live at home.BMC health services research · 2015Trial
- Comparison of effects between home visits with telephone calls and telephone calls only for transitional discharge support: a randomised controlled trial.Age and ageing · 2014Trial
- Trust in the Transplant Team Associated With the Level of Chronic Illness Management-A Secondary Data Analysis of the International BRIGHT Study.Transplant international : official journal of the European Society for Organ Transplantation · 2024Article
- Impact of Social Vulnerability on Diabetes-Related Cardiovascular Mortality in the United States.Journal of the American Heart Association · 2023Article
- Impact of Sleep Apnea, Daytime Sleepiness, Comorbidities, and Depression on Patients' Heart Failure Health Status.Clinical nursing research · 2021Article
- When do physicians perceive the success of a new care model differently?BMC health services research · 2021Article
- Article
- The Manage Care Model - Developing an Evidence-Based and Expert-Driven Chronic Care Management Model for Patients with Diabetes.International journal of integrated care · 2020Article
- Self-Care Practices of Primary Health Care Patients Diagnosed with Chronic Heart Failure: A Cross-Sectional Survey.International journal of environmental research and public health · 2019Article
- Chronic Care Model for the Management of Patients with Heart Failure in Primary Care.Health services insights · 2019Article
- Setting Up a Heart Failure Program in 2018: Moving Towards New Paradigm(s).Current heart failure reports · 2018Review
- Validity and reliability of the patient assessment on chronic illness care (PACIC) questionnaire: the Malay version.BMC family practice · 2018Article
- Barriers and Facilitators to Workforce Changes in Integrated Care.International journal of integrated care · 2018Article
- Opposite trends in hospitalization and mortality after implementation of a chronic care model-based regional program for the management of patients with heart failure in primary care.BMC health services research · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo support decision making on how to best redesign chronic care by studying the heterogeneity in effectiveness across chronic care management evaluations for heart failure. DATA SOURCES: Reviews and primary studies that evaluated chronic care management interventions. STUDY
designA systematic review including meta-regression analyses to investigate three potential sources of heterogeneity in effectiveness: study quality, length of follow-up, and number of chronic care model components. PRINCIPAL
findingsOur meta-analysis showed that chronic care management reduces mortality by a mean of 18 percent (95 percent CI: 0.72-0.94) and hospitalization by a mean of 18 percent (95 percent CI: 0.76-0.93) and improves quality of life by 7.14 points (95 percent CI: -9.55 to -4.72) on the Minnesota Living with Heart Failure questionnaire. We could not explain the considerable differences in hospitalization and quality of life across the studies.
conclusionChronic care management significantly reduces mortality. Positive effects on hospitalization and quality of life were shown, however, with substantial heterogeneity in effectiveness. This heterogeneity is not explained by study quality, length of follow-up, or the number of chronic care model components. More attention to the development and implementation of chronic care management is needed to support informed decision making on how to best redesign chronic care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.