Evidence map›Paper›PMID 23776041›Full record

Observational studyFamily practice2013

Heart failure in primary care: co-morbidity and utilization of health care resources.

Montserrat Carmona, Luis M García-Olmos, Pilar García-Sagredo, Ángel Alberquilla, Fernando López-Rodríguez, Mario Pascual, Adolfo Muñoz, Carlos H Salvador, José L Monteagudo, Ángel Otero-Puime

Abstract readObservational Study
In one paragraph

Observational study in Family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Running away from side effects: physical exercise as a complementary intervention for breast cancer patients.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Montserrat CarmonaBioengineering and Telemedicine Unit, Puerta de Hierro University Teaching Hospital, Majadahonda, Madrid, Spain.
Luis M García-Olmos
Pilar García-Sagredo
Ángel Alberquilla
Fernando López-Rodríguez
Mario Pascual
Adolfo Muñoz
Carlos H Salvador
José L Monteagudo
Ángel Otero-Puime

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn order to ensure proper management of primary care (PC) services, the efficiency of the health professionals tasked with such services must be known. Patients with heart failure (HF) are characterized by advanced age, high co-morbidity and high resource utilization.

objectiveTo ascertain PC resource utilization by HF patients and variability in the management of such patients by GPs.

methodsDescriptive, cross-sectional study targeting a population attended by 129 GPs over the course of 1 year. All patients with diagnosis of HF in their clinical histories were included, classified using the Adjusted Clinical Group system and then grouped into six resource utilization bands (RUBs). Resource utilization and Efficiency Index were both calculated.

resultsOne hundred per cent of patients with HF were ranked in RUBs 3, 4 and 5. The highest GP visit rate was 20 and the lowest in excess of 10 visits per year. Prescription drug costs for these patients ranged from €885 to €1422 per patient per year. Health professional efficiency varied notably, even after adjustment for co-morbidity (Efficiency Index Variation Ratio of 28.27 for visits and 404.29 for prescription drug cost).

conclusionsPatients with HF register a high utilization of resources, and there is great variability in the management of such patients by health professionals, which cannot be accounted for by the degree of case complexity.

Indexed as

AgedComorbidityCross-Sectional StudiesDrug CostsEfficiencyFemaleGeneral PracticeHealth ResourcesHeart FailureHumansMaleMiddle AgedOffice VisitsPractice Patterns, Physicians'Prescription DrugsPrimary Care NursingPrescription DrugsACGco-morbidityheart failureprimary careresource utilization.

Identifiers

PMID23776041
PMCPMC3782063

What OpenQuestion holds

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Registered trials

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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.