Evidence map›Paper›PMID 25487462›Full record

Observational studyAtencion primaria

[Survival of patients with heart failure in primary care].

Antonio Sarría-Santamera, Francisco Javier Prado-Galbarro, María Auxiliadora Martín-Martínez, Rocío Carmona, Ana Estela Gamiño Arroyo, Carlos Sánchez-Piedra, Sofía Garrido Elustondo, Isabel del Cura González

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Atencion primaria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. [Author's reply].Atencion primaria · 2016
    Article
  6. Article
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

8 authors.

Antonio Sarría-SantameraAgencia de Evaluación de Tecnologías Sanitarias, Instituto de Salud Carlos III, Madrid, España; Unidad Docente de Ciencias Sanitarias y Médico Sociales, Universidad de Alcalá, Alcalá de Henares, Madrid, España; Red de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), España. Electronic address: asarria@isciii.es.
Francisco Javier Prado-GalbarroAgencia de Evaluación de Tecnologías Sanitarias, Instituto de Salud Carlos III, Madrid, España.
María Auxiliadora Martín-MartínezUnidad de Investigación, Sociedad Española de Reumatología, España.
Rocío CarmonaAgencia de Evaluación de Tecnologías Sanitarias, Instituto de Salud Carlos III, Madrid, España.
Ana Estela Gamiño ArroyoAgencia de Evaluación de Tecnologías Sanitarias, Instituto de Salud Carlos III, Madrid, España.
Carlos Sánchez-PiedraUnidad de Investigación, Sociedad Española de Reumatología, España.
Sofía Garrido ElustondoRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), España; Unidad de Investigación de Atención Primaria de Madrid, Madrid, España.
Isabel del Cura GonzálezRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), España; Unidad de Investigación de Atención Primaria de Madrid, Madrid, España; Departamento de Medicina Preventiva, Universidad Rey Juan Carlos, Madrid, España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe survival of patients with chronic heart failure (HF) followed up in primary care (PC) and analyse the effect of sex, age, clinical and health services factors, and income levels on survival.

designLongitudinal observational study of a retrospective cohort of patients with information extracted from electronic medical records.

settingPC Area 7 of the Community of Madrid.

participantsPatients 24 year and older with at least one visit to PC in 2006. PRINCIPAL MEASUREMENT: Incident cases of HF followed up from 2006 to 2010 or until death. Survival analysis with Kaplan-Meier and Cox proportional hazard multivariate regression.

resultsA total of 3,061 cases were identified in a cohort of 227,984 patients. The survival rate was 65% at 5 years, with 519 patients dying with a median survival of 49 months. Factors associated with increased risk of mortality were, age (HR=1.04, 1.03-1.05), and having a diagnosis of ischemic heart disease (HR=1.45, 1.15- 1.78), or diabetes (HR=1.52, 1.17-1.95). Factors with a significant protective effect were: female sex (HR=0.72, 0.59-0.86), non-pensioner (HR=0.43, 0.23-0.84), having received the influenza vaccine annually (HR=0.01, 0.00-0.06), prescribed lipid-lowering drugs (HR=0.78, 0.61-0.99) or ACE inhibitors (HR=0.73, 0.60-0.88), and blood tests having been requested (HR=0.97, 0.95-1.00), X-rays (HR=0.81, 0.74-0.88), or electrocardiograms (HR=0.90, 0.81-0.99) in PC.

conclusionsData from patients with HF followed up in PC indicate that their survival is better than that obtained in other countries, supporting the argument of a better evolution of HF in Mediterranean countries.

Indexed as

Primary Health CareAgedAge FactorsFemaleHeart FailureHumansLongitudinal StudiesMaleMiddle AgedRetrospective StudiesRisk FactorsSex FactorsSocioeconomic FactorsSurvival RateAtención primariaHeart failureInsuficiencia cardiacaPrimary careSupervivenciaSurvival

Identifiers

PMID25487462
PMCPMC6983774

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.