SynthesisBMJ open2016
Does case management for patients with heart failure based in the community reduce unplanned hospital admissions? A systematic review and meta-analysis.
Synthesis in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 6 of them syntheses that pooled it.
What it found
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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
15 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review.BMC primary care · 2023Pooled it
- Case management interventions in chronic disease reduce anxiety and depressive symptoms: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Interventions to Reduce Hospital Length of Stay in High-risk Populations: A Systematic Review.JAMA network open · 2021Pooled it
- Impact of primary care involvement and setting on multidisciplinary heart failure management: a systematic review and meta-analysis.ESC heart failure · 2021Pooled it
- Pooled it
- Disease management interventions for heart failure.The Cochrane database of systematic reviews · 2019Pooled it
- Health care costs of case management for frequent users of the emergency department: Hospital and insurance perspectives.PloS one · 2018Trial
- The Economic Impact of Community-Based Allied Health on the Acute Sector: A Systematic Review of Economic Evaluations.Journal of multidisciplinary healthcare · 2025Review
- An evidence map of systematic reviews on models of outpatient care for patients with chronic heart diseases.Systematic reviews · 2023Article
- Process control: simply a matter of efficiency or of survival and costs? A single-centre quality improvement project in living donor renal transplant.BMC health services research · 2023Article
- Implementation of Lean Management Tools Using an Example of Analysis of Prolonged Stays of Patients in a Multi-Specialist Hospital in Poland.International journal of environmental research and public health · 2023Article
- Influence of Case Management Model Combined with Continuous Nursing Care on Compliance Behavior and Adverse Emotions in Elderly Patients with Lung Cancer: A Prospective Single-Center Case-Control Study.Computational and mathematical methods in medicine · 2022Article
- How different combinations of comorbidities affect healthcare use by elderly patients with obstructive lung disease.NPJ primary care respiratory medicine · 2021Article
- Long-term management of chronic heart failure patients in internal medicine.Internal and emergency medicine · 2020Observational
- General practitioners' perceptions about their role in current and future heart failure care: an exploratory qualitative study.BMC health services research · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesThe aim of this systematic review of randomised controlled trials (RCTs) and controlled trials (non-RCTs, NRCTs) is to investigate the effectiveness and related costs of case management (CM) for patients with heart failure (HF) predominantly based in the community in reducing unplanned readmissions and length of stay (LOS).
settingCM initiated either while as an inpatient, or on discharge from acute care hospitals, or in the community and then continuing on in the community.
participantsAdults with a diagnosis of HF and resident in Organisation for Economic Co-operation and Development countries.
interventionCM based on nurse coordinated multicomponent care which is applicable to the primary care-based health systems. PRIMARY AND SECONDARY OUTCOMES: Primary outcomes of interest were unplanned (re)admissions, LOS and any related cost data. Secondary outcomes were primary healthcare resources.
results22 studies were included: 17 RCTs and 5 NRCTs. 17 studies described hospital-initiated CM (n=4794) and 5 described community-initiated CM of HF (n=3832). Hospital-initiated CM reduced readmissions (rate ratio 0.74 (95% CI 0.60 to 0.92), p=0.008) and LOS (mean difference -1.28 days (95% CI -2.04 to -0.52), p=0.001) in favour of CM compared with usual care. 9 trials described cost data of which 6 reported no difference between CM and usual care. There were 4 studies of community-initiated CM versus usual care (2 RCTs and 2 NRCTs) with only the 2 NRCTs showing a reduction in admissions.
conclusionsHospital-initiated CM can be successful in reducing unplanned hospital readmissions for HF and length of hospital stay for people with HF. 9 trials described cost data; no clear difference emerged between CM and usual care. There was limited evidence for community-initiated CM which suggested it does not reduce admission.
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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.