Evidence map›Paper›PMID 27436289›Full record

Trial reportBMC family practice2016

Impact of patient education on chronic heart failure in primary care (ETIC): a cluster randomised trial.

Hélène Vaillant-Roussel, Catherine Laporte, Bruno Pereira, Marion De Rosa, Bénédicte Eschalier, Charles Vorilhon, Romain Eschalier, Gilles Clément, Denis Pouchain, Jean-François Chenot and 2 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01065142 (Does Therapeutic Education Improve Heart Failure Patient Quality of Life?), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 13% of its field
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.

NCT01065142 naactive not recruitingnot on this map

Does Therapeutic Education Improve Heart Failure Patient Quality of Life?

TypeinterventionalSponsorUniversity Hospital, Clermont-FerrandRan2011Enrolled200ConditionsHeart Failure, Quality of LifeArmsTherapeutic education
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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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

12 authors at 5 institutions in 2 countries.

Hélène Vaillant-RousselGeneral Practice Department, Faculty of Medicine of Clermont-Ferrand University, 28 Place Henri Dunant, 63000, Clermont-Ferrand, France. helene.vaillant_roussel@udamail.fr.
Catherine LaporteGeneral Practice Department, Faculty of Medicine of Clermont-Ferrand University, 28 Place Henri Dunant, 63000, Clermont-Ferrand, France.
Bruno PereiraBiostatistics unit, Clinical Research and Innovation Department, Clermont-Ferrand University Hospital, 58 Rue Montalembert, 63000, Clermont-Ferrand, France.
Marion De RosaGeneral Practice Department, Faculty of Medicine of Clermont-Ferrand University, 28 Place Henri Dunant, 63000, Clermont-Ferrand, France.
Bénédicte EschalierGeneral Practice Department, Faculty of Medicine of Clermont-Ferrand University, 28 Place Henri Dunant, 63000, Clermont-Ferrand, France.
Charles VorilhonCardiology Department, Clermont-Ferrand University Hospital, 58 Rue Montalembert, 63000, Clermont-Ferrand, France.
Romain EschalierCardiology Department, Clermont-Ferrand University Hospital, 58 Rue Montalembert, 63000, Clermont-Ferrand, France.
Gilles ClémentGeneral Practice Department, Faculty of Medicine of Clermont-Ferrand University, 28 Place Henri Dunant, 63000, Clermont-Ferrand, France.
Denis PouchainGeneral Practice Department, Faculty of Medicine of Tours University, 10 boulevard Tonnellé, 37032, Tours, France.
Jean-François ChenotDepartment of General Practice, Institute of Community Medicine, University of Greifswald, Fleischmannstr. 42-44, 17475, Greifswald, Germany.
Claude DubrayClinical Investigation Center, INSERM CIC 1401, Clermont-Ferrand University Hospital, 58 Rue Montalembert, 63000, Clermont-Ferrand, France.
Philippe VorilhonGeneral Practice Department, Faculty of Medicine of Clermont-Ferrand University, 28 Place Henri Dunant, 63000, Clermont-Ferrand, France.
Université Clermont Auvergne · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRInserm · FRUniversitätsmedizin Greifswald · DEUniversité de Tours · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Education Thérapeutique des patients Insuffisants Cardiaques (ETIC; Therapeutic Education for Patients with Cardiac Failure) trial aimed to determine whether a pragmatic education intervention in general practice could improve the quality of life of patients with chronic heart failure (CHF) compared with routine care.

resultsThis cluster randomised controlled clinical trial included 241 patients with CHF attending 54 general practitioners (GPs) in France and involved 19 months of follow-up. The GPs in the Intervention Group were trained during a 2-day interactive workshop to provide a patient education programme. The mean age of the patients was 74 years (±10.5), 62 % were men and their mean left-ventricular ejection fraction was 49.3 % (± 14.3). At the end of the follow-up period, the mean Minnesota Living with Heart Failure Questionnaire scores in the Intervention and Control Groups were 33.4 (± 22.1) versus 27.2 (± 23.3; P = 0.74, intra-cluster coefficient [ICC] = 0.11). At the end of the follow-up period, the 36-Item Short Form Health Survey (mental health and physical health) scores in the Intervention and Control Groups were 58 (± 22.1) versus 58.7 (± 23.9; P = 0.58, ICC = 0.01) and 52.8 (± 23.8) versus 51.6 (± 25.5; P = 0.57, ICC = 0.01), respectively.

conclusionsPatient education delivered by GPs to elderly patients with stable heart failure in the ETIC programme did not achieve an improvement in their quality of life compared with routine care. Further research on improving the quality of life and clinical outcomes of elderly patients with CHF in primary care is necessary.

trial registrationThe Education Thérapeutique des patients Insuffisants Cardiaques (ETIC; Therapeutic Education for Patients with Cardiac Failure) trial is a cluster randomised controlled trial registered with ClinicalTrials.gov ( REGISTRATION NUMBER: NCT01065142 ) and the French Drug Agency (Agence Nationale de Sécurité du Médicament et des Produits de Santé; REGISTRATION NUMBER: 2009-A01142-55).

Indexed as

General PracticePatient Education as TopicPrimary Health CareQuality of LifeAgedAged, 80 and overChronic DiseaseFemaleFollow-Up StudiesHealth StatusHeart FailureHumansMaleMental HealthMiddle AgedStroke VolumeCluster randomised controlled trialHeart failurePatient educationPrimary careQuality of life

Identifiers

PMID27436289
PMCPMC4949928
OpenAlexW2500985521

What OpenQuestion holds

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LicenceCC BY
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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.