Evidence map›Paper›PMID 27729027›Full record

SynthesisBMC cardiovascular disorders2016

What is the impact of systems of care for heart failure on patients diagnosed with heart failure: a systematic review.

Andrea Driscoll, Sharon Meagher, Rhoda Kennedy, Melanie Hay, Jayant Banerji, Donald Campbell, Nicholas Cox, Debra Gascard, David Hare, Karen Page and 3 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC cardiovascular disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  16. A National Survey of Veterans Affairs Medical Centers' Cardiology Services.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019
    Article
  17. Article
  18. Article
  19. Focused Treatment of Heart Failure with Reduced Ejection Fraction Using Sacubitril/Valsartan.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2018
    Review
  20. Observational
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

13 authors.

Andrea DriscollDeakin University, Locked Bag 20000, Geelong, VIC, 3220, Australia. andrea.driscoll@deakin.edu.au.
Sharon MeagherDeakin University, Locked Bag 20000, Geelong, VIC, 3220, Australia.
Rhoda KennedyDeakin University, Locked Bag 20000, Geelong, VIC, 3220, Australia.
Melanie HayHeart Foundation (Victoria), Level 12, 500 Collins st, Melbourne, 3000, Australia.
Jayant BanerjiSchool of Rural Health, Monash University, Bendigo, Victoria, Australia.
Donald CampbellMonash Health, Clayton, Melbourne, Australia.
Nicholas CoxCardiology Department, Western Health, Gordon Street, Footscray, 3011, Melbourne, Australia.
Debra GascardMonash Health, Monash Health Community, Dandenong, Melbourne, Australia.
David HareDepartment of Cardiology, University of Melbourne and Austin Health, Burgundy St Heidelberg, 3081, Melbourne, Australia.
Karen PageDeakin University, Locked Bag 20000, Geelong, VIC, 3220, Australia.
Voltaire NadurataCardiology Department, Bendigo Health, Victoria, Australia.
Rhonda SandersSt Vincent's Hospital, Victoria parade, Melbourne, Australia.
Harry PatsamanisHeart Foundation (Victoria), Level 12, 500 Collins st, Melbourne, 3000, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital admissions for heart failure are predicted to rise substantially over the next decade placing increasing pressure on the health care system. There is an urgent need to redesign systems of care for heart failure to improve evidence-based practice and create seamless transitions through the continuum of care. The aim of the review was to examine systems of care for heart failure that reduce hospital readmissions and/or mortality.

methodElectronic databases searched were: Ovid MEDLINE, EMBASE, CINAHL, grey literature, reviewed bibliographies and Cochrane Central Register of Controlled Trials for randomised controlled trials, non-randomised trials and cohort studies from 1

resultsWe included 29 articles reporting on systems of care in the workforce, primary care, in-hospital, transitional care, outpatients and telemonitoring. Several studies found that access to a specialist heart failure team/service reduced hospital readmissions and mortality. In primary care, a collaborative model of care where the primary physician shared the care with a cardiologist, improved patient outcomes compared to a primary physician only. During hospitalisation, quality improvement programs improved the quality of inpatient care resulting in reduced hospital readmissions and mortality. In the transitional care phase, heart failure programs, nurse-led clinics, and early outpatient follow-up reduced hospital readmissions. There was a lack of evidence as to the efficacy of telemonitoring with many studies finding conflicting evidence.

conclusionRedesigning systems of care aimed at improving the translation of evidence into clinical practice and transitional care can potentially improve patient outcomes in a cohort of patients known for high readmission rates and mortality.

Indexed as

Health StatusHeart FailureQuality ImprovementDelivery of Health CareGlobal HealthHospitalizationHumansSurvival RateHeart failureHospitalisationsHospital readmissionsPrimary careSystematic reviewSystems of careTransitional careWorkforce

Identifiers

PMID27729027
PMCPMC5057466

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.