Evidence map›Paper›PMID 28247180›Full record

ReviewCurrent heart failure reports2017

Registry-Based Pragmatic Trials in Heart Failure: Current Experience and Future Directions.

Lars H Lund, Jonas Oldgren, Stefan James

Abstract readReview
In one paragraph

Review in Current heart failure reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Review
  9. Benchmarking reverse docking through AlphaFold2 human proteome.Protein science : a publication of the Protein Society · 2024
    Article
  10. Article
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  15. Article
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  17. Real-world comparative effectiveness of ARNI versus ACEi/ARB in HF with reduced or mildly reduced ejection fraction.Clinical research in cardiology : official journal of the German Cardiac Society · 2023
    Article
  18. Outcomes and predictors of one-year mortality in patients hospitalized with Acute Heart Failure.International journal of cardiology. Heart & vasculature · 2022
    Article
  19. Generalizability of randomized controlled trials in heart failure with reduced ejection fraction.European heart journal. Quality of care & clinical outcomes · 2022
    Article
  20. 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

3 authors.

Lars H LundDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Solna, Sweden. lars.lund@alumni.duke.edu.
Jonas OldgrenUppsala Clinical Research Center and Department of Medical Sciences, Cardiology, Uppsala University, Uppsala, Sweden.
Stefan JamesUppsala Clinical Research Center and Department of Medical Sciences, Cardiology, Uppsala University, Uppsala, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewRandomized controlled trials (RCTs) in heart failure (HF) are becoming increasingly complex and expensive to conduct and if positive deliver expensive therapy tested only in selected populations. RECENT

findingsElectronic health records and clinical cardiovascular quality registries are providing opportunities for pragmatic and registry-based prospective randomized clinical trials (RRCTs). Simplified regulatory, ethics, and consent procedures; recruitment integrated into real-world care; and simplified or automated baseline and outcome collection allow assessment of study power and feasibility, fast and efficient recruitment, delivery of generalizable findings at low cost, and potentially evidence-based and novel use of generic drugs with low costs to society. There have been no RRCTs in HF to date. Major challenges include generating funding, international collaboration, and the monitoring of safety and adherence for chronic HF treatments. Here, we use the Spironolactone Initiation Registry Randomized Interventional Trial in Heart Failure with Preserved Ejection Fraction (SPIRRIT-HFpEF), to be conducted in the Swedish Heart Failure Registry, to exemplify the advantages and challenges of HF RRCTs.

Indexed as

Randomized Controlled Trials as TopicRegistriesChronic DiseaseFeasibility StudiesHeart FailureHumansPatient SelectionPragmatic Clinical Trials as TopicProspective StudiesCostHeart failurePragmatic clinical trialProspective randomized clinical trialRegistryRegistry-based pragmatic trialRegistry-based prospective randomized clinical trial

Identifiers

PMID28247180
PMCPMC5357493

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.