Evidence map›Paper›PMID 28361371›Full record

Trial reportClinical research in cardiology : official journal of the German Cardiac Society2017

Regional differences in health-related quality of life in elderly heart failure patients: results from the CIBIS-ELD trial.

Mira-Lynn Chavanon, Simone Inkrot, Christine Zelenak, Elvis Tahirovic, Dragana Stanojevic, Svetlana Apostolovic, Aleksandra Sljivic, Arsen D Ristic, Dragan Matic, Goran Loncar and 6 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical research in cardiology : official journal of the German Cardiac Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

16 authors.

Mira-Lynn ChavanonDepartment of Psychosomatic Medicine and Psychotherapy, University of Göttingen Medical Centre, Göttingen, Germany. Chavanon@uni-marburg.de.
Simone InkrotDepartment of Internal Medicine-Cardiology, Charité University Medicine Berlin, Berlin, Germany.
Christine ZelenakDepartment of Internal Medicine-Cardiology, Charité University Medicine Berlin, Berlin, Germany.
Elvis TahirovicDepartment of Internal Medicine-Cardiology, Charité University Medicine Berlin, Berlin, Germany.
Dragana StanojevicClinic for Cardiovascular Diseases, Clinical Centre Nis, University of Niš, Niš, Serbia.
Svetlana ApostolovicClinic for Cardiovascular Diseases, Clinical Centre Nis, University of Niš, Niš, Serbia.
Aleksandra SljivicDepartment of Cardiology, University Hospital Centre 'Dr Dragisa Misovic-Dedinje', Belgrade, Serbia.
Arsen D RisticSchool of Medicine, University of Belgrade, Belgrade, Serbia.
Dragan MaticSchool of Medicine, University of Belgrade, Belgrade, Serbia.
Goran LoncarSchool of Medicine, University of Belgrade, Belgrade, Serbia.
Jovan VeskovicDepartment of Internal Medicine-Cardiology, Charité University Medicine Berlin, Berlin, Germany.
Marija ZdravkovicDepartment of Cardiology, University Hospital Medical Center Bezanijska Kosa, Belgrade, Serbia.
Mitja LainscakDepartment of Internal Medicine, General Hospital Murska Sobota and Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Burkert PieskeDepartment of Internal Medicine-Cardiology, Charité University Medicine Berlin, Berlin, Germany.
Christoph Herrmann-LingenDepartment of Psychosomatic Medicine and Psychotherapy, University of Göttingen Medical Centre, Göttingen, Germany.
Hans-Dirk DüngenDepartment of Internal Medicine-Cardiology, Charité University Medicine Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPatient-reported outcomes such as health-related quality of life (HRQoL) are main treatment goals for heart failure (HF) and therefore endpoints in multinational therapy trials. However, little is known about country-specific differences in HRQoL and in treatment-associated HRQoL improvement. The present work sought to examine those questions. METHODS AND

resultsWe analysed data from the Cardiac Insufficiency Bisoprolol Study in Elderly (CIBIS-ELD) trial, in which patients from central and south-eastern Europe completed the HRQoL questionnaire SF-36 at baseline and the end of a 12-week beta-blocker up-titration (follow-up). 416 patients from Serbia (mean age 72.21 years, 69% NYHA-class I-II, 27.4% women) and 114 from Germany (mean age 73.64 years, 78.9% NYHA-class I-II, 47.4% women) were included. Controlling for clinical variables, the change in mental HRQoL from baseline to follow-up was modulated by Country: Serbian patients, M

conclusionWe observed significant differences in HF patients from Germany and Serbia and country-specific differences between Serbian and German patients in mean physical HRQoL. Changes in mental HRQoL were modulated by country. Those results may reflect psychological, sociocultural, aetiological differences or regional differences in phenotype prevalence. More importantly, they suggest that future multinational trials should consider such aspects when designing a trial in order to avoid uncertainties aligned to data interpretation and to improve subsequent treatment optimisation.

Indexed as

Health StatusPatient Reported Outcome MeasuresQuality of LifeAdrenergic alpha-1 Receptor AntagonistsAdrenergic beta-1 Receptor AntagonistsAgedBisoprololCarbazolesCarvedilolDose-Response Relationship, DrugDouble-Blind MethodFemaleHeart FailureHumansMalePropanolaminesAdrenergic alpha-1 Receptor AntagonistsAdrenergic beta-1 Receptor AntagonistsBisoprololCarbazolesCarvedilolPropanolaminesBeta-blockerHeart failurePatient-reported outcomesQuality of life

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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.