Observational studyClinical research in cardiology : official journal of the German Cardiac Society2017
Treatment of chronic heart failure in Germany: a retrospective database study.
Observational study 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 23 papers.
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Who cites it
23 citing papers in PubMed, 36 citations in OpenAlex.
- Noninvasive pulse contour analysis for determination of cardiac output in patients with chronic heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2018Trial
- Sex-specific differences in disease severity and outcomes in left ventricular heart failure: a nationwide cohort study.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- Treatment Pattern of Heart Failure Patients in Sweden During 2021-2023 in Relation to Updated Treatment Recommendations.Drugs - real world outcomes · 2025Article
- Systematic Literature Review of the Impact of Type 2 Diabetes and Heart Failure Guideline Adherence on Clinical and Economic Outcomes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025Review
- A Cross-Sectoral Telemedicine Network (sekTOR-HF) for Patients with Heart Failure.Journal of clinical medicine · 2025Article
- Heart failure treatment patterns: A pharmacoepidemiological descriptive study in Colombia (The HEATCO study).PloS one · 2025Article
- Observational
- The underwhelming German life expectancy.European journal of epidemiology · 2023Article
- Challenges in heart failure care in four European countries: a comparative study.European journal of public health · 2023Review
- Few geriatric heart failure patients investigated according to clinical guidelines: a retrospective review of patient records.BMC geriatrics · 2023Article
- Heart failure and dementia: a comparative analysis with different types of cancer.European heart journal open · 2021Article
- Temporal trends in heart failure medication prescription in a population-based cohort study.BMJ open · 2021Article
- Medical decision making among patients with heart failure - does migration background matter?BMC family practice · 2020Article
- [Update on heart failure].Herz · 2020Review
- Multipoint left ventricular pacing with large anatomical separation improves reverse remodeling and response to cardiac resynchronization therapy in responders and non-responders to conventional biventricular pacing.Clinical research in cardiology : official journal of the German Cardiac Society · 2020Article
- Higher prevalence of heart failure in rural regions: a population-based study covering 87% of German inhabitants.Clinical research in cardiology : official journal of the German Cardiac Society · 2019Article
- Subclinical hypothyroidism and the development of heart failure: an overview of risk and effects on cardiac function.Clinical research in cardiology : official journal of the German Cardiac Society · 2019Review
- Lower Prescription Rates in Centenarians with Heart Failure and Heart Failure and Kidney Disease Combined: Findings from a Longitudinal Cohort Study of Very Old Patients.Drugs & aging · 2018Article
- Article
- Underestimated prevalence of heart failure in hospital inpatients: a comparison of ICD codes and discharge letter information.Clinical research in cardiology : official journal of the German Cardiac Society · 2018Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdherence to treatment guidelines affects outcomes in patients with chronic heart failure (HF). We investigated patient pathways and treatment patterns for HF in Germany.
methodsThis retrospective study used anonymous healthcare claims data from the German Health Risk Institute on individuals with statutory health insurance. Patients with uninterrupted data from 1 January 2009 to 31 December 2013 or death (whichever occurred first), and ≥2 recorded HF-related diagnoses in 2011, were included. Patients with newly diagnosed HF were identified. Use of treatment patterns recommended by the European Society of Cardiology (2008) and German Nationale VersorgungsLeitlinien (2011) guidelines was evaluated.
resultsOf 123,925 patients with HF, 21.3% were newly diagnosed. Overall, 63.2% of new HF diagnoses were made in the ambulatory setting; 61.6% of these were made by family practitioners and 14.8% by cardiologists. In the ambulatory setting, family practitioners were primarily responsible for treatment; specialists in internal medicine (70.3% cardiologists) were mainly responsible for performing HF-related technical diagnostics. One-fifth (20.9%) of patients received a New York Heart Association (NYHA) classification; 45.1% of these received a guideline-based treatment pattern. Application of the recommended treatment pattern decreased with advancing disease severity (NYHA class IV: 21.1% application) and older age (≥90 years: 28.3% application).
conclusionsFamily practitioners play a key role in the diagnosis and initial treatment of HF in Germany. A substantial proportion of patients do not receive guideline-recommended pharmacotherapy. These findings should be reflected in the planning of national disease management programmes.
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