Evidence map›Paper›PMID 28870732›Full record

ArticleJournal of cardiac failure2018

Processes and Outcomes of Congestive Heart Failure Care by Different Types of Primary Care Models.

Yong-Fang Kuo, Deepak Adhikari, Chiemeziem G Eke, James S Goodwin, Mukaila A Raji

Abstract read
In one paragraph

Article in Journal of cardiac failure, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Growth of Physicians and Nurse Practitioners Practicing Full Time in Nursing Homes.Journal of the American Medical Directors Association · 2021
    Article
  4. Article
  5. Article
  6. Article
  7. Nurse Practitioner Involvement in Medicare Accountable Care Organizations: Association With Quality of Care.American journal of medical quality : the official journal of the American College of Medical Quality
    Article
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

5 authors.

Yong-Fang KuoDepartment of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas; Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas; Institute for Translational Science, University of Texas Medical Branch, Galveston, Texas. Electronic address: yokuo@utmb.edu.
Deepak AdhikariDepartment of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas.
Chiemeziem G EkeSchool of Medicine, University of Texas Medical Branch, Galveston, Texas.
James S GoodwinDepartment of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas; Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas; Institute for Translational Science, University of Texas Medical Branch, Galveston, Texas.
Mukaila A RajiDepartment of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas; Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas.

Funding

UTMB Clinical and Translational Science AwardUL1TR000071 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$14.4M
Patient Centered Outcomes Research in the ElderlyR24HS022134 · AHRQ · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2013 to 2017
$4.8M
Assessing The Role of Nurse Practitioner in Primary Care of Older AdultsR01HS020642 · AHRQ · UNIVERSITY OF TEXAS MED BR GALVESTON · PI KUO, YONG-FANG · 2012 to 2019
$1.4M
AHRQ HHS R01 HS020642AHRQ HHS R24 HS022134NCATS NIH HHS UL1 TR000071
6 · The paper itself

Abstract

backgroundHaving nurse practitioners (NPs) as primary care providers for patients with congestive heart failure (CHF) is 1 way to address the growing shortage of primary care physicians (PCPs). METHODS AND

resultsWe used inverse probability of treatment weighted with propensity score to examine the processes and outcomes of care for patients under 3 care models. Approximately 72.9%, 0.8%, and 26.3% of CHF patients received care under the PCP model, the NP model, and the shared care model, respectively. Patients under the NP or shared care models were more likely than those under the PCP model to be referred to cardiologists (odds ratio 1.35, 95% confidence interval 1.32-1.37; odds ratio  1.32, 95% confidence interval 1.30-1.35) and to get guideline-recommended medications. NPs and PCPs had similar rates of emergency room (ER) visits and Medicare spending after adjusting for processes of care. Patients under the shared care model had a higher burden of comorbidity and experienced a higher rate of ER visits and hospitalizations than those under the PCP model.

conclusionThe delivery of CHF care mirrors the severity of comorbidity in these patients. The high rate of hospitalization and ER visits in the shared care model underscores the need to design and implement more effective chronic disease management and integrated care programs.

Indexed as

Disease ManagementModels, OrganizationalAgedAged, 80 and overFemaleHeart FailureHumansMalePrimary Health CarePrognosisPropensity ScoreUnited Statescongestive heart failureMedicareNurse practitionerprimary care

Identifiers

PMID28870732
PMCPMC6535397

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.