ArticleScandinavian journal of primary health care2017
Adherence to guidelines in patients with chronic heart failure in primary health care.
Article in Scandinavian journal of primary health care, 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, 39 citations in OpenAlex.
- Primary care Adherence to Heart failure guidelines in post-discharge, evaluation & routine management (PATHFINDER): a randomized controlled trial.ESC heart failure · 2026Trial
- Patterns of Evidence-Based Medication Use in Older Adults with Chronic Heart Failure in Slovakia: A Population-Based Study Using the National Health Information Center Database.Drugs & aging · 2026Article
- Self-Care Behaviors in Heart Failure Patients Using the European Heart Failure Self-Care Behavior Scale: Systematic Review and Meta-Analysis.Florence Nightingale journal of nursing · 2026Article
- Symptom Management in Chronic Heart Failure: Strategies and Behaviours From Patients' Perspectives-A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Observational
- Incident heart failure: comparing management and outcome in primary and hospital settings in Western Sweden 2008-2017.ESC heart failure · 2025Article
- Cost-effectiveness of outpatient adherence to recommendations for monitoring of patients hospitalized for heart failure.ESC heart failure · 2024Article
- Article
- A longitudinal assessment of chronic care pathways in real-life: self-care and outcomes of chronic heart failure patients in Tuscany.BMC health services research · 2022Article
- Primary care-based integrated disease management for heart failure: a study protocol for a cluster randomised controlled trial.BMJ open · 2022Article
- A qualitative analysis of the barriers and enablers faced by Australian rural general practitioners in the non-pharmacological management of congestive heart failure in community dwelling patients.BMC health services research · 2022Article
- Annual and Post-Exacerbation Follow-Up of Asthma Patients in Clinical Practice - A Large Population-Based Study in Sweden.Journal of asthma and allergy · 2022Article
- Influence of Health Education Based on IMB on Prognosis and Self-Management Behavior of Patients with Chronic Heart Failure.Computational and mathematical methods in medicine · 2022Article
- Clinical inertia in the treatment of heart failure: a major issue to tackle.Heart failure reviews · 2021Review
- PRospective Evaluation of natriuretic peptide-based reFERral of patients with chronic heart failure in primary care (PREFER): a real-world study.Open heart · 2021Article
- Heart failure epidemiology and treatment in primary care: a retrospective cross-sectional study.ESC heart failure · 2021Article
- Precipitating factors of heart failure decompensation, short-term morbidity and mortality in patients attended in primary care.Scandinavian journal of primary health care · 2020Article
- Introduction of sacubitril/valsartan in primary care follow-up of heart failure: a prospective observational study (THESEUS).ESC heart failure · 2020Observational
- Planned primary health care asthma contacts during 12-year follow-up after Finnish National Asthma Programme: focus on spirometry.NPJ primary care respiratory medicine · 2020Article
- Limited value of NT-proBNP as a prognostic marker of all-cause mortality in patients with heart failure with preserved and mid-range ejection fraction in primary care: A report from the swedish heart failure register.Scandinavian journal of primary health care · 2019Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe adherence to international guidelines for chronic heart failure (CHF) management concerning diagnostics, pharmacological treatment and self-care behaviour in primary health care.
designA cross-sectional descriptive study of patients with CHF, using data obtained from medical records and a postal questionnaire.
settingThree primary health care centres in Sweden. SUBJECTS: Patients with a CHF diagnosis registered in their medical record.
main outcome measuresAdherence to recommended diagnostic tests and pharmacological treatment by the European Society of Cardiology guidelines and self-care behaviour, using the European Heart Failure Self-care Behaviour Scale (EHFScBS-9).
resultsThe 155 participating patients had a mean age of 79 (SD9) years and 89 (57%) were male. An ECG was performed in all participants, 135 (87%) had their NT-proBNP measured, and 127 (82%) had transthoracic echocardiography performed. An inhibitor of the renin angiotensin system (RAS) was prescribed in 120 (78%) patients, however only 45 (29%) in target dose. More men than women were prescribed RAS-inhibition. Beta blockers (BBs) were prescribed in 117 (76%) patients, with 28 (18%) at target dose. Mineralocorticoidreceptor antagonists were prescribed in 54 (35%) patients and daily diuretics in 96 (62%). The recommended combination of RAS-inhibitors and BBs was prescribed to 92 (59%), but only 14 (9%) at target dose. The mean score on the EHFScBS-9 was 29 (SD 6) with the lowest adherence to daily weighing and consulting behaviour.
conclusionAdherence to guidelines has improved since prior studies but is still suboptimal particularly with regards to medication dosage. There is also room for improvement in patient education and self-care behaviour.
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Registered trials
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.