Evidence map›Paper›PMID 29237746›Full record

Trial reportCirculation. Cardiovascular quality and outcomes2017

Impact of Telemonitoring on Health Status.

Natalie M Jayaram, Yevgeniy Khariton, Harlan M Krumholz, Sarwat I Chaudhry, Jennifer Mattera, Fengming Tang, Jeph Herrin, Beth Hodshon, John A Spertus

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Circulation. Cardiovascular quality and outcomes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00303212 (A Study of Telemonitoring to Improve Heart Failure Outcomes), which is not on this map. Cited by 21 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 6 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.

NCT00303212 nacompletednot on this map

A Study of Telemonitoring to Improve Heart Failure Outcomes

TypeinterventionalSponsorYale UniversityRan2006 to 2010Enrolled1,660ConditionsCongestive Heart FailureArmsTelemonitoring
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Review
  9. Article
  10. Article
  11. Review
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  15. Article
  16. Review
  17. Acute heart failure.Nature reviews. Disease primers · 2020 · on this map
    Review
  18. Article
  19. First real-world experience with mobile health telemonitoring in adult patients with congenital heart disease.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2019
    Article
  20. 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

9 authors.

Natalie M JayaramFrom the Department of Pediatric Cardiology, Children's Mercy Hospitals and Clinics, Kansas City, MO (N.J.); Department of Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute/UMKC, Kansas City, MO (Y.K., F.T., J.A.S.); Department of Cardiology and Center for Outcomes Research and Evaluation, Yale University School of Medicine, New Haven, CT (H.M.K., S.I.C., J.H., B.H.); Yale New Haven Hospital Center for Outcomes Research and Evaluation, CT (H.M.K., J.M., B.H.); Yale University School of Public Health, New Haven, CT (J.M.); and Health Research and Educational Trust, Chicago, IL (J.H.).
Yevgeniy KharitonFrom the Department of Pediatric Cardiology, Children's Mercy Hospitals and Clinics, Kansas City, MO (N.J.); Department of Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute/UMKC, Kansas City, MO (Y.K., F.T., J.A.S.); Department of Cardiology and Center for Outcomes Research and Evaluation, Yale University School of Medicine, New Haven, CT (H.M.K., S.I.C., J.H., B.H.); Yale New Haven Hospital Center for Outcomes Research and Evaluation, CT (H.M.K., J.M., B.H.); Yale University School of Public Health, New Haven, CT (J.M.); and Health Research and Educational Trust, Chicago, IL (J.H.).
Harlan M KrumholzFrom the Department of Pediatric Cardiology, Children's Mercy Hospitals and Clinics, Kansas City, MO (N.J.); Department of Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute/UMKC, Kansas City, MO (Y.K., F.T., J.A.S.); Department of Cardiology and Center for Outcomes Research and Evaluation, Yale University School of Medicine, New Haven, CT (H.M.K., S.I.C., J.H., B.H.); Yale New Haven Hospital Center for Outcomes Research and Evaluation, CT (H.M.K., J.M., B.H.); Yale University School of Public Health, New Haven, CT (J.M.); and Health Research and Educational Trust, Chicago, IL (J.H.).
Sarwat I ChaudhryFrom the Department of Pediatric Cardiology, Children's Mercy Hospitals and Clinics, Kansas City, MO (N.J.); Department of Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute/UMKC, Kansas City, MO (Y.K., F.T., J.A.S.); Department of Cardiology and Center for Outcomes Research and Evaluation, Yale University School of Medicine, New Haven, CT (H.M.K., S.I.C., J.H., B.H.); Yale New Haven Hospital Center for Outcomes Research and Evaluation, CT (H.M.K., J.M., B.H.); Yale University School of Public Health, New Haven, CT (J.M.); and Health Research and Educational Trust, Chicago, IL (J.H.).
Jennifer MatteraFrom the Department of Pediatric Cardiology, Children's Mercy Hospitals and Clinics, Kansas City, MO (N.J.); Department of Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute/UMKC, Kansas City, MO (Y.K., F.T., J.A.S.); Department of Cardiology and Center for Outcomes Research and Evaluation, Yale University School of Medicine, New Haven, CT (H.M.K., S.I.C., J.H., B.H.); Yale New Haven Hospital Center for Outcomes Research and Evaluation, CT (H.M.K., J.M., B.H.); Yale University School of Public Health, New Haven, CT (J.M.); and Health Research and Educational Trust, Chicago, IL (J.H.).
Fengming TangFrom the Department of Pediatric Cardiology, Children's Mercy Hospitals and Clinics, Kansas City, MO (N.J.); Department of Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute/UMKC, Kansas City, MO (Y.K., F.T., J.A.S.); Department of Cardiology and Center for Outcomes Research and Evaluation, Yale University School of Medicine, New Haven, CT (H.M.K., S.I.C., J.H., B.H.); Yale New Haven Hospital Center for Outcomes Research and Evaluation, CT (H.M.K., J.M., B.H.); Yale University School of Public Health, New Haven, CT (J.M.); and Health Research and Educational Trust, Chicago, IL (J.H.).
Jeph HerrinFrom the Department of Pediatric Cardiology, Children's Mercy Hospitals and Clinics, Kansas City, MO (N.J.); Department of Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute/UMKC, Kansas City, MO (Y.K., F.T., J.A.S.); Department of Cardiology and Center for Outcomes Research and Evaluation, Yale University School of Medicine, New Haven, CT (H.M.K., S.I.C., J.H., B.H.); Yale New Haven Hospital Center for Outcomes Research and Evaluation, CT (H.M.K., J.M., B.H.); Yale University School of Public Health, New Haven, CT (J.M.); and Health Research and Educational Trust, Chicago, IL (J.H.).
Beth HodshonFrom the Department of Pediatric Cardiology, Children's Mercy Hospitals and Clinics, Kansas City, MO (N.J.); Department of Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute/UMKC, Kansas City, MO (Y.K., F.T., J.A.S.); Department of Cardiology and Center for Outcomes Research and Evaluation, Yale University School of Medicine, New Haven, CT (H.M.K., S.I.C., J.H., B.H.); Yale New Haven Hospital Center for Outcomes Research and Evaluation, CT (H.M.K., J.M., B.H.); Yale University School of Public Health, New Haven, CT (J.M.); and Health Research and Educational Trust, Chicago, IL (J.H.).
John A SpertusFrom the Department of Pediatric Cardiology, Children's Mercy Hospitals and Clinics, Kansas City, MO (N.J.); Department of Cardiovascular Outcomes Research, Saint Luke's Mid America Heart Institute/UMKC, Kansas City, MO (Y.K., F.T., J.A.S.); Department of Cardiology and Center for Outcomes Research and Evaluation, Yale University School of Medicine, New Haven, CT (H.M.K., S.I.C., J.H., B.H.); Yale New Haven Hospital Center for Outcomes Research and Evaluation, CT (H.M.K., J.M., B.H.); Yale University School of Public Health, New Haven, CT (J.M.); and Health Research and Educational Trust, Chicago, IL (J.H.). spertusj@umkc.edu.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Telemonitoring to improve heart failure outcomesR01HL080228 · NHLBI · YALE UNIVERSITY · PI KRUMHOLZ, HARLAN MARC · 2005 to 2008
$6.9M
Center for Cardiovascular Outcomes Research at Yale UniversityU01HL105270 · NHLBI · YALE UNIVERSITY · PI CURTIS, JEPTHA PELHAM, KRUMHOLZ, HARLAN MARC · 2010 to 2013
$5.8M
CARDIOVASCULAR OUTCOMES RESEARCH TRAINING PROGRAMT32HL110837 · NHLBI · UNIVERSITY OF MISSOURI KANSAS CITY · PI JOHN A SPERTUS · 2012 to 2026
$5.0M
Comorbidity and Functional Outcomes in Older Patients with Heart FailureK23AG030986 · NIA · YALE UNIVERSITY · PI CHAUDHRY, SARWAT I · 2008 to 2012
$540k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL080228NHLBI NIH HHS T32 HL110837NHLBI NIH HHS U01 HL105270NIA NIH HHS K23 AG030986
6 · The paper itself

Abstract

backgroundAlthough noninvasive telemonitoring in patients with heart failure does not reduce mortality or hospitalizations, less is known about its effect on health status. This study reports the results of a randomized clinical trial of telemonitoring on health status in patients with heart failure. METHODS AND

resultsAmong 1521 patients with recent heart failure hospitalization randomized in the Tele-HF trial (Telemonitoring to Improve Heart Failure Outcomes), 756 received telephonic monitoring and 765 usual care. Disease-specific health status was measured with the Kansas City Cardiomyopathy Questionnaire (KCCQ) within 2 weeks of discharge and at 3 and 6 months. Repeated measures linear regression models were used to assess differences in KCCQ scores between patients assigned to telemonitoring and usual care over 6 months. The baseline characteristics of the 2 treatment arms were similar (mean age, 61 years; 43% female and 39% black). Over the 6-month follow-up period, there was a statistically significant, but clinically small, difference between the 2 groups in their KCCQ overall summary and subscale scores. The average KCCQ overall summary score for those receiving telemonitoring was 2.5 points (95% confidence interval, 0.38-4.67;

conclusionsTelemonitoring results in statistically significant, but clinically small, improvements in health status when compared with usual care. Given that the KCCQ was a secondary outcome, the benefits should be confirmed in future studies. CLINICAL

trial registrationURL: https://www.clinicaltrials.gov/. Unique identifier: NCT00303212.

Indexed as

Health StatusSelf CareAgedChi-Square DistributionFemaleHeart FailureHumansLinear ModelsMaleMiddle AgedRecovery of FunctionSocial BehaviorSurveys and QuestionnairesTelemedicineTelephoneTime Factorsdisease managementhealth statusheart failurehospitalization

Identifiers

PMID29237746
PMCPMC5776725

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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.