Evidence map›Paper›PMID 30485612›Full record

Trial reportEuropean journal of heart failure2019

Effectiveness of the European Society of Cardiology/Heart Failure Association website 'heartfailurematters.org' and an e-health adjusted care pathway in patients with stable heart failure: results of the 'e-Vita HF' randomized controlled trial.

Kim P Wagenaar, Berna D L Broekhuizen, Tiny Jaarsma, Ilse Kok, Arend Mosterd, Frank F Willems, Gerard C M Linssen, Willem R P Agema, Sander Anneveldt, Carolien M H B Lucas and 7 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in European journal of heart failure, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01755988 (Effectiveness of an Interactive Web-based Platform and a Disease Specific Information Website in Patients With Heart Failure), which is not on this map. Cited by 39 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 16 pooled it
6.5field-weighted citation impact, top 2% of its field
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.

NCT01755988 nacompletednot on this map

Effectiveness of an Interactive Web-based Platform and a Disease Specific Information Website in Patients With Heart Failure: a 3-arm Randomised Trial.

TypeinterventionalSponsorUMC UtrechtRan2013 to 2015Enrolled450ConditionsHeart FailureArmsEducational website (in addition to usual care)., Website and interactive platform with telemonitoring.
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 16 syntheses or guidelines pooled it, 84 citations in OpenAlex.

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  6. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
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  16. mHealth education interventions in heart failure.The Cochrane database of systematic reviews · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 12 institutions in 3 countries.

Kim P WagenaarJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Berna D L BroekhuizenJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Tiny JaarsmaDepartment of Social and Welfare Studies, Linköping University, Linköping, Sweden.
Ilse KokJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Arend MosterdMeander Medical Center, Amersfoort, The Netherlands.
Frank F WillemsRijnstate Hospital, Arnhem, The Netherlands.
Gerard C M LinssenHospital Group Twente, Almelo and Hengelo, The Netherlands.
Willem R P AgemaDiakonessenhuis, Utrecht, The Netherlands.
Sander AnneveldtWestfriesgasthuis, Hoorn, The Netherlands.
Carolien M H B LucasAlrijne Hospital Leiderdorp, Leiderdorp, The Netherlands.
Herman F J MannaertsHospital Amstelland, Amstelveen, The Netherlands.
Elly M C J WajonMedisch Spectrum Twente, Enschede, The Netherlands.
Kenneth DicksteinStavanger University Hospital, University of Bergen, Stavanger, Norway.
Maarten J CramerJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Marcel A J LandmanJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Arno W HoesJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Frans H RuttenJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLUtrecht University · NLAlrijne Ziekenhuis · NLDiakonessenhuis hospital · NLLinköping University · SEMeander Medisch Centrum · NLMedisch Spectrum Twente · NLRijnstate Hospital · NLStavanger University Hospital · NOWestfriesgasthuis · NLZiekenhuis Amstelland · NLZiekenhuis Groep Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEfficient incorporation of e-health in patients with heart failure (HF) may enhance health care efficiency and patient empowerment. We aimed to assess the effect on self-care of (i) the European Society of Cardiology/Heart Failure Association website 'heartfailurematters.org' on top of usual care, and (ii) an e-health adjusted care pathway leaving out 'in person' routine HF nurse consultations in stable HF patients. METHODS AND

resultsIn a three-group parallel-randomized trial in stable HF patients from nine Dutch outpatient clinics, we compared two interventions ( heartfailurematters.org website and an e-health adjusted care pathway) to usual care. The primary outcome was self-care measured with the European Heart Failure Self-care Behaviour Scale. Secondary outcomes were health status, mortality, and hospitalizations. In total, 450 patients were included. The mean age was 66.8 ± 11.0 years, 74.2% were male, and 78.8% classified themselves as New York Heart Association I or II at baseline. After 3 months of follow-up, the mean score on the self-care scale was significantly higher in the groups using the website and the adjusted care pathway compared to usual care (73.5 vs. 70.8, 95% confidence interval 0.6-6.2; and 78.2 vs. 70.8, 95% confidence interval 3.8- 9.4, respectively). The effect attenuated, until no differences after 1 year between the groups. Quality of life showed a similar pattern. Other secondary outcomes did not clearly differ between the groups.

conclusionsBoth the heartfailurematters.org website and an e-health adjusted care pathway improved self-care in HF patients on the short term, but not on the long term. Continuous updating of e-health facilities could be helpful to sustain effects. CLINICAL

trial registrationClinicalTrials.gov ID NCT01755988.

Indexed as

Health StatusSocial MediaSocieties, MedicalAgedCardiologyDelivery of Health CareEuropeFemaleFollow-Up StudiesHeart FailureHumansMaleQuality ImprovementQuality of LifeRetrospective StudiesTelemedicineHeart failureHospitalizationMortalitySelf-careTelemedicine

Identifiers

PMID30485612
PMCPMC6607483
OpenAlexW2902161745

What OpenQuestion holds

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LicenceCC BY-NC
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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.