ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019
Route to heart failure diagnosis in English primary care: a retrospective cohort study of variation.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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Who cites it
8 citing papers in PubMed.
- Between-practice variation in chronic obstructive pulmonary disease diagnosis guideline compliance: an observational study.BJGP open · 2026Article
- Deep learning algorithm for detection of acute heart failure using standard ECG waveforms.European heart journal. Digital health · 2026Article
- Inequalities in care delivery and outcomes for myocardial infarction, heart failure, atrial fibrillation, and aortic stenosis in the United Kingdom.The Lancet regional health. Europe · 2023Review
- Comparing research recruitment strategies to prospectively identify patients presenting with breathlessness in primary care.NPJ primary care respiratory medicine · 2022Article
- Breathless and awaiting diagnosis in UK lockdown for COVID-19…We're stuck.NPJ primary care respiratory medicine · 2021Article
- Understanding the management of heart failure with preserved ejection fraction: a qualitative multiperspective study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- The year in cardiology: heart failure.European heart journal · 2020Article
- Primary Care Signals and Diagnostic Pathways Before Incident Heart Failure: A Systematic Scoping Review.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the existence of evidence-based guidelines supporting the identification of heart failure (HF) in primary care, the proportion of patients diagnosed in this setting remains low. Understanding variation in patients' routes to diagnosis will better inform HF management.
aimTo identify the factors associated with variation in patients' routes to HF diagnosis in primary care. DESIGN AND
settingA retrospective cohort study of 13 897 patients diagnosed with HF between 1 January 2010 and 31 March 2013 in English primary care.
methodThis study used primary care electronic health records to identify routes to HF diagnosis, defined using the National Institute for Health and Care Excellence (NICE) guidelines, and adherence to the NICE-recommended guidelines. Multilevel logistic regression was used to investigate factors associated with the recommended route to HF diagnosis, and funnel plots were used to visualise variation between practices.
resultsFew patients (7%,
conclusionThe significant association of certain patient characteristics with route to HF diagnosis and the variation between GP practices raises concerns about equitable HF management. Further studies should investigate reasons for this variation to improve the diagnosis of HF in primary care. However, these must consider the complexities of a patient group often affected by frailty and multiple comorbidities.
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