Evidence map›Paper›PMID 31873843›Full record

ReviewHeart failure reviews2021

Rationale for targeted self-management strategies for breathlessness in heart failure.

Reiko Asano, Phillip J Newton, David C Currow, Peter S Macdonald, Dominic Leung, Jane L Phillips, Nancy Perrin, Patricia M Davidson

Abstract readReview
PubMed Publisher
In one paragraph

Review in Heart failure reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 23% 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.

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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Reiko AsanoJohns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD, USA. rasano1@jhu.edu.ORCID 0000-0001-5009-0938
Phillip J NewtonWestern Sydney University School of Nursing and Midwifery, Sydney, Australia.
David C CurrowFaculty of Health, University of Technology Sydney, Sydney, Australia.
Peter S MacdonaldSt. Vincent's Hospital Sydney, Sydney, Australia.
Dominic LeungUniversity of New South Wales, Sydney, Australia.
Jane L PhillipsFaculty of Health, University of Technology Sydney, Sydney, Australia.
Nancy PerrinJohns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD, USA.
Patricia M DavidsonJohns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD, USA.
University of Technology Sydney · AUJohns Hopkins University · USSt Vincent's Hospital Sydney · AUUNSW Sydney · AUWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To provide a conceptual rationale for targeted self-management strategies for breathlessness in chronic heart failure. Breathlessness is a defining symptom of chronic heart failure and is the primary cause for hospital readmissions and emergency room visits, resulting in extensive health care utilization. Chronic breathlessness, punctuated by acute physiological decompensation, is a sentinel symptom of the heart failure syndrome and often intensifies towards the end of life. Drawing upon evidence-based guidelines, physiological mechanisms and existing conceptual models for the management of breathlessness is proposed. Key elements of this model include adherence to evidence-based approaches (pharmacological and non-pharmacological management to optimize heart failure treatment), self-monitoring of symptoms, identification of modifiable factors (such as fluid overload), and targeted strategies for breathlessness including distraction and gas flow. Self-management is an essential component in heart failure management which could positively influences health outcomes and quality of life. Refining programs to focus on breathlessness may have the potential to reduce symptom burden and improve quality of life.

Indexed as

Heart FailureSelf-ManagementChronic DiseaseDyspneaHumansQuality of LifeBreathlessnessEnd of lifeHeart failurePalliative care

Identifiers

PMID31873843
OpenAlexW2997402227

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.