Evidence map›Paper›PMID 32895445›Full record

Observational studyScientific reports2020

Intensified ambulatory cardiology care: effects on mortality and hospitalisation-a comparative observational study.

Olga A Sawicki, Angelina Mueller, Anastasiya Glushan, Thorben Breitkreuz, Felix S Wicke, Kateryna Karimova, Ferdinand M Gerlach, Michel Wensing, Norbert Smetak, Ralph F Bosch and 1 more

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

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

10 citing papers in PubMed.

  1. Article
  2. Tracing the evolution of cardiology: Pioneering discoveries and paradigm shifts in cardiovascular care.American heart journal plus : cardiology research and practice · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Observational
  8. Observational
  9. Article
  10. 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

11 authors.

Olga A SawickiInstitute of General Practice, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany. sawicki@allgemeinmedizin.uni-frankfurt.de.
Angelina MuellerInstitute of General Practice, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
Anastasiya GlushanInstitute of General Practice, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
Thorben BreitkreuzaQua, Institute for Applied Quality Improvement and Research in Health Care, 37073, Goettingen, Germany.
Felix S WickeInstitute of General Practice, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
Kateryna KarimovaInstitute of General Practice, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
Ferdinand M GerlachInstitute of General Practice, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
Michel WensingDepartment of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.
Norbert SmetakCardiology Practice, 73230, Kirchheim, Germany.
Ralph F Bosch *Cardio Centre Ludwigsburg-Bietigheim, 71634, Ludwigsburg, Germany.
Martin Beyer *Institute of General Practice, Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since 2010, an intensified ambulatory cardiology care programme has been implemented in southern Germany. To improve patient management, the structure of cardiac disease management was improved, guideline-recommended care was supported, new ambulatory medical services and a morbidity-adapted reimbursement system were set up. Our aim was to determine the effects of this programme on the mortality and hospitalisation of enrolled patients with cardiac disorders. We conducted a comparative observational study in 2015 and 2016, based on insurance claims data. Overall, 13,404 enrolled patients with chronic heart failure (CHF) and 19,537 with coronary artery disease (CAD) were compared, respectively, to 8,776 and 16,696 patients that were receiving usual ambulatory cardiology care. Compared to the control group, patients enrolled in the programme had lower mortality (Hazard Ratio: 0.84; 95% CI: 0.77-0.91) and fewer all-cause hospitalisations (Rate Ratio: 0.94; 95% CI: 0.90-0.97). CHF-related hospitalisations in patients with CHF were also reduced (Rate Ratio: 0.76; 95% CI: 0.69-0.84). CAD patients showed a similar reduction in mortality rates (Hazard Ratio: 0.81; 95% CI: 0.76-0.88) and all-cause hospitalisation (Rate Ratio: 0.94; 95% CI: 0.91-0.97), but there was no effect on CAD-related hospitalisation. We conclude that intensified ambulatory care reduced mortality and hospitalisation in cardiology patients.

Indexed as

Ambulatory CareAdultAgedAged, 80 and overCoronary Artery DiseaseDisease ManagementFemaleHeart FailureHospitalizationHumansMaleMiddle AgedYoung Adult

Identifiers

PMID32895445
PMCPMC7477232

What OpenQuestion holds

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Registered trials

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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.