Evidence map›Paper›PMID 33139334›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2020

Understanding the management of heart failure with preserved ejection fraction: a qualitative multiperspective study.

Emma Sowden, Muhammad Hossain, Carolyn Chew-Graham, Tom Blakeman, Stephanie Tierney, Ian Wellwood, Francesca Rosa, Christi Deaton

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.9field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. 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

8 authors at 1 institution in 1 country.

Emma SowdenNational Institute for Health Research (NIHR) School for Primary Care Research, Centre for Primary Care and Health Services Research, University of Manchester, Manchester.
Muhammad HossainNIHR Applied Research Collaboration West Midlands, School of Primary, Community and Social Care, Keele University, Keele.
Carolyn Chew-GrahamNIHR Applied Research Collaboration West Midlands, School of Primary, Community and Social Care, Keele University, Keele.
Tom BlakemanNational Institute for Health Research (NIHR) School for Primary Care Research, Centre for Primary Care and Health Services Research, University of Manchester, Manchester.
Stephanie TierneyNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Ian WellwoodPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, School of Clinical Medicine, Cambridge.
Francesca RosaPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, School of Clinical Medicine, Cambridge.
Christi DeatonPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, School of Clinical Medicine, Cambridge.
University of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbout half of all people with heart failure have heart failure with preserved ejection fraction (HFpEF), in which the heart is stiff. This type of heart failure is more common in older people with a history of hypertension, obesity, and diabetes mellitus. Patients with HFpEF are often managed in primary care, sometimes in collaboration with specialists. Knowledge about how best to manage this growing population is limited, and there is a pressing need to improve care for these patients.

aimTo explore clinicians' and patients'/carers' perspectives and experiences about the management of HFpEF to inform the development of an improved model of care. DESIGN AND

settingA multiperspective qualitative study involving primary and secondary care settings across the east of England, Greater Manchester, and the West Midlands.

methodSemi-structured interviews and focus groups were conducted. Transcribed data were analysed using framework analysis and informed by the normalisation process theory (NPT).

resultsIn total, 50 patients, nine carers/relatives, and 73 clinicians were recruited. Difficulties with diagnosis, unclear illness perceptions, and management disparity were identified as important factors that may influence management of HFpEF. The NPT construct of coherence reflected what participants expressed about the need to improve the identification, understanding, and awareness of this condition in order to improve care.

conclusionThere is a pressing need to raise the public and clinical profile of HFpEF, develop a clear set of accepted practices concerning its management, and ensure that systems of care are accessible and attuned to the needs of patients with this condition.

Indexed as

Heart FailureHypertensionAgedEnglandHumansQualitative ResearchStroke Volumecomorbiditydisease managementheart failurenormalisation process theoryqualitative research

Identifiers

PMID33139334
PMCPMC7643822
OpenAlexW3028484746

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.