Evidence map›Paper›PMID 33369195›Full record

ArticleESC heart failure2021

PRADOC: a trial on the efficiency of a transition care management plan for hospitalized patients with heart failure in France.

Claire Duflos, Jean-Philippe Labarre, Roxana Ologeanu, Marie Robin, Guillaume Cayla, Michel Galinier, Frédéric Georger, Thibaut Petroni, Clément Alarcon, Sylvain Aguilhon and 9 more

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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

19 authors at 9 institutions in 3 countries.

Claire DuflosClinical Research and Epidemiology Unit, CHU Montpellier, Univ Montpellier, Montpellier, France.
Jean-Philippe LabarreCardiology, Clinique du Pont de Chaume ELSAN, Montauban, France.
Roxana OlogeanuMontpellier Research Management, Univ Montpellier, Montpellier, France.
Marie RobinDepartment of Cardiology, Montpellier University Hospital, Montpellier Cedex 5, 34295, France.
Guillaume CaylaDepartment of Cardiology, Nimes University Hospital, Montpellier University, Nimes, France.
Michel GalinierFédération des Services de Cardiologie, CHU Toulouse-Rangueil, Toulouse, France.
Frédéric GeorgerCardiology Unit, Beziers Hospital, Béziers, France.
Thibaut PetroniCardiology, Clinique du Pont de Chaume ELSAN, Montauban, France.
Clément AlarconDepartment of Cardiology, Alès-Cévennes Hospital, Alès cedex, France.
Sylvain AguilhonDepartment of Cardiology, Montpellier University Hospital, Montpellier Cedex 5, 34295, France.
Christine DeloncaDepartment of Cardiology, Montpellier University Hospital, Montpellier Cedex 5, 34295, France.
Pascal BattistellaDepartment of Cardiology, Montpellier University Hospital, Montpellier Cedex 5, 34295, France.
Audrey AgulloDepartment of Cardiology, Montpellier University Hospital, Montpellier Cedex 5, 34295, France.
Florence LeclercqDepartment of Cardiology, Montpellier University Hospital, Montpellier Cedex 5, 34295, France.
Jean-Luc PasquieDepartment of Cardiology, Montpellier University Hospital, Montpellier Cedex 5, 34295, France.
Laurence PapinaudDirection Régional du Service Médical Languedoc-Roussillon, CNAM, Paris, France.
Grégoire MercierCEPEL, Univ Montpellier, CNRS, Montpellier, France.
Jean-Etienne RicciDepartment of Cardiology, Nimes University Hospital, Montpellier University, Nimes, France.
François RoubilleDepartment of Cardiology, Montpellier University Hospital, Montpellier Cedex 5, 34295, France.
Centre Hospitalier Universitaire de Montpellier · FRUniversité de Montpellier · FRCentre National de la Recherche Scientifique · FRÅlesund Hospital · NOCentre Hospitalier de Béziers · FRClinique du Pont Saint-Vaast · FRClinique Montbrillant · CHConseil Régional du Languedoc-Roussillon · FRHôpital Rangueil · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTransition care programmes are designed to improve coordination of care between hospital and home. For heart failure patients, meta-analyses show a high efficacy but with moderate evidence level. Moreover, difficulties for implementation of such programmes limit their extrapolation. METHODS AND

resultsWe designed a mixed-method study to assess the implementation of the PRADO-IC, a nationwide transition programme that aims to be offered to every patient with heart failure in France. This programme consists essentially in an administrative assistance to schedule follow-up visits and in a nurse follow-up during 2 to 6 months and aims to reduce the annual heart failure readmission rate by 30%. This study assessed three quantitative aims: the cost to avoid a readmission for heart failure within 1 year (primary aim, intended sample size 404 patients), clinical care pathways, and system economic outcomes; and two qualitative aims: perceived problems and benefits of the PRADO-IC. All analyses will be gathered at the end of study for a joint interpretation. Strengths of this study design are the randomized controlled design, the population included in six centres with low motivation bias, the primary efficiency analysis, the secondary efficacy analyses on care pathway and clinical outcomes, and the joint qualitative analysis. Limits are the heterogeneity of centres and of intervention in a control group and parallel development of other new therapeutic interventions in this field.

conclusionsThe results of this study may help decision-makers to support an administratively managed transition programme.

Indexed as

Heart FailureTransitional CareFranceHumansHeart failureMixed-methods studyReadmissionTransition programme

Identifiers

PMID33369195
PMCPMC8006694
OpenAlexW3115742666

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.