Evidence map›Paper›PMID 33401942›Full record

ArticleChronic illness2022

Challenges in the management of people with heart failure with preserved ejection fraction (HFpEF) in primary care: A qualitative study of general practitioner perspectives.

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

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

Article in Chronic illness, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 27 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Muhammad Z HossainFaculty of Medicine and Health Sciences, School of Medicine, Keele University, Keele, UK.ORCID 0000-0002-4939-1597
Carolyn A Chew-GrahamFaculty of Medicine and Health Sciences, School of Medicine, Keele University, Keele, UK.
Emma SowdenNIHR School for Primary Care Research, Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK.
Tom BlakemanNIHR School for Primary Care Research, Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK.
Ian WellwoodPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, School of Clinical Medicine, Cambridge, UK.
Stephanie TierneyNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Christi DeatonPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, School of Clinical Medicine, Cambridge, UK.
Keele University · GBUniversity of Cambridge · GBUniversity of Manchester · GBUniversity of Oxford · GB

Funding

Department of Health
6 · The paper itself

Abstract

objectivesTo explore the perspectives of general practitioners (GPs) on the identification and management of people, including those from ethnic minority groups, with Heart Failure with Preserved Ejection Fraction (HFpEF).

methodsQualitative study. Semi-structured, face-to-face or telephone interviews and focus groups were conducted with 35 GPs in England, which were audio-recorded and transcribed verbatim. Framework analysis was used to manage and interpret data.

resultsThemes presented reflect four inter-related challenges: GPs' 1) lack of understanding HFpEF, impacting on 2) difficulties in communicating the diagnosis, leading to 3) uncertainty in managing people with HFpEF, further hindered by (4) discontinuity across the primary/secondary interface. All were considered more challenging by GPs when managing people from different cultures and languages. DISCUSSION: HFpEF is not well understood by GPs, leading to diagnostic difficulty, management uncertainty and potential inequity in care offered. People with HFpEF are seen as complex, with multiple long-term conditions and requiring personalised care. Challenges in their management occur across the healthcare system. This study has identified learning needs for GPs around identification and on-going support for people with HFpEF in primary care. It will contribute to the development of more flexible and patient-centred pathways across the primary/secondary care interface.

Indexed as

General PractitionersHeart FailureAttitude of Health PersonnelEthnicityHumansMinority GroupsPrimary Health CareQualitative ResearchStroke VolumeGeneral practitionersheart failureHFpEFprimary carequalitative methods

Identifiers

PMID33401942
PMCPMC9163769
OpenAlexW3099515541

What OpenQuestion holds

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LicenceCC BY
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.