Evidence map›Paper›PMID 33705486›Full record

Observational studyPloS one2021

The impact of heart failure on patients and caregivers: A qualitative study.

Colleen A McHorney, Sonal G Mansukhani, Milena Anatchkova, Natalie Taylor, Heidi S Wirtz, Siddique Abbasi, Lynwood Battle, Nihar R Desai, Gary Globe

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–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

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  20. Young Spouses' Experiences of Having a Partner With Heart Disease and Adolescents Living at Home.Health expectations : an international journal of public participation in health care and health policy · 2024
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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

9 authors.

Colleen A McHorneyPatient Centered Research, Evidera, Bethesda, MD, United States of America.ORCID 0000-0002-5944-9158
Sonal G MansukhaniPatient Centered Research, Evidera, Bethesda, MD, United States of America.
Milena AnatchkovaPatient Centered Research, Evidera, Bethesda, MD, United States of America.
Natalie TaylorPatient Centered Research, Evidera, Bethesda, MD, United States of America.
Heidi S WirtzGlobal Health Economics, Amgen, Thousand Oaks, CA, United States of America.
Siddique AbbasiGlobal Health Economics, Amgen, Thousand Oaks, CA, United States of America.
Lynwood BattlePatient Author from Cincinnati, Cincinnati, OH, United States of America.
Nihar R DesaiYale School of Medicine, New Haven, CT, United States of America.
Gary GlobeGlobal Health Economics, Amgen, Thousand Oaks, CA, United States of America.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundHeart failure is rising in prevalence but relatively little is known about the experiences and journey of patients and their caregivers. The goal of this paper is to present the symptom and symptom impact experiences of patients with heart failure and their caregivers.

methodsThis was a United States-based study wherein in-person focus groups were conducted. Groups were audio recorded, transcribed and a content-analysis approach was used to analyze the data.

resultsNinety participants (64 patients and 26 caregivers) were included in the study. Most patients were female (52.0%) with mean age 59.3 ± 8 years; 55.6% were New York Heart Association Class II. The most commonly reported symptoms were shortness of breath (81.3%), fatigue/tiredness (76.6%), swelling of legs and ankles (57.8%), and trouble sleeping (50.0%). Patients reported reductions in social/family interactions (67.2%), dietary changes (64.1%), and difficulty walking and climbing stairs (56.3%) as the most common adverse disease impacts. Mental-health sequelae were noted as depression and sadness (43.8%), fear of dying (32.8%), and anxiety (32.8%). Caregivers (mean age 55.5 ± 11.2 years and 52.0% female) discussed 33 daily heart failure impacts, with the top three being reductions in social/family interactions (50.0%); being stressed, worried, and fearful (46.2%); and having to monitor their "patience" level (42.3%).

conclusionsThere are serious unmet needs in HF for both patients and caregivers. More research is needed to better characterize these needs and the impacts of HF along with the development and evaluation of disease management toolkits that can support patients and their caregivers.

Indexed as

Activities of Daily LivingAgedAnxietyCaregiversCross-Sectional StudiesDepressionFemaleFocus GroupsHeart FailureHumansMaleMiddle AgedQualitative ResearchSocial Interaction

Identifiers

PMID33705486
PMCPMC7951849

What OpenQuestion holds

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LicenceCC BY
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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.