Evidence map›Paper›PMID 34409755›Full record

ArticleESC heart failure2021

Trends in the treatment and survival of heart failure patients: a nationwide population-based study in the Czech Republic.

Milos Táborský, Tomas Skála, Marie Lazárová, Renata Aiglová, Jindrich Špinar, Lenka Špinarová, Jiri Vítovec, Josef Kautzner, Vojtech Melenovský, Filip Málek and 5 more

Abstract 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

15 authors.

Milos TáborskýDepartment of Internal Medicine I - Cardiology, University Hospital Olomouc, Olomouc, 775 20, Czech Republic.ORCID 0000-0002-5036-2347
Tomas SkálaDepartment of Internal Medicine I - Cardiology, University Hospital Olomouc, Olomouc, 775 20, Czech Republic.ORCID 0000-0002-4943-5588
Marie LazárováDepartment of Internal Medicine I - Cardiology, University Hospital Olomouc, Olomouc, 775 20, Czech Republic.
Renata AiglováDepartment of Internal Medicine I - Cardiology, University Hospital Olomouc, Olomouc, 775 20, Czech Republic.ORCID 0000-0002-2117-6393
Jindrich ŠpinarFirst Department of Medicine - Cardioangiology, St. Anne's Faculty Hospital Brno, Brno, Czech Republic.ORCID 0000-0001-6090-3971
Lenka ŠpinarováFirst Department of Medicine - Cardioangiology, St. Anne's Faculty Hospital Brno, Brno, Czech Republic.ORCID 0000-0001-5644-6720
Jiri VítovecFirst Department of Medicine - Cardioangiology, St. Anne's Faculty Hospital Brno, Brno, Czech Republic.ORCID 0000-0002-4458-3207
Josef KautznerInstitute for Clinical and Experimental Medicine - IKEM, Praha 4, Czech Republic.ORCID 0000-0002-1632-6182
Vojtech MelenovskýInstitute for Clinical and Experimental Medicine - IKEM, Praha 4, Czech Republic.ORCID 0000-0001-8921-7078
Filip MálekNa Homolce Hospital, Prague 5, Czech Republic.ORCID 0000-0002-8176-2191
Ladislav DušekInstitute of Health Information and Statistics of the Czech Republic, Praha 2, Czech Republic.ORCID 0000-0002-8589-4378
Jiri JarkovskýInstitute of Health Information and Statistics of the Czech Republic, Praha 2, Czech Republic.ORCID 0000-0002-1400-0111
Klara BenešováInstitute of Health Information and Statistics of the Czech Republic, Praha 2, Czech Republic.ORCID 0000-0002-5603-9305
Marek VíchaDepartment of Internal Medicine I - Cardiology, University Hospital Olomouc, Olomouc, 775 20, Czech Republic.ORCID 0000-0001-6946-5138
Ales LinhartDepartment of Medicine II - Cardiology and Angiology, The General Teaching Hospital in Prague, Praha 2, Czech Republic.ORCID 0000-0002-3372-7850

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsA retrospective nationwide observational analysis of diagnoses, procedures, and treatment reported to the Czech National Registry of Reimbursed Health Services between 2012 and 2018. METHODS AND

resultsPrevalence of heart failure (HF) patients increased from 176 496 (1679.4 per 100 000 population) in 2012 to 285 745 (2689.0 per 100 000 population) patients in 2018 (mean age 74.4 ± 12.8 years). In the last years, a stable incidence of HF patients was observed (544 per 100 000 population in 2016 vs. 551 per 100 000 population in 2018; P = 0.310). Mortality rate decreased from 20.55% in 2012 to 15.89% in 2018. The number of hospitalized patients remained similar (318.2 per 100 000 population in 2012 vs. 311.8 per 100 000 population in 2018; P = 0.479). The most used drugs were diuretics (173 295; 60.6%) and beta-blockers (178 823; 62.6%), followed by angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers (angiotensin-converting enzyme inhibitors 120.581; 42.2%; angiotensin II receptor blockers 47 216; 16.5%). Even though the whole number of implanted devices in HF patients increased steadily (from 25 205 in 2012 to 45 363 in 2018), the prevalence of all devices (pacemakers and defibrillators) in the HF patients remained about the same (14.3% in 2012; 15.9% in 2018).

conclusionsThe study included all patients with HF in the Czech Republic. These are the first nationwide data of HF epidemiology in the Eastern bloc. The incidence of HF remains stable in the last years. Due to aging of the population, the prevalence of HF significantly increased in the last 6 years. Despite a continuous increase in the prevalence of HF and a suboptimal utilization of its pharmacological therapy, mortality decreased, and the number of hospitalized patients remained the same.

Indexed as

Heart FailureAgedAged, 80 and overAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsCzech RepublicFemaleHumansMaleMiddle AgedRetrospective StudiesAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsCzech RepublicEuropean UnionHeart failureIncidencePrevalenceTreatment

Identifiers

PMID34409755
PMCPMC8497329

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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.