Evidence map›Paper›PMID 37197848›Full record

ReviewJournal of the American College of Cardiology2023

Financial Toxicity of Medical Management of Heart Failure: JACC Review Topic of the Week.

Smrithi Sukumar, Jason H Wasfy, James L Januzzi, Jeffrey Peppercorn, Fumiko Chino, Haider J Warraich

Abstract readReview
In one paragraph

Review in Journal of the American College of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Trial
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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

6 authors.

Smrithi SukumarDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA. Electronic address: https://twitter.com/SmrithiSukumar.
Jason H WasfyDepartment of Medicine, Cardiology Division, Massachusetts General Hospital, Boston, Massachusetts, USA.
James L JanuzziDepartment of Medicine, Cardiology Division, Massachusetts General Hospital, Boston, Massachusetts, USA.
Jeffrey PeppercornDepartment of Medicine, Division of Hematology/Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Fumiko ChinoMemorial Sloan Kettering, New York, New York, USA.
Haider J WarraichDepartment of Medicine, Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Medicine, Cardiology Section, VA Boston Healthcare System, Boston, Massachusetts, USA. Electronic address: haider.warraich@va.gov.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
American Heart Association-American Stroke Association 18CDA34110215NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Optimal medical management of heart failure (HF) improves quality of life, decreases mortality, and decreases hospitalizations. Cost may contribute to suboptimal adherence to HF medications, especially angiotensin receptor-neprilysin inhibitors and sodium-glucose cotransporter-2 inhibitors. Patients' experiences with HF medication cost include financial burden, financial strain, and financial toxicity. Although there has been research studying financial toxicity in patients with some chronic diseases, there are no validated tools for measuring financial toxicity of HF, and very few data on the subjective experiences of patients with HF and financial toxicity. Strategies to decrease HF-associated financial toxicity include making systemic changes to minimize cost sharing, optimizing shared decision-making, implementing policies to lower drug costs, broadening insurance coverage, and using financial navigation services and discount programs. Clinicians may also improve patient financial wellness through various strategies in routine clinical care. Future research is needed to study financial toxicity and associated patient experiences for HF.

Indexed as

Financial StressHeart FailureSodium-Glucose Transporter 2 InhibitorsHealth Care CostsHumansQuality of LifeSodium-Glucose Transporter 2 Inhibitorscostfinancial burdenfinancial strainfinancial toxicityguideline-directed medical therapyheart failure

Identifiers

PMID37197848
PMCPMC11317790

What OpenQuestion holds

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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.