Evidence map›Paper›PMID 37297537›Full record

ArticleInternational journal of environmental research and public health2023

Telemedicine Support for Primary Care Providers versus Usual Care in Patients with Heart Failure: Protocol of a Pragmatic Cluster Randomised Trial within the Brazilian Heart Insufficiency with Telemedicine (BRAHIT) Study.

Leonardo Graever, Aurora Felice Castro Issa, Viviane Belidio Pinheiro da Fonseca, Marcelo Machado Melo, Gabriel Pesce de Castro da Silva, Isabel Cristina Pacheco da Nóbrega, Leonardo Cançado Monteiro Savassi, Mariana Borges Dias, Maria Kátia Gomes, Jose Roberto Lapa E Silva and 6 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in International journal of environmental research and public health, 2023. 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
0.7field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

16 authors at 8 institutions in 2 countries.

Leonardo GraeverDepartamento de Clínica Médica, Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21044-020, Brazil.ORCID 0000-0003-2027-8061
Aurora Felice Castro IssaInstituto Nacional de Cardiologia, Rio de Janeiro 22240-006, Brazil.
Viviane Belidio Pinheiro da FonsecaInstituto Nacional de Cardiologia, Rio de Janeiro 22240-006, Brazil.
Marcelo Machado MeloInstituto Nacional de Cardiologia, Rio de Janeiro 22240-006, Brazil.
Gabriel Pesce de Castro da SilvaInstituto Nacional de Cardiologia, Rio de Janeiro 22240-006, Brazil.
Isabel Cristina Pacheco da NóbregaInstituto Nacional de Cardiologia, Rio de Janeiro 22240-006, Brazil.
Leonardo Cançado Monteiro SavassiDepartamento de Medicina de Família, Saúde Mental e Coletiva, Universidade Federal de Ouro Preto, Minas Gerais 35400-000, Brazil.
Mariana Borges DiasMinistry of Health, Brasilia 70058-900, Brazil.
Maria Kátia GomesDepartamento de Clínica Médica, Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21044-020, Brazil.
Jose Roberto Lapa E SilvaDepartamento de Clínica Médica, Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro 21044-020, Brazil.ORCID 0000-0003-3116-0253
Raphael Mendonça GuimarãesEscola Nacional de Saúde Pública, Rio de Janeiro 21041-210, Brazil.ORCID 0000-0003-1225-6719
Renato Cony SeródioSecretaria Municipal de Saúde, Rio de Janeiro 20211-110, Brazil.
Anne FrølichDepartment of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, 1353 Copenhagen, Denmark.
Henrik GudbergsenDepartment of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, 1353 Copenhagen, Denmark.ORCID 0000-0002-2273-5337
Janus Christian JakobsenCopenhagen Trial Unit, Centre for Clinical Intervention Research, Capital Region of Denmark & Department of Regional Health Research, The Faculty of Health Sciences, University of Southern Denmark, 2200 Copenhagen, Denmark.
Helena DominguezDepartment of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, Denmark.ORCID 0000-0002-7089-2636
Instituto Nacional de Cardiologia · BRUniversidade Federal do Rio de Janeiro · BRUniversity of Copenhagen · DKEscola Nacional de Saúde Pública · BRMinistério da Saúde · BRSecretaria Municipal de Saúde · BRUniversidade Federal de Ouro Preto · BRUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure is a prevalent condition and a frequent cause of hospital readmissions and poor quality of life. Teleconsultation support from cardiologists to primary care physicians managing patients with heart failure may improve care, but the effect on patient-relevant outcomes is unclear. We aim to evaluate whether collaboration through a novel teleconsultation platform in the Brazilian Heart Insufficiency with Telemedicine (BRAHIT) project, tested on a previous feasibility study, can improve patient-relevant outcomes. We will conduct a parallel-group, two-arm, cluster-randomised superiority trial with a 1:1 allocation ratio, with primary care practices from Rio de Janeiro as clusters. Physicians from the intervention group practices will receive teleconsultation support from a cardiologist to assist patients discharged from hospitals after admission for heart failure. In contrast, physicians from the control group practices will perform usual care. We will include 10 patients per each of the 80 enrolled practices (n = 800). The primary outcome will be a composite of mortality and hospital admissions after six months. Secondary outcomes will be adverse events, symptoms frequency, quality of life, and primary care physicians' compliance with treatment guidelines. We hypothesise that teleconsulting support will improve patient outcomes.

Indexed as

Heart FailureTelemedicineBrazilEquivalence Trials as TopicHumansPragmatic Clinical Trials as TopicPrimary Health CareQuality of LifeRandomized Controlled Trials as Topicclinical competencecluster randomized trialheart failureprimary health caretelemedicine

Identifiers

PMID37297537
PMCPMC10253100
OpenAlexW4377942260

What OpenQuestion holds

Textmetadata
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.