Evidence map›Paper›PMID 38627992›Full record

Observational studyESC heart failure2024

Missed opportunities in heart failure diagnosis and management: study of an urban UK population.

Sylwia Migas, Michelle Louise Ellis, Bozydar Wrona, Elena Rivero Sanz, Jack Brownrigg, Otto Strauss, Fozia Zahir Ahmed

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in ESC heart failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. 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

7 authors.

Sylwia MigasNorthWest EHealth Ltd, 2nd Floor, Bright Building, Manchester Science Park, Pencroft Way, Manchester, M15 6GZ, UK.ORCID 0000-0001-5440-9491
Michelle Louise EllisPfizer Ltd, Tadworth, UK.
Bozydar WronaNorthWest EHealth Ltd, 2nd Floor, Bright Building, Manchester Science Park, Pencroft Way, Manchester, M15 6GZ, UK.
Elena Rivero SanzPfizer Ltd, Tadworth, UK.
Jack BrownriggPfizer Ltd, Tadworth, UK.
Otto StraussPfizer Ltd, Tadworth, UK.
Fozia Zahir AhmedDepartment of Cardiology, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.

Funding

Pfizer Ltd
6 · The paper itself

Abstract

aimsThis study aimed to examine the diagnostic pathways and outcomes of patients with heart failure (HF), stratified by left ventricular ejection fraction (EF), and to highlight deficiencies in real-world HF diagnosis and management. METHODS AND

resultsWe conducted a retrospective cohort study in Salford, United Kingdom, utilizing linked primary and secondary care data for HF patients diagnosed between January 2010 and November 2019. We evaluated characteristics, diagnostic patterns, healthcare resource utilization, and outcomes. Patients were categorized according to baseline (the latest measure prior to or within 90 days post-diagnosis) as having HF with reduced EF (HFrEF), mildly reduced EF (HFmrEF), or preserved EF (HFpEF). The data encompassed a 2 year period before diagnosis and up to 5 years post-diagnosis. A total of 3227 patients were diagnosed with HF between January 2010 and November 2019. The mean follow-up time was 2.6 [±1.9 standard deviation (SD)] years. The mean age at diagnosis was 74.8 (±12.7 SD) years, and 1469 (45.5%) were female. HFpEF was the largest cohort (46.6%, n

conclusionsLow survival rates were observed across all HF groups, along with suboptimal rates of NP testing and specialist assessments. These findings suggest missed opportunities for timely and accurate HF diagnosis, a pivotal first step in improving outcomes for HF patients. Addressing these gaps in diagnosis and management is urgently needed.

Indexed as

Heart FailureStroke VolumeAgedDisease ManagementFemaleFollow-Up StudiesHumansMaleMissed DiagnosisRetrospective StudiesUnited KingdomUrban PopulationVentricular Function, LeftEchocardiogramEjection fractionElectronic medical recordsHeart failureMissed opportunityPatient pathways

Identifiers

PMID38627992
PMCPMC11287321

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.