Evidence map›Paper›PMID 39423991›Full record

ArticleAmerican heart journal2025

Cardiologist perceptions on automated alerts and messages to improve heart failure care.

Samuel D Maidman, Saul Blecker, Harmony R Reynolds, Lawrence M Phillips, Margaret M Paul, Arielle R Nagler, Adam Szerencsy, Archana Saxena, Leora I Horwitz, Stuart D Katz and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in American heart journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05275920 (Building Electronic Tools To Enhance and Reinforce CArdiovascular REcommendations - Heart Failure), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05275920 nacompletednot on this map

Building Electronic Tools To Enhance and Reinforce CArdiovascular REcommendations - Heart Failure (BETTER CARE-HF)

TypeinterventionalSponsorNYU Langone HealthRan2022 to 2022Enrolled2,211ConditionsHeart Failure, Heart Failure With Reduced Ejection FractionArmsBest Practice Alert (BPA), In-Basket Message
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

11 authors.

Samuel D MaidmanLeon H. Charney Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, NY.
Saul BleckerDepartment of Population Health, New York University Grossman School of Medicine, New York, NY; Department of Medicine, New York University Grossman School of Medicine, New York, NY.
Harmony R ReynoldsLeon H. Charney Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, NY.
Lawrence M PhillipsLeon H. Charney Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, NY.
Margaret M PaulDepartment of Population Health, New York University Grossman School of Medicine, New York, NY.
Arielle R NaglerThe Ronald O. Perelman Department of Dermatology, New York University Grossman School of Medicine, New York, NY.
Adam SzerencsyMedical Center Information Technology, New York University Langone Health, New York, NY; Department of Medicine, New York University Grossman School of Medicine, New York, NY.
Archana SaxenaLeon H. Charney Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, NY; Medical Center Information Technology, New York University Langone Health, New York, NY.
Leora I HorwitzDepartment of Population Health, New York University Grossman School of Medicine, New York, NY; Department of Medicine, New York University Grossman School of Medicine, New York, NY.
Stuart D KatzLeon H. Charney Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, NY.
Amrita MukhopadhyayLeon H. Charney Division of Cardiology, Department of Medicine, New York University Grossman School of Medicine, New York, NY; Department of Population Health, New York University Grossman School of Medicine, New York, NY. Electronic address: amrita.mukhopadhyay@nyulangone.org.

Funding

Project-005UL1TR001445 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BREDELLA, MIRIAM ANTOINETTE, HOCHMAN, JUDITH S · 2015 to 2025
$103.5M
Training Program in Cardiovascular SciencesT32HL098129 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Glenn I Fishman, Ira J Goldberg · 2009 to 2026
$5.9M
Impact of Restrictive Drug Coverage Policies on Heart Failure CareK23HL171636 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Amrita Mukhopadhyay · 2024 to 2026
$597k
NCATS NIH HHS UL1 TR001445NHLBI NIH HHS K23 HL171636NHLBI NIH HHS T32 HL098129
6 · The paper itself

Abstract

introductionElectronic health record (EHR)-embedded tools are known to improve prescribing of guideline-directed medical therapy (GDMT) for patients with heart failure. However, physicians may perceive EHR tools to be unhelpful and be hesitant to implement these in their practice.

methodsThe BETTER CARE-HF trial (NCT05275920) ran from April 28, 2022 to October 26, 2022 at NYU Langone Health outpatient clinics being seen by 180 cardiologists. The trial compared the effectiveness of an Alert during visits, Messages between visits, or usual care with the primary outcome of MRA prescribing. In this study, we sent surveys via electronic mail to cardiologists who either received an Alert or a Message during BETTER CARE-HF (60 cardiologists per survey).

resultsOf the 120 cardiologists who were sent the survey, response rate was 27% in the Alert group and 33% in the Message group. A majority of respondents in both the alert and message groups agreed that EHR tools were easy to use (Alert 79%; Message 69%), served as a reminder to prescribe therapy (Alert 77%; Message 77%;), and that the underlying evidence (Alert 86%; Message 62%) and clinical information (Alert 86%; Message 69%) were trustworthy. Overall, 54% agreed with continued use of the Alert, while 31% agreed with continued use of the Message.

conclusionCardiologists perceived the EHR tools to be easy to use, helpful, and improve the overall management of their patients with heart failure.

Indexed as

CardiologistsElectronic Health RecordsHeart FailureAttitude of Health PersonnelFemaleHumansMalePractice Patterns, Physicians'Pragmatic Clinical Trials as TopicQuality ImprovementReminder SystemsSurveys and Questionnaires

Identifiers

PMID39423991
PMCPMC11620927

What OpenQuestion holds

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Registered trials

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.