Evidence map›Paper›PMID 39556701›Full record

ArticleJournal of the American Heart Association2024

Pharmacist Medication Titration Program for Patients With Cardiac Sarcoidosis and Systolic Heart Failure: A Retrospective Cohort Study.

Daniel Sykora, Nicole Olson, Robert Churchill, B Michelle Kim, Melanie Bratcher, Mohamed Elwazir, Kathleen Young, Sami Ryan, Michelle Brodin, Jan Anderson and 6 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Redefining Cardiac Sarcoidosis with Advanced Imaging and Therapeutic Strategies.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2026
    Review
  2. Article
  3. 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.

Daniel SykoraMayo Clinic School of Graduate Medical Education Rochester MN.ORCID 0000-0002-6195-8541
Nicole OlsonDepartment of Pharmacy Mayo Clinic Rochester Rochester MN.
Robert ChurchillMayo Clinic Alix School of Medicine Rochester MN.
B Michelle KimMayo Clinic Alix School of Medicine Rochester MN.
Melanie BratcherDepartment of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN.
Mohamed ElwazirDepartment of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN.ORCID 0000-0002-9168-5855
Kathleen YoungDepartment of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN.ORCID 0000-0002-7071-192X
Sami RyanDepartment of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN.
Michelle BrodinDepartment of Pharmacy Mayo Clinic Rochester Rochester MN.
Jan AndersonDepartment of Pharmacy Mayo Clinic Rochester Rochester MN.
Jeremiah SaundersDepartment of Pharmacy Mayo Clinic Rochester Rochester MN.
Omar Abou EzzeddineDepartment of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN.
John BoisDepartment of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN.
John GiudicessiDepartment of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN.ORCID 0000-0001-5871-0265
Leslie CooperDepartment of Cardiovascular Medicine Mayo Clinic Florida Jacksonville FL.ORCID 0000-0003-1002-3313
Andrew RosenbaumDepartment of Cardiovascular Medicine Mayo Clinic Rochester Rochester MN.ORCID 0000-0001-9202-0233

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
NCATS NIH HHS UL1 TR002377
6 · The paper itself

Abstract

backgroundA multidisciplinary approach improves guideline-directed medical therapy in systolic heart failure (HF), but its efficacy in patients with HF due to cardiac sarcoidosis is unreported. METHODS AND

resultsIn a retrospective cohort study, we reviewed 848 patients from our institutional cardiac sarcoidosis clinics, identifying those with a cardiac sarcoidosis diagnosis, HF (left ventricular ejection fraction <50%) at index evaluation, and echocardiograms within 90 days and 11 to 36 months. Patients were stratified by participation in a pharmacist-led medication therapy management (MTM) program for guideline-directed medical therapy optimization (MTM versus non-MTM [NMTM]) without randomization. Demographics, left ventricular ejection fraction, guideline-directed medical therapy (quantified by Kansas City Medical Optimization score), and immunosuppressive therapy were assessed. Primary outcomes included changes in Kansas City Medical Optimization score, left ventricular ejection fraction, and cardiovascular event-free survival (unplanned HF hospitalization, left ventricular assist device /heart transplant, or death). The final cohort included 111 patients (median age, 57 years; 34% women; 64% New York Heart Association class I-II); 43 (39%) were MTM and 68 (61%) were NMTM. Mean Kansas City Medical Optimization score was similar at index evaluation (MTM, 23.2; NMTM, 29.6;

conclusionsIn this retrospective cohort study, a pharmacist-led MTM program was associated with favorable guideline-directed medical therapy optimization and lower risk of adverse cardiovascular outcomes in patients with cardiac sarcoidosis with HF.

Indexed as

CardiomyopathiesHeart Failure, SystolicPharmacistsSarcoidosisStroke VolumeAgedFemaleHumansImmunosuppressive AgentsMaleMedication Therapy ManagementMiddle AgedRetrospective StudiesTreatment OutcomeVentricular Function, LeftImmunosuppressive Agentscardiac sarcoidosisguideline‐directed medical therapyheart failurepharmacistteam‐based care

Identifiers

PMID39556701
PMCPMC11935548

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LicenceCC BY-NC-ND
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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.