Evidence map›Paper›PMID 39806710›Full record

Observational studyBMJ open2024

Diagnosing and managing patients with heart failure with preserved ejection fraction: a consensus survey.

Rosalynn Austin, Eva Khair, Thomas Blakeman, Muhammad Zakir Hossain, Emma Sowden, Carolyn Chew-Graham, Faye Forsyth, Christi Deaton, Optimise HFpEF Investigators, Optimise HFpEF Investigators

Registry-linked trialAbstract readObservational StudyConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03617848 (Optimising Management of Patients With Heart Failure With Preserved Ejection Fraction in Primary Care), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT03617848 completednot on this map

Optimising Management of Patients With Heart Failure With Preserved Ejection Fraction in Primary Care

TypeobservationalSponsorProfessor Christi DeatonRan2018 to 2021Enrolled153ConditionsHeart Failure With Preserved Ejection Fraction
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  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

10 authors.

Rosalynn AustinDepartment of Public Health, University of Stavanger, Stavanger, Norway.ORCID http://orcid.org/0000-0001-8274-4836
Eva KhairDepartment of Public Health and Primary Care, University of Cambridge School of Clinical Medicine, Cambridge, UK.
Thomas BlakemanUniversity of Manchester, Manchester, UK.
Muhammad Zakir HossainBirmingham City University, Birmingham, UK.ORCID http://orcid.org/0000-0002-4939-1597
Emma SowdenUniversity of Manchester, Manchester, UK.
Carolyn Chew-GrahamSchool of Medicine, Keele University, Newcastle-under-Lyme, UK.ORCID http://orcid.org/0000-0002-9722-9981
Faye ForsythDepartment of Public Health and Primary Care, University of Cambridge School of Clinical Medicine, Cambridge, UK.ORCID http://orcid.org/0000-0003-2107-3690
Christi DeatonDepartment of Public Health and Primary Care, University of Cambridge School of Clinical Medicine, Cambridge, UK cd531@medschl.cam.ac.uk.ORCID http://orcid.org/0000-0003-3209-0752
Optimise HFpEF Investigators
Optimise HFpEF Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimAs heart failure (HF) with preserved ejection fraction (HFpEF) prevalence increases, it remains frequently underdiagnosed and poorly managed. Recent positive pharmacological trials have increased interest in HFpEF but challenges of diagnosis and management remain. The survey aim was to examine consensus between primary and secondary care providers regarding HFpEF diagnosis and management.

methodsAs part of a larger programme of work, survey questions were developed in an online format and piloted with healthcare providers (HCPs). The survey link was distributed via professional networks and social media. Analysis included frequencies of responses, comparison by main professional groups and thematic analysis free-text responses. A virtual workshop of HCPs was conducted to discuss and refine survey findings.

resultsHCPs (n=66) across the UK participated: 19 general practitioners (GPs), 20 HF specialist nurses (HFSN), 17 cardiologists and 10 others. Consensus was high (92%) that diagnosing the type of HF was very important and most favoured inclusion of HFpEF in Quality Outcome Framework indicators. No clear consensus was reached that ongoing management should be in primary care (47.5% of GPs, 35% of HFSN and 31.3% of cardiologists 'somewhat agreed'). Opinions differed between GPs (52.3)% and specialists (HFSN 80% and cardiologists 81.3%) for practice nurses to be upskilled and assume HFpEF management. No HCPs reported any level of disagreement for HFSN management of HFpEF. Free-text comments highlighted resource barriers to HFpEF diagnosis and management and confirmed the need to develop better HFpEF services.

conclusionsConsensus was reached regarding importance of diagnosing HFpEF, but agreement on methods and responsibilities for diagnosis and management varied. Free-text comments identified HCPs concerns related to overwhelmed primary and secondary care services and lack of sufficient resources to meet existing patient demands. Creation of collaborative care pathways is needed to support the increasing number of older patients with HFpEF. TRIAL REGISTRATION NUMBER: ClinicalTrials. gov (reference number: NCT03617848).

Indexed as

Heart FailureStroke VolumeFemaleHumansPrimary Health CareSurveys and QuestionnairesUnited KingdomHealth ServicesHeart failurePrimary Care

Identifiers

PMID39806710
PMCPMC11667415

What OpenQuestion holds

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LicenceCC BY
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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.