ArticleEuropean journal of cardiovascular nursing2026
What services are currently provided to people with heart failure with preserved ejection fraction in the UK and what are their components? A systematic scoping review.
Article in European journal of cardiovascular nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- A critical reflective analysis of patient and public involvement in a programme of heart failure with preserved ejection fraction research.Research involvement and engagement · 2026Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
aimsThis study aims to review the clinical services currently provided to people with heart failure with preserved ejection fraction (HFpEF) living in the UK, to examine the format of clinical care, and to assess these against UK guideline recommendations provided by the National Institute for Health and Care Excellence (NICE). METHODS AND
resultsA systematic scoping review was performed. We synthesized articles narratively according to the systematic review without meta-analysis guidelines, drawing on other established recommendations for narrative methods. We critically appraised articles using Critical Appraisal Skills Programme tools. Following screening (n = 11 495) and full-text review (n = 68), we included 25 unique reports from databases and nine operations documents received following a public appeal. Overall reporting within both published articles and operations documents was sub-optimal, limiting our description of service provision. From the data available, it appeared that most services were NICE guideline compliant for overall heart failure management; however, multiple services augmented clinical teams with additional specialists to assist in the management of people with HFpEF. Thematic analysis suggested variability in HFpEF services and uncertainty over the optimal clinic format and management strategies, which was complicated by complexity in patients. Cumulatively, publications suggested there is a need for service re-design.
conclusionHeart failure with preserved ejection fraction care in the UK appears variable, and the format of optimal services to improve outcomes is not yet clear. Patient complexity makes management challenging. Although some clinical services have made efforts to adapt to HFpEF patients' needs, there remain significant gaps in service provision and care. Findings underscore a pressing need for service re-design. REGISTRATION: This scoping review protocol was published on the public Open Science Framework platform (no registration reference provided) and can be accessed at https://osf.io/5gufq/.
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