Evidence map›Paper›PMID 41611463›Full record

ArticleBMJ open2026

Effectiveness and cost utility of a nurse-led Heart Failure Follow-Up Program: a quasi-experimental multicentre study protocol in three Spanish public hospitals.

Rafael Mesa Rico, Sara Gómez-García Olías, Patricia Carbonell-Muñoz, Margarita Codes-Perujo, Lidia Lloreda-Palma, José Atienza-Carrasco, Rafael Bravo-Marqués, José Carlos Canca-Sánchez, Adolfo Romero, Francisco Jódar-Sánchez

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Rafael Mesa RicoCardiology, Hospital Costa del Sol, Marbella, Spain.ORCID http://orcid.org/0009-0002-0833-9749
Sara Gómez-García OlíasCardiology, Hospital Costa del Sol, Marbella, Spain.
Patricia Carbonell-MuñozCardiology, Hospital de La Axarquía, Vélez-Málaga, Spain.
Margarita Codes-PerujoCardiology, Hospital Serranía de Ronda, Ronda, Spain.
Lidia Lloreda-PalmaHospital Serranía de Ronda, Ronda, Spain.
José Atienza-CarrascoHospital Costa del Sol, Marbella, Spain.
Rafael Bravo-MarquésCardiology, Hospital Costa del Sol, Marbella, Spain.
José Carlos Canca-SánchezHospital Costa del Sol, Marbella, Spain.
Adolfo RomeroEnfermería y Podología, Universidad de Malaga, Málaga, Spain adolforomeror@uma.es.ORCID http://orcid.org/0000-0002-7824-2347
Francisco Jódar-SánchezFacultad de Ciencias Económicas y Empresariales, Universidad de Málaga, Málaga, Spain.ORCID http://orcid.org/0000-0003-1092-9932

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aims to evaluate a structured nurse-led follow-up programme coordinated by an advanced practice nurse (APN) as an alternative to conventional postdischarge care for patients with heart failure (HF). The main objective is to assess the clinical effectiveness and economic efficiency of the programme using quality-adjusted life years and healthcare costs related to resource use as outcome measures. METHODS AND ANALYSIS: A quasiexperimental multicentre study will be conducted including an intervention group and a comparison group of patients discharged with HF from three public hospitals in the province of Málaga, Spain. The intervention group will be followed by an APN using a structured follow-up model, while the comparison group will receive standard care. Sociodemographic, clinical, quality of life, self-care, therapeutic adherence and healthcare resource utilisation data will be collected. The economic evaluation will be conducted from the perspective of the public healthcare system through a cost-utility analysis. ETHICS AND DISSEMINATION: The study protocol has been approved by the corresponding Research Ethics Committee. All participants will provide written informed consent prior to inclusion. The results will be disseminated through peer-reviewed publications and presentations at national and international scientific conferences.

Indexed as

Advanced Practice NursingHeart FailureCost-Benefit AnalysisHospitals, PublicHumansMulticenter Studies as TopicNon-Randomized Controlled Trials as TopicQuality-Adjusted Life YearsQuality of LifeSpainHealth economicsHeart failureNursing Care

Identifiers

PMID41611463
PMCPMC12863348

What OpenQuestion holds

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LicenceCC BY-NC
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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.