The DOI matches its Crossref record; 52 of the 52 references it cites were found in a registry or an index.
Effectiveness of Comprehensive Disease Management Programmes in Improving Clinical Outcomes in Heart Failure Patients. A Meta-Analysis
Abstract
Background: Disease management programmes (DMP) have been advocated to improve long term outcomes of heart failure (HF) patients. Aims: To summarise the evidence supporting DMP effectiveness in improving HF clinical outcomes. Methods: Eligible studies were located through a systematic literature search. Only randomised controlled trials (RCTs), enrolling HF patients, and allocating them to DMP or usual care (UC), were included. Information on study setting and design, participants’ characteristics and interventions tested were collected. A study quality assessment was performed. Main clinical outcomes assessed were: all-cause mortality and (re)hospitalisations, HF-related (re)hospitalisations and mortality. Meta-analysis was performed according to both Yusuf–Peto method and random effects model. Results: Thirty-three RCTs were included. Mortality was significantly reduced by DMP compared to UC: OR = 0.80 (CI 0.69–0.93, p=0.003). All-cause and HF-related hospitalisation rates were also significantly reduced: OR=0.76 (CI 0.69–0.94, p<0.00001) and OR=0.58 (CI 0.50–0.67, p<0.00001), respectively. Different DMP approaches appeared to be equally effective (sensitivity analyses). Conclusion: DMP reduce mortality and hospitalisations in HF patients. Because various types of DMP appear to be similarly effective, the choice of a specific programme depends on local health services characteristics, patient population, and resources available.
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Bias in meta-analysis detected by a simple, graphical test
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Self-citationmeta-analysis bias in location and selection of studies
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Cited by
Authors/Task Force Members, Dickstein, K., Cohen-Solal, A., Filippatos, G., McMurray, J. J. V., Ponikowski, P., Poole-Wilson, P. A., Stromberg, A., van Veldhuisen, D. J., Atar, D., et al. (2008) · European Heart Journal · doi:10.1093/eurheartj/ehn309 · Cited by 2,696
Ryan, R. E., Santesso, N., Lowe, D., Hill, S., Grimshaw, J. M., Prictor, M., Kaufman, C., Cowie, G., & Taylor, M. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007768.pub3 · Cited by 273
Pandor, A., Thokala, P., Gomersall, T., Baalbaki, H., Stevens, J., Wang, J., Wong, R., Brennan, A., & Fitzgerald, P. (2013) · Health Technol Assess · doi:10.3310/hta17320 · Cited by 159
Clarke, M., Shah, A., & Sharma, U. (2011) · Journal of Telemedicine and Telecare · doi:10.1258/jtt.2010.100113 · Cited by 152
Ågren, S., Evangelista, L. S., Hjelm, C., & Strömberg, A. (2012) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2012.01.014 · Cited by 155
Metadata
- Authors
- Roccaforte, R., Demers, C., Baldassarre, F., K. Teo, K., & Yusuf, S.
- Venue
- European Journal of Heart Failure
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-12-01
- Volume
- 7
- Issue
- 7
- Pages
- 1133-1144
- ISSN
- 1388-9842 (ISSN-L)
- 1879-0844
- OpenAlex
- W2058490784
- Cited by
- 342
- References
- 52
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- closed
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- Roccaforte, R., Demers, C., Baldassarre, F., K. Teo, K., & Yusuf, S. (2005). Effectiveness of Comprehensive Disease Management Programmes in Improving Clinical Outcomes in Heart Failure Patients. A Meta-Analysis. European Journal of Heart Failure. https://doi.org/10.1016/j.ejheart.2005.08.005
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