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Long-term healthcare and cost outcomes of disease management in a large, randomized, community-based population with heart failure.

Publication ,  Journal Article
Galbreath, AD; Krasuski, RA; Smith, B; Stajduhar, KC; Kwan, MD; Ellis, R; Freeman, GL
Published in: Circulation
December 7, 2004

BACKGROUND: Because of the prevalence and expense of congestive heart failure (CHF), significant efforts have been made to develop disease management (DM) programs that will improve clinical and financial outcomes. The effectiveness of such programs in a large, heterogeneous population of CHF patients remains unknown. METHODS AND RESULTS: We randomized 1069 patients (aged 70.9+/-10.3 years) with systolic (ejection fraction 35+/-9%) or echocardiographically confirmed diastolic heart failure (HF) to assess telephonic DM over an 18-month period. Data were collected at baseline and at 6-month intervals. Survival analysis was performed by Kaplan-Meier and Cox regression methods. Healthcare utilization was defined after extensive record review, with an attempt to account for all inpatient and outpatient visits, medications, and diagnostic tests. We obtained data on 92% of the patients, from nearly 53,000 health-related encounters. Total cost per patient was defined by adding estimated costs for the observed encounters, excluding the cost of the DM. Kaplan-Meier analysis showed that DM patients had a reduced mortality rate (P=0.037), with DM patients surviving an average of 76 days longer than controls. Subgroup analysis showed that DM had beneficial outcomes in patients with systolic HF (hazard ratio 0.62; P=0.040), which was more pronounced in NYHA classes III and IV. Although improvements in NYHA class were more likely with DM (P<0.001), 6-minute walk data from 217 patients in whom data were available at each visit showed no significant benefit from DM (P=0.08). Total and CHF-related healthcare utilization, including medications, office or emergency department visits, procedures, or hospitalizations, was not decreased by DM. Repeated-measures ANOVA for cost by group showed no significant differences, even in the higher NYHA class groups. CONCLUSIONS: Participation in DM resulted in a significant survival benefit, most notably in symptomatic systolic HF patients. Although DM was associated with improved NYHA class, 6-minute walk test results did not improve. Healthcare utilization was not reduced by DM, and it conferred no cost savings. DM in HF results in improved life expectancy but does not improve objective measures of functional capacity and does not reduce cost.

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Published In

Circulation

DOI

EISSN

1524-4539

Publication Date

December 7, 2004

Volume

110

Issue

23

Start / End Page

3518 / 3526

Location

United States

Related Subject Headings

  • Systole
  • Survival Rate
  • Patient Education as Topic
  • Patient Care Team
  • Medical Records Systems, Computerized
  • Male
  • Life Expectancy
  • Humans
  • Hospitalization
  • Heart Failure
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Galbreath, A. D., Krasuski, R. A., Smith, B., Stajduhar, K. C., Kwan, M. D., Ellis, R., & Freeman, G. L. (2004). Long-term healthcare and cost outcomes of disease management in a large, randomized, community-based population with heart failure. Circulation, 110(23), 3518–3526. https://doi.org/10.1161/01.CIR.0000148957.62328.89
Galbreath, Autumn Dawn, Richard A. Krasuski, Brad Smith, Karl C. Stajduhar, Michael D. Kwan, Robert Ellis, and Gregory L. Freeman. “Long-term healthcare and cost outcomes of disease management in a large, randomized, community-based population with heart failure.Circulation 110, no. 23 (December 7, 2004): 3518–26. https://doi.org/10.1161/01.CIR.0000148957.62328.89.
Galbreath AD, Krasuski RA, Smith B, Stajduhar KC, Kwan MD, Ellis R, et al. Long-term healthcare and cost outcomes of disease management in a large, randomized, community-based population with heart failure. Circulation. 2004 Dec 7;110(23):3518–26.
Galbreath, Autumn Dawn, et al. “Long-term healthcare and cost outcomes of disease management in a large, randomized, community-based population with heart failure.Circulation, vol. 110, no. 23, Dec. 2004, pp. 3518–26. Pubmed, doi:10.1161/01.CIR.0000148957.62328.89.
Galbreath AD, Krasuski RA, Smith B, Stajduhar KC, Kwan MD, Ellis R, Freeman GL. Long-term healthcare and cost outcomes of disease management in a large, randomized, community-based population with heart failure. Circulation. 2004 Dec 7;110(23):3518–3526.

Published In

Circulation

DOI

EISSN

1524-4539

Publication Date

December 7, 2004

Volume

110

Issue

23

Start / End Page

3518 / 3526

Location

United States

Related Subject Headings

  • Systole
  • Survival Rate
  • Patient Education as Topic
  • Patient Care Team
  • Medical Records Systems, Computerized
  • Male
  • Life Expectancy
  • Humans
  • Hospitalization
  • Heart Failure