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Metaanalysis and review of heart failure disease management randomized controlled clinical trials.

Publication ,  Journal Article
Whellan, DJ; Hasselblad, V; Peterson, E; O'Connor, CM; Schulman, KA
Published in: Am Heart J
April 2005

BACKGROUND: The medical community has turned to disease management (DM) to bridge the gap between proven therapies and clinical practice for patients with heart failure (HF). The aim of this study was to assess the effectiveness of DM programs in reducing hospitalization and mortality in patients with HF on the basis of the results of existing trials. METHODS: We compared the published results from 19 randomized controlled clinical trials evaluating HF DM programs. A random effects model was used to combine the hazards ratio for all-cause hospitalization across the studies evaluating specific types of HF DM programs. RESULTS: We identified 19 relevant studies, with 5752 enrolled patients, which assessed the benefits of HF DM programs. The overall effect was a significant decrease in all-cause hospitalization for patients with HF. There was significant heterogeneity in the results (P < .0001). CONCLUSIONS: The results of this analysis indicate that HF DM is an intervention that could significantly decrease hospitalization for patients with HF. However, due to differences in the types of strategies and the variety of health care settings in which they were evaluated, further studies of HF DM programs with multiple participating centers are required.

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Published In

Am Heart J

DOI

EISSN

1097-6744

Publication Date

April 2005

Volume

149

Issue

4

Start / End Page

722 / 729

Location

United States

Related Subject Headings

  • Risk
  • Randomized Controlled Trials as Topic
  • Quality of Life
  • Proportional Hazards Models
  • Patient Care Team
  • Patient Care Planning
  • Outpatient Clinics, Hospital
  • North America
  • Models, Theoretical
  • Middle Aged
 

Citation

APA
Chicago
ICMJE
MLA
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Whellan, D. J., Hasselblad, V., Peterson, E., O’Connor, C. M., & Schulman, K. A. (2005). Metaanalysis and review of heart failure disease management randomized controlled clinical trials. Am Heart J, 149(4), 722–729. https://doi.org/10.1016/j.ahj.2004.09.023
Whellan, David J., Vic Hasselblad, Eric Peterson, Christopher M. O’Connor, and Kevin A. Schulman. “Metaanalysis and review of heart failure disease management randomized controlled clinical trials.Am Heart J 149, no. 4 (April 2005): 722–29. https://doi.org/10.1016/j.ahj.2004.09.023.
Whellan DJ, Hasselblad V, Peterson E, O’Connor CM, Schulman KA. Metaanalysis and review of heart failure disease management randomized controlled clinical trials. Am Heart J. 2005 Apr;149(4):722–9.
Whellan, David J., et al. “Metaanalysis and review of heart failure disease management randomized controlled clinical trials.Am Heart J, vol. 149, no. 4, Apr. 2005, pp. 722–29. Pubmed, doi:10.1016/j.ahj.2004.09.023.
Whellan DJ, Hasselblad V, Peterson E, O’Connor CM, Schulman KA. Metaanalysis and review of heart failure disease management randomized controlled clinical trials. Am Heart J. 2005 Apr;149(4):722–729.
Journal cover image

Published In

Am Heart J

DOI

EISSN

1097-6744

Publication Date

April 2005

Volume

149

Issue

4

Start / End Page

722 / 729

Location

United States

Related Subject Headings

  • Risk
  • Randomized Controlled Trials as Topic
  • Quality of Life
  • Proportional Hazards Models
  • Patient Care Team
  • Patient Care Planning
  • Outpatient Clinics, Hospital
  • North America
  • Models, Theoretical
  • Middle Aged