Clinical service organisation for heart failure

Taylor, SJC; Underwood, Martin; Parsons, Suzanne; Falshaw, M; Hood, S; Bestall, Janine C; Langdon, AM; Formby, JC

doi:10.1002/14651858.cd002752

Cited by 13 publications

(28 citation statements)

References 24 publications

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“…Though only one review limited its search to English-only papers, [32] the overall quality of search strategies was moderate: three reviews described a full Boolean strategy [24,27,33] and eight provided a QUOROM-like flow chart [25,28-31,33-35]. Most reviews included an assessment of publication bias via a funnel plot [23-25,28,29,31,32,34].…”

Section: Resultsmentioning

confidence: 99%

“…Seven reviews [23,26,27,30,33,34,36] reported an upper age limit of 80 years. The lowest mean age reported was 56 by five reviews by way of inclusion of the same trial [24,30,32,34,36].…”

Section: Resultsmentioning

confidence: 99%

“…The foci of reviews differed markedly, for example, reviews specified interventions provided only in particular settings, [23,25-27] or without reference at all to content [25,34,37]. …”

Section: Resultsmentioning

confidence: 99%

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A meta-review of evidence on heart failure disease management programs: the challenges of describing and synthesizing evidence on complex interventions

Savard

Thompson

Clark

2011

Trials

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BackgroundDespite favourable results from past meta-analyses, some recent large trials have not found Heart Failure (HF) disease management programs to be beneficial. To explore reasons for this, we evaluated evidence from existing meta-analyses.MethodsSystematic review incorporating meta-review was used. We selected meta-analyses of randomized controlled trials published after 1995 in English that examined the effects of HF disease management programs on key outcomes. Databases searched: MEDLINE, EMBASE, Cochrane Database of Systematic Reviews (CDSR), DARE, NHS EED, NHS HTA, Ageline, AMED, Scopus, Web of Science and CINAHL; cited references, experts and existing reviews were also searched.Results15 meta-analyses were identified containing a mean of 18.5 randomized trials of HF interventions +/- 10.1 (range: 6 to 36). Overall quality of the meta-analyses was very mixed (Mean AMSTAR Score = 6.4 +/- 1.9; range 2-9). Reporting inadequacies were widespread around populations, intervention components, settings and characteristics, comparison, and comparator groups. Heterogeneity (statistical, clinical, and methodological) was not taken into account sufficiently when drawing conclusions from pooled analyses.ConclusionsMeta-analyses of heart failure disease management programs have promising findings but often fail to report key characteristics of populations, interventions, and comparisons. Existing reviews are of mixed quality and do not adequately take account of program complexity and heterogeneity.

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Section: Resultsmentioning

confidence: 99%

“…Seven reviews [23,26,27,30,33,34,36] reported an upper age limit of 80 years. The lowest mean age reported was 56 by five reviews by way of inclusion of the same trial [24,30,32,34,36].…”

Section: Resultsmentioning

confidence: 99%

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A meta-review of evidence on heart failure disease management programs: the challenges of describing and synthesizing evidence on complex interventions

Savard

Thompson

Clark

2011

Trials

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“…This evolved as The National End of Life Care Strategy (2008) 18 , promoting high quality care for all adults at the end of life, through sharing good practice in collaboration with local and national stakeholders and incorporating end of life care as one of the core clinical work streams for implementation in each local area across England.…”

Section: Drivers For Change In Heart Failure Services In Englandmentioning

confidence: 99%

Heart failure specialist nurses’ use of palliative care services: a comparison of surveys across England in 2005 and 2010

Johnson

MacCallum

Butler

et al. 2012

European Journal of Cardiovascular Nursing

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Heart Failure Nurse Specialists play a key role in facilitating the provision of palliative care for patients with advanced heart failure where supportive and palliative care needs are comparable to those with cancer. This article describes the attitudes of heart failure nurse specialists towards palliative care in the management of patients and their interface with specialist services in the context of changing policy drivers over this time period. Data is drawn from two national surveys, the first in 2005, and repeated in 2010 following national educational initiatives. This comparison provides encouraging results that over five years there has been a growing partnership between heart failure nurses and palliative care services and that heart failure nurses play a pivotal role in ensuring provision of both general and specialist palliative care for their patients. The importance of integrating cardiology and palliative care clinical services, and aspects of local, regional and national service provision in the setting of the Innovative Care for Chronic Conditions framework is highlighted.

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“…The WHO estimates that chronic disease accounts for 60% of deaths worldwide and has given precedence globally to the prevention and treatment of chronic disease 1. Although some randomised controlled trials of nurse-led community-based interventions, for specific conditions, have reported a positive effect on hospital re-admission rates,2 evidence of the effectiveness of nurse-led case management for older people with multi-morbid chronic conditions is lacking 3…”

Section: Contextmentioning

confidence: 99%

Further research is required to provide evidence of the effectiveness and feasibility of the nurse-led, case management approach to the care of older adults with chronic comorbid conditions

Wallis

2011

Evid Based Nurs

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Clinical service organisation for heart failure

Cited by 13 publications

References 24 publications

A meta-review of evidence on heart failure disease management programs: the challenges of describing and synthesizing evidence on complex interventions

A meta-review of evidence on heart failure disease management programs: the challenges of describing and synthesizing evidence on complex interventions

Heart failure specialist nurses’ use of palliative care services: a comparison of surveys across England in 2005 and 2010

Further research is required to provide evidence of the effectiveness and feasibility of the nurse-led, case management approach to the care of older adults with chronic comorbid conditions

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