Use and Disuse of Observational Research: The Case of Remote Monitoring in Heart Failure

Tavazzi, Luigi; Borer, Jeffrey S.; Tavazzi, Guido

doi:10.1159/000453655

Cited by 2 publications

(2 citation statements)

References 30 publications

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“…As with all observational studies, the possibility for unmeasured bias exists, leading to overestimation or underestimation of treatment effects. In particular, adherence behaviour to treatments is known to influence outcomes in itself, as shown by measures of adherence to placebo . Although the registry was conducted in five continents, some geographic areas are underrepresented such as Africa, South America and the United States, as well as some large European countries including the UK and Italy.…”

Section: Discussionmentioning

confidence: 99%

Physicians' guideline adherence is associated with better prognosis in outpatients with heart failure with reduced ejection fraction: the QUALIFY international registry

Komajda

Cowie

Tavazzi

et al. 2017

European J of Heart Fail

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Good adherence to pharmacologic treatment guidelines for ACEIs, ARBs, BBs, MRAs and ivabradine, with prescription of at least 50% of recommended dosages, was associated with better clinical outcomes during 6-month follow-up. Continuing global educational initiatives are needed to emphasise the importance of guideline recommendations for optimising drug therapy and prescribing evidence-based doses in clinical practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Physicians' guideline adherence is associated with better prognosis in outpatients with heart failure with reduced ejection fraction: the QUALIFY international registry

Komajda

Cowie

Tavazzi

et al. 2017

European J of Heart Fail

Self Cite

216

183

View full text Add to dashboard Cite

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“…However, an appropriate economic comparison across the studies is challenging, due to differences in study design and the local variability in the socioeconomic context and the health system structure. Also, some inequalities appear across different countries, in the financing, organization, access, delivery, quality and effectiveness of cardiac care, thus all cost-saving results are reliable only in the context in which they have been analyzed [45]. The use of RM seems associated to a reduction in staff time and costs compared with standard care.…”

Section: Economic Analysis Of Remote Monitoring Of Cardiac Implantablmentioning

confidence: 99%

Remote monitoring: Doomed to let down or an attractive promise?

Lucà

Cipolletta

Fusco

et al. 2019

IJC Heart & Vasculature

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Device interrogation and management are time consuming, representing a relevant burden for pacing centers. In several situations, patients' management requires additional follow up visits. Remote Monitoring (RM) allows an optimal recall management and a rapid diagnosis of device or lead failure, without the need of additional in office visits. Further it allows a significant delay reduction between the adverse event and the reaction to the alarm, shortening the time needed to make a clinical decision. A role in risk-predicting patient-related outcomes has also been shown. RM permits detection of the arrhythmia from 1 to 5 months in advance compared to in-office visits. Importantly, by using specific algorithms with multiparametric analysis, RM has been studied as a potential instrument to identify early patients on risk of worsening HF using specific algorithms. Although the use of RM in HF setting remains controversial, it has been proposed to improve HF clinical outcomes and survival in clinical trials. In this sense, RM success could require a standardization of process within a management model, that may involve different health care professionals. In this review, we examine recent advances of RM providing an update of this tool through different clinical scenarios.

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Use and Disuse of Observational Research: The Case of Remote Monitoring in Heart Failure

Cited by 2 publications

References 30 publications

Physicians' guideline adherence is associated with better prognosis in outpatients with heart failure with reduced ejection fraction: the QUALIFY international registry

Physicians' guideline adherence is associated with better prognosis in outpatients with heart failure with reduced ejection fraction: the QUALIFY international registry

Remote monitoring: Doomed to let down or an attractive promise?

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