A population-based study to evaluate the effectiveness of multidisciplinary heart failure clinics and identify important service components

Circulation: Heart Failure

Volumn 6, Issue 1, 2013, Pages 68-75

  Wijeysundera, Harindra C ^a   Trubiani, Gina ^b   Wang, Xuesong ^c,e   Mitsakakis, Nicholas ^e,g   Austin, Peter C ^e,f   Ko, Dennis T ^d,h   Lee, Douglas S ^e,f   Tu, Jack V ^a   Krahn, Murray ^e  

^a SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c Department of Medicine ^*  (Canada)

^d Faculty of Pharmacy   (Canada)

^e INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES   (Canada)

^f Institute for Health Policy Management and Evaluation   (Canada)

^g UNIVERSITY OF TORONTO   (Canada)

^h UNIVERSITY HEALTH NETWORK   (Canada)

Author keywords

Health outcomes; Heart failure; Multidisciplinary clinic

Indexed keywords

AGED; ARTICLE; CANADA; CLINICAL EFFECTIVENESS; CLINICAL FEATURE; COHORT ANALYSIS; CONTROLLED STUDY; FEMALE; FOLLOW UP; HEART FAILURE; HOSPITAL; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MORTALITY; POPULATION RESEARCH; PRIORITY JOURNAL; VALIDATION PROCESS;

AGED; COMMUNITY HEALTH CENTERS; FEMALE; FOLLOW-UP STUDIES; HEART FAILURE; HUMANS; LENGTH OF STAY; MALE; MORBIDITY; ONTARIO; PATIENT ADMISSION; QUALITY ASSURANCE, HEALTH CARE; REGISTRIES; RETROSPECTIVE STUDIES;

EID: 84873615832     PISSN: 19413289     EISSN: 19413297     Source Type: Journal    
DOI: 10.1161/CIRCHEARTFAILURE.112.971051     Document Type: Article

References (38)

1. Arnold JM, Liu P, Demers C, Dorian P, Giannetti N, Haddad H, Heckman GA, Howlett JG, Ignaszewski A, Johnstone DE, Jong P, McKelvie RS, Moe GW, Parker JD, Rao V, Ross HJ, Sequeira EJ, Svendsen AM, Teo K, Tsuyuki RT, White M; Canadian Cardiovascular Society. Canadian Cardiovascular Society consensus conference recommendations on heart failure 2006: Diagnosis and management. Can J Cardiol. 2006;22:23-45.
2. McAlister FA, Stewart S, Ferrua S, McMurray JJ. Multidisciplinary strategies for the management of heart failure patients at high risk for admission: A systematic review of randomized trials. J Am Coll Cardiol. 2004;44:810-819.
3. Komenda P, Levin A. Analysis of cardiovascular disease and kidney outcomes in multidisciplinary chronic kidney disease clinics: Complex disease requires complex care models. Curr Opin Nephrol Hypertens. 2006;15:61-66.
4. Wright FC, De Vito C, Langer B, Hunter A; Expert Panel on Multidisciplinary Cancer Conference Standards. Multidisciplinary cancer conferences: A systematic review and development of practice standards. Eur J Cancer. 2007;43:1002-1010.
5. Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG, Jessup M, Konstam MA, Mancini DM, Michl K, Oates JA, Rahko PS, Silver MA, Stevenson LW, Yancy CW; American College of Cardiology Foundation; American Heart Association. 2009 Focused update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration With the International Society for Heart and Lung Transplantation. J Am Coll Cardiol. 2009;53:e1-e90.
6. Jacobs P, Yim R. Using Canadian Administrative Databases to Derive Economic Data for Health Technology Assessments. Ottawa: Canadian Agency for Drugs and Technologies in Health; 2009.
7. Wijeysundera HC, Trubiani G, Abrahamyan L, Mitsakakis N, Witteman W, Paulden M, van der Velde G, Kingsbury K, Krahn M. Specialized multi-disciplinary heart failure clinics in Ontario, Canada: An environmental scan. BMC Health Serv Res. 2012;12:236.
8. Riegel B, Lee CS, Sochalski J. Developing an instrument to measure heart failure disease management program intensity and complexity. Circ Cardiovasc Qual Outcomes. 2010;3:324-330.
9. Austin PC, Mamdani MM, Stukel TA, Anderson GM, Tu JV. The use of the propensity score for estimating treatment effects: Administrative versus clinical data. Stat Med. 2005;24:1563-1578.
10. Tu JV, Bowen J, Chiu M, Ko DT, Austin PC, He Y, Hopkins R, Tarride JE, Blackhouse G, Lazzam C, Cohen EA, Goeree R. Effectiveness and safety of drug-eluting stents in Ontario. N Engl J Med. 2007;357:1393-1402.
11. Austin PC. A tutorial and case study in propensity score analysis: An application to estimating the effect of in-hospital smoking cessation counseling on mortality. Multivariate Behav Res. 2011;46:119-151.
12. Austin PC. An introduction to propensity score methods for reducing the effects of confounding in observational studies. Multivariate Behav Res. 2011;46:399-424.
13. Lee DS, Austin PC, Rouleau JL, Liu PP, Naimark D, Tu JV. Predicting mortality among patients hospitalized for heart failure: Derivation and validation of a clinical model. JAMA. 2003;290:2581-2587.
14. Austin PC. Optimal caliper widths for propensity-score matching when estimating differences in means and differences in proportions in observational studies. Pharm Stat. 2011;10:150-161.
15. Austin PC. Comparing paired vs non-paired statistical methods of analyses when making inferences about absolute risk reductions in propensityscore matched samples. Stat Med. 2011;30:1292-1301.
16. McCandless LC, Gustafson P, Austin PC. Bayesian propensity score analysis for observational data. Stat Med. 2009;28:94-112.
17. Krumholz HM, Wang Y, Mattera JA, Wang Y, Han LF, Ingber MJ, Roman S, Normand SL. An administrative claims model suitable for profiling hospital performance based on 30-day mortality rates among patients with heart failure. Circulation. 2006;113:1693-1701.
18. Ko DT, Alter DA, Austin PC, You JJ, Lee DS, Qiu F, Stukel TA, Tu JV. Life expectancy after an index hospitalization for patients with heart failure: A population-based study. Am Heart J. 2008;155:324-331.
19. GESICA Investigators. Randomised trial of telephone intervention in chronic heart failure: DIAL trial. BMJ. 2005;331:425.
20. Albert NM, Fonarow GC, Yancy CW, Curtis AB, Stough WG, Gheorghiade M, Heywood JT, McBride M, Mehra MR, O'Connor CM, Reynolds D, Walsh MN. Outpatient cardiology practices with advanced practice nurses and physician assistants provide similar delivery of recommended therapies (findings from IMPROVE HF). Am J Cardiol. 2010;105:1773-1779.
21. de la Porte PW, Lok DJ, van Veldhuisen DJ, van Wijngaarden J, Cornel JH, Zuithoff NP, Badings E, Hoes AW. Added value of a physician-andnurse-directed heart failure clinic: Results from the Deventer-Alkmaar heart failure study. Heart. 2007;93:819-25.
22. Del Sindaco D, Pulignano G, Minardi G, Apostoli A, Guerrieri L, Rotoloni M, Petri G, Fabrizi L, Caroselli A, Venusti R, Chiantera A, Giulivi A, Giovannini E, Leggio F. Two-year outcome of a prospective, controlled study of a disease management programme for elderly patients with heart failure. J Cardiovasc Med (Hagerstown). 2007;8:324-329.
23. Doughty RN, Wright SP, Pearl A, Walsh HJ, Muncaster S, Whalley GA, Gamble G, Sharpe N. Randomized, controlled trial of integrated heart failure management: The Auckland Heart Failure Management Study. Eur Heart J. 2002;23:139-146.
24. Dunagan WC, Littenberg B, Ewald GA, Jones CA, Emery VB, Waterman BM, Silverman DC, Rogers JG. Randomized trial of a nurse-administered, telephone-based disease management program for patients with heart failure. J Card Fail. 2005;11:358-365.
25. Göhler A, Januzzi JL, Worrell SS, Osterziel KJ, Gazelle GS, Dietz R, Siebert U. A systematic meta-analysis of the efficacy and heterogeneity of disease management programs in congestive heart failure. J Card Fail. 2006;12:554-567.
26. Gonseth J, Guallar-Castillón P, Banegas JR, Rodríguez- Artalejo F. The effectiveness of disease management programmes in reducing hospital re-admission in older patients with heart failure: A systematic review and meta-analysis of published reports. Eur Heart J. 2004;25:1570-1595.
27. Holland R, Battersby J, Harvey I, Lenaghan E, Smith J, Hay L. Systematic review of multidisciplinary interventions in heart failure. Heart. 2005;91:899-906.
28. Medical Advisory Secretariat. Community-Based High Acuity Care for the Specialized Management of Heart Failure: An evidence-based analysis. Ontario Heath Technology Assessment Series. 2009;9.
29. Mejhert M, Kahan T, Persson H, Edner M. Limited long term effects of a management programme for heart failure. Heart. 2004;90:1010-1015.
30. Rao A, Walsh J. Impact of specialist care in patients with newly diagnosed heart failure: A randomised controlled study. Int J Cardiol. 2007;115:196-202.
31. Roccaforte R, Demers C, Baldassarre F, Teo KK, Yusuf S. Effectiveness of comprehensive disease management programmes in improving clinical outcomes in heart failure patients. A meta-analysis. Eur J Heart Fail. 2005;7:1133-1144.
32. Strömberg A, Mårtensson J, Fridlund B, Levin LA, Karlsson JE, Dahlström U. Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure: Results from a prospective, randomised trial. Eur Heart J. 2003;24:1014-1023.
33. Wierzchowiecki M, Poprawski K, Nowicka A, Kandziora M, Piatkowska A, Jankowiak M, Michałowicz B, Stawski W, Dziamska M, Kaszuba D, Szymanowska K, Michalski M. A new programme of multidisciplinary care for patients with heart failure in Poznań: One-year follow-up. Kardiol Pol. 2006;64:1063-70; discussion 1071.
34. Ezekowitz JA, van Walraven C, McAlister FA, Armstrong PW, Kaul P. Impact of specialist follow-up in outpatients with congestive heart failure. CMAJ. 2005;172:189-194.
35. Phillips CO, Singa RM, Rubin HR, Jaarsma T. Complexity of program and clinical outcomes of heart failure disease management incorporating specialist nurse-led heart failure clinics. A meta-regression analysis. Eur J Heart Fail. 2005;7:333-341.
36. Oddone EZ, Weinberger M, Giobbie-Hurder A, Landsman P, Henderson W. Enhanced access to primary care for patients with congestive heart failure. Veterans Affairs Cooperative Study Group on Primary Care and Hospital Readmission. Eff Clin Pract. 1999;2:201-209.
37. Weinberger M, Oddone EZ, Henderson WG. Does increased access to primary care reduce hospital readmissions? Veterans Affairs Cooperative Study Group on Primary Care and Hospital Readmission. N Engl J Med. 1996;334:1441-1447.
38. Wijeysundera HC, Machado M, Wang X, Van Der Velde G, Sikich N, Witteman W, Tu JV, Lee DS, Goodman SG, Petrella R, O'Flaherty M, Capewell S, Krahn M. Cost-effectiveness of specialized multidisciplinary heart failure clinics in Ontario, Canada. Value Health. 2010;13:915-921.