Primary results of the Patient-Centered Disease Management (PCDM) for heart failure study a randomized clinical trial

JAMA Internal Medicine

Volumn 175, Issue 5, 2015, Pages 725-732

  Bekelman, David B ^a,b,c   Plomondon, Mary E ^a,c   Carey, Evan P ^a,c   Sullivan, Mark D ^d   Nelson, Karin M ^c,e   Hattler, Brack ^a,b   McBryde, Connor F ^a,b   Lehmann, Kenneth G ^e,f   Gianola, Katherine ^g   Heidenreich, Paul A ^h   Rumsfeld, John S ^a,b,c  

^a Veterans Affairs Eastern Colorado Healthcare System   (United States)

^b UNIVERSITY OF COLORADO SCHOOL OF MEDICINE   (United States)

^c Denver Seattle Center for Veterancentered and Value Driven Care   (United States)

^d UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^e VA PUGET SOUND HEALTH CARE SYSTEM   (United States)

^f UNIVERSITY OF WASHINGTON   (United States)

^g VETERANS AFFAIRS MEDICAL CENTER   (United States)

^h VA PALO ALTO HEALTH CARE SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; CARDIOLOGIST; CARDIOVASCULAR MORTALITY; COLLABORATIVE CARE PATIENT CENTERED DISEASE MANAGEMENT; COMORBIDITY; CONTROLLED STUDY; DEPRESSION; FEMALE; FUNCTIONAL STATUS; GENERAL PRACTITIONER; HEALTH STATUS; HEART FAILURE; HOME MONITORING; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MULTICENTER STUDY; NURSE; NURSE COORDINATOR; OUTCOME ASSESSMENT; PATIENT CARE; PATIENT HEALTH QUESTIONNAIRE 9; PRIORITY JOURNAL; PSYCHIATRIST; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; SCREENING TEST; SELF CARE; SYMPTOM; TELEMONITORING; CLINICAL TRIAL; COST OF ILLNESS; INTERDISCIPLINARY COMMUNICATION; MIDDLE AGED; MORTALITY; ORGANIZATION AND MANAGEMENT; PATHOPHYSIOLOGY; PROCEDURES; PSYCHOLOGY; STATISTICS AND NUMERICAL DATA; TELEMEDICINE; TREATMENT OUTCOME;

COMORBIDITY; COST OF ILLNESS; DEPRESSION; FEMALE; HEALTH STATUS; HEART FAILURE; HOSPITALIZATION; HUMANS; INTERDISCIPLINARY COMMUNICATION; MALE; MIDDLE AGED; PATIENT CARE TEAM; PATIENT-CENTERED CARE; QUALITY OF LIFE; SELF CARE; TELEMEDICINE; TREATMENT OUTCOME;

EID: 84929071652     PISSN: 21686106     EISSN: 21686114     Source Type: Journal    
DOI: 10.1001/jamainternmed.2015.0315     Document Type: Article

References (43)

1. Ashton CM, Bozkurt B, Colucci WB, et al. Veterans Affairs Quality Enhancement Research Initiative in chronic heart failure. Med Care. 2000; 38(6)(suppl 1):I26-I37.
2. Krumholz HM, Parent EM, Tu N, et al. Readmission after hospitalization for congestive heart failure among Medicare beneficiaries. Arch Intern Med. 1997;157(1):99-104.
3. Vaccarino V, Kasl SV, Abramson J, Krumholz HM. Depressive symptoms and risk of functional decline and death in patients with heart failure. J Am Coll Cardiol. 2001;38(1):199-205.
4. Rumsfeld JS, Havranek E, Masoudi FA, et al; Cardiovascular Outcomes Research Consortium. Depressive symptoms are the strongest predictors of short-term declines in health status in patients with heart failure. J Am Coll Cardiol. 2003;42(10): 1811-1817.
5. Krumholz HM, Currie PM, Riegel B, et al; American Heart Association Disease Management Taxonomy Writing Group. A taxonomy for disease management: a scientific statement from the American Heart Association Disease Management Taxonomy Writing Group. Circulation. 2006;114(13): 1432-1445.
6. Faxon DP, Schwamm LH, Pasternak RC, et al; American Heart Association's Expert Panel on Disease Management. Improving quality of care through disease management: principles and recommendations from the American Heart Association's Expert Panel on Disease Management. Circulation. 2004;109(21):2651-2654.
7. Laramee AS, Levinsky SK, Sargent J, Ross R, Callas P. Case management in a heterogeneous congestive heart failure population: a randomized controlled trial. Arch Intern Med. 2003;163(7): 809-817.
8. Galbreath AD, Krasuski RA, Smith B, et al. Long-term healthcare and cost outcomes of disease management in a large, randomized, community-based population with heart failure. Circulation. 2004;110(23):3518-3526.
9. DeBusk RF, Miller NH, Parker KM, et al. Care management for low-risk patients with heart failure: a randomized, controlled trial. Ann Intern Med. 2004;141(8):606-613.
10. Smith B, Forkner E, Zaslow B, et al. Disease management produces limited quality-of-life improvements in patients with congestive heart failure: evidence from a randomized trial in community-dwelling patients. Am J Manag Care. 2005;11(11):701-713.
11. Yu DS, Thompson DR, Lee DT. Disease management programmes for older people with heart failure: crucial characteristics which improve post-discharge outcomes. Eur Heart J. 2006;27(5): 596-612.
12. Rumsfeld JS, Masoudi FA. Heart failure disease management works, but will it succeed? Eur Heart J. 2004;25(18):1565-1567.
13. Katon W, Russo J, Lin EH, et al. Cost-effectiveness of a multicondition collaborative care intervention: a randomized controlled trial. Arch Gen Psychiatry. 2012;69(5):506-514.
14. Gilbody S, Bower P, Fletcher J, Richards D, Sutton AJ. Collaborative care for depression: a cumulative meta-analysis and review of longer-term outcomes. Arch Intern Med. 2006;166 (21):2314-2321.
15. Chaudhry SI, Mattera JA, Curtis JP, et al. Telemonitoring in patients with heart failure. N Engl J Med. 2010;363(24):2301-2309.
16. Morgan AL, Masoudi FA, Havranek EP, et al; Cardiovascular Outcomes Research Consortium (CORC). Difficulty taking medications, depression, and health status in heart failure patients. J Card Fail. 2006;12(1):54-60.
17. Wu JR, Lennie TA, Dekker RL, Biddle MJ, Moser DK. Medication adherence, depressive symptoms, and cardiac event-free survival in patients with heart failure. J Card Fail. 2013;19(5):317-324.
18. Bekelman DB, Plomondon ME, Sullivan MD, et al. Patient-centered disease management (PCDM) for heart failure: study protocol for a randomised controlled trial. BMC Cardiovasc Disord. 2013;13:49.
19. Go AS, Yang J, Ackerson LM, et al. Hemoglobin level, chronic kidney disease, and the risks of death and hospitalization in adults with chronic heart failure: the Anemia in Chronic Heart Failure: Outcomes and Resource Utilization (ANCHOR) Study. Circulation. 2006;113(23):2713-2723.
20. Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking: Ambulatory Care Quality Improvement Project (ACQUIP): Alcohol Use Disorders Identification Test. Arch Intern Med. 1998;158(16):1789-1795.
21. Hunt SA, Abraham WT, Chin MH, et al. 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 [published correction appears in Circulation. 2010;121(12):e258]. Circulation. 2009; 119(14):e391-e479. doi:10.1161/circulationha.109.192065.
22. Fihn SD, Bucher JB, McDonell M, et al. Collaborative care intervention for stable ischemic heart disease. Arch Intern Med. 2011;171(16): 1471-1479.
23. Unützer J, Katon W, Callahan CM, et al; IMPACT Investigators. Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. JAMA. 2002;288 (22):2836-2845.
24. Heidenreich PA, Spertus JA, Jones PG, et al; Cardiovascular Outcomes Research Consortium. Health status identifies heart failure outpatients at risk for hospitalization or death. J Am Coll Cardiol. 2006;47(4):752-756.
25. Green CP, Porter CB, Bresnahan DR, Spertus JA. Development and evaluation of the Kansas City Cardiomyopathy Questionnaire: a new health status measure for heart failure. J Am Coll Cardiol. 2000;35(5):1245-1255.
26. Spertus J, Peterson E, Conard MW, et al; Cardiovascular Outcomes Research Consortium. Monitoring clinical changes in patients with heart failure: a comparison of methods. Am Heart J. 2005;150(4):707-715.
27. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-613.
28. Sohn MW, Arnold N, Maynard C, Hynes DM. Accuracy and completeness of mortality data in the Department of Veterans Affairs. Popul Health Metr. 2006;4:2.
29. Laird NM, Ware JH. Random-effects models for longitudinal data. Biometrics. 1982;38(4):963-974.
30. Rich MW, Beckham V, Wittenberg C, Leven CL, Freedland KE, Carney RM. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med. 1995;333(18):1190-1195.
31. Naylor M, Brooten D, Jones R, Lavizzo-Mourey R, Mezey M, Pauly M. Comprehensive discharge planning for the hospitalized elderly: a randomized clinical trial. Ann Intern Med. 1994;120(12): 999-1006.
32. Weinberger M, Oddone EZ, Henderson WG; Veterans Affairs Cooperative Study Group on Primary Care and Hospital Readmission. Does increased access to primary care reduce hospital readmissions? N Engl J Med. 1996;334(22): 1441-1447.
33. Stewart S, Pearson S, Horowitz JD. Effects of a home-based intervention among patients with congestive heart failure discharged from acute hospital care. Arch Intern Med. 1998;158(10): 1067-1072.
34. Jaarsma T, Halfens R, Huijer Abu-Saad H, et al. Effects of education and support on self-care and resource utilization in patients with heart failure. Eur Heart J. 1999;20(9):673-682.
35. Stewart S, Marley JE, Horowitz JD. Effects of a multidisciplinary, home-based intervention on unplanned readmissions and survival among patients with chronic congestive heart failure: a randomised controlled study. Lancet. 1999;354 (9184):1077-1083.
36. Jerant AF, Azari R, Nesbitt TS. Reducing the cost of frequent hospital admissions for congestive heart failure: a randomized trial of a home telecare intervention. Med Care. 2001;39(11):1234-1245.
37. Doughty RN, Wright SP, Pearl A, et al. Randomized, controlled trial of integrated heart failure management: the Auckland Heart Failure Management Study. Eur Heart J. 2002;23(2): 139-146.
38. Kasper EK, Gerstenblith G, Hefter G, et al. A randomized trial of the efficacy of multidisciplinary care in heart failure outpatients at high risk of hospital readmission. J Am Coll Cardiol. 2002;39(3):471-480.
39. Capomolla S, Febo O, Ceresa M, et al. Cost/utility ratio in chronic heart failure: comparison between heart failure management program delivered by day-hospital and usual care. J Am Coll Cardiol. 2002;40(7):1259-1266.
40. Atienza F, Anguita M, Martinez-Alzamora N, et al; PRICE Study Group. Multicenter randomized trial of a comprehensive hospital discharge and outpatient heart failure management program. Eur J Heart Fail. 2004;6(5):643-652.
41. Mejhert M, Kahan T, Persson H, Edner M. Limited long term effects of a management programme for heart failure. Heart. 2004;90(9): 1010-1015.
42. Gwadry-Sridhar FH, Flintoft V, Lee DS, Lee H, Guyatt GH. A systematic review and meta-analysis of studies comparing readmission rates and mortality rates in patients with heart failure. Arch Intern Med. 2004;164(21):2315-2320.
43. Göhler A, Januzzi JL, Worrell SS, et al. A systematic meta-analysis of the efficacy and heterogeneity of disease management programs in congestive heart failure. J Card Fail. 2006;12(7): 554-567.