Key result
Outpatient care management strategies for rural HF lack randomized trial evidence.
Why the study?
Heart failure outcomes and mortality are worse in rural communities, motivating a synthesis of evidence for outpatient management of chronic HF in rural-dwelling adults.
What are the effective outpatient care management strategies for rural-dwelling adults with chronic heart failure?
Systematic Review (n=14)
What are the effective outpatient care management strategies for rural-dwelling adults with chronic heart failure?
There is a significant lack of randomized trial evidence to guide outpatient management strategies for rural-dwelling adults with heart failure, despite their known worse outcomes.
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Insufficient RCT evidence limits rural HF outpatient strategies; leaves open urgent need for dedicated trials.
Heart failure (HF) is a chronic disease with increasing prevalence, with rural communities having HF worse outcomes and higher mortality. The aim of this systematic review is to consolidate and evaluate existing evidence for the outpatient management of chronic HF in rural-dwelling adults. A librarian assisted in the design and implementation of the search strategy. Overall, 14 studies met criteria and were included in this review, with 5 overarching strategies identified. Despite the overall differences in outcomes for those with HF living in rural communities, there remains a lack of randomized trial evidence to inform outpatient care management strategies.
Clarkson et al. (2026) conducted a systematic review in Heart failure (n=14). Outpatient care management strategies was evaluated. Outpatient care management strategies for chronic heart failure in rural adults were evaluated across 14 studies, identifying 5 overarching strategies but a lack of randomized trial evidence.
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