Trends in quality of care among patients with incident heart failure in Denmark 2003–2010: a nationwide cohort study
Why the study?
Does a nationwide initiative to monitor and improve quality of care improve guideline adherence and reduce 1-year mortality in patients with incident heart failure?
Population
24,504 patients with incident heart failure registered in the Danish Heart Failure Registry between 2003 and…
Comparison
Nationwide multidisciplinary initiative to… vs Historical control (2003 vs 2010)
Design
Cohort
Follow-up
1 year
Authors
Discussion
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Member takes
Implication
Supports quality initiatives for incident HF; leaves open causal confirmation in randomized trials.
Structured PICO
Does a nationwide initiative to monitor and improve quality of care improve guideline adherence and reduce 1-year mortality in patients with incident heart failure?
P
Population
24,504 patients with incident heart failure registered in the Danish Heart Failure Registry between 2003 and 2010
I
Intervention
Nationwide multidisciplinary initiative to monitor and improve quality of care using indicator monitoring combined with systematic auditing (temporal trends from 2003 to 2010)
C
Comparator
Historical control (2003 vs 2010)
O
Outcome
Use of guideline recommended processes of care and 1-year mortalityhard clinical
A nationwide quality improvement initiative in Denmark was associated with increased adherence to guideline-recommended care and a significant reduction in 1-year mortality for incident heart failure patients.
Cite This Study
Nakano et al. (2013) studied this question.