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April 30, 2010Journal of Evaluation in Clinical PracticeOpen Access

Current treatment of chronic heart failure in primary care; still room for improvement

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Population

357 patients diagnosed with chronic heart failure from 42 primary care practices in the Netherlands. Mean…

Design

Cross-sectional

Authors

MBMarije BoschUniversity of GroningenMWMichel WensingHeidelberg UniversityJBJ.C. BakxRadboud University Nijmegen

Discussion

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Implication

Indicates suboptimal HF guideline adherence in primary care; leaves open whether targeted interventions can close gaps in pharmacotherapy and counseling.

Structured PICO

P
Population
357 patients diagnosed with chronic heart failure (CHF) from 42 primary care practices in the Netherlands. Mean age 75.7 years, 53% male, 73% NYHA class I or II.
I
Intervention
Current pharmacological and non-pharmacological treatment in primary care
O
Outcome
Current pharmacological and non-pharmacological treatment of CHF in primary care

Implementation of evidence-based pharmacotherapy for heart failure in primary care has improved, particularly for beta-blockers, but there remains significant room for improvement in guideline adherence and lifestyle advice.

Cite This Study

Bosch et al. (2010) studied this question.

synapsesocial.com/papers/6a795271fbd9051d3b0db1f0https://doi.org/10.1111/j.1365-2753.2010.01455.x

Topics

HFrEF treatmentHeart failureHFpEF managementHeart failure hospitalization
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Also Consider

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  1. 1Treatment of heart failure in Dutch general practice2006 · 36 citations
  2. 2Diagnosis and Management of Heart Failure: A Questionnaire Among General Practitioners and Cardiologists2003 · 21 citations
  3. 3Guidelines for the diagnosis and treatment of chronic heart failure: executive summary (update 2005)2005 · 2,271 citations
  4. 4Tolerability of Beta-Blockers in Elderly Patients with Chronic Heart Failure: The COLA II Study2005 · 75 citations
  5. 5Improving Primary Care for Patients With Chronic Illness2002 · 3,008 citations