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July 23, 2020ESC Heart FailureOpen Access

The Impact of Pharmacist/Physician Care on Quality of Life in Elderly Heart Failure Patients: Results of the PHARM-CHF Randomized Controlled Trial

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Key result

Pharmacy care significantly improved quality of life at 730 days compared to usual care in heart failure patients (mean difference -7.7 points; 95% CI -14.5 to -1.0; P=0.026).

Why the study?

Patients with heart failure have impaired quality of life, and it is unknown how an interdisciplinary intervention involving frequent structured community pharmacy visits affects quality of life.

Does a pharmacy-based interdisciplinary intervention improve quality of life in elderly patients with heart failure?

Population

237 elderly patients with heart failure

Comparison

Pharmacy care vs usual care

Design

Randomized controlled trial

Follow-up

Median 2.0 years

Authors

MSMartin SchulzGoethe University FrankfurtNGNina Griese‐MammenFederal Union of German Associations of PharmacistsPSPia M. SchumacherFederal Union of German Associations of Pharmacists

Discussion

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Implication

Supports integrating pharmacy visits into HF management; extends RCT evidence that adherence interventions can improve QoL.

Study Design

Type

RCT (n=237)

Structured PICO

Does a pharmacy-based interdisciplinary intervention improve quality of life in elderly patients with heart failure?

P
Population
237 patients with heart failure randomized to pharmacy care or usual care, followed for a median of 2.0 years.
I
Intervention
Pharmacy care including a medication review followed by (bi-)weekly dose dispensing and counselling
C
Comparator
Usual care
O
Outcome
Quality of life measured by the Minnesota Living with Heart Failure Questionnaire at 365 and 730 dayspatient reported

Main Result

Mean Difference: -7.7 (95% CI -14.5–-1)

p-value: p=0.026

A pharmacy-based interdisciplinary intervention involving regular contacts and dosing aids significantly improves long-term quality of life in elderly heart failure patients.

Cite This Study

Schulz et al. (2020) conducted an RCT in Heart failure (n=237). Pharmacy care (medication review, dose dispensing, and counselling) vs. Usual care was evaluated on Quality of life at 730 days (Minnesota Living with Heart Failure Questionnaire total score) (MD -7.7, 95% CI -14.5 to -1.0, p=0.026). Pharmacy care significantly improved quality of life at 730 days compared to usual care in heart failure patients (mean difference -7.7 points; 95% CI -14.5 to -1.0; P=0.026).

synapsesocial.com/papers/6a7a3474b9dd6cc1fe0db55ahttps://doi.org/10.1002/ehf2.12904
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Angiotensin–Neprilysin Inhibition in Heart Failure with Preserved Ejection Fraction2019 · 2,432 citations
  2. 2Pharmacy-Based Interdisciplinary Intervention for Patients with Chronic Heart Failure: Results of the PHARM-CHF Randomized Controlled Trial2019 · 111 citations
  3. 3Pharmaceutical care of patients with heart failure2005 · 113 citations
  4. 4Cardiovascular Health: The Importance of Measuring Patient-Reported Health Status2013 · 549 citations