What does this research mean for the field?

A primary care-based disease management program for congestive heart failure is associated with significant improvements in health-related quality of life, specifically in three SF-36 subscales and the Mental Health Composite Score at one year. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

June 1, 2003Disease Management

Use of the Short Form 36 in a Primary Care Based Disease Management Program for Patients with Congestive Heart Failure

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Congestive heart failure (n=268). Intervention: Primary care based disease management program vs. Baseline (no control group). Primary outcome: SF-36 scores on eight subscales and two composite scales.

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Key result

Primary care CHF management linked to improved mental health and 3 SF-36 subscales at one year.

n=268

Why the study?

Does a primary care based disease management program improve health-related quality of life in patients with congestive heart failure?

Population

268 continuously enrolled patients with congestive heart failure in an HMO-sponsored disease state…

Design

Cohort

Follow-up

1 year

Authors

JSJaan SidorovAdvisory Board Company (United States)RSRobert D. ShullNational Institute of Standards and Technology SGSabrina GirolamiOspedale San Filippo Neri

Discussion

Member takes

Implication

Supports possible QoL gains with primary care HF management; hypothesis-generating and requires randomized trials before changing practice.

Study Design

Type

Observational (n=268)

Multicenter

Yes

Structured PICO

Does a primary care based disease management program improve health-related quality of life in patients with congestive heart failure?

Population

268 patients with congestive heart failure enrolled in an HMO-sponsored disease management program who completed baseline and 1-year follow-up SF-36 surveys.

Exposure

Primary care based, nurse-directed education about CHF self-management (including instruction on etiology, medication compliance, home care, weight monitoring, warning signs, and coaching) and facilitation of CHF guidelines among primary care physicians.

Outcome

Health-related quality of life measured by the Short Form 36 (SF-36) scores on eight subscales and two composite scales at 1 year following program entry.patient reported

A primary care based disease management program for CHF patients is associated with significant improvements in health-related quality of life as measured by the SF-36 at 1 year.

Limitations

Lack of a control group with the possibility that the improvements observed were unrelated to the disease management intervention.
Compared with nonrespondents, respondents had a higher prevalence of cardiac imaging, ACE inhibitor use, and beta blocker medication use.
lack of a control group with the possibility that the improvements observed were unrelated to the disease management intervention

Cite This Study

Sidorov et al. (2003) conducted an observational in Congestive heart failure (n=268). Primary care based disease management program vs. Baseline (no control group) was evaluated on SF-36 scores on eight subscales and two composite scales. A primary care-based disease management program for congestive heart failure significantly improved 3 of 8 SF-36 subscales and the Mental Health Composite Score at 1 year.

synapsesocial.com/papers/6aa8e451de1625109943ec20 https://doi.org/10.1089/109350703321908496

Topics

Heart failure HFrEF treatment HFpEF management

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Implication

Supports possible QoL gains with primary care HF management; hypothesis-generating and requires randomized trials before changing practice.

Use of the Short Form 36 in a Primary Care Based Disease Management Program for Patients with Congestive Heart Failure

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Topics

Use of the Short Form 36 in a Primary Care Based Disease Management Program for Patients with Congestive Heart Failure

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Topics

Also Consider