Key result
IMPACT-B protocol details an observational trial evaluating guideline-recommended HF management implementation in primary care.
Why the study?
There is an important implementation gap in current heart failure care in primary care settings in Belgium despite existing guidelines.
Does the implementation of guideline-recommended disease management interventions improve the diagnosis and treatment of heart failure in a primary care setting?
Observational
Does the implementation of guideline-recommended disease management interventions improve the diagnosis and treatment of heart failure in a primary care setting?
This protocol outlines a prospective observational study to evaluate the real-world implementation of guideline-directed heart failure management interventions in primary care.
May inform primary care HF management strategies; leaves open whether guideline interventions improve diagnosis and treatment.
BACKGROUND: Heart failure (HF) is an important health problem. Most chronic HF management occurs in primary care. Although guidelines exist, there is an important implementation gap in current HF care in Belgium. METHODS: We will conduct a non-randomised, non-controlled prospective observational trial to implement guideline-recommended disease management interventions in primary care in Leuven, a region of ±100.000 inhabitants. These interventions include education of general practitioners, reimbursement of the analysis of circulating natriuretic peptides and audits in the electronic health record (EHR), training and implementation of HF educators in primary care, and a protocol to structure transition to primary care after discharge. The main objective is to study and implement interventions in an iterative implementation process. CONCLUSIONS: We will evaluate the implementation of several guideline-recommended disease management interventions to optimise the diagnosis and treatment of heart failure in a real-world primary care setting. TRIAL REGISTRATION: NCT04334447 (clinicaltrials.gov).
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Raat et al. (2020) conducted an observational in Heart failure. Guideline-recommended disease management interventions was evaluated on Implementation of interventions in an iterative implementation process. The IMPACT-B study protocol outlines a prospective observational trial to evaluate the implementation of guideline-recommended disease management interventions for heart failure in primary care.
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