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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Physicians' guideline adherence is associated with long-term heart failure mortality in outpatients with heart failure with reduced ejection fraction: the QUALIFY international registry
European Journal of Heart Failure, Volume 21, No. 7, Year 2019
Notification
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Description
Background: Physicians' adherence to guideline-recommended therapy is associated with short-term clinical outcomes in heart failure (HF) with reduced ejection fraction (HFrEF). However, its impact on longer-term outcomes is poorly documented. Here, we present results from the 18-month follow-up of the QUALIFY registry. Methods and results: Data at 18 months were available for 6118 ambulatory HFrEF patients from this international prospective observational survey. Adherence was measured as a continuous variable, ranging from 0 to 1, and was assessed for five classes of recommended HF medications and dosages. Most deaths were cardiovascular (CV) (228/394) and HF-related (191/394) and the same was true for unplanned hospitalizations (1175 CV and 861 HF-related hospitalizations, out of a total of 1541). According to univariable analysis, CV and HF deaths were significantly associated with physician adherence to guidelines. In multivariable analysis, HF death was associated with adherence level [subdistribution hazard ratio (SHR) 0.93, 95% confidence interval (CI) 0.87–0.99 per 0.1 unit adherence level increase; P = 0.034] as was composite of HF hospitalization or CV death (SHR 0.97, 95% CI 0.94–0.99 per 0.1 unit adherence level increase; P = 0.043), whereas unplanned all-cause, CV or HF hospitalizations were not (all-cause: SHR 0.99, 95% CI 0.9–1.02; CV: SHR 0.98, 95% CI 0.96–1.01; and HF: SHR 0.99, 95% CI 0.96–1.02 per 0.1 unit change in adherence score; P = 0.52, P = 0.2, and P = 0.4, respectively). Conclusion: These results suggest that physicians' adherence to guideline-recommended HF therapies is associated with improved outcomes in HFrEF. Practical strategies should be established to improve physicians' adherence to guidelines. © 2019 The Authors. European Journal of Heart Failure © 2019 European Society of Cardiology
Authors & Co-Authors
Komajda, Michel
Unknown Affiliation
Wagenpfeil, Stefan
Germany, Homburg
Universitätsklinikum Des Saarlandes Medizinische Fakultät Der Universität Des Saarlandes
Tavazzi, Luigi T.
Unknown Affiliation
Böhm, Michael
Germany, Homburg
Universitätsklinikum Des Saarlandes Medizinische Fakultät Der Universität Des Saarlandes
Ponikowski, Piotr P.
Poland, Wroclaw
Wroclaw Medical University
Anker, Stefan D.
Germany, Berlin
Deutsches Zentrum Für Herz-kreislauf-forschung E. V.
Germany, Gottingen
Universitätsmedizin Göttingen
Filippatos, Gerasimos S.
Greece, Athens
Attikon University Hospital
Cowie, Martin R.
United Kingdom, London
Imperial College London
Grigoryan, Mikayel
Unknown Affiliation
Hayrapetyan, Hamlet Grigori
Unknown Affiliation
Amerena, John V.
Unknown Affiliation
Beltrame, John F.
Unknown Affiliation
Cross, David B.
Unknown Affiliation
Playford, David A.
Unknown Affiliation
William, Mariam Nady
Unknown Affiliation
Wright, Susan P.
Unknown Affiliation
Aliyev, Farid I.
Unknown Affiliation
Jahangirov, Tofig Sh
Unknown Affiliation
Najafov, R. N.
Unknown Affiliation
Al-Banna, Rashed Abdulla
Unknown Affiliation
Husain, Aysha A.
Unknown Affiliation
Johar, Sofian
Unknown Affiliation
Ezekowitz, Justin A.
Unknown Affiliation
Howlett, Jonathan G.
Unknown Affiliation
Zhang, Yuhui
Unknown Affiliation
Zheng, Yinggan
Unknown Affiliation
Zhou, Jingmin
Unknown Affiliation
Bruun, Niels Eske
Unknown Affiliation
Köber, Lars Valeur
Unknown Affiliation
Refsgaard, Jens
Unknown Affiliation
El Badry, Mahmoud E.
Unknown Affiliation
El-Hady, Yaser Abd
Unknown Affiliation
Hegazy, Hesham
Unknown Affiliation
Salama, Mohamed Kamal
Unknown Affiliation
Morttada, Ayman
Unknown Affiliation
Mostafa, Tarek Ahmed
Unknown Affiliation
Mwafy, Ahmad Hosam
Unknown Affiliation
Samir, Sameh
Unknown Affiliation
Seleem, Mohammed
Unknown Affiliation
Chumburidze, Vakhtang
Unknown Affiliation
Petriashvili, Sh G.
Unknown Affiliation
Bunge, Karsten
Unknown Affiliation
Hauser, Elizabeth R.
Unknown Affiliation
Farmakis, Dimitrios T.
Unknown Affiliation
Giannakoulas, George A.
Unknown Affiliation
Forster, Tamás
Unknown Affiliation
Herczeg, Béla
Unknown Affiliation
Merkely, Béla D.Signla
Unknown Affiliation
Zima, Endre
Unknown Affiliation
Hafez, Hesham
Unknown Affiliation
Sallam, Mansour M.
Unknown Affiliation
Chammas, Elie J.
Unknown Affiliation
Ghanem, Georges Y.
Unknown Affiliation
Hamoui, Omar M.
Unknown Affiliation
Kabbani, Samer
Unknown Affiliation
Kassab, Roland Y.
Unknown Affiliation
Mansour, Hassan
Unknown Affiliation
Sarkis, Antoine
Unknown Affiliation
Zalloum, Richard
Unknown Affiliation
Kavoliūnienė, Aušra
Unknown Affiliation
Rahim, Aizai Azan Abdul
Unknown Affiliation
Liew, Houngbang
Unknown Affiliation
Mahendran, Kajan
Unknown Affiliation
Ong, Tiongkiam
Unknown Affiliation
Ross, Noel Thomas
Unknown Affiliation
Tan, Eng Hooi
Unknown Affiliation
Abdelkhirane, Chérif
Unknown Affiliation
Balafrej, K.
Unknown Affiliation
Bendagha, Nesma
Unknown Affiliation
Bendriss, Laila
Unknown Affiliation
Benjelloun, Halima
Unknown Affiliation
Chaib, Ali
Unknown Affiliation
Cherti, Mohammed
Unknown Affiliation
Habbal, Rachida
Unknown Affiliation
El Hattaoui, Mustapha
Unknown Affiliation
Khatouri, Ali
Unknown Affiliation
Kheyi, Jamal
Unknown Affiliation
Soufiani, Aida
Unknown Affiliation
Zaîmi, Soukaina
Unknown Affiliation
Lelonek, Małgorzata Lidia
Unknown Affiliation
Bravo Baptista, Sérgio Bravo Cordeiro
Unknown Affiliation
Aguiar, Carlos Tavares
Unknown Affiliation
Ahmed, Emad
Unknown Affiliation
Al Suwaidi, Jassim Mohd
Unknown Affiliation
Badr, Amr
Unknown Affiliation
Gomaa, Mohamed M.
Unknown Affiliation
Frigy, Attila
Unknown Affiliation
Klein, Gunnar
Unknown Affiliation
Slanina, Miroslav
Unknown Affiliation
Cobo, Manuel Angel
Unknown Affiliation
Kiatchoosakun, Songsak
Unknown Affiliation
Phrommintikul, A.
Unknown Affiliation
Bazargani, Nooshin Mohd
Unknown Affiliation
Al-Mulla, Arif Abudullatif
Unknown Affiliation
Radaideh, Ghazi Ahmad
Unknown Affiliation
Salustri, Alessandro
Unknown Affiliation
Statistics
Citations: 80
Authors: 96
Affiliations: 6
Identifiers
Doi:
10.1002/ejhf.1459
ISSN:
13889842
Research Areas
Environmental
Noncommunicable Diseases
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative