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Effectiveness of self-management programmes for heart failure with reduced ejection fraction: a systematic review
Pupalan Iyngkaran1,2, Monika Buhler3, Maximilian de Courten4
1NT Medical School, The University of Notre Dame Australia Melbourne Clinical School, Werribee, Victoria, Australia.
BMJ Open
|June 5, 2024
Summary
This systematic review examines chronic disease self-management (CDSM) programs for congestive heart failure (CHF) patients. It synthesizes evidence to determine CDSM effectiveness and impact on major adverse cardiovascular events (MACE).
Area of Science:
- Cardiology and Cardiovascular Diseases
- Health Services Research
- Evidence-Based Medicine
Background:
- Chronic disease self-management (CDSM) is crucial for congestive heart failure (CHF) care.
- Recent guidelines question the evidence for CDSM programs in CHF.
- A comprehensive review is needed to assess CDSM effectiveness in CHF.
Purpose of the Study:
- To systematically review and synthesize evidence on CDSM programs for CHF patients.
- To determine the effectiveness of CDSM interventions on major adverse cardiovascular events (MACE).
Main Methods:
- Systematic review of randomized controlled trials from 1966 to 2024 across multiple databases.
- Inclusion of studies on CDSM and CHF with reported MACE; data extraction and quality appraisal by two independent reviewers.
- Quantitative synthesis and meta-analysis (if feasible) to assess the primary outcome of MACE changes.
Main Results:
- The review protocol is established, adhering to PRISMA guidelines.
- Data extraction and analysis will focus on MACE as the primary outcome.
- Subgroup analyses will explore variations across different CDSM program types.
Conclusions:
- This systematic review will provide synthesized evidence on CDSM effectiveness in CHF.
- Findings will inform clinical practice and guideline development regarding CDSM for CHF.
- Dissemination through peer-reviewed journals and conferences is planned.
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