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Therapeutic interventions for heart failure in Colombia: result of a Delphi panel
Clímaco de Jesús Pérez Molina1,2,3, Carlos Castañeda Orjuela4, Pedro Valbuena Hernandez5
1Department of Cardiology, Clinic of The Universidad de la Sabana, Bogotá, Colombia.
Insights
Colombian cardiology experts reached a consensus on nine key therapies for heart failure (HF) treatment. These validated interventions aim to improve patient outcomes and optimize HF care in Colombia.
Area of Science:
- Cardiology
- Clinical Medicine
Background:
- Heart failure (HF) management requires validated therapeutic strategies.
- Establishing expert consensus is crucial for guideline development.
Purpose of the Study:
- To validate primary heart failure therapies through expert consensus in Colombia.
- To identify key interventions for optimizing HF treatment.
Main Methods:
- Delphi technique utilized with Colombian cardiology experts.
- Electronic questionnaires assessed relevance of therapeutic interventions.
- Consensus defined by ≥70% expert agreement.
Main Results:
- Fourteen cardiologists participated in multiple consensus rounds.
- Consensus reached on eight therapeutic interventions after the second round.
- Nine key therapeutic interventions for heart failure were ultimately identified.
Conclusions:
- Clinical consensus achieved on nine relevant heart failure therapeutic interventions in Colombia.
- Findings support improved HF treatment strategies and clinical outcomes.
- Results reflect local expert opinion and may not be universally generalizable.
Objective:
The objective of this study was to validate the main therapies used in the treatment of heart failure through a clinical consensus conducted by cardiology experts in Colombia.
Methods:
The Delphi technique was employed, which involves a series of consultation rounds with experts to reach a consensus. Cardiologists with experience in HF treatment were selected, and they were sent electronic questionnaires to assess the relevance of various therapeutic interventions. Consensus was defined when at least 70% of the experts agreed on the relevance of an intervention.
Results:
Fourteen cardiology experts participated in the study. In the first round, nine therapeutic interventions were evaluated, but insufficient agreement was reached to form a consensus. A second round was conducted, where feedback was provided to the experts, and they were asked to rate the relevance of the interventions using a Likert scale. Consensus was achieved for eight of the evaluated therapeutic interventions. The focus of the third round was on the interventions that had not reached consensus in the previous rounds.
Conclusions:
This study provides clinical consensus on therapeutic interventions for HF in Colombia. Nine therapeutic interventions were identified as relevant by the experts. These findings can help improve HF treatment and optimize clinical outcomes in Colombia. It is important to note that this study was conducted with local experts, and the results may not be generalizable to other populations.
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