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  • Review: specialised multidisciplinary follow up reduces hospital admissions but not mortality in patients with heart failure

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Review: specialised multidisciplinary follow up reduces hospital admissions but not mortality in patients with heart failure

https://doi.org/10.1136/ebn.5.1.18

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    McAlister FA, Lawson FM, Teo KK, et al.A systematic review of randomized trials of disease management programs in heart failure.Am J Med2001 Apr 1;110:378–84OpenUrlCrossRefPubMedWeb of Science

    QUESTION: Do disease management programmes reduce hospital admissions and all cause mortality in patients with heart failure (HF)?

    Data sources

    Randomised trials were identified by searching Medline (1966–99), EMBASE/Excerpta Medica (1980–98), CINAHL (1982–99), SIGLE (1980–98), the Cochrane Controlled Trials Registry, and the Cochrane Effective Practice and Organization of Care Study Registry; reviewing bibliographies of retrieved studies; and contacting experts.

    Study selection

    Studies in any language were selected if they reported the effect of outpatient HF management programmes on mortality or hospital admissions. Studies were excluded if outcomes for patients with HF were not reported separately from patients with other diseases or the data were not available from the authors.

    Data extraction

    Data were extracted on study sample size, patient characteristics, key components …

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    Footnotes

    • Source of funding: no external funding.

    • For correspondence: Dr F A McAlister, Division of General Internal Medicine, 2E3.24 WMC, University of Alberta Hospital, 8440 112 Street, Edmonton, Alberta T6G 2R7, Canada. Fax +1 780 407 2680.