Result card

  • EFF2: What is the effects of Structured telephone support (STS) on disease-specific mortality in adults with chronic heart failure, compared to standard care without Structured telephone support (STS) ?
English

What is the effects of Structured telephone support (STS) on disease-specific mortality in adults with chronic heart failure, compared to standard care without Structured telephone support (STS) ?

Authors: Mirjana Huic, Pernilla Östlund, Romana Tandara Hacek, Jelena Barbaric, Marius Ciutan, Cristina Mototolea, Silvia Gabriela Scintee

Internal reviewers: J. Puñal, J. Gonzalez-Enriquez, H. Stürzlinger, A. Lo Scalzo, S. Maltoni

Acknowledgments: We would like to thank Ms Ana Utrobičić, MLIS, the Head of the Central Medical Library at the University of Split School of Medicine, Split, Croatia for development of systematic literature search strategy and performed search on standard medical and HTA databases.

The same methodology was used as described in section for the whole domain.

Only three RCTs {Angremann 2012, Cleland 2005, DeBusk 2004} with different follow-up period (6, 8 and 12 months) were found to answer question ”What is the effects of Structured telephone support (STS) on disease-specific mortality in adults with chronic heart failure, compared to standard care without Structured telephone support (STS) ?”. They did not find any statistically significant different rates between two groups.

 

Angremann et al, 2012 { }, at 6 months, reported a lower disease specific mortality in the Intervention group  (22 [6%] versus 35 cases [10%]) in usual care group (UC), but this difference was not statistically significant; HR 0.66 (0.38 –1.12; P=0.12).  

 

 

 

Cleland et al, 2005 { } reported circulatory failure in UC=14 (16.5%) patients versus NTS=21 (12.3%) patients, as well as sudden death in UC=4 (4.7%) patients, in comparisons to NTS=5 (3%) patients, with a follow-up period of 8 months.

DeBusk et al, 2004 { } in randomized, controlled trial of usual care with nurse management versus usual care alone with aim to determine whether a telephone-mediated nurse care management program for heart failure reduced the rate of rehospitalization for heart failure and for all causes over a 12 months follow-up period, reported a disease specific mortality in UC: 29 (79%) versus STS: 21 (62%) patients. Of these deaths, 13 in the treatment group and 23 of 29 (79%) in the usual care group were due to cardiac causes.

Details could be found in Appendix 4.

Important
Partially
Huic M et al. Result Card EFF2 In: Huic M et al. Clinical Effectiveness In: Jefferson T, Cerbo M, Vicari N [eds.]. Structured telephone support (STS) for adult patients with chronic heart failure [Core HTA], Agenas - Agenzia nazionale per i servizi sanitari regionali ; 2015. [cited 16 June 2021]. Available from: http://corehta.info/ViewCover.aspx?id=305

References