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Comparative-Effectiveness Research in Heart Failure, An Issue of Heart Failure Clinics, E-Book

Comparative-Effectiveness Research in Heart Failure, An Issue of Heart Failure Clinics, E-Book

Mark Hlatky

(2013)

Additional Information

Book Details

Abstract

This issue of Heart Failure Clinics covers comparative-effectiveness research in heart failure. Expert authors review the most current information available about the comparative effectiveness of different treatments for heart failure, including drug treatments, cardioverter defibrillators and cardiac resynchronization therapy, as well as patient adherence. Keep up-to-the-minute with the latest developments in comparative-effectiveness research.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Heart Failure Clinics: Comparative-Effectiveness Research in Heart Failure i
Copyright Page ii
Table of Contents v
Contributors iii
HEART FAILURE CLINICS vii
Preface: Comparative Effectiveness\rResearch in Heart Failure ix
Chapter 1. Data Sources for Heart Failure Comparative Effectiveness Research 1
GENERAL DATA NEEDS FOR CER 1
CLINICAL REGISTRIES 2
RCT DATABASES 6
ADMINISTRATIVE DATA 6
ELECTRONIC HEALTH RECORDS 9
DATABASE LINKAGE 9
SUMMARY 10
REFERENCES 10
Chapter 2. End Points for Comparative Effectiveness Research in Heart Failure 15
INTRODUCTION 15
DEFINITIONS AND OVERALL CONSIDERATIONS 16
VITAL STATUS 16
HEALTH STATUS 18
COST 22
HOSPITALIZATION 23
SAFETY 23
SURROGATES 24
COMBINING END POINTS 25
CONSIDERATIONS FOR FUTURE END-POINT DESIGN 25
SUMMARY 26
ACKNOWLEDGMENTS 26
REFERENCES 26
Chapter 3. Epidemiologic and Statistical Methods for Comparative Effectiveness Research 29
RANDOMIZED TRIALS 29
DATA QUALIT 30
NEW-USER DESIGNS 31
OVERVIEW OF STATISTICAL METHODS TO CONTROL CONFOUNDING 31
PROPENSITY SCORES 31
MARGINAL STRUCTURAL MODELS 34
INSTRUMENTAL VARIABLES 34
SUMMARY 35
REFERENCES 35
Chapter 4. Comparative Effectiveness Research: Drug-Drug Comparisons in Heart Failure 37
INTRODUCTION 37
DEFINITION OF DRUG-DRUG CER 38
METHODOLOGIC ISSUES OF DRUG-DRUG CER 38
STRENGTHS AND LIMITATIONS OF DRUG-DRUG CER 42
DRUG-DRUG CER IN HF 43
SUMMARY 46
REFERENCES 46
Chapter 5. Heart Failure Patient Adherence: Epidemiology, Cause, and Treatment 49
ADHERENCE 49
FACTORS AFFECTING ADHERENCE 52
INTERVENTIONS TO IMPROVE ADHERENCE 53
SUMMARY 56
REFERENCES 56
Chapter 6. Effectiveness of Implantable Cardioverter Defibrillators and Cardiac Resynchronization Therapy in Heart Failure 59
INTRODUCTION 59
CLINICAL TRIALS EVALUATING ICD THERAPY FOR PRIMARY PREVENTION OF SCD IN ISCHEMIC HF 64
CLINICAL TRIALS EVALUATING ICD THERAPY FOR PRIMARY PREVENTION OF SCD IN HF EARLY AFTER MI OR CORONARY REVASCULARIZATION 64
CLINICAL TRIALS EVALUATING ICD THERAPY FOR PRIMARY PREVENTION OF SCD IN NONISCHEMIC HF 65
CLINICAL TRIALS EVALUATING ICD THERAPY FOR SECONDARY PREVENTION OF SCD IN HF 66
SECONDARY ANALYSES OF RANDOMIZED CONTROLLED TRIALS AND OBSERVATIONAL STUDIES EVALUATING ICD THERAPY FOR PRIMARY PREVENTION IN HF SUBGROUPS 66
SINGLE-LEAD VERSUS DUAL-LEAD ICDS 67
OBSERVATIONAL STUDIES EVALUATING ICD-RELATED COMPLICATIONS 70
CLINICAL TRIAL EVALUATING CARDIAC RESYNCHRONIZATION THERAPY IN MODERATE TO SEVERE HF 70
CLINICAL TRIALS EVALUATING CRT IN PATIENTS WITH MILDLY SYMPTOMATIC HF 71
SECONDARY ANALYSES OF RCTS AND OBSERVATIONAL STUDIES EVALUATING CRT IN SUBGROUPS 72
GUIDELINE RECOMMENDATIONS 73
SUMMARY 73
REFERENCES 73
Chapter 7. Comparative Effectiveness Research in Heart Failure Therapies: Women, Elderly Patients, and Patients with Kidney Disease 79
INTRODUCTION 79
METHODOLOGICAL CONSIDERATIONS FOR CER 80
WOMEN 80
ELDERLY PATIENTS 82
KIDNEY DISEASE 86
CONCLUDING REMARKS 89
REFERENCES 89
Chapter 8. The Economics of Heart Failure 93
BACKGROUND 93
HEALTH ECONOMICS 101 94
COST-EFFECTIVENESS ANALYSES 94
COST-EFFECTIVENESS IN HEART FAILURE 97
DISCUSSION 103
REFERENCES 103
Index 107