Navigation Links
DMP module on heart failure: Current guidelines indicate some need for revision
Date:8/1/2012

The German Institute for Quality and Efficiency in Health Care (IQWiG) published the results of a literature search for evidence-based clinical practice guidelines on the treatment of people with heart failure. The aim of the report is to identify those recommendations from current guidelines of high methodological quality that may be relevant for the planned revision of the module "heart failure" in the disease management programme (DMP) for coronary heart disease (CHD). According to the results of the report, there is no compelling need for revision of any part of the DMP module. However, IQWiG identified several aspects that could be supplemented and specified.

Evidence was documented in detail

One of the responsibilities of IQWiG specified by law (Social Code Book V, SGB V) is to develop and issue recommendations for DMPs. It is first of all the Institut's aim to identify differences between guideline recommendations and the DMP. The Federal Joint Committee (G-BA) then examines these differences and decides on whether they should actually lead to a revision of the DMP.

In the commission now completed, which was awarded by the G-BA, IQWiG systematically searched for new guidelines, assessed their methodological quality, and extracted relevant recommendations on the diagnosis and treatment of heart failure. In addition, the Institute documented how highly the guideline authors graded the robustness of the recommendations. However, the sources of the recommendations were not examined again; this is where IQWiG's guideline appraisals and benefit assessments differ.

No contradictions between the DMP and current recommendations

A total of 27 German and international guidelines containing recommendations on the treatment of people with heart failure were included. As the analysis showed, the recommendations are, by and large, consistent with the specifications of the DMP. No contradictions in content concerning the DMP requirements were found. The Director of IQWiG, Professor Dr med. Jrgen Windeler, stresses that "patients with heart failure can thus be sure that the current DMP is consistent with the current status of medical knowledge on all main points."

Diabetes and sleep apnoea not considered so far

However, in these guidelines, additional recommendations were found on several subject areas which, after examination and discussion, could be supplemented or described in more detail in the DMP module.

The aspects so far missing in the DMP module but mentioned in several guidelines with a high grade of recommendation include the use of pacemakers and cardiac resynchronisation therapy (CRT) in patients with atrial fibrillation, as well as electrical cardioversion, flu vaccination, sexual counselling, and care of older patients. In addition, guidelines recommend the treatment of accompanying diseases such as diabetes mellitus and sleep apnoea in patients with heart failure. Topics already considered in the DMP module, but described in more detail in current guidelines include the treatment of patients with hypertension, for whom the guidelines contain additional recommendations.

Procedure of report production

IQWiG published the preliminary results in the form of the preliminary report in March 2011 and interested parties were invited to submit comments. When the commenting procedure ended, the preliminary report was revised and sent as a final report to the contracting agency, the Federal Joint Committee, in December 2011. The written comments are published in a separate document at the same time as the final report. The report was produced in collaboration with external experts.


'/>"/>

Contact: Anna-Sabine Ernst
presse@iqwig.de
49-221-356-850
Institute for Quality and Efficiency in Health Care
Source:Eurekalert

Related medicine news :

1. MTSS-mba Membership Benefits Administration Software for Private and Taft-Hartley Employee Benefit Funds Releases New Pension Modules
2. AGA releases first independently developed ABIM-approved Practice Improvement Module in GI
3. Even Mild Depression, Anxiety Hurts the Heart: Study
4. Heart Defect at Birth Signals Need to Check for Other Disorders: AHA
5. More Evidence That Shift Work Might Raise Heart Risks
6. Lab-Grown Blood Vessels May Improve Heart Bypass
7. Untreated Heartburn May Raise Risk for Esophageal Cancer, Study Says
8. Obese Kids May Be at Higher Risk for Heart Disease
9. Stem Cells Show Promise as Heart Failure Treatment
10. Joint Replacement Boosts Heart Attack Risk Right After Surgery: Study
11. Many Medicaid Patients Skip Drugs That Could Prevent Heart Trouble
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... 2016 , ... The temporary closing of Bruton Memorial Library on June 21 due to a ... new, often overlooked aspect of head lice: the parasite’s ability to live away from a ... occurrence, but a necessary one in the event that lice have simply gotten out of ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van ... Wellness at Work award to iHire in recognition of their exemplary accomplishments in worksite ... 7th annual Maryland Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum ...
(Date:6/24/2016)... ... ... was in a crisis. Her son James, eight, was out of control. Prone to extreme ... “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If there was ... other children and say he was going to kill them. If we were driving ...
(Date:6/24/2016)... Rhinebeck, NY (PRWEB) , ... June 24, 2016 , ... Topical BioMedics, Inc, makers of ... of companies that call for a minimum wage raise to $12 an hour by 2020 ... wage. This will restore the lost value of the minimum wage, assure the wage floor ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... actively feeding the Frederick area economy by obtaining investment capital for emerging technology ... past 2½ years that have already resulted in more than a million dollars ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016   Pulmatrix, Inc ., ... developing innovative inhaled drugs, announced today that it was ... Investments reconstituted its comprehensive set of U.S. and ... "This is an important milestone for Pulmatrix," said Chief ... shareholder awareness of our progress in developing drugs for ...
(Date:6/23/2016)... 23, 2016 Research and Markets has ... - Forecast to 2022" report to their offering. ... for the patients with kidney failure, it replaces the function ... the patient,s blood and thus the treatment helps to keep ... in balance. Increasing number of ESRD patients ...
(Date:6/23/2016)... June 23, 2016 Roche (SIX: RO, ROG; ... for its Elecsys BRAHMS PCT (procalcitonin) assay as a ... septic shock. With this clearance, Roche is the first ... integrated solution for sepsis risk assessment and management. ... infection and PCT levels in blood can aid clinicians ...
Breaking Medicine Technology: