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Health structures explain nearly 20 percent of non-adherence to heart failure guidelines
Date:9/2/2014

Barcelona, Spain Tuesday 2 September 2014: Health structures explain nearly 20% of the non-adherence to heart failure guidelines, according to the results of a joint ESC-OECD study presented today at ESC Congress by Professor Aldo Maggioni. Clinical variables explained more than 80% of non-adherence.

Professor Maggioni said: "This is a unique evaluation which combines clinical data and health structure characteristics of different countries. It provides a fuller picture of the reasons some patients with heart failure do not receive treatment according to ESC guidelines."

Heart failure affects 2-3% of the population and accounts for around 14% of cardiovascular disease related hospital admissions in Organisation for Economic Co-operation and Development (OECD) countries. Medical treatment can improve survival of patients with chronic heart failure but guidelines are often incompletely followed.

The current study analysed the impact of clinical factors and health system characteristics on adherence to guidelines in OECD countries. Three data sets were combined: the ESC EORP Heart Failure Long-Term Registry(1), the OECD Health System Characteristics Survey (2012) and the OECD Health Statistics 2013 database.

Out of the 17 901 patients in the ESC Registry, 5 304 were included in this analysis. These were patients in OECD countries who had chronic heart failure with a reduced ejection fraction, for whom there are ESC guidelines on drug therapy(2) (3). Non-adherence to the guidelines was defined as: patients not treated with at least two recommended drugs, treatment at suboptimal dosage, no documented contraindication or intolerance to recommended drugs.

The researchers found non-adherence to drug treatment in nearly 25% of patients, with a large variation within and across countries. Within countries, adherence ranged from 0-100% while across countries it ranged from 11-73%.

Professor Maggioni said: "We found th
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Contact: ESC Press Office
press@escardio.org
34-670-521-210
European Society of Cardiology
Source:Eurekalert

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