| Effect of a training program for primary care physicians on the optimization of beta-blocker treatment in elderly patients with heart failure. | |
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MedLine Citation:
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PMID: 20515625 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION AND OBJECTIVES: Underuse of betablockers may contribute to elevated mortality in chronic heart failure. The aim of this study was to determine whether a specific interventional training program for primary care physicians would help optimize the use of beta-blockers in elderly chronic heart failure patients. METHODS: This randomized comparative study included 627 patients aged 70 years or more who were discharged consecutively from 53 Spanish hospitals with a principal diagnosis of chronic heart failure. In total, 292 health-care centers in the catchment areas of these hospitals were randomly assigned to two groups: one group of 146 centers carried out an interventional training program on beta-blocker use for primary care physicians belonging to the centers assigned to training, and 146 centers served as a control group. The main outcome variable was the percentage of patients who were receiving a beta-blocker at the maximum or maximum tolerated dose 3 months after hospital discharge. RESULTS: The patients' mean age was 78+/-5 years and 42% were women. There was no difference between the groups in demographic characteristics, clinical care, or treatment at discharge. The percentage of patients who received beta-blockers at the maximum tolerated dose 3 months after discharge was greater in the training group (49% vs. 38%; P=.014). Being treated in the training group was an independent predictor of receiving a beta-blocker at the MTD (odds ratio=2.46; 95% confidence interval, 1.29-4.69; P< .001). CONCLUSIONS: Implementation of an interventional training program on beta-blocker treatment for primary care physicians improved the use of these medications in elderly chronic heart failure patients. |
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Authors:
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Manuel Anguita Sánchez; Manuel Jiménez-Navarro; Marisa Crespo; Luis Alonso-Pulpón; Eduardo de Teresa; Alfonso Castro-Beiras; Eulàlia Roig; Remei Artigas; Antonio Zapata; Ignacio López de Ulibarri; Javier Muñiz; |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Revista española de cardiología Volume: 63 ISSN: 1579-2242 ISO Abbreviation: Rev Esp Cardiol Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-02 Completed Date: 2010-12-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0404277 Medline TA: Rev Esp Cardiol Country: Spain |
Other Details:
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Languages: eng Pagination: 677-85 Citation Subset: IM |
Affiliation:
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Servicio de Cardiología, Hospital Reina Sofía, Córdoba, España. manuelp.anguita.sspa@juntadeandalucia.es |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adrenergic beta-Antagonists
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therapeutic use* Aged Chronic Disease Education, Medical* Female Heart Failure / drug therapy* Humans Male Primary Health Care* Single-Blind Method |
| Chemical | |
Reg. No./Substance:
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0/Adrenergic beta-Antagonists |
| Investigator | |
Investigator/Affiliation:
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Amparo Alvarez Auñón / ; Manuel Anguita Sánchez / ; Enrique de los Arcos / ; Vicente Arrarte Esteban / ; Juan Luis Bardají Mayor / ; José R Berrazueta Fernández / ; Vicente Bertomeu Martínez / ; David Bierge Valero / ; Ramón Bover Freire / ; Pedro Cabeza Láinez / ; Antonio Castro Fernández / ; David Cremer / ; Luis Antonio Fernández Lázaro / ; Luis de la Fuente Galván / ; Jorge Fuertes Alonso / ; José María García de Andoain / ; Bernardo García de la Villa / ; Juan Pedro García González / ; Antonio García Quintana / ; Diego Giménez Cervantes / ; José Javier Gómez Barrado / ; Ana B González Gómez Belda / ; Carlos Juanatey / ; Francisco González Llopis / ; Justo Guevara Zuazo / ; Julio Hernández Alfonso / ; Isidro Hernández Fernández / ; Enrique Iglesias Río / ; Teresa Lozano Palencia / ; Antonio Martín Santana / ; Luis Martínez Dolz / ; Matas González / ; Juan Mayordomo López / ; Eduardo Molina Laborda / ; Carmen Navarro Lostal / ; Julio Núñez Villota / ; José Antonio Ortiz de Murúa / ; Pedro Pabón Osuna / ; Domingo Pascual Figal / ; Luis Pastor Torres / ; Miguel Angel Pérez de Juan / ; Francesc Planas / ; Quintas Ovejero Laura / ; Alfonso del Río Ligorit / ; Miguel Angel Rodríguez García / ; Luis Rodríguez Padial / ; Eulalia Roig Minguell / ; Dolores Romero Caballero / ; César Romero Menor / ; Julia Roure Fernández / ; Luis Ruiz-Valdepeñas / ; Eugenio Sánchez Vega / ; Adriana Soto Priore / |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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