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  1. Article ; Online: Healthcare services use by patients with heart failure in Australia: Findings from the SHAPE study.

    Audehm, Ralph G / Neville, A Munro / Piazza, Peter / Haikerwal, Deepak / Sindone, Andrew P / Parsons, Richard W / Lim, Kevin / Liew, Danny

    Australian journal of general practice

    2022  Volume 51, Issue 9, Page(s) 713–720

    Abstract: Background and objectives: General practitioners (GPs) play a central role in healthcare, serving as the first point of contact, making appropriate referrals and coordinating care for chronic conditions such as heart failure (HF). We sought to determine ...

    Abstract Background and objectives: General practitioners (GPs) play a central role in healthcare, serving as the first point of contact, making appropriate referrals and coordinating care for chronic conditions such as heart failure (HF). We sought to determine healthcare use by people with HF in primary care.
    Method: In this Study of Heart failure in the Australian Primary carE setting (SHAPE), we analysed records of 1.93 million adult patients who attended a total of 43 practices between 1 July 2013 and 30 June 2018. We identified and examined the data of 20,219 patients with HF to describe the frequency of visits and use of Medicare Benefits Schedule items.
    Results: Patients with HF saw GPs 14.4 times per annum on average; 59.5% had a General Practice Management Plan (GPMP), 2.9% of GPMPs were reviewed annually or more frequently, and 46.8% of patients had been referred to a cardiologist. A total of 3761 had coexisting anxiety or depression, and of these 37.1% had a mental health plan.
    Discussion: Patients with HF visit their GP frequently, with many not reaching guideline therapy nor referred to cardiologists. Low use of care planning and reviews presents an opportunity for GPs to improve care.
    MeSH term(s) Adult ; Aged ; Australia ; Delivery of Health Care ; General Practitioners/psychology ; Heart Failure/epidemiology ; Heart Failure/therapy ; Humans ; National Health Programs
    Language English
    Publishing date 2022-08-31
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2924889-9
    ISSN 2208-7958 ; 2208-794X
    ISSN (online) 2208-7958
    ISSN 2208-794X
    DOI 10.31128/AJGP-10-21-6197
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Clinical characteristics of people with heart failure in Australian general practice: results from a retrospective cohort study.

    Sindone, Andrew P / Haikerwal, Deepak / Audehm, Ralph G / Neville, Alexander Munro / Lim, Kevin / Parsons, Richard Whaddon / Piazza, Peter / Liew, Danny

    ESC heart failure

    2021  Volume 8, Issue 6, Page(s) 4497–4505

    Abstract: Aims: Heart failure (HF) causes significant morbidity and mortality, but the rates and characteristics of people with HF in Australia are not well studied. SHAPE set out to describe the characteristics of HF patients seen in the real-world setting.: ... ...

    Abstract Aims: Heart failure (HF) causes significant morbidity and mortality, but the rates and characteristics of people with HF in Australia are not well studied. SHAPE set out to describe the characteristics of HF patients seen in the real-world setting.
    Methods: We analysed anonymized patient data extracted from the clinical software of 43 participating GP clinics for the 5 year period from 1 July 2013 to 30 June 2018. Patients were stratified into 'definite' and 'probable' HF based on a hierarchy of selection criteria and analysed for their clinical characteristics. Symptoms and signs of HF and ejection fraction data were searched for within the free text of the medical notes.
    Results: Of the 1.12 million adults seen regularly, 20 219 were classified as having definite or probable HF. The mean age of the population was 69.8 years, 50.6% were female, and mean body mass index was 31.2 kg/m
    Conclusions: Heart failure is poorly documented in general practice records and may be contributing to untoward downstream effects, such as low documentation of echocardiography, poor use of guideline recommended therapies and frequent use of medications that may worsen HF.
    MeSH term(s) Adult ; Aged ; Aminobutyrates ; Australia/epidemiology ; Biphenyl Compounds ; Female ; General Practice ; Heart Failure/diagnosis ; Heart Failure/drug therapy ; Heart Failure/epidemiology ; Humans ; Retrospective Studies ; Stroke Volume ; Ventricular Function, Left
    Chemical Substances Aminobutyrates ; Biphenyl Compounds ; sacubitril (17ERJ0MKGI)
    Language English
    Publishing date 2021-10-28
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2814355-3
    ISSN 2055-5822 ; 2055-5822
    ISSN (online) 2055-5822
    ISSN 2055-5822
    DOI 10.1002/ehf2.13661
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The epidemiology of heart failure in the general Australian community - study of heart failure in the Australian primary carE setting (SHAPE): methods.

    Parsons, Richard Whaddon / Liew, Danny / Neville, A Munro / Audehm, Ralph G / Haikerwal, Deepak / Piazza, Peter / Lim, Kevin / Sindone, Andrew P

    BMC public health

    2020  Volume 20, Issue 1, Page(s) 648

    Abstract: Background: There is a paucity of information on the epidemiology of heart failure (HF) in Australia. The Study of Heart failure in the Australian Primary carE setting (SHAPE) study aims to estimate the prevalence and annual incidence of HF in the ... ...

    Abstract Background: There is a paucity of information on the epidemiology of heart failure (HF) in Australia. The Study of Heart failure in the Australian Primary carE setting (SHAPE) study aims to estimate the prevalence and annual incidence of HF in the general Australian community and to describe the demographic and key clinical profile of Australians with HF.
    Methods: We undertook a retrospective cohort study based on analysis of non-identifiable medical records of adult patients cared for at 43 general practices between 1 July 2013 and 30 June 2018. Data were extracted from coded (diagnosis, pathology and prescription fields) and uncoded fields (clinical notes) in the medical records. The latter searches of free text looked for common synonyms relevant to HF. The population was stratified into three groups based on a hierarchy of selection criteria: (1) definite HF, (2) probable HF and (3) possible HF. The prevalence and annual incidence of HF were calculated, along with 95% confidence intervals.
    Results: The practices provided care to 2.3 million individual patients over the five-year study period, of whom 1.93 million were adults and 1.12 million were regular patients. Of these patients 15,468 were classified as having 'definite HF', 4751 as having 'probable HF' and 33,556 as having 'possible HF'. A further 39,247 were identified as having an aetiological condition associated with HF. A formal HF diagnosis, HF terms recorded as text in the notes and HF-specific medication were the most common methods to identify 'definite' HF patients. Typical signs and symptoms in combination with a diuretic prescription was the most common method to identify 'probable HF' patients. The majority of 'possible' HF patients were identified by the presence of 2 or more of the typical signs or symptoms. Dyspnoea was the commonest recorded symptom and an elevated jugular venous pressure the commonest recorded sign.
    Conclusions: This novel approach to undertaking retrospective research of primary care data successfully analysed a combination of coded and uncoded data from the electronic medical records of patients routinely managed in the GP setting. SHAPE is the first real-world study of the epidemiology of HF in the general Australian community setting.
    MeSH term(s) Adult ; Aged ; Australia/epidemiology ; Electronic Health Records ; Female ; General Practice/statistics & numerical data ; Heart Failure/epidemiology ; Heart Failure/etiology ; Humans ; Incidence ; Male ; Middle Aged ; Prevalence ; Primary Health Care/statistics & numerical data ; Retrospective Studies ; Young Adult
    Language English
    Publishing date 2020-05-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-020-08781-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Epidemiology of heart failure: Study of Heart failure in the Australian Primary carE setting (SHAPE).

    Liew, Danny / Audehm, Ralph G / Haikerwal, Deepak / Piazza, Peter / Neville, A Munro / Lim, Kevin / Parsons, Richard W / Sindone, Andrew P

    ESC heart failure

    2020  Volume 7, Issue 6, Page(s) 3871–3880

    Abstract: Aims: At present, there is no robust information on the prevalence and incidence of heart failure (HF) in the general Australian community. The present study of primary care data sought to estimate the prevalence and incidence of HF in the community and ...

    Abstract Aims: At present, there is no robust information on the prevalence and incidence of heart failure (HF) in the general Australian community. The present study of primary care data sought to estimate the prevalence and incidence of HF in the community and to describe the demographic and clinical profile of Australians with HF.
    Methods and results: We undertook a retrospective cohort study based on analysis of anonymized medical records of adult patients cared for at 43 Australian general practices between 1 July 2013 and 30 June 2018. Data were extracted from coded and uncoded fields in electronic medical records. The prevalence and annual incidence of HF were calculated, along with 95% confidence intervals, using the 'active' population of people who were regular attenders at the practices. Age-standardized estimates were also derived using the 2017 Australian population as reference. The mean age of the population with HF was 69.8 years, 50.6% were female, and mean body mass index was 31.2 kg/m
    Conclusions: HF is common in Australia. The majority of HF patients do not have this diagnosis optimally noted in their primary care medical records.
    Language English
    Publishing date 2020-09-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2814355-3
    ISSN 2055-5822 ; 2055-5822
    ISSN (online) 2055-5822
    ISSN 2055-5822
    DOI 10.1002/ehf2.12979
    Database MEDical Literature Analysis and Retrieval System OnLINE

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