Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Assessing the Accuracy of Self-Reported HF

J Card Fail; ePub 2017 Sep 8; Camplain, et al

Agreement of self-reported heart failure (HF) with physician diagnosed HF is poor, and self-reports of HF are best confirmed by diagnostic tests or medical records, a new study found. Participants from the Atherosclerosis Risk in Communities (ARIC) Study (aged 60-83 years) were asked annually whether a physician indicated they have HF. For those self-reporting HF, physicians were asked to confirm their patient’s HF status. Physician diagnosed HF included surveillance of hospitalized HF, and hospitalized and outpatient HF. Researchers found:

  • Compared to physician diagnosed HF, sensitivity of self-report was low (28-38%) and specificity was high (96-97%).
  • Agreement was poor and increased when adjusted for prevalence and bias.
  • Prevalence of HF measured by self-report (9.0%), ARIC-classified hospitalizations (11.2%), or administrative hospitalization claims (12.7%) were similar.

The authors stressed that there is a need for improved awareness and understanding of HF by patients.

Citation:

Camplain R, Kucharska-Newton A, Loehr L, et al. Accuracy of self-reported heart failure. The Atherosclerosis Risk in Communities (ARIC) Study. [Published online ahead of print September 8, 2017]. J Card Fail. doi:10.1016/j.cardfail.2017.09.002.

This Week's Must Reads

Pharmacologic Tx of Seasonal Allergic Rhinitis, Ann Intern Med; ePub 2017 Nov 28; Wallace, et al

Risk of Obesity From Childhood into Adulthood, N Engl J Med; 2017 Nov 30; Ward, Long, et al

Labeling of Selective Androgen Receptor Modulators, JAMA; 2017 Nov 28; Van Wagoner, Eichner, et al

Oral Capsule vs Colonoscopy FMT for CDI, JAMA; 2017 Nov 28; Kao, Roach, et al

HIV Testing & Impact of Delayed Diagnosis, MMWR; 2017 Dec 1; Dailey, Hoots, et al

Must Reads in Cardiology

Racial/Ethnic Disparities in Hospitalization for HF, J Am Heart Assoc; ePub 2017 Nov 16; Dupre, et al

Hospital Readmissions Following HF Hospitalization, JAMA Cardiol; ePub 2017 Nov 12; Gupta, et al

Clinical Predictive Models for Patients with HF, J Am Heart Assoc; ePub 2017 Nov 18; Wessler, et al

Impact of Diabetes Mellitus After LVAD Implantation, Circ Heart Fail; ePub 2017 Nov 15; Asleh, et al

Epidemiology of HF in Older Adults Across Settings , Circ Heart Fail; ePub 2017 Nov 12; Khera, et al