Heart failure & cardiomyopathies
Association between visit frequency, continuity of care, and pharmacy fill adherence in heart failure patients
Main finding · GDMT adherenceResult — go to the resultOdds ratio 1.26 95% CI 1.03–1.53Authors' conclusion
Continuity of care was not associated with GDMT adherence among patients with HFrEF but lower continuity of care was associated with increased all-cause and HF-hospitalizations.
Study context
- Population
- Adults with HF and EF ≤40%, ≥2 outpatient encounters 2017–2021, prescribed ≥1 guideline-directed medical therapies (GDMT) (beta blocker, ACEi/ARB/ARNI, MRA, SGLT2 inhibitor)
- Participants
- 3,971 adults
- Exposure
- Continuity of care quantiles
- Outcome
- GDMT adherence (average proportion of days covered ≥80%)
- Follow-up
- 1 year
Main finding
GDMT adherence
Odds ratio
1.26
95% CI 1.03–1.53
P = 0.024
Third COC quartilevs Highest COC quartile
OR 1.26 (95% CI 1.03–1.53); P = 0.024
As reported in the abstract
- Usual Provider of Care (UPC) tertile not associated with adherence
- all P > .05
Observational data: associations, not effects.
Secondary outcomes
| Outcome | OR (95% CI) | |
|---|---|---|
| All-cause hospitalization, lowest vs highest UPC and COC quantiles · 1 yearLowest quantilevs Highest quantileUPC · adjusted analyses | 1.53 (1.23–1.91) | |
| All-cause hospitalization, lowest vs highest UPC and COC quantiles · 1 yearLowest quantilevs Highest quantileCOC · adjusted analyses | 2.54 (1.94–3.34) | |
| HF hospitalization, lowest vs highest UPC and COC quantiles · 1 yearLowest quantilevs Highest quantileUPC · adjusted analyses | 1.81 (1.23–2.67) | |
| HF hospitalization, lowest vs highest UPC and COC quantiles · 1 yearLowest quantilevs Highest quantileCOC · adjusted analyses | 1.77 (1.09–2.95) | |
| 0.20.5125Odds ratio (log scale) |
Original publication
Association between visit frequency, continuity of care, and pharmacy fill adherence in heart failure patients. Am Heart J. Published 14 April 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →