Heart failure & cardiomyopathies
Impact of Patient-Reported Outcome Measurement in Heart Failure Clinic on Clinician Health Status Assessment and Patient Experience: A Substudy of the PRO-HF Trial
Authors' conclusion
Collecting the KCCQ-12 in heart failure clinic improved clinicians' accuracy of health status assessment; correspondingly, patients believed their clinicians better understood their symptoms.
Study context
- Population
- Patients with a scheduled visit to Stanford HF clinic, August 30, 2021 to June 30, 20221,051 (84.2%) attended a visit
- Participants
- 1,248 patients
- Comparison
- Routine KCCQ-12 collection with results shared vs usual care
- KCCQ-12n = 528
- Usual caren = 523reference
- Primary endpoint
- Accuracy of clinicians' NYHA assessment (correlation of NYHA Class with KCCQ-12 Overall Summary Score) and patients' perspectives on clinician interaction
Methodological detailsnonblinded
- Nonblinded
Primary result
As reported in the abstract
KCCQ-12
−0.73
r
Usual care
−0.61
r
P < 0.001
Further findings
| Outcome | KCCQ-12 | Usual care | OR (95% CI) | |
|---|---|---|---|---|
| Patients strongly agreeing clinician understood their symptomsOf respondents | 95.2% | 89.7% | 2.27 (1.32–3.87) | |
| 0.20.5125Odds ratio (log scale) |
Quality of clinician communication and therapeutic alliance
- Similar in both arms
Original publication
Impact of Patient-Reported Outcome Measurement in Heart Failure Clinic on Clinician Health Status Assessment and Patient Experience: A Substudy of the PRO-HF Trial. Circ Heart Fail. Published 5 November 2022. doi:10.
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