Heart failure & cardiomyopathies
Priority measures for implementation: an European Society of Cardiology (ESC) pilot linking guidelines to practice
Authors' conclusion
By integrating clinical impact, implementation complexity, and disease prevalence, this proposed framework aims to bridge the gap between the guidelines’ focus on treatment efficacy and the practical need for prioritization in implementation and healthcare planning.
Study context
- Population
- Pharmacological and device-based therapies with Class of Recommendation (COR) I, Level of Evidence (LOE) A in the 2021/23 ESC heart failure guidelines and the focused update
- Outcome
- Proposed framework
Methodological detailspilot, case study, Delphi process
- Pilot
- Case study
- Delphi process
Main finding
As reported in the abstract
- Integrates the number needed to treat (NNT) at 5 years as a measure of clinical effectiveness and a qualitative assessment of implementation complexity
- A three-dimensional grid visualizes these metrics alongside disease prevalence
- Number needed to treat values are calculated for mortality and hospitalization endpoints
- Implementation complexity is assessed through a Delphi process, considering factors such as cost, infrastructure, and patient access
- The framework requires further validation, and complexity assessments must be tailored to local contexts
Original publication
Priority measures for implementation: an ESC pilot linking guidelines to practice. Eur Heart J Qual Care Clin Outcomes. Published 3 December 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →