OPTIMISE HFpEF Consensus Methods
Research type
Research Study
Full title
OPTIMISE HFpEF Consensus Methods
IRAS ID
276035
Contact name
Christi Deaton
Contact email
Sponsor organisation
Cambridge University Hospitals NHS Foundation Trust & University of Cambridge
Clinicaltrials.gov Identifier
IRAS 222689, Linked study (WP2a); IRAS 234872, Linked study (WP2b); IRAS 249456, Linked study (WP2c)
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
Research Summary:
Heart Failure with Preserved Ejection Fraction (HFpEF) is poorly recognised and managed in the community. As HFpEF is set to become the most common form of heart failure, it is vital that effective primary care-based programmes of identification and management are developed. The OPTIMISE-HFpEF programme of research aims to fill this void by: (1) finding out what patients and healthcare professionals want; (2) understanding what people with HFpEF are like in the UK, through a detailed clinical follow-up study; and (3) exploring common problematic areas like transitions of care (any move from one care setting to the next, most often hospital to home), hospitalisations, and the support of carers. Results generated will be synthesised, and both face-to-face and online consensus methods (agreement finding methods) employed to develop and refine an optimised programme of management.The three studies mentioned above all have ethics and HRA approval in place and are nearing conclusion, therefore the final stage which will involve gaining consensus (agreement) with interested parties on the findings will begin. To achieve this, we plan to use a number of ways (methods) to engage people interested in this topic (stakeholders) on what we have found in the previous studies and how this should be used to change practice.
The methods we hope to use are:
Online Delphi approaches - a method where interested professionals and patients access a platform where they are presented with multiple questions which they are asked to both discuss and assess their agreement with.
Focus groups/workshops - groups of professionals and patients with various interests and levels of expertise in HFpEF will be recruited and brought together to discuss the findings from the previous studies, these discussions will be recorded and analysed.
Summary of Results:
https://eur03.safelinks.protection.outlook.com/?url=http%3A%2F%2Furl6570.hra.nhs.uk%2Fls%2Fclick%3Fupn%3DXv3JSvJ-2B3M71ppf7N9agbakXCvRK-2B1L-2BDJT8Et8mq8R0nIHNiWMvH2q6-2FM264bTfD1-2FWp5QqW-2Fads4ull2Ryew-3D-3DFK1d_E1aO2-2BZlVOSJJV-2FajQqskegTd6IRomHYTi-2Fbt8SH3YL1-2BkCjd3BIeBflaH86vNOBVd2pGxet5AQluIp3Fk9T4YwkaQP4JHolz5AbTlpPWzx2wwv9Yl8AeMViK7QVuuTUsGZ8COh1eeGzson2lwthozUHUMNr2msumIwxC3f4YDfVeFRYfWbQ3SAqLIkhWvSs0wG2FUYwjTTMZk4bMSjy8Q-3D-3D&data=05%7C01%7Capprovals%40hra.nhs.uk%7Cc02b115851274ec6ccff08da33616fbc%7C8e1f0acad87d4f20939e36243d574267%7C0%7C0%7C637878790816092514%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=Usv5WSzkWZfaK%2F9K5OEw6F9Zu2z5Hw7FWkF3QfmrOuk%3D&reserved=0
This study was part of a larger
programme of work focusing on a type of heart failure - heart failure with preserved ejection fraction or HFpEF - called Optimise HFpEF. We developed a survey to determine if there was agreement (consensus) among healthcare providers (HCPs) about some of the issues and problems we found in the study. This was advertised to HCPs and professional groups online.
Among 66 HCPs responding, there was widespread agreement that the type of heart failure should be determined and become a Quality Outcomes Framework indicator (incentives for care in general practice), and that echocardiogram reports should indicate if there's evidence for HFpEF. Although most thought HFpEF should be managed in primary care, there was wide support for diagnosis and initial management in specialist centres. There was less consensus around thresholds for natriuretic peptides (a blood test) in diagnosis, and the use of additional testing (stress echocardiogram, Magnetic Resonance Imaging) when diagnosis was uncertain. These findings show that there is still uncertainty about HFpEF and guidance needed regarding how best to diagnose and manage this group of patients.REC name
South Central - Hampshire B Research Ethics Committee
REC reference
20/SC/0126
Date of REC Opinion
3 Jun 2020
REC opinion
Further Information Favourable Opinion