TREATMENT PATTERNS OF CHRONIC HEART FAILURE (CHF) IN ARGENTINA
Author(s)
Bianculli PM1, Jackson J2, Cotton S2, Proenca C3, Calado F3, MacPherson A4, Barbeau M5
1Novartis Argentina S.A., Buenos Aires, Argentina, 2Adelphi Real World, Bollington, Macclesfield, UK, 3Novartis Pharma AG, Basel, Switzerland, 4Dalhousie University, Halifax, NS, Canada, 5Novartis Pharmaceuticals Canada Inc., Dorval, QC, Canada
OBJECTIVES:: To understand the disease and treatment patterns of Chronic Heart Failure (CHF) in Argentina. METHODS:: A Disease Specific Program was conducted to assess the impact of CHF. Patient record forms (PRF) were completed by 60 cardiologists for 8 consecutive patients with CHF. The same patients were invited to complete a patient self-completion questionnaire. RESULTS: PRF data (n=480) revealed that a typical CHF patient was male (60%) with a mean age of 70.8 years. Physicians underestimated the length of time patients experienced symptoms before visiting a doctor; reporting 16.8 weeks, versus the patient-reported 24.7 weeks. Patients on average had been diagnosed for 3.6 years and the majority (60%) were considered to be stable/compensated. Cause: Hypertension was the leading cause of CHF (53%), followed by CHD/Myocardial infarction (38%). Physical signs/examinations were used to diagnose and monitor CHF; the key tests were blood pressure and heart rate. For 49% (n=234) of patients, the primary reason for consultation was diagnosis and/or testing of CHF symptoms. The lower a patient’s ejection fraction, and the more severe the NYHA functional classification, the more unstable/decompensated the patient was considered to be. Hospitalization: In the last year, 27% of patients were hospitalized for CHF, 14% of which were readmitted to hospital within 30 days (n=17). Physicians believed half of patients were at a moderate or greater risk of being hospitalised and/or dying in the next year. Treatment: 70% of doctors and patients were in agreement about how the last treatment decision was made. Eighty-four percent of patients received a Beta Blocker; 57% received Statins, 52% received Loop Diuretics, and 48% were prescribed ARBs (Angiotensin II receptor blockers). Physicians reported that four fifths of patients were not taking OTC (over-the-counter) CHF treatments. CONCLUSIONS:: These data are important for better understanding treatment patterns and characteristics of CHF in Argentina.
Conference/Value in Health Info
2017-09, ISPOR Latin America 2017, Sao Paulo, Brazil
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PCV26
Topic
Health Service Delivery & Process of Care
Topic Subcategory
Treatment Patterns and Guidelines
Disease
Cardiovascular Disorders