Evaluating the quality of care for heart failure hospitalizations in inflammatory arthritis – A population-based cohort study
Background: Individuals with inflammatory arthritis (IA) face an elevated risk of heart failure (HF). However, whether the quality of HF care in IA patients differs from other high-risk groups, such as those with diabetes mellitus (DM), remains unclear. Methods: This population-based cohort study in...
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| Language: | English |
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Elsevier
2025-03-01
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| Series: | American Heart Journal Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666602225000060 |
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| author | Bindee Kuriya Lihi Eder Sahil Koppikar Jessica Widdifield Anna Chu Jiming Fang Irene Jeong Douglas Lee Jacob Udell |
| author_facet | Bindee Kuriya Lihi Eder Sahil Koppikar Jessica Widdifield Anna Chu Jiming Fang Irene Jeong Douglas Lee Jacob Udell |
| author_sort | Bindee Kuriya |
| collection | DOAJ |
| description | Background: Individuals with inflammatory arthritis (IA) face an elevated risk of heart failure (HF). However, whether the quality of HF care in IA patients differs from other high-risk groups, such as those with diabetes mellitus (DM), remains unclear. Methods: This population-based cohort study in Ontario, Canada, included patients who experienced their first HF hospitalization and survived to discharge. Patients were categorized into four groups: IA alone, DM alone, IA + DM, and a general population comparator. We assessed quality care measures within 30 days of hospitalization (echocardiogram, electrocardiogram, chest x-ray) and physician follow-up within 7 days. Guideline-directed medical therapy (GDMT) adherence was evaluated within 90 days and classified as perfect, moderate, or poor. Logistic regression was used to determine whether IA was independently associated with lower HF care quality. Results: Among 101,645 eligible hospitalizations, 1987 had IA + DM, 3849 had IA alone, 33,553 had DM alone, and 62,256 were general comparators. While all groups showed high adherence to testing, IA patients (with or without DM) had significantly lower GDMT use compared to DM patients (p < 0.001). IA was independently linked to lower odds of moderate or perfect GDMT adherence. Conclusion: Although adherence to HF testing quality measures was high, IA patients were less likely to receive GDMT than those with DM. Further research is needed to understand the reasons for lower GDMT use in IA and its impact on HF outcomes such as re-hospitalization and mortality. |
| format | Article |
| id | doaj-art-84b05d33e3f54db69c42b7e8285b4e37 |
| institution | Kabale University |
| issn | 2666-6022 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Heart Journal Plus |
| spelling | doaj-art-84b05d33e3f54db69c42b7e8285b4e372025-02-05T04:32:42ZengElsevierAmerican Heart Journal Plus2666-60222025-03-0151100503Evaluating the quality of care for heart failure hospitalizations in inflammatory arthritis – A population-based cohort studyBindee Kuriya0Lihi Eder1Sahil Koppikar2Jessica Widdifield3Anna Chu4Jiming Fang5Irene Jeong6Douglas Lee7Jacob Udell8Department of Medicine, University of Toronto, Toronto, Canada; Sinai Health System, University of Toronto, Toronto, Canada; Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Canada; Corresponding author at: Department of Medicine, University of Toronto, Mount Sinai Hospital, The Joseph and Wolf Lebovic Building, 60 Murray Street, Room 2-008, Toronto, Ontario M5T 3L9, Canada.Department of Medicine, University of Toronto, Toronto, Canada; Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Canada; Women's College Hospital, University of Toronto, Toronto, CanadaDepartment of Medicine, University of Toronto, Toronto, Canada; Women's College Hospital, University of Toronto, Toronto, CanadaInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, Canada; ICES, Toronto, Canada; Sunnybrook Research Institute, Toronto, CanadaICES, Toronto, CanadaICES, Toronto, CanadaICES, Toronto, CanadaDepartment of Medicine, University of Toronto, Toronto, Canada; ICES, Toronto, Canada; Sunnybrook Research Institute, Toronto, Canada; Peter Munk Cardiac Centre, University Health Network, Toronto, CanadaDepartment of Medicine, University of Toronto, Toronto, Canada; Women's College Hospital, University of Toronto, Toronto, Canada; ICES, Toronto, Canada; Peter Munk Cardiac Centre, University Health Network, Toronto, CanadaBackground: Individuals with inflammatory arthritis (IA) face an elevated risk of heart failure (HF). However, whether the quality of HF care in IA patients differs from other high-risk groups, such as those with diabetes mellitus (DM), remains unclear. Methods: This population-based cohort study in Ontario, Canada, included patients who experienced their first HF hospitalization and survived to discharge. Patients were categorized into four groups: IA alone, DM alone, IA + DM, and a general population comparator. We assessed quality care measures within 30 days of hospitalization (echocardiogram, electrocardiogram, chest x-ray) and physician follow-up within 7 days. Guideline-directed medical therapy (GDMT) adherence was evaluated within 90 days and classified as perfect, moderate, or poor. Logistic regression was used to determine whether IA was independently associated with lower HF care quality. Results: Among 101,645 eligible hospitalizations, 1987 had IA + DM, 3849 had IA alone, 33,553 had DM alone, and 62,256 were general comparators. While all groups showed high adherence to testing, IA patients (with or without DM) had significantly lower GDMT use compared to DM patients (p < 0.001). IA was independently linked to lower odds of moderate or perfect GDMT adherence. Conclusion: Although adherence to HF testing quality measures was high, IA patients were less likely to receive GDMT than those with DM. Further research is needed to understand the reasons for lower GDMT use in IA and its impact on HF outcomes such as re-hospitalization and mortality.http://www.sciencedirect.com/science/article/pii/S2666602225000060Heart failureQuality of careHealth services researchInflammatory heart disease |
| spellingShingle | Bindee Kuriya Lihi Eder Sahil Koppikar Jessica Widdifield Anna Chu Jiming Fang Irene Jeong Douglas Lee Jacob Udell Evaluating the quality of care for heart failure hospitalizations in inflammatory arthritis – A population-based cohort study American Heart Journal Plus Heart failure Quality of care Health services research Inflammatory heart disease |
| title | Evaluating the quality of care for heart failure hospitalizations in inflammatory arthritis – A population-based cohort study |
| title_full | Evaluating the quality of care for heart failure hospitalizations in inflammatory arthritis – A population-based cohort study |
| title_fullStr | Evaluating the quality of care for heart failure hospitalizations in inflammatory arthritis – A population-based cohort study |
| title_full_unstemmed | Evaluating the quality of care for heart failure hospitalizations in inflammatory arthritis – A population-based cohort study |
| title_short | Evaluating the quality of care for heart failure hospitalizations in inflammatory arthritis – A population-based cohort study |
| title_sort | evaluating the quality of care for heart failure hospitalizations in inflammatory arthritis a population based cohort study |
| topic | Heart failure Quality of care Health services research Inflammatory heart disease |
| url | http://www.sciencedirect.com/science/article/pii/S2666602225000060 |
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