Charman, Sarah; Okwose, Nduka; Maniatopoulos, Gregory; Graziadio, Sara; Metzler, Tamara; Banks, Helen; Vale, Luke; MacGowan, Guy A; Seferović, Petar M; Fuat, Ahmet; +4 more... Deaton, Christi; Mant, Jonathan; Hobbs, Richard FD; Jakovljevic, Djordje G; (2019) Opportunities and challenges of a novel cardiac output response to stress (CORS) test to enhance diagnosis of heart failure in primary care: qualitative study. BMJ open, 9 (4). e028122. ISSN 2044-6055 DOI: https://doi.org/10.1136/bmjopen-2018-028122
Permanent Identifier
Use this Digital Object Identifier when citing or linking to this resource.
Abstract
OBJECTIVE: To explore the role of the novel cardiac output response to stress (CORS), test in the current diagnostic pathway for heart failure and the opportunities and challenges to potential implementation in primary care. DESIGN: Qualitative study using semistructured in-depth interviews which were audio recorded and transcribed verbatim. Data from the interviews were analysed thematically using an inductive approach. SETTING: Newcastle upon Tyne, UK. PARTICIPANTS: Fourteen healthcare professionals (six males, eight females) from primary (general practitioners (GPs), nurses, healthcare assistant, practice managers) and secondary care (consultant cardiologists). RESULTS: Four themes relating to opportunities and challenges surrounding the implementation of the new diagnostic technology were identified. These reflected that the adoption of CORS test would be an advantage to primary care but the test had barriers to implementation which include: establishment of clinical utility, suitability for immobile patients and cost implication to GP practices. CONCLUSION: The development of a simple non-invasive clinical test to accelerate the diagnosis of heart failure in primary care maybe helpful to reduce unnecessary referrals to secondary care. The CORS test has the potential to serve this purpose; however, factors such as cost effectiveness, diagnostic accuracy and seamless implementation in primary care have to be fully explored.
Item Type | Article |
---|---|
Faculty and Department | Faculty of Public Health and Policy > Dept of Health Services Research and Policy |
PubMed ID | 30987993 |
Elements ID | 212202 |
Official URL | http://dx.doi.org/10.1136/bmjopen-2018-028122 |
Download
Filename: Charman-etal-2019-Opportunities-and-challenges-of-a-novel-cardiac-output-response-to-stress.pdf
Licence: Creative Commons: Attribution 4.0
Download