Heart Function Clinics for Patients With Heart Failure

Abstract

Low- to moderate-quality clinical evidence suggested that heart failure clinics were associated with significant reductions in all-cause mortality, reductions in heart failure‒related hospitalization, better guideline-directed medical therapy management, and higher adherence to heart failure medications compared to usual care. The findings for all-cause hospitalization were mixed. One low-quality economic study in Denmark found that heart failure clinics were associated with higher costs but no significant difference in mortality rates compared with the usual care. Another moderate cost-effectiveness analysis study in Canada revealed that heart failure clinic interventions were cost-effective compared to standard care, with an incremental cost-effectiveness ratio below the willingness-to-pay threshold.