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N/A N=1,249 Randomized Health Services Research

Patient-Reported Outcome Measurement in Heart Failure Clinic

Heart Failure

Enrolled (actual)
1,249
Serious AEs
0.0%
Results posted
Apr 2025
Primary outcome: Primary: Kansas City Cardiomyopathy Questionnaire-12 Score — 79.4; 79.7 score on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Kansas City Cardiomyopathy Questionnaire-12 (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Stanford University
Primary completion
Oct 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Kansas City Cardiomyopathy Questionnaire-12 Score
79.4; 79.7
PRIMARY
Kansas City Cardiomyopathy Questionnaire-12 Response Rate
1331
SECONDARY
Percentage of Patients on Beta-blocker Therapy Among Patients With Reduced Ejection Fraction
SECONDARY
Median Dose of Beta-Blocker Therapy Among Patients With Reduced Ejection Fraction
SECONDARY
Percentage of Patients on Renin-Angiotensin-Aldosterone System Inhibitors Among Patients With Reduced Ejection Fraction
SECONDARY
Median Dose of Renin-Angiotensin-Aldosterone System Inhibitors Among Patients With Reduced Ejection Fraction
SECONDARY
Percentage of Patients on Mineralocorticoid Receptor Antagonist Among Patients With Reduced Ejection Fraction
SECONDARY
Median Dose of Mineralocorticoid Receptor Antagonist Among Patients With Reduced Ejection Fraction
SECONDARY
Percentage of Patients on Mineralocorticoid Receptor Antagonist Among Patients With Preserved/Mid-Range Ejection Fraction
SECONDARY
Median Dose of Mineralocorticoid Receptor Antagonist Among Patients With Preserved/Mid-Range Ejection Fraction
SECONDARY
Percentage of Patients on Hydralazine/Nitrate Therapy Among African-American Patients With Reduced Ejection Fraction
SECONDARY
Median Dose of Hydralazine/Nitrate Therapy Among African-American Patients With Reduced Ejection Fraction
SECONDARY
Percentage of Patients on Sacubitril-Valsartan Therapy Among the Sub-group of Patients With Reduced Ejection Fraction
SECONDARY
Median Dose of Sacubitril-Valsartan Therapy Among the Sub-group of Patients With Reduced Ejection Fraction
SECONDARY
Percentage of Patients on Sodium/Glucose Cotransporter-2 Inhibitors Therapy Among the Sub-group of Patients With Preserved/Mid-range Ejection Fraction.
SECONDARY
Percentage of Patients on Sodium/Glucose Cotransporter-2 Inhibitors Therapy Among the Sub-group of Patients With Left Ventricular Ejection Fraction > 40%.
SECONDARY
Percentage of Patients on Ivabradine Therapy Among Patients With Reduced Ejection Fraction With a Heart Rate Above 70 Beats Per Minute on Beta-Blocker Therapy
SECONDARY
Median Dose of Ivabradine Therapy Among Patients With Reduced Ejection Fraction With a Heart Rate Above 70 Beats Per Minute on Beta-Blocker Therapy
SECONDARY
Percentage of Patients With a Implantable Cardiac Defibrillator Among Patients With Reduced Ejection Fraction
SECONDARY
Percentage of Patients With a Cardiac Resynchronization Therapy Device Among Patients With Reduced Ejection
SECONDARY
Percentage of Patients Given Cardiac Rehabilitation Referral Among Patients With Reduced Ejection Fraction
SECONDARY
Number of Medication Adjustments Per Heart Failure Clinic Visit
SECONDARY
Average Daily Loop Diuretic Dose
SECONDARY
Count of Hospitalizations Per Patient
SECONDARY
Count of Emergency Department Visits Per Patient
SECONDARY
Count of Heart Failure Clinic Visits Per Patient
SECONDARY
Count of Telephone Encounters Per Patient
SECONDARY
Percentage of Patients Who Undergo Formal Advanced Heart Failure Therapy Evaluation
SECONDARY
Quality of Patient Clinic Experience
SECONDARY
Correlation Between Clinician and Patient Perception of Health Status
SECONDARY
Cardiovascular Diagnostic Test Frequency
SECONDARY
Kansas City Cardiomyopathy Questionnaire-12 Score Among Patients With Heart Failure or Cardiomyopathy
SECONDARY
Kansas City Cardiomyopathy Questionnaire-12 Score Among Patients With Sub-optimal Health Status at Baseline
SECONDARY
Number of Total Heart Failure Medication Adjustments

Summary

This is a randomized study evaluating the effect of routinely collecting a standardized questionnaire of heart failure health status during heart failure clinic visits. Participants will be randomized to early or delayed implementation of a validated health-related quality of life survey (the Kansas City Cardiomyopathy Questionnaire). Participants randomized to early implementation will be given this 12-question survey at each heart failure clinic visit at the beginning of the study; their heart failure clinician will have access to survey results but will continue to manage participants based on standard treatment practice. Patients randomized to delayed implementation will start receiving the survey at each clinic visit one year later. By comparing the health status and treatment rates between early and delayed implementation, this study will determine the impact of standardized health status assessment on patient outcomes and clinician decision-making.

Eligibility Criteria

Inclusion Criteria

  • Stanford Heart Failure clinic visit during enrollment period

Exclusion Criteria

  • Seen in amyloid clinic
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04164004). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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