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. 2020 Dec;7(6):3871-3880.
doi: 10.1002/ehf2.12979. Epub 2020 Sep 9.

Epidemiology of heart failure: Study of Heart failure in the Australian Primary carE setting (SHAPE)

Danny Liew  1 , Ralph G Audehm  2 , Deepak Haikerwal  3 , Peter Piazza  4 , A Munro Neville  5 , Kevin Lim  6 , Richard W Parsons  5 , Andrew P Sindone  7
Affiliations

Epidemiology of heart failure: Study of Heart failure in the Australian Primary carE setting (SHAPE)

Danny Liew et al. ESC Heart Fail. 2020 Dec.

Abstract

Aims: At present, there is no robust information on the prevalence and incidence of heart failure (HF) in the general Australian community. The present study of primary care data sought to estimate the prevalence and incidence of HF in the community and to describe the demographic and clinical profile of Australians with HF.

Methods and results: We undertook a retrospective cohort study based on analysis of anonymized medical records of adult patients cared for at 43 Australian general practices between 1 July 2013 and 30 June 2018. Data were extracted from coded and uncoded fields in electronic medical records. The prevalence and annual incidence of HF were calculated, along with 95% confidence intervals, using the 'active' population of people who were regular attenders at the practices. Age-standardized estimates were also derived using the 2017 Australian population as reference. The mean age of the population with HF was 69.8 years, 50.6% were female, and mean body mass index was 31.2 kg/m2 . The age-standardized prevalence was 2.199% [95% confidence interval (CI): 2.168-2.23%], and the age-standardized annual incidence was 0.348% (95% CI: 0.342-0.354%). These estimates accord with almost 420 000 people living with HF in Australia in 2017, and >66 000 new cases of HF occurring that year. Only 18.9% of patients with definite HF had this formally captured as a 'diagnosis' in their medical record. HF was more frequent among those of lower socio-economic status.

Conclusions: HF is common in Australia. The majority of HF patients do not have this diagnosis optimally noted in their primary care medical records.

Keywords: Electronic medical records; Epidemiology; Health services; Heart failure; Quality and outcomes of care.

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Conflict of interest statement

DL has received honoraria from Amgen, AZ, Bayer, BI, BMS, Novartis, Pfizer, Sanofi, and Shire. PP has sat on advisory boards and/or spoken at, facilitated, or chaired at meetings for and/or received travel and accommodation costs from AbbVie, Amgen, AZ, Bayer, BI, BMS, CSL, Eli Lilly, GSK, Janssen, Menarini, MSD, Novartis, Novo Nordisk, Pfizer, Sanofi, and Seqirus. RA served as a member of several Advisory Boards and conducted paid presentations for AZ, Novartis, and Sanofi in the past 2 years and Abbott, BMS, Eli Lilly, Novo Nordisk, Servier, and Takeda prior to this. DH has given talks for AZ, Bayer, BMS, Novartis, and Pfizer. AS has received honoraria, speaker fees, and consultancy fees and is a member of advisory boards or has appeared on expert panels for Alphapharm, Aspen, AstraZeneca (AZ), Bayer, Biotronik, Boehringer Ingelheim, Bristol Myers Squibb, Janssen Cilag, Menarini, Merck Sharp and Dohme (MSD), Mylan, Novartis, Otsuka, Pfizer, Sanofi, Servier, and Vifor. AusTrials was commissioned by Novartis Pharmaceuticals Australia Pty Ltd to conduct the SHAPE study. AMN and RP are both employees of AusTrials. KL is a full‐time employee of Novartis Pharmaceuticals Australia Pty Ltd.

Figures

Figure 1
Figure 1
Prevalence of heart failure (HF) (%) and number of patients with HF by age group, active population
See this image and copyright information in PMC

References

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