Review of the National Institute for Health and Care Excellence guidelines on chronic heart failure.
Daniel James DohertyKieran F DochertyRoy S GardnerPublished in: Heart (British Cardiac Society) (2024)
Guidelines are more accessible than ever and represent an important tool in clinical practice. The National Institute for Health and Care Excellence (NICE) has developed recommendations for heart failure diagnosis and management based not only on morbidity and mortality trial outcome data but also in-depth economic analysis, with a focus on generalisability to UK National Health Service clinical practice. There is broad consistency in structure and content between NICE guidelines and those produced by major cardiovascular organisations such as the American College of Cardiology/American Heart Association and the European Society of Cardiology. However, important differences do exist-largely attributable to publication timing-a factor that is enhanced by the rapid pace of heart failure research. This article reviews the most recent iteration of NICE chronic heart failure guidelines and compares them with major guidelines on an international scale. Variations in recommendations will be explored including implications for NICE guideline updates in the future.
Keyphrases
- clinical practice
- heart failure
- quality improvement
- healthcare
- public health
- palliative care
- mental health
- clinical trial
- left ventricular
- atrial fibrillation
- systematic review
- pain management
- ejection fraction
- study protocol
- health information
- machine learning
- electronic health record
- human health
- deep learning
- health insurance
- data analysis
- double blind