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Quality of life of chronic heart failure patients: a systematic review and meta-analysis

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Abstract

Despite various individual studies on the quality of life (QOL) in patients with CHF, a comprehensive study has not yet been conducted; therefore, this study aims to assess the QOL of CHF patients. In the present systematic review and meta-analysis, PubMed, Scopus, and the Web of science databases were searched from January 1, 2000, to December 31, 2018, using QOL and heart failure as keywords. The searches, screenings, quality assessments, and data extractions were conducted separately by two researchers. A total of 70 studies including 25,180 participants entered the final stage. The mean QOL score was 44.1 (95% confidence interval (CI) 40.6, 47.5; I2 = 99.3%) using a specific random effects method in 40 studies carried out on 12,520 patients. Moreover, according to the geographical region, heart failure patients in the Americas had higher scores. In 14 studies, in which a general SF-36 survey was implemented, the average physical component score (PCS) and mental component score (MCS) were 33.3 (95% CI 31.9, 34.7; I2 = 88.0%) and 50.6 (95% CI 43.8, 57.4; I2 = 99.3%), respectively. The general and specific tools used in this study indicated moderate and poor QOL, respectively. Therefore, it is necessary to carry out periodic QOL measurements using appropriate tools as part of the general care of CHF patients.

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Authors and Affiliations

  1. Clinical Pharmacy Department, School of Pharmacy, Zabol University of Medical Sciences, Zabol, Iran

    Mandana Moradi

  2. Department of Pediatric Nursing, School of Nursing and Midwifery, Jiroft University of Medical Sciences, Jiroft, Iran

    Fereshteh Daneshi

  3. Associate Professor of Radiology, Department of Radiology, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran

    Razieh Behzadmehr

  4. Student Research Committee, Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Hosien Rafiemanesh

  5. Internal Medicine and Nephrology, Clinical Immunology Research Center, Ali-ebne Abitaleb Hospital, Zahedan University of Medical Sciences, Zahedan, Iran

    Salehoddin Bouya

  6. Varamin-Pishva Branch, Islamic Azad University, Varamin, Iran

    Mohammad Raeisi

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  1. Mandana Moradi
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  2. Fereshteh Daneshi
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  3. Razieh Behzadmehr
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  4. Hosien Rafiemanesh
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  5. Salehoddin Bouya
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  6. Mohammad Raeisi
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Correspondence to Salehoddin Bouya.

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Moradi, M., Daneshi, F., Behzadmehr, R. et al. Quality of life of chronic heart failure patients: a systematic review and meta-analysis. Heart Fail Rev 25, 993–1006 (2020). https://doi.org/10.1007/s10741-019-09890-2

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