PMID- 28558929
OWN - NLM
STAT- MEDLINE
DCOM- 20170809
LR  - 20181202
IS  - 1527-3288 (Electronic)
IS  - 0147-9563 (Linking)
VI  - 46
IP  - 4
DP  - 2017 Jul-Aug
TI  - Agreement between heart failure patients and providers in assessing New York 
      Heart Association functional class.
PG  - 293-299
LID - S0147-9563(17)30003-1 [pii]
LID - 10.1016/j.hrtlng.2017.05.001 [doi]
AB  - BACKGROUND: Uncertainty persists regarding whether patient assessment of New York 
      Heart Association (NYHA) functional classification should be preferred over 
      provider assessment among patients with heart failure (HF). OBJECTIVES: To 
      compare patient against provider NYHA assessments, and both to distance walked on 
      a 6-minute walk test (6MWT) among patients with HF. METHODS: In this prospective 
      study, we enrolled 101 HF patients who self-assessed NYHA classification. Health 
      care providers who were blinded to patient ratings of NYHA also rated NYHA. 
      Patients completed a 6MWT according to a standardized protocol. We used Spearman 
      coefficients (rs) to evaluate the correlations between variables. RESULTS: 
      Patient- and provider-determined NYHA class were poorly correlated, but the 
      relationship was statistically significant (rs = 0.40, p < 0.001). Patients 
      consistently reported better NYHA class (class I: 72% vs 15%) than providers. 
      Provider-determined NYHA had a stronger correlation with 6MWT distance 
      (rs = -0.36, p < 0.001 vs. rs = -0.22, p = 0.03). Providers assigned a worse 
      class to older patients who had comorbidity; patients with dyspnea and longer HF 
      duration assigned themselves a worse class. CONCLUSION: Patients and providers 
      exhibited poor agreement in NYHA assignment.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Williams, Brent A
AU  - Williams BA
AD  - Geisinger Health System, Danville, PA, USA. Electronic address: 
      bawilliams2@geisinger.edu.
FAU - Doddamani, Sanjay
AU  - Doddamani S
AD  - Geisinger Health System, Danville, PA, USA.
FAU - Troup, Melissa A
AU  - Troup MA
AD  - Geisinger Health System, Danville, PA, USA.
FAU - Mowery, Alison L
AU  - Mowery AL
AD  - Geisinger Health System, Danville, PA, USA.
FAU - Kline, Cynthia M
AU  - Kline CM
AD  - Geisinger Health System, Danville, PA, USA.
FAU - Gerringer, Janine A
AU  - Gerringer JA
AD  - Geisinger Health System, Danville, PA, USA.
FAU - Faillace, Robert T
AU  - Faillace RT
AD  - Jacobi Medical Center, Bronx, NY, USA.
LA  - eng
PT  - Journal Article
DEP - 20170527
PL  - United States
TA  - Heart Lung
JT  - Heart & lung : the journal of critical care
JID - 0330057
SB  - IM
MH  - Aged
MH  - *American Heart Association
MH  - Attitude to Health
MH  - Female
MH  - Follow-Up Studies
MH  - Health Personnel
MH  - Heart Failure/*physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - New York
MH  - Observer Variation
MH  - Prognosis
MH  - Prospective Studies
MH  - *Societies, Medical
MH  - Time Factors
MH  - United States
MH  - Walking/*physiology
OTO - NOTNLM
OT  - Heart failure
OT  - Symptoms
EDAT- 2017/06/01 06:00
MHDA- 2017/08/10 06:00
CRDT- 2017/06/01 06:00
PHST- 2017/01/05 00:00 [received]
PHST- 2017/04/28 00:00 [revised]
PHST- 2017/05/03 00:00 [accepted]
PHST- 2017/06/01 06:00 [pubmed]
PHST- 2017/08/10 06:00 [medline]
PHST- 2017/06/01 06:00 [entrez]
AID - S0147-9563(17)30003-1 [pii]
AID - 10.1016/j.hrtlng.2017.05.001 [doi]
PST - ppublish
SO  - Heart Lung. 2017 Jul-Aug;46(4):293-299. doi: 10.1016/j.hrtlng.2017.05.001. Epub 
      2017 May 27.