Evidence map›Paper›PMID 41407535›Full record

ArticleHeart (British Cardiac Society)2026

Economic evaluation of the TriageHF Plus clinical pathway for device-based remote monitoring in heart failure.

Fozia Z Ahmed, Rachel Harwood, David Lanctin, Catherine Leonard, Sarah Medland, Daniela Afonso, Stuart Mealing, Toni Weldon, Callum Blunt, Niall G Campbell and 1 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Heart (British Cardiac Society), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04177199 (Prospective Triage HF+ Evaluation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04177199 unknown statusnot on this map

Prospective Triage HF+ Evaluation: What is the Workload Burden Associated With Using the Triage HF+ Care Pathway?

TypeobservationalSponsorManchester University NHS Foundation TrustRan2019 to 2025Enrolled750ConditionsHeart FailureArmsTRIAGE HF Pathway
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Fozia Z AhmedDepartment of Cardiology, Manchester University NHS Foundation Trust, Manchester, UK.
Rachel HarwoodStatistics Department, Research and Innovation, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
David LanctinMedtronic, Mounds View, Minnesota, USA.
Catherine LeonardMedtronic, Mounds View, Minnesota, USA.
Sarah MedlandEnterprise House, York Health Economics Consortium Ltd, Heslington, UK.
Daniela AfonsoEnterprise House, York Health Economics Consortium Ltd, Heslington, UK.
Stuart MealingEnterprise House, York Health Economics Consortium Ltd, Heslington, UK.
Toni WeldonDepartment of Cardiology, Northern Care Alliance NHS Foundation Trust, Manchester, UK.
Callum BluntDepartment of Cardiology, Manchester University NHS Foundation Trust, Manchester, UK.
Niall G CampbellDepartment of Cardiology, Manchester University NHS Foundation Trust, Manchester, UK.
Joanne K TaylorDepartment of Cardiology, Manchester University NHS Foundation Trust, Manchester, UK joanne.taylor-2@manchester.ac.uk.ORCID 0000-0001-9882-0119

Funding

British Heart Foundation GRANT REF FS/19/34163
6 · The paper itself

Abstract

backgroundIn 2024, the UK National Institute of Health and Care Excellence (NICE) recommended TriageHF alerts as an option for remote monitoring of patients with heart failure (HF) and a compatible cardiac implantable electronic device (CIED). Data on the cost-effectiveness of this approach has not been published. This research evaluates the cost-effectiveness of TriageHF Plus in public hospital settings, using data from the TriageHF Plus multicentre study (758 participants, NCT04177199).

methodsAn economic model was developed to capture the lifetime cost and benefits of TriageHF Plus versus usual care, based on a site of 300 eligible patients. Analysis on individual patient-level data informed model efficacy and resource use parameters. EuroQol five-dimensional questionnaire data and unit costs were obtained from published, peer-reviewed literature and national databases respectively. Costs and benefits were discounted at 3.5% per annum to adjust future costs and benefits to present value.

resultsIn a site size of 300, TriageHF Plus was predicted to prevent 384 (363-405) hospitalisations over 5 years. In total, TriageHF Plus saved £3989 (£1812-£5563) per person-lifetime versus usual care and was more effective and cost-saving in 99.4% of simulations. Results were robust to changes in key input parameters. Modelling showed that to avoid one hospitalisation, 1.7 people would need lifetime access to TriageHF Plus.

conclusionThe TriageHF Plus pathway is cost-effective for the remote monitoring of HF in patients with CIEDs. TRIAL REGISTRATION NUMBER: NCT04177199.

Indexed as

Critical PathwaysDefibrillators, ImplantableHeart FailureRemote Patient MonitoringAgedCost-Benefit AnalysisCost-Effectiveness AnalysisFemaleHospitalizationHumansMaleModels, EconomicUnited KingdomDefibrillators, ImplantableHealth Care Economics and OrganizationsHeart FailureTelemedicine

Identifiers

PMID41407535
PMCPMC13539856

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.