ReviewJournal of multimorbidity and comorbidity
Multimorbid heart failure (HF) and cardiorenal metabolic (CaReMe) syndrome, exploring integrated models of care: A scoping review.
Review in Journal of multimorbidity and comorbidity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Heart failure (HF) remains a global cause of morbidity and mortality and is increasingly complex to manage due to high prevalence of multimorbidity and coexisting cardiorenal and metabolic (CaReMe) syndrome. Individualised care through integrated service models can improve quality and maximise patient outcomes. This scoping review identifies and synthesises models of integrated care for multimorbid HF and CaReMe syndrome, analysing organisation, implementation, and reported outcome measures. Methods: A systematic search was conducted in MEDLINE, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), COCHRANE library, and grey literature. Eligible studies included primary research published between 2014 and 2025 describing integrated, multispecialty, or multidisciplinary team (MDT) models of care for adults with multimorbid HF and CaReMe disease. The search followed PRISMA-ScR reporting standards and studies reviewed using standardised tools informed by Joanna Briggs Institute (JBI) and Cochrane Collaborations Tool methodologies. Results: Five studies were identified from upper-middle and high-income countries that incorporated MDT integrated care models. Models were mapped to the Effective Practice and Organisation of Care (EPOC) framework explaining key components of integrated care. Positive outcomes included reduced hospitalisations, improved treatment adherence, enhanced collaborative processes, and patient engagement. Limited governance structures, variable outcome measures, gaps in financial and technological evaluations were also identified. Conclusion: Integrated care models for multimorbid HF and CaReMe syndrome demonstrate potential to enhance care coordination and quality of life. Evidence gaps persist regarding practical implementation, economic viability, and flexibility across healthcare settings. Future research should prioritise patient co-design, standardised outcomes, and shared decision-making frameworks.
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What Socratic holds
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.