Contextualising evidence based medicine in determining the key root for translational effectiveness for chronic disease self-management and heart failure

Pupalan Iyngkaran^1,2,*, Fahad Hanna³, John D Horowitz⁴, Maximilian P. de Courten¹

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¹ Mitchell Institute for Education and Health Policy, Victoria University, 3000 Melbourne, Australia

² School of Medicine Sydney, Werribee Mercy Sub School, University of Notre Dame, 3030 Victoria, Australia

³ Department of Public Health, Torrens University, 3000 Melbourne, Australia

⁴ Basil Hetzel Institute, University of Adelaide, 5011 Woodville South, South Australia, Australia

^*Correspondence: pupalan.iyngkaran@live.vu.edu.au (Pupalan Iyngkaran)
Academic Editor: Vincenzo Lionetti

Rev. Cardiovasc. Med. 2022, 23(1), 37; https://doi.org/10.31083/j.rcm2301037

Submitted: 19 October 2021 | Revised: 9 November 2021 | Accepted: 16 November 2021 | Published: 19 January 2022

(This article belongs to the Special Issue Translational Perioperative Cardioprotection)

This is an open access article under the CC BY 4.0 license.

Abstract

Background: Congestive heart failure (CHF) management has proven devastating on morbidity, mortality, quality of life and also costly to health systems. Therapeutics for CHF have advanced and benefited greatly due to large multicentre randomised controlled trials and the evidence obtained from them. Management for chronic diseases and nonpharmaceutical therapies such as chronic disease self-management has lagged, and for CHF the evidence base has even been questioned. Methods: Perspective and non systematic mini review. Conclusions: Advancing translational research standards is important to achieve optimal cost effectiveness. Importantly is understanding evidence generation in medicine, identifying the primary roots for management and its translation.

Keywords

Clinical translation

Congestive heart failure

Evidence based medicine

Guidelines

Self-management

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Rev. Cardiovasc. Med. Print ISSN 1530-6550 Electronic ISSN 2153-8174