Journal of Primary Care & Community Health
Primary Care Signals and Diagnostic Pathways Before Incident Heart Failure: A Systematic Scoping Review
Introduction Heart failure may be preceded by non-specific symptoms or indicators recorded in primary care, although these records do not necessarily represent heart failure or missed diagnosis. We mapped quantitative evidence on prediagnostic signals, investigation, referral, diagnosis setting and outcomes. Methods We conducted a systematic scoping review of quantitative observational studies of incident or newly diagnosed adult heart failure that included a primary care, community or ambulatory first-contact comp …