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June 16, 2004

Interventions to Prevent Readmission for Congestive Heart Failure—Reply

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(23):2816. doi:10.1001/jama.291.23.2816-b

In Reply: Dr Riegel and colleagues are concerned about the categorization of studies in our meta-analysis. We agree that it is appealing to use concepts of intensity and complexity to categorize components of multidisciplinary interventions for congestive heart failure, such as specific education to enhance self-care behavior, discharge planning, and support after discharge.

In our meta-analysis of published data, we categorized studies according to the reported characteristics of postdischarge support. This aspect of the intervention has an impact on both the intensity and complexity of the process of care and was specifically described in the published reports, which contained little additional information about the intensity of other components. Therefore, we chose postdischarge support as the basis for our categorization scheme.

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