{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T16:58:17Z","timestamp":1780333097365,"version":"3.54.1"},"reference-count":72,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Applied Research Collaboration"},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute of Health Research","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004282","name":"Evelyn Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004282","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014091","name":"AstraZeneca","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014091","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Pharmacosmos"},{"DOI":"10.13039\/100001003","name":"Boehringer Ingelheim","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001003","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Pharmacosmos"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aims to review the clinical services currently provided to people with heart failure with preserved ejection fraction (HFpEF) living in the UK, to examine the format of clinical care, and to assess these against UK guideline recommendations provided by the National Institute for Health and Care Excellence (NICE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>A systematic scoping review was performed. We synthesized articles narratively according to the systematic review without meta-analysis guidelines, drawing on other established recommendations for narrative methods. We critically appraised articles using Critical Appraisal Skills Programme tools. Following screening (n = 11 495) and full-text review (n = 68), we included 25 unique reports from databases and nine operations documents received following a public appeal. Overall reporting within both published articles and operations documents was sub-optimal, limiting our description of service provision. From the data available, it appeared that most services were NICE guideline compliant for overall heart failure management; however, multiple services augmented clinical teams with additional specialists to assist in the management of people with HFpEF. Thematic analysis suggested variability in HFpEF services and uncertainty over the optimal clinic format and management strategies, which was complicated by complexity in patients. Cumulatively, publications suggested there is a need for service re-design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Heart failure with preserved ejection fraction care in the UK appears variable, and the format of optimal services to improve outcomes is not yet clear. Patient complexity makes management challenging. Although some clinical services have made efforts to adapt to HFpEF patients\u2019 needs, there remain significant gaps in service provision and care. Findings underscore a pressing need for service re-design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>This scoping review protocol was published on the public Open Science Framework platform (no registration reference provided) and can be accessed at https:\/\/osf.io\/5gufq\/.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvaf143","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T08:17:45Z","timestamp":1752740265000},"page":"227-236","source":"Crossref","is-referenced-by-count":3,"title":["What services are currently provided to people with heart failure with preserved ejection fraction in the UK and what are their components? A systematic scoping review"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2107-3690","authenticated-orcid":false,"given":"Faye","family":"Forsyth","sequence":"first","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge , Robinson Way, Cambridge CB2 0SR ,","place":["UK"]},{"name":"KU Leuven Department of Public Health and Primary Care , KU Leuven, Kapucijnenvoer 7, PB7001, Leuven 3000 ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3209-0752","authenticated-orcid":false,"given":"Christi","family":"Deaton","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge , East Forvie Building, Cambridge CB2 0SR ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5288-3074","authenticated-orcid":false,"given":"Paul R","family":"Kalra","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Portsmouth Hospitals University NHS Trust , Portsmouth PO6 3LY ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9329-1406","authenticated-orcid":false,"given":"Mark","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Portsmouth Hospitals University NHS Trust , Portsmouth PO6 3LY ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4394-2631","authenticated-orcid":false,"given":"Mary E","family":"Harrison","sequence":"additional","affiliation":[{"name":"Department of Medicine, University Hospitals of Leicester NHS Trust, Infirmary Square Leicester LE1 5WW and University of Leicester , University Road, Leicester LE1 7RH ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8684-8939","authenticated-orcid":false,"given":"Sara","family":"Tavares","sequence":"additional","affiliation":[{"name":"Heart Failure Team, Heart Failure Offices, Ealing Community Cardiology, Imperial College NHS Trust , Praed Street, London W2 1NY ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8010-1802","authenticated-orcid":false,"given":"Andreas","family":"Dirksen","sequence":"additional","affiliation":[{"name":"Heart & Vascular Center, University Medicine Frankfurt , Theodor-Stern-Kai 7, Frankfurt am Main 60596 ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2879-4020","authenticated-orcid":false,"given":"Isla","family":"Kuhn","sequence":"additional","affiliation":[{"name":"Medical Library, University of Cambridge , Cambridge CB2 0QQ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9295-3156","authenticated-orcid":false,"given":"Barbara","family":"Farquharson","sequence":"additional","affiliation":[{"name":"Nursing, Midwifery and Allied Health Professional's Research Unit (NMAHP), Centre for Healthcare and Community Research (CHeCR), University of Stirling , Stirling FK9 4NF ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8274-4836","authenticated-orcid":false,"given":"Rosalynn C","family":"Austin","sequence":"additional","affiliation":[{"name":"Department of Public Health, Faculty of Health Sciences, University of Stavanger , Stavanger 4021 ,","place":["Norway"]},{"name":"Department of Cardiology, Portsmouth Hospitals University NHS Trust , Southwick Hill, Portsmouth PO6 3LY ,","place":["UK"]},{"name":"NIHR Applied Research Collaborative (ARC) Wessex, Innovation Centre, Science Park , 2 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