SHARE-HF Decision Aid

2. Know the risks of heart failure:

2. Know the benefits & harms of treatment:

2. Know the risks of heart failure:

2. Know the benefits & harms of treatment:

Life expectancyRisk of death or hospitalization

Your life expectancy with NO treatment: Age 84 years

Your life expectancy with current treatment: Age 84 years

Heart failure shortens life expectancy. For people like you, based on your current risk and treatments, 80 in 100 people would still be alive in 5 years.

Your life expectancy with current treatment: Age 84 years

Your life expectancy with chosen medications: Age 83 years (+0 extra years added to your life)

20%

	Treatment Benefit	Event

Heart failure increases the risk of dying and being hospitalized. For people like you, based on your current risk and treatments, 55 in 100 people will be alive and will not require any hospitalizations over the next 5 years.

45%

No Event	Treatment Benefit	Event

Heart failure shortens life expectancy. On average for people with heart failure not taking any medications, 50 in 100 people would still be alive in 5 years.

50%

	Treatment Benefit	Event

Heart failure increases the risk of dying and being hospitalized. On average for people with heart failure not taking any medications, 30 in 100 people will be alive and will not require any hospitalizations over the next 5 years.

70%

No Event	Treatment Benefit	Event

Alive in 5 years
• Current: 80 in 100
• With chosen medications: 80 in 100

Over 5 years, 0 more people in 100 will be alive if they take the chosen medications

Alive without hospitalization in 5 years
• Current: 55 in 100
• With chosen medications: 55 in 100

Over 5 years, 0 more people in 100 will avoid death or hospitalization if they take the chosen medications

Alive in 5 years
• No medication: 50 in 100
• With chosen medications: 50 in 100

Alive without hospitalization in 5 years
• No medication: 30 in 100
• With chosen medications: 30 in 100

20%

No Event	Treatment Benefit	Event

45%

No Event	Treatment Benefit	Event

50%

	Treatment Benefit	Event

70%

	Treatment Benefit	Event

Quality of life

People with heart failure tend to develop progressively worsening symptoms that limit quality of life.

With chosen medications, 0 more people out of 100 will feel noticeably better

Label
	0%

Page Logic

1Enable all current treatments and display option buttons by default(if 1==1, performActions: [acei_arb_target]->enable, [arni]->enable, [prev_bblocker]->enable, [mra]->enable, [sglt2i]->enable, [individualize_button]->enable, [population_button]->enable, [no_numbers_button]->enable)

2Display "show" by default(if 1==1, showHideTags: show tags: (show))

3Default hides(if 1==1, showHideTags: show tags: (no_warnings) hide tags: (sbp_warning, hr_warning, potassium_warning, egfr_30_warning, egfr_20_warning, special_message, step3_individual, no_number_qol_benefit, big_potassium_warning, low_potassium, emr_population, no_numbers_emr, emr_individual, emr_individual_composite, emr_population_composite, no_numbers_emr_composite, show_pop_mortality_treat))

4Enable toggles by default(if 1==1, performActions: [toggle_combo]->enable, [toggle_single]->enable, [combo1]->enable, [combo2]->enable, [acei_arb_target]->enable, [combo3]->enable, [arni]->enable)

5Enable all treatments by default(if 1==1, performActions: [tx_acei_low]->enable, [tx_acei_target]->enable, [tx_arni]->enable, [tx_bb]->enable, [tx_mra]->enable, [tx_sglt2i]->enable)

6Already taking high ACEI/ARB(if ([acei_arb_target]=="1"), performActions: [tx_acei_low]->disable, [tx_acei_target]->disableAlreadyTaking)

7Already taking ARNI(if ([arni]=="1"), performActions: [tx_acei_low]->disable, [tx_acei_target]->disable, [tx_arni]->disableAlreadyTaking)

8Select target then disable arni(if [tx_acei_target]==1, performActions: [tx_arni]->disable)

9Select arni then disable acei/arb(if [tx_arni]==1, performActions: [tx_acei_target]->disable)

10Already taking beta-blocker(if [prev_bblocker]==1, performActions: [tx_bb]->disableAlreadyTaking)

11Already taking MRA(if [mra]==1, performActions: [tx_mra]->disableAlreadyTaking)

12Already taking sglt2i(if [sglt2i]==1, performActions: [tx_sglt2i]->disableAlreadyTaking)

13Show life-years gained by default(if 1==1, showHideTags: show tags: (gained))

14Hide life-years gained conditionally(if [treatment_hr_death]==1 || [calc_age_50_pct]>85, showHideTags: hide tags: (gained))

15Show combo(if [toggle_combo]==1, showHideTags: show tags: (combo) hide tags: (medication))

16Show medications(if [toggle_single]==1, showHideTags: show tags: (medication) hide tags: (combo))

17Hide combos if not selected(if [toggle_combo]==0, showHideTags: hide tags: (combo))

18Hide medication if not selected(if [toggle_single]==0, showHideTags: hide tags: (medication))

19Disable single if combo selected(if [toggle_combo]==1, performActions: [toggle_single]->disable)

20Disable combo if medication selected(if [toggle_single]==1, performActions: [toggle_combo]->disable)

21If combo1 disable combo2/3(if [combo1]==1, performActions: [combo2]->disable, [combo3]->disable)

22If combo2 disable combo1/3(if [combo2]==1, performActions: [combo1]->disable, [combo3]->disable)

23If combo3 disable combo 1/2(if [combo3]==1, performActions: [combo1]->disable, [combo2]->disable)

24Show death / composite by default(if 1==1, showHideTags: show tags: (composite, death))

25Hide composite if death selected(if ([toggle_death_composite]==0), showHideTags: hide tags: (composite))

26Hide death if composite selected(if ([toggle_death_composite]==1), showHideTags: hide tags: (death))

27Disable combo if not selected(if [toggle_combo]==0, performActions: [combo1]->disable, [combo2]->disable)

28Disable single ,edocatopms if not selected(if [toggle_single]==0, performActions: [tx_acei_low]->disable, [tx_acei_target]->disable, [tx_arni]->disable, [tx_bb]->disable, [tx_mra]->disable, [tx_mra]->disable)

29Default show step4(if 1==1, showHideTags: show tags: (step4))

30Hide step 4 if no option selected(if ([toggle_combo]==0) && ([toggle_single]==0), showHideTags: hide tags: (step4))

31Disable combos when not selected(if [toggle_combo]==0, performActions: [combo1]->disable, [combo2]->disable, [combo3]->disable)

32Disable individual options when not selected(if [toggle_single]==0, performActions: [tx_acei_low]->disable, [tx_acei_target]->disable, [tx_arni]->disable, [tx_bb]->disable, [tx_ivabradine]->disable, [tx_mra]->disable, [tx_sglt2i]->disable)

33Disable fancy drugs when not selected(if [toggle_fancy]==0, performActions: )

34Hide (if 1==1, showHideTags: hide tags: (hide))

35ACEI target disable others(if [acei_arb_target]==1, performActions: [arni]->disable)

36ARNI disable others(if [arni]==1, performActions: [acei_arb_below_target]->disable, [acei_arb_target]->disable)

37Disable combos 1 and 2 if ARNI taken(if [arni]==1, performActions: [combo1]->disable, [combo2]->disable)

38Disable combo1 if components taken(if [acei_arb_target]==1 && [mra]==1 && [prev_bblocker]==1, performActions: [combo1]->disableAlreadyTaking)

39Disable combo2 if components taken(if [acei_arb_target]==1 && [mra]==1 && [prev_bblocker]==1 && [sglt2i]==1, performActions: [combo2]->disableAlreadyTaking)

40Disable combo3 if components taken(if [arni]==1 && [mra]==1 && [prev_bblocker]==1 && [sglt2i]==1, performActions: [combo3]->disableAlreadyTaking)

41Show sbp warning(if [sbp]<=100, showHideTags: show tags: (sbp_warning) hide tags: (no_warnings))

42Show hr warning(if [hr]<55, showHideTags: show tags: (hr_warning) hide tags: (no_warnings))

43Show potassium warning(if ([potassium]>5) && ([potassium]<=5.5) && ((parseFloat([arni]) + parseFloat([mra]))<2), showHideTags: show tags: (potassium_warning) hide tags: (no_warnings))

44Show egfr<30 warning(if ([egfr]<30) && ([egfr]>=20), showHideTags: show tags: (egfr_30_warning) hide tags: (no_warnings))

45Show egfr<20 warning(if [egfr]<20, showHideTags: show tags: (egfr_20_warning) hide tags: (no_warnings))

46Show no treat death(if (( parseFloat([combo1]) + parseFloat([combo2]) + parseFloat([combo3]) + parseFloat([tx_acei_target]) + parseFloat([tx_arni]) + parseFloat([tx_bb]) + parseFloat([tx_mra]) + parseFloat([tx_sglt2i]) )==0) && ([select_outcome]==0), showHideTags: show tags: (no_treat_death, no_treat) hide tags: (treat_death, no_treat_composite, treat_composite, treat))

47Show treat death(if (( parseFloat([combo1]) + parseFloat([combo2]) + parseFloat([combo3]) + parseFloat([tx_acei_target]) + parseFloat([tx_arni]) + parseFloat([tx_bb]) + parseFloat([tx_mra]) + parseFloat([tx_sglt2i]) )>0) && ([select_outcome]==0), showHideTags: show tags: (treat_death, treat) hide tags: (no_treat_death, no_treat_composite, treat_composite, no_treat))

48Show no treat composite(if (( parseFloat([combo1]) + parseFloat([combo2]) + parseFloat([combo3]) + parseFloat([tx_acei_target]) + parseFloat([tx_arni]) + parseFloat([tx_bb]) + parseFloat([tx_mra]) + parseFloat([tx_sglt2i]) )==0) && ([select_outcome]==1), showHideTags: show tags: (no_treat_composite, no_treat) hide tags: (treat_composite, treat_death, no_treat_death, treat))

49Show treat composite(if (( parseFloat([combo1]) + parseFloat([combo2]) + parseFloat([combo3]) + parseFloat([tx_acei_target]) + parseFloat([tx_arni]) + parseFloat([tx_bb]) + parseFloat([tx_mra]) + parseFloat([tx_sglt2i]) )>0) && ([select_outcome]==1), showHideTags: show tags: (treat_composite, treat) hide tags: (no_treat_composite, treat_death, no_treat_death, no_treat))

50Hide individualized estimates(if parseFloat([display_option]) !== 0, showHideTags: hide tags: (individual))

51Hide population estimates(if parseFloat([display_option]) !== 1, showHideTags: hide tags: (population))

52Disable current HF medications if not individualized(if parseFloat([display_option]) !== 0, performActions: [acei_arb_target]->disable, [arni]->disable, [prev_bblocker]->disable, [mra]->disable, [sglt2i]->disable)

53Hide if individualized(if parseFloat([display_option]) == 0, showHideTags: hide tags: (hide_individualized))

54Individual - disable other buttons(if [display_option]==0, performActions: [population_button]->disable, [no_numbers_button]->disable)

55Population - disable other buttons(if [population_button]==1, performActions: [individualize_button]->disable, [no_numbers_button]->disable)

56Special message(if [sbp]<=100 || [hr]<55 || ([potassium]>5 && ((parseFloat([arni]) + parseFloat([mra]))<2)) || [potassium]>5.5 || [potassium]<3.5 || ([egfr]<30), showHideTags: show tags: (special_message))

57Show step3 if individualized(if [display_option]==0, showHideTags: show tags: (step3_individual))

58Show potassium>5.5 warning(if [potassium]>5.5, showHideTags: show tags: (big_potassium_warning) hide tags: (no_warnings))

59Show low potassium message(if [potassium]<3.5, showHideTags: show tags: (low_potassium) hide tags: (no_warnings))

60Show EMR population(if [display_option]==1, showHideTags: show tags: (emr_population))

61Show individual EMR(if [display_option]==0, showHideTags: show tags: (emr_individual))

62EMR Population - Composite(if ([select_outcome]==1) && ([display_option]==1), showHideTags: show tags: (emr_population_composite) hide tags: (emr_population))

63EMR Individual composite(if ([select_outcome]==1) && ([display_option]==0), showHideTags: show tags: (emr_individual_composite) hide tags: (emr_individual))