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The authors' reply:
  1. K Khunti,
  2. M Stone,
  3. S Paul,
  4. D A Turner,
  5. I Squire
  1. 1
    University of Leicester, Leicester, UK
  1. Professor K Khunti, Department of Health Sciences, University of Leicester, 22–28 Princess Road West, Leicester LE1 6TP, UK; kk22{at}le.ac.uk

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We thank Dr Jaarsma for highlighting the importance of choosing appropriate outcomes in heart failure research. The COACH trial recently found that neither moderate nor intensive disease management programmes by a nurse specialising in management of patients with heart failure reduced death or hospitalisation compared with standard treatment.1 In contrast, our trial evaluated the effectiveness of improvements in prescribing evidence-based treatments for heart failure and the appropriate assessment …

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