Evidence map›Paper›PMID 22107107›Full record

ArticleJournal of palliative medicine2011

Giving voice to patients' and family caregivers' needs in chronic heart failure: implications for palliative care programs.

David B Bekelman, Carolyn T Nowels, Jessica H Retrum, Larry A Allen, Simon Shakar, Evelyn Hutt, Theresa Heyborne, Deborah S Main, Jean S Kutner

Open access · greenAbstract read
In one paragraph

Article in Journal of palliative medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 106 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

David B BekelmanResearch and Genetics Sections, Department of Veterans Affairs Medical Center, Denver, Colorado, USA. david.bekelman@va.gov
Carolyn T Nowels
Jessica H Retrum
Larry A Allen
Simon Shakar
Evelyn Hutt
Theresa Heyborne
Deborah S Main
Jean S Kutner
University of Colorado Denver · US

Funding

Academic Career Leadership Award in Geriatric Palliative Care ResearchK07AG030337 · NIA · UNIVERSITY OF COLORADO DENVER · PI KUTNER, JEAN S · 2008 to 2012
$540k
6 · The paper itself

Abstract

backgroundThe American College of Cardiology Foundation/American Heart Association (ACC/AHA) Guidelines for the Management of Heart Failure recommend palliative care in the context of Stage D HF or at the end of life. Previous studies related to heart failure (HF) palliative care provide useful information about patients' experiences, but they do not provide concrete guidance for what palliative care needs are most important and how a palliative care program should be structured.

objectivesDescribe HF patients' and their family caregivers' major concerns and needs. Explore whether, how, and when palliative care would be useful to them. DESIGN AND

participantsQualitative study using in-depth interviews of 33 adult outpatients with symptomatic HF identified using purposive sampling and 20 of their family caregivers. APPROACH: Interviews were transcribed verbatim and analyzed using the constant comparative method. KEY

resultsOverall, patients and caregivers desired early support adjusting to the limitations and future course of illness, relief of a number of diverse symptoms, and the involvement of family caregivers using a team approach. A diverse group of participants desired these elements of palliative care early in illness, concurrent with their disease-specific care, coordinated by a provider who understood their heart condition and knew them well. Some diverging needs and preferences were found based on health status and age.

conclusionsHF patients and their family caregivers supported early integration of palliative care services, particularly psychosocial support and symptom control, using a collaborative team approach. Future research should test the feasibility and effectiveness of integrating such a program into routine HF care.

Indexed as

Sickness Impact ProfileAdaptation, PsychologicalAgedCaregiversChronic DiseaseColoradoComorbidityFemaleHeart FailureHumansInterviews as TopicMaleMiddle AgedNeeds AssessmentPalliative CareQualitative Research

Identifiers

PMID22107107
PMCPMC3532000
OpenAlexW1980196633

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.