Evidence map›Paper›PMID 23482081›Full record

ArticleJournal of cardiac failure2013

Palliative care consultations for heart failure patients: how many, when, and why?

Marie Bakitas, Meredith Macmartin, Kenneth Trzepkowski, Alina Robert, Lisa Jackson, Jeremiah R Brown, James N Dionne-Odom, Alan Kono

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiac failure, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 4 pooled it
8.5field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 4 syntheses or guidelines pooled it, 124 citations in OpenAlex.

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  19. High-Quality Nursing Home and Palliative Care-One and the Same.Journal of the American Medical Directors Association · 2022
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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

8 authors at 3 institutions in 1 country.

Marie BakitasSection of Palliative Medicine, Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, USA. marie.bakitas@hitchcock.org
Meredith Macmartin
Kenneth Trzepkowski
Alina Robert
Lisa Jackson
Jeremiah R Brown
James N Dionne-Odom
Alan Kono
Dartmouth College · USBoston College · USDartmouth Institute for Health Policy and Clinical Practice · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Early vs. Later Palliative Cancer Care: Clinical and Biobehavioral EffectsR01NR011871 · NINR · DARTMOUTH COLLEGE · PI BAKITAS, MARIE ANNE · 2009 to 2011
$1.4M
Patient Safety and Acute Kidney InjuryK01HS018443 · AHRQ · DARTMOUTH COLLEGE · PI BROWN, JEREMIAH R · 2009 to 2013
$696k
AHRQ HHS K01 HS018443AHRQ HHS K01HS018443NCI NIH HHS P30 CA023108NINR NIH HHS R01 NR011871NINR NIH HHS R0-1NR011871-01
6 · The paper itself

Abstract

objectiveIn preparation for development of a palliative care intervention for patients with heart failure (HF) and their caregivers, we aimed to characterize the HF population receiving palliative care consultations (PCCs). METHODS AND

resultsReviewing charts from January 2006 to April 2011, we analyzed HF patient data including demographic and clinical characteristics, Seattle Heart Failure scores, and PCCs. Using Atlas qualitative software, we conducted a content analysis of PCC notes to characterize palliative care assessment and treatment recommendations. There were 132 HF patients with PCCs, of which 37% were New York Heart Association functional class III and 50% functional class IV. Retrospectively computed Seattle Heart Failure scores predicted 1-year mortality of 29% [interquartile range (IQR) 19-45] and median life expectancy of 2.8 years [IQR 1.6-4.2] years. Of the 132 HF patients, 115 (87%) had died by the time of the audit. In that cohort the actual median time from PCC to death was 21 [IQR 3-125] days. Reasons documented for PCCs included goals of care (80%), decision making (24%), hospice referral/discussion (24%), and symptom management (8%).

conclusionsDespite recommendations, PCCs are not being initiated until the last month of life. Earlier referral for PCC may allow for integration of a broader array of palliative care services.

Indexed as

AgedAged, 80 and overCohort StudiesFemaleHeart FailureHumansMalePalliative CareReferral and ConsultationRetrospective StudiesTime Factors

Identifiers

PMID23482081
PMCPMC4564059
OpenAlexW2073677818

What OpenQuestion holds

Textmetadata
LicenceTDM
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.