ArticleJournal of palliative medicine2014
Comparing unmet needs between community-based palliative care patients with heart failure and patients with cancer.
Article in Journal of palliative medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
30 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Needs-based triggers for timely referral to palliative care for older adults severely affected by noncancer conditions: a systematic review and narrative synthesis.BMC palliative care · 2023Pooled it
- Tools to help healthcare professionals recognize palliative care needs in patients with advanced heart failure: A systematic review.Palliative medicine · 2021Pooled it
- Pooled it
- Comparison of Palliative Care Interventions for Cancer versus Heart Failure Patients: A Secondary Analysis of a Systematic Review.Journal of palliative medicine · 2019Pooled it
- Psychosocial needs and interventions for heart failure patients and families receiving palliative care support: a systematic review.Heart failure reviews · 2017Pooled it
- Perceptions of Need for Palliative Care in Recently Hospitalized Patients With Systolic Heart Failure.Journal of pain and symptom management · 2021Trial
- Primary palliative care for heart failure provided within ambulatory cardiology: A randomized pilot trial.Heart & lung : the journal of critical careTrial
- Promoting palliative care for people with heart failure: the P3HF study protocol.BMC palliative care · 2026Article
- Defining and measuring unmet palliative care needs among people with life-limiting illness: A scoping review of international evidence.Palliative medicine · 2026Article
- Difference-Making Factors Linked to Higher Reach of Specialist Palliative Care Among People With Heart Failure Across a National Sample of VA Medical Centers.The American journal of hospice & palliative care · 2025Article
- Differences in symptoms and problems experienced by patients with a life-threatening disease in specialized palliative care and basic palliative care-a nationwide cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Holistic symptom burden and prognostic value of palliative care needs in heart failure: insights from the integrated palliative care outcome scale.BMC palliative care · 2025Observational
- Article
- Variation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs.Journal of pain and symptom management · 2024Article
- Symptoms and problems reported by patients with non-cancer diseases through open-ended questions in specialist palliative care: a national register-based study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Palliative Care Needs of Physically Frail Community-Dwelling Older Adults With Heart Failure.Journal of pain and symptom management · 2023Article
- Using Latent Class Analysis to Identify Different Clinical Profiles Among Patients With Advanced Heart Failure.Journal of pain and symptom management · 2023Article
- The role of critical care nurses in shared decision-making for patients with severe heart failure: A qualitative study.PloS one · 2023Article
- The Landscape of Outpatient Palliative Care in Germany: Results from a Retrospective Analysis of 14,792 Patients.International journal of environmental research and public health · 2022Article
- The Association Between Hospital End-of-Life Care Quality and the Care Received Among Patients With Heart Failure.Journal of pain and symptom management · 2021Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundAs the role of palliative care (PC) has yet to be clearly defined in patients with heart failure (HF), such patients may face barriers regarding PC referral. In order to maximally meet the needs of HF patients, it is necessary to understand how they compare to the classic PC population: patients with cancer.
objectiveTo characterize the unresolved symptom and treatment needs with which patients with HF and those with cancer present to PC.
methodsWe used data from the Palliative Care Research Registry (PCRR), a repository of quality improvement data from three community-based PC organizations. We abstracted first PC visit data from the PCRR for patients with primary diagnoses of HF or cancer seen between 2008 and 2012. We assessed the association of primary diagnosis (i.e., HF or cancer) on three outcomes: unresolved symptoms, treatment gaps, and a composite indicator of symptom control and quality of life. Analyses included descriptive statistics and multivariate Poisson regression.
resultsOur analytic sample comprised 334 patients with HF and 697 patients with cancer, the majority of whom were white and male. Compared to patients with cancer, patients with HF presented with fewer unresolved symptoms, both overall and at moderate/severe distress levels. Patients with HF more commonly reported moderately/severely distressful dyspnea (25% versus 18%, p=0.02), and more commonly experienced dyspnea-related treatment gaps (17% versus 8%, p<0.001).
conclusionsPatients with HF possess care needs that are squarely within the purview of PC. Future work is needed to delineate how PC referral policies should be refined to optimize PC access for patients with HF.
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