ArticleCirculation. Cardiovascular quality and outcomes2014
Choices for patients "without a choice": Interviews with patients who received a left ventricular assist device as destination therapy.
Article in Circulation. Cardiovascular quality and outcomes, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Improving dyadic quality of life for left ventricular assistive devices patients and caregivers: Rationale & design of the Compassion Strikes Back pilot.American heart journal plus : cardiology research and practice · 2026Article
- Prevalence and Outcomes of Fears in Advanced Heart Failure: Differences Across Disease Stages.Current heart failure reports · 2025Review
- Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be Resuscitated.Palliative medicine reports · 2020Article
- In-hospital mortality in older patients after ventricular assist device implantation: A national cohort study.The Journal of thoracic and cardiovascular surgery · 2019Article
- Suffering and Healing in the Context of LVAD Treatment.Journal of clinical medicine · 2019Article
- Palliative Medicine and Preparedness Planning for Patients Receiving Left Ventricular Assist Device as Destination Therapy-Challenges to Measuring Impact and Change in Institutional Culture.Journal of pain and symptom management · 2017Article
- Complex Care Options for Patients With Advanced Heart Failure Approaching End of Life.Current heart failure reports · 2016Review
- Assessment of patients' and caregivers' informational and decisional needs for left ventricular assist device placement: Implications for informed consent and shared decision-making.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2015Article
- Perspectives from mechanical circulatory support coordinators on the pre-implantation decision process for destination therapy left ventricular assist devices.Heart & lung : the journal of critical careArticle
- Adaptation and coping in patients living with an LVAD: A metasynthesis.Heart & lung : the journal of critical careReview
- Patients' decision making process and expectations of a left ventricular assist device pre and post implantation.Heart & lung : the journal of critical careArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients undergo major physical and psychological changes after implantation of a left ventricular assist device as destination therapy (DT). We sought to qualitatively study outcomes and attitudes of patients after DT. METHODS AND
resultsAmbulatory outpatients with DT at our institution were invited to be interviewed between June and August 2011. In-person interviews were audio-recorded, transcribed, and analyzed qualitatively using thematic analysis. The study included 12 patients (11 men) from the Midwestern United States with a median age of 71.5 years (range, 33-78 years). Interviews were conducted at a median (range) time of 1.37 (0.43-5.04) years after DT implantation. Most patients were white (n=11), married (n=10), and Christian (n=10). We identified 6 themes commonly discussed by the interviewees: preparedness planning, new lease on life, optimizing support networks, systemic limitations, reflections on time, and communication matters. Analysis revealed that most patients saw DT as their only choice, despite other alternatives.
conclusionsAmbulatory patients reported varied experiences after DT but commonly reported gratitude for improved functional status and a perception of improved symptom burden. Recommendations for improving post-DT care include developing patient support systems, systematizing education for community providers, and expanding respite services.
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