Evidence map›Paper›PMID 25423169›Full record

ArticlePloS one2014

Palliative care among heart failure patients in primary care: a comparison to cancer patients using English family practice data.

Amy Gadoud, Eleanor Kane, Una Macleod, Pat Ansell, Steven Oliver, Miriam Johnson

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

55 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Equitable inclusion of patients with cancer on the palliative care register: a systematic review in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
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  7. Continuity of primary care and end-of-life care costs in dementia: a retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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  20. A pilot study on the effect of advance care planning implementation on healthcare utilisation and satisfaction in patients with advanced heart failure.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 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

6 authors.

Amy GadoudPalliative Medicine, Hull York Medical School, University of Hull, Hull, East Yorkshire, United Kingdom.
Eleanor KaneDepartment of Health Sciences, University of York, York, North Yorkshire, United Kingdom.
Una MacleodPrimary Care Medicine, Hull York Medical School, University of Hull, Hull, East Yorkshire, United Kingdom.
Pat AnsellDepartment of Health Sciences, University of York, York, North Yorkshire, United Kingdom.
Steven OliverPopulation Health, Department of Health Sciences and Hull York Medical School, University of York, York, North Yorkshire, United Kingdom.
Miriam JohnsonPalliative Medicine, Hull York Medical School, University of Hull, Hull, East Yorkshire, United Kingdom.

Funding

Medical Research Council
6 · The paper itself

Abstract

introductionPatients with heart failure have a significant symptom burden and other palliative care needs often over a longer period than patients with cancer. It is acknowledged that this need may be unmet but by how much has not been quantified in primary care data at the population level.

methodsThis was the first use of Clinical Practice Research Datalink, the world's largest primary care database to explore recognition of the need for palliative care. Heart failure and cancer patients who had died in 2009 aged 18 or over and had at least one year of primary care records were identified. A palliative approach to care among patients with heart failure was compared to that among patients with cancer using entry onto a palliative care register as a marker for a palliative approach to care.

resultsAmong patients with heart failure, 7% (234/3 122) were entered on the palliative care register compared to 48% (3 669/7 608) of cancer patients. Of heart failure patients on the palliative care register, 29% (69/234) were entered onto the register within a week of their death.

conclusionsThis confirms that the stark inequity in recognition of palliative care needs for people with heart failure in a large primary care dataset. We recommend a move away from prognosis based criteria for palliative care towards a patient centred approach, with assessment of and attention to palliative needs including advance care planning throughout the disease trajectory.

Indexed as

Family PracticePalliative CareAgedAged, 80 and overEnglandFemaleHeart FailureHumansMaleMiddle AgedNeoplasmsPrimary Health Care

Identifiers

PMID25423169
PMCPMC4244094

What OpenQuestion holds

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Registered trials

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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.