ArticleThe Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation2015
Assessment of patients' and caregivers' informational and decisional needs for left ventricular assist device placement: Implications for informed consent and shared decision-making.
Article in The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 5 of them syntheses that pooled it.
What it found
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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.
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Who cites it
36 citing papers in PubMed, 5 syntheses or guidelines pooled it, 92 citations in OpenAlex.
- The Dynamic Nature of Caregiving in Advanced Heart Failure With Left Ventricular Assist Device Support: A Systematic Review and Thematic Synthesis.Current heart failure reports · 2026Pooled it
- Reviewing next of kin regrets in surgical decision-making: cross-sectional analysis of systematically searched literature.Journal of patient-reported outcomes · 2023Pooled it
- Extent and Predictors of Decision Regret among Informal Caregivers Making Decisions for a Loved One: A Systematic Review.Medical decision making : an international journal of the Society for Medical Decision Making · 2020Pooled it
- Left Ventricular Assist Device Caregiver Experiences and Health Outcomes: A Systematic Review of Qualitative and Quantitative Studies.Journal of cardiac failure · 2020Pooled it
- Regret in Surgical Decision Making: A Systematic Review of Patient and Physician Perspectives.World journal of surgery · 2017Pooled it
- Depression and Suicidality in Patients with Left Ventricular Assist Devices and Advanced Cardiac Therapies: Mechanisms, Risk Factors, and Clinical Management.Medical sciences (Basel, Switzerland) · 2026Review
- The foremost and greatest barrier to end-stage heart failure treatment: the impact of caregiver shortage.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025Article
- Impact of personalized risk scores on shared decision making in left ventricular assist device implantation: Findings from a qualitative study.Patient education and counseling · 2025Article
- Trust criteria for artificial intelligence in health: normative and epistemic considerations.Journal of medical ethics · 2024Article
- "When I do have some time, rather than spend it polishing silver, I want to spend it with my grandkids": a qualitative exploration of patient values following left ventricular assist device implantation.BMC palliative care · 2024Article
- Hopes, expectations, and informational needs in patients undergoing advanced heart failure therapy evaluations.JHLT open · 2024Article
- Patients' and physicians' beliefs and attitudes towards integrating personalized risk estimates into patient education about left ventricular assist device therapy.Patient education and counseling · 2024Article
- Home care providers' perceptions of shared decision-making with older clients (and their caregivers): A cross-sectional study.Nursing & health sciences · 2022Article
- A principal components analysis of factors associated with successful implementation of an LVAD decision support tool.BMC medical informatics and decision making · 2021Article
- Avoiding "toxic knowledge": the importance of framing personalized risk information in clinical decision-making.Personalized medicine · 2021Article
- Designing a patient-specific search of transplant program performance and outcomes: Feedback from heart transplant candidates and recipients.Clinical transplantation · 2021Article
- What older adults and their caregivers need for making better health-related decisions at home: a participatory mixed methods protocol.BMJ open · 2020Article
- Pediatric Deep Brain Stimulation for Dystonia: Current State and Ethical Considerations.Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees · 2020Article
- Shared decision making in surgery: a scoping review of patient and surgeon preferences.BMC medical informatics and decision making · 2020Article
- Impact of Socioeconomic Factors on Patient Desire for Early LVAD Therapy Prior to Inotrope Dependence.Journal of cardiac failure · 2020Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundSeveral organizations have underscored the crucial need for patient-centered decision tools to enhance shared decision-making in advanced heart failure. The purpose of this study was to investigate the decision-making process and informational and decisional needs of patients and their caregivers regarding left ventricular assist device (LVAD) placement.
methodsIn-depth, structured interviews with LVAD patients, candidates and caregivers (spouse, family members) (n = 45) were conducted. We also administered a Decisional Regret Scale.
resultsParticipants reported LVAD decision-making to be quick and reflexive (n = 30), and deferred heavily to clinicians (n = 22). They did not perceive themselves as having a real choice (n = 28). The 2 most prevalent informational domains that participants identified were lifestyle issues (23 items), followed by technical (drive-line, battery) issues (14 items). Participants easily and clearly identified their values: life extension; family; and mobility. Participants reported the need to meet other patients and caregivers before device placement (n = 31), and to have an involved caregiver (n = 28) to synthesize information. Some participants demonstrated a lack of clarity regarding transplant probability: 9 of 15 patients described themselves as on a transplant trajectory, yet 7 of these were destination therapy patients. Finally, we found that decisional regret scores were low (1.307).
conclusionsInformed consent and shared-decision making should: (a) help patients offered highly invasive technologies for life-threatening disease get past the initial "anything to avoid thinking about death" reaction and make a more informed decision; (b) clarify transplant status; and (c) focus on lifestyle and technical issues, as patients have the most informational needs in these domains.
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Registered trials
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.