Evidence map›Paper›PMID 26385036›Full record

Observational studyAmerican heart journal2015

Unique challenges of hospice for patients with heart failure: A qualitative study of hospice clinicians.

Hillary D Lum, Jacqueline Jones, Dana Lahoff, Larry A Allen, David B Bekelman, Jean S Kutner, Daniel D Matlock

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in American heart journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Designing and Testing an End-of-Life Discussion Intervention for African American Patients With Heart Failure and Their Families.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2016
    Article
  7. Review
  8. Trends and Changes in Intensive Care Use for Patients With Heart Failure in the Last Month of Life.Inquiry : a journal of medical care organization, provision and financing
    Observational
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

7 authors at 3 institutions in 1 country.

Hillary D LumUniversity of Colorado School of Medicine, Aurora, CO; Veterans Affairs Eastern Colorado Health Care System, Denver, CO. Electronic address: Hillary.Lum@ucdenver.edu.
Jacqueline JonesUniversity of Colorado School of Nursing, Aurora, CO.
Dana LahoffUniversity of Colorado School of Medicine, Aurora, CO.
Larry A AllenUniversity of Colorado School of Medicine, Aurora, CO; Colorado Cardiovascular Outcomes Research Consortium, Denver, CO.
David B BekelmanUniversity of Colorado School of Medicine, Aurora, CO; Veterans Affairs Eastern Colorado Health Care System, Denver, CO; Colorado Cardiovascular Outcomes Research Consortium, Denver, CO.
Jean S KutnerUniversity of Colorado School of Medicine, Aurora, CO.
Daniel D MatlockUniversity of Colorado School of Medicine, Aurora, CO; Colorado Cardiovascular Outcomes Research Consortium, Denver, CO.
Outcomes Research Consortium · USUniversity of Colorado Denver · USVA Eastern Colorado Health Care System · US

Funding

Implanted Defibrillators and Older Adults: A Model of Decisions and TechnologiesK23AG040696 · NIA · UNIVERSITY OF COLORADO DENVER · PI MATLOCK, DANIEL D · 2011 to 2015
$716k
NIA NIH HHS 1K23AG040696NIA NIH HHS K23 AG040696
6 · The paper itself

Abstract

backgroundPatients with heart failure have end-of-life care needs that may benefit from hospice care. The goal of this descriptive study was to understand hospice clinicians' perspectives on the unique aspects of caring for patients with heart failure to inform approaches to improving end-of-life care.

methodsThis qualitative study explored experiences, observations, and perspectives of hospice clinicians regarding hospice care for patients with heart failure. Thirteen hospice clinicians from a variety of professional disciplines and clinical roles, diverse geographic regions, and varying lengths of time working in hospice participated in semistructured interviews. Through team-based, iterative qualitative analysis, we identified 3 major themes.

resultsHospice clinicians identified 3 themes regarding care for patients with heart failure. First, care for patients with heart failure involves clinical complexity and a tailored approach to cardiac medications and advanced cardiac technologies. Second, hospice clinicians describe the difficulty patients with heart failure have in trusting hospice care due to patient optimism, prognostic uncertainty, and reliance on prehospice health care providers. Third, hospice clinicians described opportunities to improve heart failure-specific hospice care, highlighting the desire for collaboration with referring cardiologists.

conclusionsFrom a hospice clinician perspective, caring for patients with heart failure is unique compared with other hospice populations. This study suggests potential opportunities for hospice clinicians and referring providers who seek to collaborate to improve care for patients with heart failure during the transition to hospice care.

Indexed as

Quality Assurance, Health CareAgedColoradoFemaleHeart FailureHospicesHumansMaleNursesPhysiciansPrognosisTerminal CareWorkforce

Identifiers

PMID26385036
PMCPMC4575769
OpenAlexW1922300639

What OpenQuestion holds

Textmetadata
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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.