Evidence map›Paper›PMID 26716394›Full record

ReviewCurrent opinion in supportive and palliative care2016

Transition to palliative care when transcatheter aortic valve implantation is not an option: opportunities and recommendations.

Sandra B Lauck, Jennifer A Gibson, Jennifer Baumbusch, Sandra L Carroll, Leslie Achtem, Gil Kimel, Cindy Nordquist, Anson Cheung, Robert H Boone, Jian Ye and 2 more

Abstract readReview
In one paragraph

Review in Current opinion in supportive and palliative care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Introducing palliative care into the management of patients disqualified from transcatheter aortic valve implantation.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026
    Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Palliative care in end-stage valvular heart disease.Heart (British Cardiac Society) · 2017
    Review
  8. Article
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

12 authors.

Sandra B LauckaSt. Paul's Hospital Vancouver, Canada bUniversity of British Columbia, Vancouver, Canada cMcMaster University, Hamilton, Canada dVancouver General Hospital, Vancouver, Canada.
Jennifer A Gibson
Jennifer Baumbusch
Sandra L Carroll
Leslie Achtem
Gil Kimel
Cindy Nordquist
Anson Cheung
Robert H Boone
Jian Ye
David A Wood
John G Webb

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTranscatheter aortic valve implantation (TAVI) is the recommended treatment for most patients with symptomatic aortic stenosis at high surgical risk. However, TAVI may be clinically futile for patients who have multiple comorbidities and excessive frailty. This group benefits from transition to palliative care to maximize quality of life, improve symptoms, and ensure continuity of health services. We discuss the clinical determination of utility and futility, explore the current evidence guiding the integration of palliative care in procedure-focused cardiac programs, and outline recommendations for TAVI programs. RECENT

findingsThe determination of futility of treatment in elderly patients with aortic stenosis is challenging. There is a paucity of research available to guide best practices when TAVI is not an option. Opportunities exist to build on the evidence gained in the management of end of life and heart failure. TAVI programs and primary care providers can facilitate improved communication and processes of care to provide decision support and transition to palliative care. SUMMARY: The increased availability of transcatheter options for the management of valvular heart disease will increase the assessment of people with life-limiting conditions for whom treatment may not be an option. It is pivotal to bridge cardiac innovation and palliation to optimize patient outcomes.

Indexed as

Quality of LifeAortic Valve StenosisCommunicationHumansMedical FutilityPalliative CareRisk FactorsSeverity of Illness IndexTranscatheter Aortic Valve Replacement

Identifiers

PMID26716394
PMCPMC4927321

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.