Evidence map›Paper›PMID 26742707›Full record

ArticleHeart & lung : the journal of critical care

Patients' decision making process and expectations of a left ventricular assist device pre and post implantation.

Lisa A Kitko, Judith E Hupcey, Barbara Birriel, Windy Alonso

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06823583 (Multi-Site Feasibility Testing of the Ventricular Assist Device Anticipatory Guidance Tool), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

NCT06823583 recruitingnot on this map

Multi-Site Feasibility Testing of the Ventricular Assist Device Anticipatory Guidance Tool

TypeobservationalSponsorBryan HeartRan2025 to 2026Enrolled10ConditionsVentricular Assist Device, Advanced Heart Failure, Anticipatory Guidance
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Review
  11. Identifying Knowledge Gaps among LVAD Candidates.Journal of clinical medicine · 2019
    Article
  12. Starting the Conversation about Left Ventricular Assist Devices.The journal for nurse practitioners : JNP · 2019
    Article
  13. Article
  14. Current status of the implantable LVAD.General thoracic and cardiovascular surgery · 2016
    Review
  15. Observational
  16. Article
  17. Physiological and Psychological Stress in Patients Living With a Left Ventricular Assist Device.ASAIO journal (American Society for Artificial Internal Organs : 1992)
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Lisa A KitkoCollege of Nursing, The Pennsylvania State University, USA. Electronic address: lkitko@psu.edu.
Judith E HupceyCollege of Nursing, The Pennsylvania State University, USA.
Barbara BirrielCollege of Nursing, The Pennsylvania State University, USA.
Windy AlonsoCollege of Nursing, The Pennsylvania State University, USA.

Funding

Palliative care algorithms for HF dyads: 1-year versus 2-year predicted survivalR01NR013419 · NINR · PENNSYLVANIA STATE UNIVERSITY, THE · PI HUPCEY, JUDITH E · 2011 to 2014
$1.6M
NINR NIH HHS R01 NR013419PHS HHS 1R01NRO13419
6 · The paper itself

Abstract

objectivesTo examine patients' pre-implantation decision-making and pre and post-implantation expectations of left ventricular assist devices (LVADs).

backgroundLVADs have been shown to improve both quantity and quality of life of patients living with Stage D heart failure (HF). However, they also pose significant risks.

methods15 LVAD participants followed in a longitudinal study of Stage D HF patients were included in this thematic analysis.

resultsThree themes were identified: no choice; I thought I would be doing better; I feel good, but now what. Evidence from pre-implantation to post-implantation suggested that patients' perceived expectations of quality of life improvement were not met.

conclusionsIn light of their declining health, most patients felt their only alternative to implantation was death. In the post-implantation period, patients expected greater improvements in their quality of life. Evidence based guidelines for discussions of goals of care, post-implant expectations, and palliative care are necessary.

Indexed as

Quality of LifeAdultAgedDecision MakingFemaleHeart-Assist DevicesHeart FailureHumansLongitudinal StudiesMaleMiddle AgedDecision makingHeart failureLongitudinalPalliative careQualitativeVentricular assist device

Identifiers

PMID26742707
PMCPMC4779403

What OpenQuestion holds

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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.