Evidence map›Paper›PMID 28488925›Full record

ArticlePalliative medicine2018

Strategies to address the shortcomings of commonly used advanced chronic heart failure descriptors to improve recruitment in palliative care research: A parallel mixed-methods feasibility study.

Pauline M Kane, Fliss E M Murtagh, Karen R Ryan, Mary Brice, Niall G Mahon, Brendan McAdam, Regina McQuillan, Geraldine O'Gara, Caroline Raleigh, Cecelia Tracey and 4 more

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Article in Palliative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Review
  3. 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

14 authors.

Pauline M Kane1 Department of Palliative Care, Policy & Rehabilitation, Cicely Saunders Institute, Cicely Saunders International, King's College London, London, UK.
Fliss E M Murtagh1 Department of Palliative Care, Policy & Rehabilitation, Cicely Saunders Institute, Cicely Saunders International, King's College London, London, UK.
Karen R Ryan2 St Francis Hospice, Dublin, Ireland.
Mary Brice4 St Christopher's Hospice, London, UK.
Niall G Mahon3 Mater Misericordiae University Hospital, Dublin, Ireland.
Brendan McAdam5 Beaumont Hospital, Dublin, Ireland.
Regina McQuillan2 St Francis Hospice, Dublin, Ireland.
Geraldine O'Gara5 Beaumont Hospital, Dublin, Ireland.
Caroline Raleigh5 Beaumont Hospital, Dublin, Ireland.
Cecelia Tracey3 Mater Misericordiae University Hospital, Dublin, Ireland.
Christine Howley3 Mater Misericordiae University Hospital, Dublin, Ireland.
Irene J Higginson1 Department of Palliative Care, Policy & Rehabilitation, Cicely Saunders Institute, Cicely Saunders International, King's College London, London, UK.
Barbara A Daveson1 Department of Palliative Care, Policy & Rehabilitation, Cicely Saunders Institute, Cicely Saunders International, King's College London, London, UK.
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Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecruitment challenges contribute to the paucity of palliative care research with advanced chronic heart failure patients.

aimTo describe the challenges and outline strategies of recruiting advanced chronic heart failure patients.

designA feasibility study using a pre-post uncontrolled design.

settingAdvanced chronic heart failure patients were recruited at two nurse-led chronic heart failure disease management clinics in Ireland Results: Of 372 patients screened, 81 were approached, 38 were recruited (46.9% conversion to consent) and 25 completed the intervention. To identify the desired population, a modified version of the European Society of Cardiology definition was used together with modified New York Heart Association inclusion criteria to address inter-study site New York Heart Association classification subjectivity. These modifications substantially increased median monthly numbers of eligible patients approached (from 8 to 20) and median monthly numbers recruited (from 4 to 9). Analysis using a mortality risk calculator demonstrated that recruited patients had a median 1-year mortality risk of 22.7 and confirmed that the modified eligibility criteria successfully identified the population of interest. A statistically significant difference in New York Heart Association classification was found in recruited patients between study sites, but no statistically significant difference was found in selected clinical parameters between these patients.

conclusionClinically relevant modifications to the European Society of Cardiology definition and strategies to address New York Heart Association subjectivity may help to improve advanced chronic heart failure patient recruitment in clinical settings, thereby helping to address the paucity of palliative care research this population.

Indexed as

Heart FailurePalliative CarePatient SelectionAgedAged, 80 and overEligibility DeterminationFeasibility StudiesFemaleHumansLongitudinal StudiesMaleResearch SubjectsHeart failurepalliative carepatient-reported outcome measuresrecruitment

Identifiers

PMID28488925
PMCPMC5788074

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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.