Evidence map›Paper›PMID 28804429›Full record

ArticleEuropean journal of ageing2012

'Who is going to explain it to me so that I understand?' Health care needs and experiences of older patients with advanced heart failure.

Miriam G Gerlich, Katharina Klindtworth, Peter Oster, Mathias Pfisterer, Klaus Hager, Nils Schneider

Open access · bronzeAbstract read
In one paragraph

Article in European journal of ageing, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Striving to establish a care relationship-Mission possible or impossible?-Triad encounters between patients, relatives and nurses.Health expectations : an international journal of public participation in health care and health policy · 2019
    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

6 authors at 2 institutions in 1 country.

Miriam G GerlichHannover Medical School, Institute for Epidemiology, Social Medicine and Health Systems Research, Research Group Palliative Care and Ageing, Hannover, Germany.
Katharina KlindtworthHannover Medical School, Institute for Epidemiology, Social Medicine and Health Systems Research, Research Group Palliative Care and Ageing, Hannover, Germany.
Peter OsterAgaplesion Bethanien Hospital, Geriatric Centre at the University, Heidelberg, Germany.
Mathias PfistererAgaplesion Elisabetenstift, Centre for Geriatrics and Palliative Medicine, Darmstadt, Germany.
Klaus HagerDiakoniekrankenhaus Henriettenstiftung, Centre for Geriatrics, Hannover, Germany.
Nils SchneiderHannover Medical School, Institute for Epidemiology, Social Medicine and Health Systems Research, Research Group Palliative Care and Ageing, Hannover, Germany.
Medizinische Hochschule Hannover · DEAgaplesion Bethanien Krankenhaus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure is a leading cause of death and can result in significant palliative care needs. The aim of this study was to explore the needs of older patients with advanced heart failure, and their experiences with health care delivery in Germany. Qualitative interviews were carried out with 12 patients (6 men, 6 women; age 73-94 years; heart failure in an advanced stage according to the New York Heart Association Functional Classification) recruited in two geriatric hospitals. The interviews were analyzed by a qualitative descriptive approach. The main categories derived from the patient interviews were: understanding of illness and prognosis, health care services and social life. The patients expressed the need for better information and communication regarding illness and prognosis, and the desire for more respectful treatment by health care providers. Heart failure was not recognized as a potentially life-limiting disease, and the patients had no experience with palliative care services. The study emphasizes the need for improving communication with patients with advanced heart failure. To achieve this, strengthening the palliative care approach in all relevant services that deliver care for these patients and introducing advanced care planning appear to be promising strategies.

Indexed as

Advanced care planningAdvanced heart failureAgedCommunicationPalliative care approachQualitative research

Identifiers

PMID28804429
PMCPMC5549111
OpenAlexW2017935010

What OpenQuestion holds

Textmetadata
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.