ReviewCurrent cardiology reviews2018
It's Time to Talk: Challenges in Providing Integrated Palliative Care in Advanced Congestive Heart Failure. A Narrative Review.
Review in Current cardiology reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Improving communication of prognostic uncertainty in advanced illness: a realist review.BMJ open · 2026Pooled it
- The multidimensional needs of chronic heart failure patients and caregivers from a dyadic perspective: a scoping review.Heart failure reviews · 2026Article
- Setting Regional Priorities for Palliative and End-of-Life Care Research Using a Delphi Technique Approach.Journal of palliative care · 2025Article
- Development of a complex palliative care intervention for patients with heart failure and their family carers: a theory of change approach.BMC palliative care · 2025Article
- Use of Palliative Care Among Adults With Newly Diagnosed Heart Failure: Insights From a US National Insured Patient Sample.Journal of the American Heart Association · 2024Article
- Outcomes following cardiac resynchronisation therapy in older people.Age and ageing · 2023Article
- Supportive and Palliative Care Indicators Tool prognostic value in older hospitalised patients: a prospective multicentre study.BMJ supportive & palliative care · 2021Article
- Downgrade of cardiac defibrillator devices to pacemakers in elderly heart failure patients: clinical considerations and the importance of shared decision-making.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2021Review
- Article
- Professionals guidance about palliative medicine in chronic heart failure: a mixed-method study.BMJ supportive & palliative care · 2020Article
- Optimizing of a question prompt list to improve communication about the heart failure trajectory in patients, families, and health care professionals.BMC palliative care · 2020Article
- cBIN1 Score (CS) Identifies Ambulatory HFrEF Patients and Predicts Cardiovascular Events.Frontiers in physiology · 2020Article
- Use of the Palliative Performance Scale to estimate survival among home hospice patients with heart failure.ESC heart failure · 2019Article
- Screening and Initiating Supportive Care in Patients With Heart Failure.Frontiers in cardiovascular medicine · 2019Article
- End-of-life situations in cardiology: a qualitative study of physicians' and nurses' experience in a large university hospital.BMC palliative care · 2018Article
- Development of a Heart Failure Palliative Care Educational Program for Nurses: A Multi-Method Approach.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCongestive heart failure is an increasingly prevalent terminal illness in a globally aging population. Prognosis for this disease remains poor despite optimal therapy. Evidence suggests that a palliative care approach may be beneficial - and is currently recommended - in advanced congestive heart failure but these services remain underutilized.
objectivesTo identify the main challenges to the access and delivery of palliative care in patients with advanced congestive heart failure, and to summarize recommendations for clinical practice based on the available literature.
methodsMEDLINE and EMBASE were searched for articles published from 1995-2017 pertaining to end of life care in individuals suffering from CHF. Only four randomized controlled trials were found.
resultsWe identified ten key challenges to access and delivery of palliative care services in this patient population: (1) Prognostic uncertainty, (2) Provider education/training, (3) Ambiguity surrounding coordination of care, (4) Timing of palliative care referral, (5) Inadequate community supports, (6) Difficulty communicating uncertainty, (7) Fear of taking away hope, (8) Insufficient advance care planning, (9) Inadequate understanding of illness, and (10) Discrepant patient/family care goals. Provider and patient education, early discussion about prognosis, and a multidisciplinary team-based approach are recommended as we move towards a model where symptom palliation exists concurrently with active disease-modifying therapies.
conclusionDespite evidence that palliative care may improve symptom control and quality of life in patients with advanced congestive heart failure, a multitude of current challenges hinder access to these services. Education, early discussion of prognosis and advance care planning, and multidisciplinary team-based care may be a helpful initial approach as further targeted work addresses these challenges.
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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.