Evidence map›Paper›PMID 29493362›Full record

ReviewJournal of palliative medicine2017

The State of the Science on Integrating Palliative Care in Heart Failure.

Laura P Gelfman, Marie Bakitas, Lynne Warner Stevenson, James N Kirkpatrick, Nathan E Goldstein

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of palliative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Improving Communication in Heart Failure Patient Care.Journal of the American College of Cardiology · 2019
    Trial
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  13. Review
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  20. Update in Hospice and Palliative Care.Journal of palliative medicine · 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

5 authors at 4 institutions in 1 country.

Laura P Gelfman1 Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai , New York, New York.
Marie Bakitas3 School of Nursing, University of Alabama at Birmingham , Birmingham, Alabama.
Lynne Warner Stevenson4 Division of Cardiovascular Medicine, Brigham and Women's Hospital , Boston, Massachusetts.
James N Kirkpatrick5 Division of Cardiology, Department of Bioethics and Humanities, University of Washington Medical Center , Seattle, Washington.
Nathan E Goldstein1 Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai , New York, New York.
Geriatric Research Education and Clinical Center · USUniversity of Washington Medical Center · USBrigham and Women's Hospital · USUniversity of Alabama at Birmingham · US

Funding

Goals of Care Discussions in Older Adults with Heart Failure and Their CaregiversK23AG049930 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GELFMAN, LAURA PILAR · 2016 to 2022
$816k
NIA NIH HHS K23 AG049930
6 · The paper itself

Abstract

backgroundHeart failure (HF) is a chronic progressive illness associated with physical and psychological burdens, high morbidity, mortality, and healthcare utilization. Palliative care is interdisciplinary care that aims to relieve suffering and improve quality of life for persons with serious illness and their families. It is offered simultaneously with disease-oriented care, unlike hospice or end-of-life care. Despite the demonstrated benefits of palliative care in other populations, evidence for palliative care in the HF population is limited.

objectiveThe objective of this article is to describe the current evidence and the gaps in the evidence that will need to be improved to demonstrate the benefits of integrating palliative care into the care of patients with advanced HF and their family caregivers.

methodsWe reviewed the literature to examine the state of the science and to identify gaps in palliative care integration for persons with HF and their families. We then convened an interdisciplinary working group at an NIH/NPCRC sponsored workshop to review the evidence base and develop a research agenda to address these gaps.

resultsWe identified four key research priorities to improve palliative care for patients with HF and their families: (1) to better understand patients' uncontrolled symptoms, (2) to better characterize and address the needs of the caregivers of advanced HF patients, (3) to improve patient and family understanding of HF disease trajectory and the importance of advance care planning, and (4) to determine the best models of palliative care, including models for those who want to continue life-prolonging therapies.

conclusionsThe goal of this research agenda is to motivate patient, provider, policy, and payor stakeholders, including funders, to identify the key research topics that have the potential to improve the quality of care for patients with HF and their families.

Indexed as

AdultAgedAged, 80 and overChronic DiseaseDelivery of Health Care, IntegratedFemaleGuidelines as TopicHeart FailureHome Care ServicesHospice and Palliative Care NursingHumansMaleMiddle AgedPalliative Carehealth servicesheart failurepalliative care in heart failurequality and outcomesuncontrolled symptoms

Identifiers

PMID29493362
PMCPMC5455612
OpenAlexW2613350895

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.