Evidence map›Paper›PMID 29952090›Full record

ArticleEuropean journal of heart failure2018

Which patients with heart failure should receive specialist palliative care?

Ross T Campbell, Mark C Petrie, Colette E Jackson, Pardeep S Jhund, Ann Wright, Roy S Gardner, Piotr Sonecki, Andrea Pozzi, Paula McSkimming, Alex McConnachie and 6 more

Abstract read
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In one paragraph

Article in European journal of heart failure, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 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

32 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Highlights in heart failure.ESC heart failure · 2019
    Pooled it
  5. Review
  6. Review
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Symptom burden, psychosocial distress and palliative care needs in heart failure - A cross-sectional explorative pilot study.Clinical research in cardiology : official journal of the German Cardiac Society · 2023
    Article
  14. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Ross T CampbellBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Mark C PetrieBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Colette E JacksonQueen Elizabeth University Hospital, Scotland, UK.
Pardeep S JhundBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Ann WrightBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Roy S GardnerBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Piotr SoneckiQueen Elizabeth University Hospital, Scotland, UK.
Andrea PozziHospital Papa Giovanni XXIII, Bergamo, Italy.
Paula McSkimmingRobertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.
Alex McConnachieRobertson Centre for Biostatistics, University of Glasgow, Glasgow, UK.
Fiona FinlayQueen Elizabeth University Hospital, Scotland, UK.
Patricia DavidsonJohns Hopkins University, Baltimore, MD, USA.
Martin A DenvirEdinburgh University, Edinburgh, UK.
Miriam J JohnsonHull York Medical School, University of Hull, Hull, UK.
Karen J HoggGlasgow Royal Infirmary, Glasgow, UK.
John J V McMurrayBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.

Funding

British Heart Foundation PG/13/17/30050
6 · The paper itself

Abstract

aimsWe investigated which patients with heart failure (HF) should receive specialist palliative care (SPC) by first creating a definition of need for SPC in patients hospitalised with HF using patient-reported outcome measures (PROMs) and then testing this definition using the outcome of days alive and out of hospital (DAOH). We also evaluated which baseline variables predicted need for SPC and whether those with this need received SPC. METHODS AND

resultsPROMs assessing quality of life (QoL), symptoms, and mood were administered at baseline and every 4 months. SPC need was defined as persistently severe impairment of any PROM without improvement (or severe impairment immediately preceding death). We then tested whether need for SPC, so defined, was reflected in DAOH, a measure which combines length of stay, days of hospital re-admission, and days lost due to death. Of 272 patients recruited, 74 (27%) met the definition of SPC needs. These patients lived one third fewer DAOH than those without SPC need (and less than a quarter of QoL-adjusted DAOH). A Kansas City Cardiomyopathy Questionnaire (KCCQ) summary score of <29 identified patients who subsequently had SPC needs (area under receiver operating characteristic curve 0.78). Twenty-four per cent of patients with SPC needs actually received SPC (n = 18).

conclusionsA quarter of patients hospitalised with HF had a need for SPC and were identified by a low KCCQ score on admission. Those with SPC need spent many fewer DAOH and their DAOH were of significantly worse quality. Very few patients with SPC needs accessed SPC services.

Indexed as

Patient Reported Outcome MeasuresPatient SelectionQuality of LifeAgedAged, 80 and overFemaleFollow-Up StudiesHeart FailureHospitalizationHumansMalePalliative CarePrevalenceRetrospective StudiesSpecializationUnited KingdomHeart failurePalliative care

Identifiers

PMID29952090
PMCPMC6607479

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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.