Evidence map›Paper›PMID 32456514›Full record

ArticleJournal of the American Heart Association2020

Palliative Care Consultation Reduces Heart Failure Transitions: A Matched Analysis.

Michelle S Diop, Garrett S Bowen, Lan Jiang, Wen-Chih Wu, Portia Y Cornell, Pedro Gozalo, James L Rudolph

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 40 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Michelle S DiopCenter of Innovation in Long-Term Services and Supports Providence VA Medical Center Providence RI.
Garrett S BowenCenter of Innovation in Long-Term Services and Supports Providence VA Medical Center Providence RI.
Lan JiangCenter of Innovation in Long-Term Services and Supports Providence VA Medical Center Providence RI.
Wen-Chih WuCenter of Innovation in Long-Term Services and Supports Providence VA Medical Center Providence RI.
Portia Y CornellCenter of Innovation in Long-Term Services and Supports Providence VA Medical Center Providence RI.
Pedro GozaloCenter of Innovation in Long-Term Services and Supports Providence VA Medical Center Providence RI.
James L RudolphCenter of Innovation in Long-Term Services and Supports Providence VA Medical Center Providence RI.
Brown University · USProvidence VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Palliative care supports quality of life, symptom control, and goal setting in heart failure (HF) patients. Unlike hospice, palliative care does not restrict life-prolonging therapy. This study examined the association between palliative care during hospitalization for HF on the subsequent transitions and procedures. Methods and Results Veterans admitted to hospitals with HF from 2010 to 2015 were randomly selected for the Veterans Administration External Peer Review Program. Variables pertaining to demographic, clinical, laboratory, and usage were captured from Veterans Administration electronic records. Patients receiving hospice services before admission were excluded. Patients who received palliative care were propensity matched to those who did not. The primary outcomes were whether the patient experienced transitions or procedures in the 6 months after admission. Transitions included multiple readmissions (≥2) or intensive care admissions and procedures included mechanical ventilation, pacemaker implantation, or defibrillator implantation. Among 57 182 hospitalized HF patients, 1431 received palliative care, and were well matched to 1431 without (standardized mean differences ≤ ±0.05 on all matched variables). Palliative care was associated with significantly fewer multiple rehospitalizations (30.9% versus 40.3%,

Indexed as

HospitalizationPalliative CareReferral and ConsultationAgedAged, 80 and overDisease ProgressionFemaleHeart FailureHumansMaleMatched-Pair AnalysisMiddle AgedPatient ReadmissionPropensity ScoreQuality of LifeRespiration, Artificialhospicepalliative carereadmission

Identifiers

PMID32456514
PMCPMC7428983
OpenAlexW3032109867

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.