ArticleCirculation. Heart failure2020
Prognostic Awareness and Goals of Care Discussions Among Patients With Advanced Heart Failure.
Article in Circulation. Heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01459744 (An Intervention to Improve ICD Deactivation Conversations), which is not on this map. Cited by 17 papers.
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.
An Intervention to Improve ICD Deactivation Conversations (WISDOM - Working to Improve discuSsions About DefibrillatOr Management)
Who cites it
17 citing papers in PubMed, 22 citations in OpenAlex.
- Non-Concordance between Patient and Clinician Estimates of Prognosis in Advanced Heart Failure.Journal of cardiac failure · 2021Trial
- Prognostic Models to Trigger Palliative Care Referrals in Heart Failure: A Scoping Review.CJC open · 2026Review
- "If I have any problems, I just want to see my [primary care] doctor": perspectives on a proposed collaborative RUral PALliative care intervention (RuPal).BMC palliative care · 2026Article
- Validation of the short-form quality care questionnaire - palliative care in Brazilian patients with heart failure eligible for palliative care.BMC palliative care · 2026Article
- Pain Outcomes Among Medical Centers With High vs Low Specialist Palliative Care Reach Among People With Heart Failure.The American journal of hospice & palliative care · 2025Article
- Using the 5Ms Framework to Advance Aging-Responsive Care for Heart Failure with Reduced Ejection Fraction.Clinical interventions in aging · 2025Review
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- Proactive approaches in congestive heart failure: the significance of early goals of care discussion and palliative care.Future cardiology · 2024Review
- Feasibility of frailty screening among patients with advanced heart failure.BMJ open quality · 2023Article
- Using Latent Class Analysis to Identify Different Clinical Profiles Among Patients With Advanced Heart Failure.Journal of pain and symptom management · 2023Article
- World Heart Federation Consensus on Transthyretin Amyloidosis Cardiomyopathy (ATTR-CM).Global heart · 2023Review
- Article
- Ten Questions and Some Reflections about Palliative Care in Advanced Heart Failure Patients.Journal of clinical medicine · 2022Review
- Assessment and Management of Older Patients With Transthyretin Amyloidosis Cardiomyopathy: Geriatric Cardiology, Frailty Assessment and Beyond.Frontiers in cardiovascular medicine · 2022Review
- Enhancing Palliative Care for Patients With Advanced Heart Failure Through Simple Prognostication Tools: A Comparison of the Surprise Question, the Number of Previous Heart Failure Hospitalizations, and the Seattle Heart Failure Model for Predicting 1-Year Survival.Frontiers in cardiovascular medicine · 2022Article
- Telecommunication for Advance Care Planning in Heart Failure.Cardiac failure review · 2022Review
Corrections and comments
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Authors and funding
12 authors at 8 institutions in 1 country.
Funding
Abstract
backgroundPrognostic awareness (PA)-the understanding of limited life expectancy-is critical for effective goals of care discussions (GOCD) in which patients discuss their goals and values in the context of their illness. Yet little is known about PA and GOCD in patients with advanced heart failure (HF). This study aims to determine the prevalence of PA among patients with advanced HF and patient characteristics associated with PA and GOCD.
methodsWe assessed the prevalence of self-reported PA and GOCD using data from a multisite communication intervention trial among patients with advanced HF with an implantable cardiac defibrillator at high risk of death.
resultsOf 377 patients (mean age 62 years, 30% female, 42% nonwhite), 78% had PA. Increasing age was a negative predictor of PA (odds ratio, 0.95 [95% CI, 0.92-0.97];
conclusionsIn a sample of patients with advanced HF, the frequency of PA was high, but fewer patients with PA discussed their end-of-life care preferences with their physician. Improved efforts are needed to ensure all patients with advanced HF have an opportunity to have GOCD with their doctors. Clinicians may need to target older patients with HF and continue to focus on those with signs of worsening illness (higher symptoms). Registration: URL: https://www.clinicaltrials.gov; Unique identifier: NCT01459744.
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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.