Evidence map›Paper›PMID 34119619›Full record

Trial reportJournal of pain and symptom management2021

Perceptions of Need for Palliative Care in Recently Hospitalized Patients With Systolic Heart Failure.

Brett R Curtis, Bruce L Rollman, Bea Herbeck Belnap, Kwonho Jeong, Lan Yu, Matthew E Harinstein, Dio Kavalieratos

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Journal of pain and symptom management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

7 authors at 3 institutions in 1 country.

Brett R CurtisSchool of Medicine, University of Pittsburgh (B.R.C., B.L.R.), Pittsburgh, Pennsylvania.
Bruce L RollmanSchool of Medicine, University of Pittsburgh (B.R.C., B.L.R.), Pittsburgh, Pennsylvania; Division of General Medicine, University of Pittsburgh School of Medicine (B.L.R., B.H.B., L.Y.), Pittsburgh, Pennsylvania; University of Pittsburgh Center for Behavioral Health, Media and Technology (B.L.R., B.H.B.), Pittsburgh, Pennsylvania.
Bea Herbeck BelnapDivision of General Medicine, University of Pittsburgh School of Medicine (B.L.R., B.H.B., L.Y.), Pittsburgh, Pennsylvania; University of Pittsburgh Center for Behavioral Health, Media and Technology (B.L.R., B.H.B.), Pittsburgh, Pennsylvania.
Kwonho JeongCenter for Research on Health Care Data Center, University of Pittsburgh (K.J.), Pittsburgh, Pennsylvania.
Lan YuDivision of General Medicine, University of Pittsburgh School of Medicine (B.L.R., B.H.B., L.Y.), Pittsburgh, Pennsylvania.
Matthew E HarinsteinDivision of Cardiology, Heart and Vascular Institute, University of Pittsburgh Medical Center (M.E.H.), Pittsburgh, Pennsylvania.
Dio KavalieratosDivision of Palliative Medicine, Department of Family and Preventive Medicine, Emory University (D.K.), Atlanta, Georgia; Department of Epidemiology, Rollins School of Public Health, Emory University (D.K.), Atlanta, Georgia. Electronic address: d.kavalieratos@emory.edu.
University of Pittsburgh · USEmory University · USUniversity of Pittsburgh Medical Center · US

Funding

Blended Collaborative Care for Heart Failure and Co-Morbid DepressionR01HL114016 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ROLLMAN, BRUCE LAWRENCE · 2013 to 2017
$7.3M
INTEGRATING PALLIATIVE CARE WITH DISEASE MANAGEMENT TO IMPROVE OUTCOMES AMONG PATIENTS WITH ADVANCED HEART FAILURE: INTERVENTIONAL RESEARCH CAREER DEVELOPMENTK01HL133466 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAVALIERATOS, DIONYSIOS · 2016 to 2019
$527k
NCATS NIH HHS L30 TR001226NHLBI NIH HHS K01 HL133466NHLBI NIH HHS R01 HL114016
6 · The paper itself

Abstract

contextThe symptom burden associated with heart failure (HF) remains high despite improvements in therapy and calls for the integration of palliative care into traditional HF care. Little is also known about how patients with HF perceive palliative care and patient-level characteristics associated with the need for palliative care, which could influence the utilization of palliative care in HF management.

objectivesTo identify characteristics of HF patients associated with perceived need for palliative care.

methodsWe analyzed data from the Hopeful Heart Trial, which studied the efficacy of a collaborative care intervention for treating both systolic HF and depression. Palliative care preferences were collected during routine study follow-up. We assessed the association of perceived need for palliative care during study follow-up and baseline data on sociodemographics, clinical measures, and patient-centered outcomes. We then used descriptive statistics and logistic regression to analyze our data.

resultsParticipants were on average 64 years old, male, and reported severe HF symptoms and poor to below average quality of life (. Most had unfavorable impressions of palliative care, but many still perceived a need for palliative care. Factors associated with perceived need for palliative care included depression, non-white race, more severe HF symptoms, and lower mental & physical health-related quality of life.

conclusionHF patients' beliefs about palliative care may affect utilization of palliative care. Specific characteristics can help identify patients with HF who may benefit from palliative care involvement. Education targeted towards patients with selected attributes may help incorporate palliative care into HF management.

Indexed as

Heart FailureHeart Failure, SystolicHospice and Palliative Care NursingHumansMaleMiddle AgedPalliative CareQuality of Lifedepressionhealth services researchheart failurePalliative caresymptom management

Identifiers

PMID34119619
PMCPMC8908441
OpenAlexW3172883201

What OpenQuestion holds

Textmetadata
LicenceTDM
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.