Evidence map›Paper›PMID 41495683›Full record

ArticleBMC geriatrics2026

Healthcare needs and priorities of older people living with heart failure and frailty: a multi-perspective study of patients, carers and clinicians.

Sunanthiny Krishnan, Mayuri Gogoi, Carolyn Tarrant, Simon Conroy, Louise Clayton, Iain B Squire, Shirley Sze

Abstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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.

Sunanthiny KrishnanNIHR Cardiovascular Research Centre and Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Leicester, LE3 9QP, UK. sssk2@leicester.ac.uk.
Mayuri GogoiDepartment of Respiratory Sciences, University of Leicester, Leicester, LE1 7RH, UK.
Carolyn TarrantDepartment of Population Health Sciences, University of Leicester, Leicester, LE1 7RH, UK.
Simon ConroyBarts Health NHS Trust and Queen Mary University of London, London, E1 4NS, UK.
Louise ClaytonDepartment of Cardiology, Glenfield Hospital, Leicester, LE3 9QP, UK.
Iain B Squire *NIHR Cardiovascular Research Centre and Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Leicester, LE3 9QP, UK.
Shirley Sze *NIHR Cardiovascular Research Centre and Department of Cardiovascular Sciences, University of Leicester, Glenfield Hospital, Leicester, LE3 9QP, UK.

Funding

British Heart Foundation HFHF_025
6 · The paper itself

Abstract

backgroundOlder people living with heart failure (HF) and frailty are a complex population growing in prevalence. Given the high level of comorbidity among these patients, a person-centered, holistic model of care is required to optimise outcomes in this cohort. However, there is limited knowledge on what matters to these patients and if current care pathways address their needs. We aimed to explore the healthcare needs and priorities of older people with HF and frailty from the perspective of patients, carers and clinicians.

methodsIn a step-wise, multi-method study, we conducted a qualitative survey followed by in-depth interviews among older adults (≥ 65 years) with HF and frailty (Clinical Frailty Score ≥ 5), their informal carers (≥ 18 years) and healthcare professionals at a tertiary hospital in the UK. An inductive thematic analysis was performed on the data using the Framework Method.

resultsBetween January – May 2023, 160 individuals completed the survey and 23 participated in interviews. Combined analysis of surveys and interviews revealed two major themes (i.e., healthcare needs and perceived health-related goals) and 14 subthemes. Healthcare needs identified were: (i) management of medical issues; (ii) regaining physical functioning; (iii) pharmaceutical care; (iv) nutritional care; (v) assistance with activities of daily living (ADL); (vi) environmental and social support and (vii) access to healthcare. Their health-related goals were: (i) being ADL-independent; (ii) remaining HF-symptom free; (iii); improved quality of life; (iv) being with family; (v) not a burden to family; (vi) avoiding hospitalisation and (vii) longevity.

conclusionHealthcare needs of older patients living with HF and frailty are manifold; a key finding was that preserving functional capacity was given greater importance than longevity by this population. A multidisciplinary approach aligned with patients’ health priorities is essential for delivery of a meaningful goal-concordant care.

Indexed as

CaregiversFrail ElderlyFrailtyHealth PersonnelHealth PrioritiesHealth Services Needs and DemandHeart FailureActivities of Daily LivingAgedAged, 80 and overFemaleHumansMaleQuality of LifeFrailtyHealthcare needsHealth-related goalsHeart failureOlder people

Identifiers

PMID41495683
PMCPMC12870965

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.