Palliative care in heart failure: Rationale, evidence, and future priorities

Journal article


Kavalieratos, Dio, Gelfman, Laura P., Tycon, Laura E., Riegel, Bekelman, David B., Ikejiani, Dara Z., Goldstein, Nathan, Kimmel, Stephen E., Bakitas, Marie A., Arnold, Robert M. and Barbara.Riegel@acu.edu.au, Barbara Riegel. (2017). Palliative care in heart failure: Rationale, evidence, and future priorities. Journal of the American College of Cardiology. 70(15), pp. 1919 - 1930. https://doi.org/10.1016/j.jacc.2017.08.036
AuthorsKavalieratos, Dio, Gelfman, Laura P., Tycon, Laura E., Riegel, Bekelman, David B., Ikejiani, Dara Z., Goldstein, Nathan, Kimmel, Stephen E., Bakitas, Marie A., Arnold, Robert M. and Barbara.Riegel@acu.edu.au, Barbara Riegel
Abstract

Patients with heart failure (HF) and their families experience stress and suffering from a variety of sources over the course of the HF experience. Palliative care is an interdisciplinary service and an overall approach to care that improves quality of life and alleviates suffering for those living with serious illness, regardless of prognosis. In this review, we synthesize the evidence from randomized clinical trials of palliative care interventions in HF. While the evidence base for palliative care in HF is promising, it is still in its infancy and requires additional high-quality, methodologically sound studies to clearly elucidate the role of palliative care for patients and families living with the burdens of HF. Yet, an increase in attention to primary palliative care (e.g., basic physical and emotional symptom management, advance care planning), provided by primary care and cardiology clinicians, may be a vehicle to address unmet palliative needs earlier and throughout the illness course.

Keywordsheart failure; hospice; palliative care; quality of care; quality of life
Year2017
JournalJournal of the American College of Cardiology
Journal citation70 (15), pp. 1919 - 1930
PublisherElsevier
ISSN0735-1097
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jacc.2017.08.036
Page range1919 - 1930
Research GroupMary MacKillop Institute for Health Research
Publisher's version
File Access Level
Controlled
Place of publicationUnited States of America
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https://acuresearchbank.acu.edu.au/item/8qvw4/palliative-care-in-heart-failure-rationale-evidence-and-future-priorities

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