Palliative Care in Heart Failure Rationale, Evidence, and Future Priorities

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY

卷:70

Review

Kavalieratos, Dio¹  Gelfman, Laura P.^2,3  Tycon, Laura E.⁴  Riegel, Barbara⁵  Bekelman, David B.⁶  Ikejiani, Dara Z.¹  Goldstein, Nathan²  Kimmel, Stephen E.⁷  Bakitas, Marie A.⁸  Arnold, Robert M.¹ 

[1] Univ Pittsburgh, Dept Med, Div Gen Internal Med, Sect Palliat Care & Med Eth, 230 McKee Pl,Suite 600, Pittsburgh, PA 15213 USA

[2] Icahn Sch Med Mt Sinai, Brookdale Dept Geriatr & Palliat Med, New York, NY 10029 USA

[3] James J Peters Vet Affairs Med Ctr, Geriatr Res Educ & Clin Ctr, Bronx, NY USA

[4] Univ Pittsburgh, Med Ctr, Palliat & Support Inst, Pittsburgh, PA USA

[5] Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA

[6] Univ Colorado, Sch Med, Dept Med, Anschutz Med Campus, Aurora, CO USA

[7] Univ Penn, Perelman Sch Med, Dept Biostat & Epidemiol, Ctr Clin Epidemiol & Biostat, Philadelphia, PA 19104 USA

[8] Univ Alabama Birmingham, Sch Nursing, Birmingham, AL USA

关键词: heart failure;    hospice;    palliative care;    quality of care;    quality of life;   

DOI  :  10.1016/j.jacc.2017.08.036

来源: Elsevier

【 摘 要 】

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. Published by Elsevier on behalf of the American College of Cardiology Foundation.

【 授权许可】

Free