Document Type
Journal Article
Date of this Version
10-10-2017
Embargo Date
10-11-2018
Publication Source
Journal of the American College of Cardiology
Volume
70
Issue
15
Start Page
1919
Last Page
1930
DOI
10.1016/j.jacc.2017.08.036
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.
Copyright/Permission Statement
© 2017, published by Elsevier on behalf of the American College of Cardiology Foundation. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
Keywords
heart failure, hospice, palliative care, quality of care, quality of life
Recommended Citation
Kavalieratos, D., Gelfman, L. P., Tycon, L. E., Riegel, B., Bekelman, D. B., Ikejiani, D. Z., Goldstein, N., Kimmel, S. E., Bakitas, M. A., & Arnold, R. M. (2017). Palliative Care in Heart Failure: Rationale, Evidence, and Future Priorities. Journal of the American College of Cardiology, 70 (15), 1919-1930. http://dx.doi.org/10.1016/j.jacc.2017.08.036
Included in
Cardiology Commons, Cardiovascular Diseases Commons, Circulatory and Respiratory Physiology Commons, Health and Medical Administration Commons, Medical Humanities Commons, Nursing Commons, Palliative Care Commons
Date Posted: 25 August 2018
This document has been peer reviewed.