A comparative study of the palliative care needs of heart failure and cancer patients.

Hdl Handle:
http://hdl.handle.net/10147/207593
Title:
A comparative study of the palliative care needs of heart failure and cancer patients.
Authors:
O'Leary, Norma; Murphy, Niamh F; O'Loughlin, Christina; Tiernan, Eoin; McDonald, Kenneth
Affiliation:
Department of Palliative Medicine, St Vincent's University Hospital, Dublin,, Ireland. normaoleary@hotmail.com
Citation:
Eur J Heart Fail. 2009 Apr;11(4):406-12. Epub 2009 Feb 5.
Journal:
European journal of heart failure
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207593
DOI:
10.1093/eurjhf/hfp007
PubMed ID:
19196753
Abstract:
AIMS: Studies suggest that patients with advanced heart failure (HF) have unmet palliative care (PC) needs. However, many of these studies have been retrospective or based on patients receiving poorly coordinated ad hoc care. We aimed to demonstrate whether the PC needs of patients with advanced HF receiving specialist multidisciplinary coordinated care are similar to cancer patients deemed to have specialist PC needs; thereby justifying the extension of specialist PC services to HF patients. METHODS AND RESULTS: This was a cross-sectional comparative cohort study of 50 HF patients and 50 cancer patients, using quantitative and qualitative methods. Both patient cohorts were statistically indistinguishable in terms of symptom burden, emotional wellbeing, and quality-of-life scores. HF patients had good access to community and social support. HF patients particularly valued the close supervision, medication monitoring, ease of access to service, telephone support, and key worker provided at the HF unit. A small subset of patients had unmet PC needs. A palliative transition point is described. CONCLUSION: HF patients should not be excluded from specialist PC services. However, the majority of their needs can be met at a HF unit. Recognition of the palliative transition point may be key to ensuring that end-of-life issues are addressed. The palliative transition point needs further evaluation.
Language:
eng
MeSH:
Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Female; Follow-Up Studies; *Health Services Needs and Demand; Heart Failure/complications/physiopathology/*therapy; Humans; Male; Middle Aged; Neoplasms/complications/psychology/*therapy; Palliative Care/*utilization; *Patient Satisfaction; *Quality of Life; Retrospective Studies; Stroke Volume/physiology; Treatment Outcome
ISSN:
1388-9842 (Print); 1388-9842 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Leary, Normaen_GB
dc.contributor.authorMurphy, Niamh Fen_GB
dc.contributor.authorO'Loughlin, Christinaen_GB
dc.contributor.authorTiernan, Eoinen_GB
dc.contributor.authorMcDonald, Kennethen_GB
dc.date.accessioned2012-02-01T10:32:20Z-
dc.date.available2012-02-01T10:32:20Z-
dc.date.issued2012-02-01T10:32:20Z-
dc.identifier.citationEur J Heart Fail. 2009 Apr;11(4):406-12. Epub 2009 Feb 5.en_GB
dc.identifier.issn1388-9842 (Print)en_GB
dc.identifier.issn1388-9842 (Linking)en_GB
dc.identifier.pmid19196753en_GB
dc.identifier.doi10.1093/eurjhf/hfp007en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207593-
dc.description.abstractAIMS: Studies suggest that patients with advanced heart failure (HF) have unmet palliative care (PC) needs. However, many of these studies have been retrospective or based on patients receiving poorly coordinated ad hoc care. We aimed to demonstrate whether the PC needs of patients with advanced HF receiving specialist multidisciplinary coordinated care are similar to cancer patients deemed to have specialist PC needs; thereby justifying the extension of specialist PC services to HF patients. METHODS AND RESULTS: This was a cross-sectional comparative cohort study of 50 HF patients and 50 cancer patients, using quantitative and qualitative methods. Both patient cohorts were statistically indistinguishable in terms of symptom burden, emotional wellbeing, and quality-of-life scores. HF patients had good access to community and social support. HF patients particularly valued the close supervision, medication monitoring, ease of access to service, telephone support, and key worker provided at the HF unit. A small subset of patients had unmet PC needs. A palliative transition point is described. CONCLUSION: HF patients should not be excluded from specialist PC services. However, the majority of their needs can be met at a HF unit. Recognition of the palliative transition point may be key to ensuring that end-of-life issues are addressed. The palliative transition point needs further evaluation.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshCross-Sectional Studiesen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshFollow-Up Studiesen_GB
dc.subject.mesh*Health Services Needs and Demanden_GB
dc.subject.meshHeart Failure/complications/physiopathology/*therapyen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshNeoplasms/complications/psychology/*therapyen_GB
dc.subject.meshPalliative Care/*utilizationen_GB
dc.subject.mesh*Patient Satisfactionen_GB
dc.subject.mesh*Quality of Lifeen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshStroke Volume/physiologyen_GB
dc.subject.meshTreatment Outcomeen_GB
dc.titleA comparative study of the palliative care needs of heart failure and cancer patients.en_GB
dc.contributor.departmentDepartment of Palliative Medicine, St Vincent's University Hospital, Dublin,, Ireland. normaoleary@hotmail.comen_GB
dc.identifier.journalEuropean journal of heart failureen_GB
dc.description.provinceLeinster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.