Palliative Care Use Low in Patients With Heart Failure
By Lori Solomon HealthDay Reporter
WEDNESDAY, Nov. 13, 2024 -- Use of palliative care for heart failure remains low in the United States, according to a study recently published online in the Journal of the American Heart Association.
Zidong Zhang, Ph.D., from the Saint Louis University School of Medicine, and colleagues investigated national palliative care use for adults with heart failure. A national all‐payer electronic health record database was used to identify 127,712 adults with newly diagnosed heart failure (2011 to 2018) and to determine when they received their first palliative care consultation and the associations with clinical factors following diagnosis of heart failure.
During a median 792 days of follow-up, 18.3 percent of patients received palliative care consultation in five years. The researchers found that shorter time to receive palliative care consultation was associated with diagnoses of heart failure in 2016 to 2018 (compared with 2010 to 2015: adjusted hazard ratio [aHR], 1.421), as well as advanced heart failure diagnosis (aHR, 2.065), cardiogenic shock (aHR, 2.587), implantable cardioverter‐defibrillator use (aHR, 5.718), and visits at academic medical centers (aHR, 1.439). There was variance in palliative care uptake for early/moderate heart failure stages by race, geographics, payer, and selection of advanced treatments.
"Barriers to palliative care should [be] addressed at a systemic level, including educating patients and providers on the role and benefits of palliative care consultation, expanding the palliative care service availability, making consensus practice guidelines, and reforming the payment method," the authors write.
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
© 2025 HealthDay. All rights reserved.
Posted November 2024
Read this next
Urinary Incontinence Linked to CVD Risk Factors, Comorbid Conditions
FRIDAY, May 2, 2025 -- Urinary incontinence is not associated with moderate-to-vigorous physical activity (MVPA) classification, but is associated with cardiovascular disease...
Heart Failure Tied to Worsening of Neuropsychological Symptoms
TUESDAY, April 22, 2025 -- Patients with heart failure experience worsening neuropsychological outcomes over six months, according to a study published online April 8...
Adverse Pregnancy Outcomes Partly Mediate Association Between Prepregnancy Obesity, CVD Risk
MONDAY, April 21, 2025 -- Adverse pregnancy outcomes (APOs) mediate a small proportion of the association between prepregnancy obesity and cardiovascular disease (CVD) risk in...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.