Palliative care in heart failure guidelines: A comparison of the 2021 ESC and the 2022 AHA/ACC/HFSA guidelines on heart failure

被引:17
作者
Blum, Moritz [1 ,2 ,3 ]
Goldstein, Nathan E. [1 ]
Jaarsma, Tiny [4 ]
Allen, Larry A. [5 ]
Gelfman, Laura P. [1 ,6 ,7 ]
机构
[1] Icahn Sch Med Mt Sinai, Brookdale Dept Geriatr & Palliat Med, New York, NY USA
[2] Deutsch Herzzentrum Charite Med Heart Ctr Charite, Dept Cardiothorac & Vasc Surg, Berlin, Germany
[3] German Heart Inst Berlin, Berlin, Germany
[4] Linkoping Univ, Dept Hlth Med & Care, Linkoping, Sweden
[5] Univ Colorado, Sch Med, Div Cardiol, Aurora, CO USA
[6] James J Peters Vet Affairs Med Ctr, Geriatr Res Educ & Clin Ctr GRECC, Bronx, NY USA
[7] Mt Sinai Med Ctr, Dept Geriatr & Palliat Med, New York, NY 10029 USA
关键词
Heart failure; Palliative care; Guideline comparison; POLICY STATEMENT; PEOPLE;
D O I
10.1002/ejhf.2981
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The role of palliative care for patients with heart failure (HF) is discussed in both most recent HF guidelines, the 2021 ESC guideline and the 2022 AHA/ACC/HFSA guideline. This review compares the definitions, concepts and specific recommendations regarding palliative care for patients with HF in these two guidelines. Both HF guidelines define palliative care as a multidisciplinary approach aimed at alleviating physical, psychological and spiritual distress of patients and caregivers. Both agree emphatically on the importance of palliative care across all stages of HF with integration early in the illness trajectory. Also, the guidelines concur that palliative care should include symptom management, communication about prognosis and life-sustaining therapies, as well as advance care planning. Despite this consensus, only the AHA/ACC/HFSA guideline gives official recommendations on the provision of palliative care. Moreover, the AHA/ACC/HFSA guideline advocates for a needs-based approach to palliative care allocation while the ESC guideline ties palliative care closely to advanced HF and end-of-life care. The ESC guideline highlights the need for regular symptom assessment and provides detailed guidance on symptom management. The AHA/ACC/HFSA guideline elaborates further on shared decision-making, caregiver and bereavement support, as well as hospice care, and distinguishes between primary palliative care (provided by all clinicians) and secondary (specialty-level) palliative care. Although there is strong agreement on the importance and components of palliative care for patients with HF, there are nuanced differences between the two HF guidelines. Most notably, only the AHA/ACC/HFSA guideline issues recommendations for the provision of palliative care.
引用
收藏
页码:1849 / 1855
页数:7
相关论文
共 32 条
[21]   Adding Troponin to the Puzzle of Heart Failure With Preserved Ejection Fraction Marker or Mediator? [J].
Mentz, Robert J. ;
Greene, Stephen J. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2018, 72 (01) :41-44
[22]   Social Worker-Aided Palliative Care Intervention in High-Risk Patients With Heart Failure (SWAP-HF) A Pilot Randomized Clinical Trial [J].
O'Donnell, Arden E. ;
Schaefer, Kristen G. ;
Stevenson, Lynne W. ;
DeVoe, Kristen ;
Walsh, Kayley ;
Mehra, Mandeep R. ;
Desai, Akshay S. .
JAMA CARDIOLOGY, 2018, 3 (06) :516-519
[23]   Contemporary Use of Sodium-Glucose Cotransporter-2 Inhibitor Therapy Among Patients Hospitalized for Heart Failure With Reduced Ejection Fraction in the US The Get With The Guidelines-Heart Failure Registry [J].
Pierce, Jacob B. ;
Vaduganathan, Muthiah ;
Fonarow, Gregg C. ;
Ikeaba, Uchechukwu ;
Chiswell, Karen ;
Butler, Javed ;
DeVore, Adam D. ;
Heidenreich, Paul A. ;
Huang, Joanna C. ;
Kittleson, Michelle M. ;
Joynt Maddox, Karen E. ;
Linganathan, Karthik K. ;
McDermott, James J. ;
Owens, Anjali Tiku ;
Peterson, Pamela N. ;
Solomon, Scott D. ;
Vardeny, Orly ;
Yancy, Clyde W. ;
Greene, Stephen J. .
JAMA CARDIOLOGY, 2023, 8 (07) :652-661
[24]   A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project [J].
Powell, Byron J. ;
Waltz, Thomas J. ;
Chinman, Matthew J. ;
Damschroder, Laura J. ;
Smith, Jeffrey L. ;
Matthieu, Monica M. ;
Proctor, Enola K. ;
Kirchner, JoAnn E. .
IMPLEMENTATION SCIENCE, 2015, 10
[25]   A Comparison of Hospice in the United States and the United Kingdom Implications for Policy and Practice [J].
Remington, Ruth ;
Wakim, Grace .
JOURNAL OF GERONTOLOGICAL NURSING, 2010, 36 (09) :16-21
[26]   Trends in Palliative Care Use in Elderly Men and Women With Severe Heart Failure in the United States [J].
Robinson, Monique R. ;
Al-Kindi, Sadeer G. ;
Oliveira, Guilherme H. .
JAMA CARDIOLOGY, 2017, 2 (03) :344-344
[27]  
Rogers JG, 2017, J AM COLL CARDIOL, V70, P332
[28]   The Heart Failure Association Atlas: Heart Failure Epidemiology and Management Statistics 2019 [J].
Seferovic, Petar M. ;
Vardas, Panagiotis ;
Jankowska, Ewa A. ;
Maggioni, Aldo P. ;
Timmis, Adam ;
Milinkovic, Ivan ;
Polovina, Marija ;
Gale, Chris P. ;
Lund, Lars H. ;
Lopatin, Yuri ;
Lainscak, Mitja ;
Savarese, Gianluigi ;
Huculeci, Radu ;
Kazakiewicz, Dzianis ;
Coats, Andrew J. S. .
EUROPEAN JOURNAL OF HEART FAILURE, 2021, 23 (06) :906-914
[29]   Palliative care for people living with heart failure: European Association for Palliative Care Task Force expert position statement [J].
Sobanski, Piotr Z. ;
Alt-Epping, Bernd ;
Currow, David C. ;
Goodlin, Sarah J. ;
Grodzicki, Tomasz ;
Hogg, Karen ;
Janssen, Daisy J. A. ;
Johnson, Miriam J. ;
Krajnik, Malgorzata ;
Leget, Carlo ;
Martinez-Selles, Manuel ;
Moroni, Matteo ;
Mueller, Paul S. ;
Ryder, Mary ;
Simon, Steffen T. ;
Stowe, Emily ;
Larkin, Philip J. .
CARDIOVASCULAR RESEARCH, 2020, 116 (01) :12-27
[30]   Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association [J].
Tsao, Connie W. ;
Aday, Aaron W. ;
Almarzooq, Zaid I. ;
Anderson, Cheryl A. M. ;
Arora, Pankaj ;
Avery, Christy L. ;
Baker-Smith, Carissa M. ;
Beaton, Andrea Z. ;
Boehme, Amelia K. ;
Buxton, Alfred E. ;
Commodore-Mensah, Yvonne ;
Elkind, Mitchell S. V. ;
Evenson, Kelly R. ;
Eze-Nliam, Chete ;
Fugar, Setri ;
Generoso, Giuliano ;
Heard, Debra G. ;
Hiremath, Swapnil ;
Ho, Jennifer E. ;
Kalani, Rizwan ;
Kazi, Dhruv S. ;
Ko, Darae ;
Levine, Deborah A. ;
Liu, Junxiu ;
Ma, Jun ;
Magnani, Jared W. ;
Michos, Erin D. ;
Mussolino, Michael E. ;
Navaneethan, Sankar D. ;
Parikh, Nisha I. ;
Poudel, Remy ;
Rezk-Hanna, Mary ;
Roth, Gregory A. ;
Shah, Nilay S. ;
St-Onge, Marie-Pierre ;
Thacker, Evan L. ;
Virani, Salim S. ;
Voeks, Jenifer H. ;
Wang, Nae-Yuh ;
Wong, Nathan D. ;
Wong, Sally S. ;
Yaffe, Kristine ;
Martin, Seth S. .
CIRCULATION, 2023, 147 (08) :E93-E621