PMID- 21444186
OWN - NLM
STAT- MEDLINE
DCOM- 20111216
LR  - 20151119
IS  - 1873-6513 (Electronic)
IS  - 0885-3924 (Linking)
VI  - 42
IP  - 3
DP  - 2011 Sep
TI  - The correlation of standard heart failure assessment and palliative care 
      questionnaires in a multidisciplinary heart failure clinic.
PG  - 379-87
LID - 10.1016/j.jpainsymman.2010.11.013 [doi]
AB  - CONTEXT: Heart failure (HF) is a leading cause of death and disability, and 
      despite optimal care, patients may eventually require palliative care. Little is 
      known about how palliative care questionnaires (the Edmonton Symptom Assessment 
      Scale [ESAS] and the Palliative Performance Scale [PPS]) perform compared with HF 
      assessment using the New York Heart Association (NYHA) functional class and the 
      Kansas City Cardiomyopathy Questionnaire (KCCQ). OBJECTIVES: To assess the 
      utility of a palliative care questionnaire in patients with HF. METHODS: One 
      hundred and five patients (mean age=65 years, 76% male, mean ejection 
      fraction=28%) followed in an HF clinic were surveyed with the NYHA, PPS, ESAS, 
      and KCCQ. RESULTS: The PPS and ESAS were each correlated to the NYHA class 
      (P<0.0001 for both) and the KCCQ score (PPS: R(2)=0.57; ESAS: R(2)=-0.72; both 
      P<0.0001). There were 33 patients who either died (10 deaths) or were 
      hospitalized (26 patients) for more than one year. In addition to age and gender, 
      a higher (worse) ESAS score trended toward significance (P=0.07) and a lower 
      (worse) PPS was a significant (P=0.04) predictor of all-cause hospitalization or 
      death. CONCLUSION: In a cohort of HF patients, we found a modest correlation with 
      NYHA class and KCCQ assessment with the PPS and ESAS, two standard palliative 
      care questionnaires. Given the difficulty in identifying patients with HF 
      eligible for palliative or hospice care, these tools may be of use in clinical 
      practice.
CI  - Copyright (c) 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. 
      All rights reserved.
FAU - Ezekowitz, Justin A
AU  - Ezekowitz JA
AD  - Division of Cardiology and Mazankowski Alberta Heart Institute, University of 
      Alberta, Edmonton, Alberta. Justin.ezekowitz@ualberta.ca
FAU - Thai, Vincent
AU  - Thai V
FAU - Hodnefield, Twylla S
AU  - Hodnefield TS
FAU - Sanderson, Lea
AU  - Sanderson L
FAU - Cujec, Bibiana
AU  - Cujec B
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20110327
PL  - United States
TA  - J Pain Symptom Manage
JT  - Journal of pain and symptom management
JID - 8605836
SB  - IM
MH  - Aged
MH  - Female
MH  - Follow-Up Studies
MH  - Health Status
MH  - Heart Failure/*diagnosis
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Palliative Care
MH  - Prospective Studies
MH  - *Quality of Life
MH  - *Surveys and Questionnaires
EDAT- 2011/03/30 06:00
MHDA- 2011/12/17 06:00
CRDT- 2011/03/30 06:00
PHST- 2010/09/22 00:00 [received]
PHST- 2010/11/27 00:00 [revised]
PHST- 2010/12/03 00:00 [accepted]
PHST- 2011/03/30 06:00 [entrez]
PHST- 2011/03/30 06:00 [pubmed]
PHST- 2011/12/17 06:00 [medline]
AID - S0885-3924(11)00056-X [pii]
AID - 10.1016/j.jpainsymman.2010.11.013 [doi]
PST - ppublish
SO  - J Pain Symptom Manage. 2011 Sep;42(3):379-87. doi: 
      10.1016/j.jpainsymman.2010.11.013. Epub 2011 Mar 27.