PMID- 31696120
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200929
IS  - 2297-055X (Print)
IS  - 2297-055X (Electronic)
IS  - 2297-055X (Linking)
VI  - 6
DP  - 2019
TI  - Screening and Initiating Supportive Care in Patients With Heart Failure.
PG  - 151
LID - 10.3389/fcvm.2019.00151 [doi]
LID - 151
AB  - Background: Patients with heart failure (HF) experience a major symptom burden 
      and an overall reduction of quality of life. However, supportive care (SC) 
      remains an under-utilized resource for these patients. Among the many existing 
      barriers to integrating SC into routine care, identifying patients with SC needs 
      remains challenging. The Kansas City Cardiomyopathy Questionnaire (KCCQ) is an 
      important predictor of SC needs in patients with HF. Methods and Results: We used 
      the shortened version KCCQ-12 as a screening tool for SC need in our ambulatory 
      HF patient population using a KCCQ-12 summary score of <29 as the cut-off. Of the 
      456 patients who completed the KCCQ-12, 41 (9%) were predicted to have SC needs. 
      Demographics, medical history, biochemical parameters, echocardiographic 
      assessment and medical treatment were similar between the two groups of patients. 
      However, patients with KCCQ-12 <29 were more symptomatic based on both New York 
      Heart Association (NYHA) classification and American Heart Association (AHA) 
      staging with a higher prevalence of depression. We established a 
      multidisciplinary SC clinic and the profile and outcomes of patients with SC 
      needs that were referred and followed at our SC clinic were also evaluated. 
      Twenty-three patients were referred to our SC clinic: 2 died before being seen, 1 
      refused SC and 20 received SC. Of these 20 patients, 11 died and 9 are currently 
      being followed. Median survival after starting the SC clinic is 3 months. In the 
      original SC cohort of 23, 17 patients had available KCCQ-12 summary scores. 
      However, only 6 out of 17 (35%) had KCCQ-12 scores <29, indicating the need for 
      additional assessment tools in this patient population. Conclusions: The 
      magnitude of unmet supportive care needs in patients with HF is significant. 
      While the KCCQ-12 questionnaire is a useful tool to identify patients with SC, 
      serial clinical evaluation, establishment of a SC clinic and prompt referral are 
      essential for patients needing supportive care.
CI  - Copyright (c) 2019 Nguyen, Wang, Nikhanj, Chen-Song, DeKock, Ezekowitz, 
      Mirhosseini, Cujec and Oudit.
FAU - Nguyen, Quynh
AU  - Nguyen Q
AD  - Division of Cardiology, Department of Medicine, Faculty of Medicine and 
      Dentistry, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, 
      AB, Canada.
FAU - Wang, Kaiming
AU  - Wang K
AD  - Division of Cardiology, Department of Medicine, Faculty of Medicine and 
      Dentistry, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, 
      AB, Canada.
FAU - Nikhanj, Anish
AU  - Nikhanj A
AD  - Division of Cardiology, Department of Medicine, Faculty of Medicine and 
      Dentistry, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, 
      AB, Canada.
FAU - Chen-Song, Dale
AU  - Chen-Song D
AD  - Division of Cardiology, Department of Medicine, Faculty of Medicine and 
      Dentistry, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, 
      AB, Canada.
FAU - DeKock, Ingrid
AU  - DeKock I
AD  - Division of Palliative Care Medicine, Department of Oncology, University of 
      Alberta, Edmonton, AB, Canada.
FAU - Ezekowitz, Justin
AU  - Ezekowitz J
AD  - Division of Cardiology, Department of Medicine, Faculty of Medicine and 
      Dentistry, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, 
      AB, Canada.
FAU - Mirhosseini, Mehrnoush
AU  - Mirhosseini M
AD  - Division of Palliative Care Medicine, Department of Oncology, University of 
      Alberta, Edmonton, AB, Canada.
FAU - Cujec, Bibiana
AU  - Cujec B
AD  - Division of Cardiology, Department of Medicine, Faculty of Medicine and 
      Dentistry, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, 
      AB, Canada.
FAU - Oudit, Gavin Y
AU  - Oudit GY
AD  - Division of Cardiology, Department of Medicine, Faculty of Medicine and 
      Dentistry, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, 
      AB, Canada.
LA  - eng
PT  - Journal Article
DEP - 20191022
PL  - Switzerland
TA  - Front Cardiovasc Med
JT  - Frontiers in cardiovascular medicine
JID - 101653388
PMC - PMC6817607
OTO - NOTNLM
OT  - KCCQ
OT  - heart failure
OT  - palliative care
OT  - quality of life
OT  - supportive care
EDAT- 2019/11/07 06:00
MHDA- 2019/11/07 06:01
PMCR- 2019/01/01
CRDT- 2019/11/08 06:00
PHST- 2019/07/01 00:00 [received]
PHST- 2019/10/07 00:00 [accepted]
PHST- 2019/11/08 06:00 [entrez]
PHST- 2019/11/07 06:00 [pubmed]
PHST- 2019/11/07 06:01 [medline]
PHST- 2019/01/01 00:00 [pmc-release]
AID - 10.3389/fcvm.2019.00151 [doi]
PST - epublish
SO  - Front Cardiovasc Med. 2019 Oct 22;6:151. doi: 10.3389/fcvm.2019.00151. 
      eCollection 2019.