Potential palliative care quality indicators in heart disease patients: A review of the literature

Atsushi Mizuno, Mitsunori Miyashita, Akitoshi Hayashi, Fujimi Kawai, Koichiro Niwa, Akemi Utsunomiya, Shun Kosaka, Takashi Kohno, Takeshi Yamamoto, Morimasa Takayama, Toshihisa Anzai

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

In spite of the increasing interest in palliative care for heart disease, data on the detailed methods of palliative care and its efficacy specifically in heart disease are still lacking. A structured PubMed literature review revealed no quality indicators of palliative care in heart disease. Therefore, we performed a narrative overview of the potential quality indicators in heart disease by reviewing previous literature concerning quality indicators in cancer patients. We summarize seven potential categories of quality indicators in heart disease: (1) presence and availability of a palliative care unit, palliative care team, and outpatient palliative care; (2) human resources such as number of skilled staff; (3) infrastructure; (4) presence and frequency of documentation or family survey; (5) patient-reported outcome measure (PROM) data and disease-specific patient quality of life such as The Kansas City Cardiomyopathy Questionnaire (KCCQ); (6) questionnaires and interviews about the quality of palliative care after death, including bereaved family surveys; and (7) admission-related outcomes such as place of death and intensive care unit length of stay. Although detailed measurements of palliative care quality have not been validated in heart disease, many indicators developed in cancer patients might also be applicable to heart disease. This new categorization might be useful to determine quality indicators in heart disease patients.

Original languageEnglish
JournalJournal of Cardiology
DOIs
Publication statusAccepted/In press - 2017 Jan 20

Fingerprint

Palliative Care
Heart Diseases
Quality of Health Care
Ambulatory Care
Cardiomyopathies
PubMed
Documentation
Intensive Care Units
Length of Stay
Neoplasms
Quality of Life
Interviews
Surveys and Questionnaires

Keywords

  • End-of-life
  • Heart disease
  • Heart failure
  • Palliative care
  • Quality indicator

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Mizuno, A., Miyashita, M., Hayashi, A., Kawai, F., Niwa, K., Utsunomiya, A., ... Anzai, T. (Accepted/In press). Potential palliative care quality indicators in heart disease patients: A review of the literature. Journal of Cardiology. https://doi.org/10.1016/j.jjcc.2017.02.010

Potential palliative care quality indicators in heart disease patients : A review of the literature. / Mizuno, Atsushi; Miyashita, Mitsunori; Hayashi, Akitoshi; Kawai, Fujimi; Niwa, Koichiro; Utsunomiya, Akemi; Kosaka, Shun; Kohno, Takashi; Yamamoto, Takeshi; Takayama, Morimasa; Anzai, Toshihisa.

In: Journal of Cardiology, 20.01.2017.

Research output: Contribution to journalArticle

Mizuno, A, Miyashita, M, Hayashi, A, Kawai, F, Niwa, K, Utsunomiya, A, Kosaka, S, Kohno, T, Yamamoto, T, Takayama, M & Anzai, T 2017, 'Potential palliative care quality indicators in heart disease patients: A review of the literature', Journal of Cardiology. https://doi.org/10.1016/j.jjcc.2017.02.010
Mizuno, Atsushi ; Miyashita, Mitsunori ; Hayashi, Akitoshi ; Kawai, Fujimi ; Niwa, Koichiro ; Utsunomiya, Akemi ; Kosaka, Shun ; Kohno, Takashi ; Yamamoto, Takeshi ; Takayama, Morimasa ; Anzai, Toshihisa. / Potential palliative care quality indicators in heart disease patients : A review of the literature. In: Journal of Cardiology. 2017.
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