Ethical challenges in advanced heart failure
Current Opinion in Supportive and Palliative Care, ISSN: 1751-4258, Vol: 7, Issue: 1, Page: 21-28
2013
- 19Citations
- 115Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
- Citations19
- Citation Indexes17
- 17
- CrossRef8
- Clinical Citations1
- PubMed Guidelines1
- Policy Citations1
- Policy Citation1
- Captures115
- Readers115
- 115
Review Description
Purpose of review Advanced heart failure (AHF) is an increasingly important field. Both the population of AHF patients and the therapeutic and diagnostic interventions available are expanding, creating a host of difficult ethical challenges. This article discusses these important issues and proposes an approach to caring for AHF patients. Recent findings Recent guidelines and clinical trials describe the benefits of costly and invasive therapies for AHF, such as ventricular assist devices and cardiac resynchronization therapy which prolong life and improve symptoms but may create burdens and conflict over deactivation at the end of life. Prognostication, informed consent, and early involvement of palliative care are central to addressing the decision-making challenges raised by these devices. Societal concerns such as cost-effectiveness and distributive justice will play an increasingly important role in the dissemination of these devices. Summary More research, increased end-of-life education, emphasis on advance directives, a more comprehensive informed consent process, and a true multidisciplinary approach are needed to provide optimal care for patients with AHF. © 2013 Wolters Kluwer Health Lippincott Williams and Wilkins.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84878000179&origin=inward; http://dx.doi.org/10.1097/spc.0b013e32835c4915; http://www.ncbi.nlm.nih.gov/pubmed/23328735; https://journals.lww.com/01263393-201303000-00006; http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=01263393-201303000-00006; https://dx.doi.org/10.1097/spc.0b013e32835c4915; https://journals.lww.com/co-supportiveandpalliativecare/Fulltext/2013/03000/Ethical_challenges_in_advanced_heart_failure.6.aspx
Ovid Technologies (Wolters Kluwer Health)
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