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- W2040607535 abstract "1.Recognize the importance of prognostication in palliative care and describe challenges of prognostications.2.Review results of systematic review for prognostic tools for congestive heart failure. Congestive heart failure (CHF) is a major cause of death in the U.S. Accurate prognostication is important to frame care planning in palliative care consultation but is often a challenging task, especially for non-malignant life-limiting illness. We performed a systematic review to identify clinically useful prognostic tools for congestive heart failure (CHF) published between January 1, 1990 through December 31, 2010. Broad search criteria were used and two physicians independently reviewed titles, abstracts, and full articles using explicit criteria. Areas of disagreement for inclusion were discussed until agreement reached at each level of analysis. References of articles included in our final review were also reviewed in detail to ensure completeness. Final articles were evaluated based on their study design, study population, scoring, limitations, and the availability of variables needed to calculate the prognostic score. 1,597 publications were identified with our search criteria, and after structured review, ultimately 37 publications were found to report on clinically useful prognostic tools, and 32 distinct prognostic tools were identified. Only one tool was specifically designed to determine hospice eligibility. While the majority of these tools have only been validated in small sample sizes, we identified 9 tools (7 inpatient, 2 outpatient) that have been validated in large populations (N > 1000) and have been validated in at least two studies. Statistically validated prognostic tools are available for CHF and may be used to enhance prognostication during palliative care consultation." @default.
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- W2040607535 date "2012-02-01" @default.
- W2040607535 modified "2023-10-17" @default.
- W2040607535 title "Prognostic Tools for Congestive Heart Failure (315-B)" @default.
- W2040607535 doi "https://doi.org/10.1016/j.jpainsymman.2011.12.054" @default.
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