Focusing on Referral Rather than Selection for Advanced Heart Failure Therapies
Despite advances in heart failure treatment, advanced heart failure affects 5–10% of people with the condition and is associated with poor prognosis. Selection for heart transplantation and left ventricular assist device implantation is a rigorous and validated process performed by specialised heart...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2019-01-01
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| Series: | Cardiac Failure Review |
| Online Access: | https://www.cfrjournal.com/articleindex/cfr.2018.35.1 |
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| _version_ | 1850104275511803904 |
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| author | Tonje Thorvaldsen Lars H Lund |
| author_facet | Tonje Thorvaldsen Lars H Lund |
| author_sort | Tonje Thorvaldsen |
| collection | DOAJ |
| description | Despite advances in heart failure treatment, advanced heart failure affects 5–10% of people with the condition and is associated with poor prognosis. Selection for heart transplantation and left ventricular assist device implantation is a rigorous and validated process performed by specialised heart failure teams. This entails comprehensive assessment of complex diagnostic tests and risk scores, and selecting patients with the optimal benefit-risk profile. In contrast, referral for advanced heart failure evaluation is an arbitrary and poorly studied process, performed by generalists, and patients are often referred too late or not at all. The study elaborates on the differences between selection and referral and proposes some simple strategies for optimising timely referral for advanced heart failure evaluation. |
| format | Article |
| id | doaj-art-2a964dd5ecda494a8fe3c87f1fc39a44 |
| institution | DOAJ |
| issn | 2057-7540 2057-7559 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Cardiac Failure Review |
| spelling | doaj-art-2a964dd5ecda494a8fe3c87f1fc39a442025-08-20T02:39:22ZengRadcliffe Medical MediaCardiac Failure Review2057-75402057-75592019-01-0151242610.15420/cfr.2018.35.1Focusing on Referral Rather than Selection for Advanced Heart Failure TherapiesTonje Thorvaldsen0Lars H Lund1Karolinska Institutet, Department of Medicine, Stockholm, Sweden; Karolinska University Hospital, Heart and Vascular Theme, Stockholm, SwedenKarolinska Institutet, Department of Medicine, Stockholm, Sweden; Karolinska University Hospital, Heart and Vascular Theme, Stockholm, SwedenDespite advances in heart failure treatment, advanced heart failure affects 5–10% of people with the condition and is associated with poor prognosis. Selection for heart transplantation and left ventricular assist device implantation is a rigorous and validated process performed by specialised heart failure teams. This entails comprehensive assessment of complex diagnostic tests and risk scores, and selecting patients with the optimal benefit-risk profile. In contrast, referral for advanced heart failure evaluation is an arbitrary and poorly studied process, performed by generalists, and patients are often referred too late or not at all. The study elaborates on the differences between selection and referral and proposes some simple strategies for optimising timely referral for advanced heart failure evaluation.https://www.cfrjournal.com/articleindex/cfr.2018.35.1 |
| spellingShingle | Tonje Thorvaldsen Lars H Lund Focusing on Referral Rather than Selection for Advanced Heart Failure Therapies Cardiac Failure Review |
| title | Focusing on Referral Rather than Selection for Advanced Heart Failure Therapies |
| title_full | Focusing on Referral Rather than Selection for Advanced Heart Failure Therapies |
| title_fullStr | Focusing on Referral Rather than Selection for Advanced Heart Failure Therapies |
| title_full_unstemmed | Focusing on Referral Rather than Selection for Advanced Heart Failure Therapies |
| title_short | Focusing on Referral Rather than Selection for Advanced Heart Failure Therapies |
| title_sort | focusing on referral rather than selection for advanced heart failure therapies |
| url | https://www.cfrjournal.com/articleindex/cfr.2018.35.1 |
| work_keys_str_mv | AT tonjethorvaldsen focusingonreferralratherthanselectionforadvancedheartfailuretherapies AT larshlund focusingonreferralratherthanselectionforadvancedheartfailuretherapies |