The feasibility of a randomised controlled trial to compare the cost effectiveness of palliative cardiology or usual care in people with advanced heart failure to exploratory prospective cohorts.
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This episode features Professor Miriam Johnson\\xa0(Director, Wolfson Palliative Care Research Centre, Hull York Medical School). The aim of this study was to: establish cardiology led palliative care versus usual care was feasible, to assess quality of data capture, to facilitate future sample size calculation and to assess survival.\\xa0\\xa0Study design was a feasibility,\\xa0non-randomised trial, which recruited unmatched symptomatic heart failure patients who were receiving maximal therapy for their disease.
The study recruited 77 participants (43 in palliative cardiology and 34 usual care). The study\\xa0concluded that a\\xa0future trial is feasible. No difference in survival was noted between the\\xa0intervention and control groups. This study concludes that\\xa0cardiology led palliative care may improve care delivery, but further research is required to test this hypothesis\\xa0further.
Full paper available from:https://doi.org/10.1177/0269216318763225