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Early palliative care fails to improve QOL in advanced heart failure

Key clinical point: Improvements in quality of life and mood were not significant in patients with advanced heart failure who underwent 16 weeks of a palliative care intervention.

Major finding: After 16 weeks, the mean (SE) KCCQ score improved 3.9 (1.3) points in the intervention group compared to 2.3 (1.2) points in the usual care group (SE, 1.7; d = 0.07 [95% CI, -0.09 to 0.24]).

Study details: A randomized clinical trial of 415 patients aged 50 years or older with advanced heart failure.

Disclosures: The study was supported by the National Institutes of Health/National Institutes of Nursing Research. Four of the authors reported receiving grants from the National Institutes of Nursing Research outside the submitted work or during the study.


Bakitas MA et al. JAMA Intern Med. 2020 July 27. doi: 10.1001/jamainternmed.2020.2861.