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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Autores principales:	Tonje Thorvaldsen, Lars H Lund
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2019
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/2a964dd5ecda494a8fe3c87f1fc39a44
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spelling	oai:doaj.org-article:2a964dd5ecda494a8fe3c87f1fc39a442021-12-04T16:00:52ZFocusing on Referral Rather than Selection for Advanced Heart Failure Therapies10.15420/cfr.2018.35.12057-75592057-7540https://doaj.org/article/2a964dd5ecda494a8fe3c87f1fc39a442019-01-01T00:00:00Zhttps://www.cfrjournal.com/articleindex/cfr.2018.35.1https://doaj.org/toc/2057-7540https://doaj.org/toc/2057-7559Despite 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.Tonje ThorvaldsenLars H LundRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENCardiac Failure Review , Vol 5, Iss 1, Pp 24-26 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Tonje Thorvaldsen Lars H Lund Focusing on Referral Rather than Selection for Advanced Heart Failure Therapies
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
author	Tonje Thorvaldsen Lars H Lund
author_facet	Tonje Thorvaldsen Lars H Lund
author_sort	Tonje Thorvaldsen
title	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_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_sort	focusing on referral rather than selection for advanced heart failure therapies
publisher	Radcliffe Medical Media
publishDate	2019
url	https://doaj.org/article/2a964dd5ecda494a8fe3c87f1fc39a44
work_keys_str_mv	AT tonjethorvaldsen focusingonreferralratherthanselectionforadvancedheartfailuretherapies AT larshlund focusingonreferralratherthanselectionforadvancedheartfailuretherapies
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Focusing on Referral Rather than Selection for Advanced Heart Failure Therapies

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