Observational studyTherapeutic advances in respiratory disease
Underutilization of palliative care in advanced COPD and heart failure: associations, disparities, and the role of specialists.
Observational study in Therapeutic advances in respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- What factors predict severity of palliative care symptoms and concerns in COPD in South Africa? A cross-sectional study.Palliative care and social practice · 2026Article
- Safety and Feasibility of an Asynchronous AI-Integrated Tele-Pulmonary Rehabilitation Application Among Patients with COPD.International journal of chronic obstructive pulmonary disease · 2026Article
- Palliative Extubation in Critically Ill Patients: A Retrospective Study of Timing, Prior Expressions of Will, Sedation, and Outcomes.Palliative medicine reportsArticle
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPalliative care is essential for managing advanced chronic illnesses (ACI) but remains underused.
objectivesWe aimed to evaluate the prevalence, associations, and outcomes of palliative care utilization (PCU) in patients with ACIs.
designA prospective observational questionnaire-based study.
methodsThe study included hospitalized patients with severe COPD (
resultsA total of 166 subjects were included (median age: 77 years; 41% females), with a 1-year median of 2 hospital admissions. Subjects with COPD and HF had low rates of PCU compared to those with malignancy (6% and 11% vs 39%,
conclusionPalliative care utilization is alarmingly low among patients with HF and COPD despite significant symptom burden. Specialists should advocate for PCU as their involvement could enhance end-of-life care planning, improve patient outcomes, and address current gaps in care.
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