Letter to the Editor
Proposal for routine use of mortality risk prediction tools to promote early end of life planning in heart failure patients and facilitate integrated care

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  • Criteria for Referral of Patients With Advanced Heart Failure for Specialized Palliative Care

    2022, Journal of the American College of Cardiology
    Citation Excerpt :

    This range of ≤6 months is interesting because our recent systematic review13 noted that among those articles that discussed prognosis as a referral criterion, most suggested a cutoff of 1 year as a potential trigger, with the recommendation of using the “surprise” question (“Would you be surprised if this patient were to die within the next year?”) for screening.28-31 However, it seems reasonable to limit the use of time-based prognostication as a trigger for referral, because it may be challenging to operationalize across different health care settings and because the unpredictable disease trajectory of heart failure further supports the notion that clinicians, cardiologists included, are often inaccurate at prognostication.32-34

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