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Advance Care Planning Documentation and Intensity of Care at the End of Life for Adults With Congestive Heart Failure, Chronic Kidney Disease, and Both Illnesses.

J Pain Symptom Manage

February 2022

Cambia Palliative Care Center of Excellence, University of Washington (G.M.B., C.L.M., J.R.C.), Seattle, WA; Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Washington (R.A.E., J.R.C.), Seattle, WA.

Article Synopsis
  • Heart failure (HF) and chronic kidney disease (CKD) together lead to higher health risks and complexity in end-of-life care compared to having only one of these conditions.
  • A study analyzed end-of-life care quality using data from deceased patients, highlighting that those with both HF and CKD experienced more hospitalizations and intensive care unit admissions in their last 30 days versus those with only one condition.
  • Results showed patients with both conditions had more advance care planning documentation, implying a need for improved interventions to ensure care aligns with their goals at the end of life.
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