Heart failure & cardiomyopathies

Mapping of Current Practices of Palliative Care for Patients with Heart Failure Throughout Europe: A Scoping Review

ESC Heart FailPublished Scoping review

Authors' conclusion

This review underscores the need for structured, early integration of palliative care in HF management across Europe with clear triggers for palliative care referral, application of standardized pathways and fostering of multiprofessional collaboration.

Study context

Population
Publications on adults with heart failure (HF) and models of palliative care integration in 10 European countries (RAPHAEL consortium)1,543 records screened
Participants
13 participants
Outcome
How national and international guidelines recommend integrating palliative care into HF management
Methodological detailsSix databases searched, 1 January 2000 to 25 May 2024, Content analysis synthesis
  • Six databases searched, 1 January 2000 to 25 May 2024
  • Content analysis synthesis

Main finding

As reported in the abstract

Population eligible for palliative care defined by symptoms
4/13 publications; 31%
Population eligible for palliative care defined by pathophysiology
2/13; 15%
Referral trigger: clinical features and symptoms
8/13; 62%
Referral trigger: patients approaching end of life
8/13; 62%
Referral trigger: symptomatic deterioration despite optimal therapy
7/13; 54%
Referral trigger: multiple (>1) unplanned hospitalizations
6/13; 46%
Referral trigger: spiritual, emotional or social issues
7/13; 54%
Outcome of referral: quality of life
9/13; 69%
Outcome of referral: symptom control
9/13; 69%
Involvement: cardiologists
12/13; 92%
Involvement: nurses
10/12; 77%
Involvement: palliative care specialists
9/13; 69%
Involvement: primary care physicians
4/13; 31%

Original publication

Mapping of Current Practices of Palliative Care for Patients with Heart Failure Throughout Europe: A Scoping Review. ESC Heart Fail. Published 29 September 2025. doi:10.1002/ehf2.15431

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