Heart and Vessels

, Volume 34, Issue 3, pp 452–461 | Cite as

Possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure: a nationwide cross-sectional questionnaire survey

  • Yuma KurozumiEmail author
  • Shogo Oishi
  • Yasuo Sugano
  • Akihiro Sakashita
  • Norihiko Kotooka
  • Makoto Suzuki
  • Taiki Higo
  • Dai Yumino
  • Yasuko Takada
  • Seiko Maeda
  • Saori Yamabe
  • Koichi Washida
  • Tomonori Takahashi
  • Tomohito Ohtani
  • Yasushi Sakata
  • Yukihito Sato
Original Article


Palliative care for end-stage heart failure should be provided by a multidisciplinary team. However, the influence of each occupational category on patients receiving palliative care for end-stage heart failure remains unclear. Thus, this study investigated the relationships between palliative care conferences and positive outcomes of palliative care for end-stage heart failure patients. We sent questionnaires to all cardiology training hospitals authorized by the Japanese Circulation Society (n = 1004); of these, responses from the directors at 554 institutions were analyzed. We divided the responding institutions into two groups according to their implementation of palliative care conferences for patients with end-stage heart failure. The institutions that had held such conferences (n = 223) had a larger number of hospital beds, beds in the cardiovascular department, and patients admitted to the cardiovascular department, compared with institutions that had not held these conferences (n = 321). The usage rates of opioids, non-steroidal anti-inflammatory drugs, and sedatives were significantly higher in institutions that held these conferences. Multivariate analysis revealed that nutritionists and medical social workers had greater involvement in the improvement of mental symptoms and ensuring that patients could stay where they wished, respectively. The presence of palliative care physicians, physical therapists, or pharmacists was associated with multiple positive outcomes. This study indicated that there are possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure.


Heart failure Palliative care Multidisciplinary team management Nationwide survey 



The authors would like to acknowledge the directors and staff of the 1004 cardiology training hospitals authorized by the Japanese Circulation Society for their cooperation with this survey. The authors thank Koji Shimamoto, MS (MediStatLab Co., Ltd., Tokyo, Japan, for assistance with statistical methods.


This study received no grant from any funding agency in the public, commercial, or not-for-profit sectors.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

For this type of study, formal consent is not required.

Supplementary material

380_2018_1261_MOESM1_ESM.docx (15 kb)
Supplementary file1 (DOCX 14 kb)


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Copyright information

© Springer Japan KK, part of Springer Nature 2018

Authors and Affiliations

  • Yuma Kurozumi
    • 1
    Email author
  • Shogo Oishi
    • 2
  • Yasuo Sugano
    • 3
    • 4
  • Akihiro Sakashita
    • 5
  • Norihiko Kotooka
    • 6
  • Makoto Suzuki
    • 7
  • Taiki Higo
    • 8
  • Dai Yumino
    • 9
  • Yasuko Takada
    • 10
  • Seiko Maeda
    • 11
  • Saori Yamabe
    • 12
  • Koichi Washida
    • 13
  • Tomonori Takahashi
    • 14
  • Tomohito Ohtani
    • 15
  • Yasushi Sakata
    • 15
  • Yukihito Sato
    • 1
  1. 1.Department of CardiologyHyogo Prefectural Amagasaki General Medical CenterAmagasakiJapan
  2. 2.Department of CardiologyHimeji Cardiovascular CenterHimejiJapan
  3. 3.Department of CardiologyKeiyu HospitalYokohamaJapan
  4. 4.Department of Cardiovascular MedicineNational Cerebral and Cardiovascular CenterSuitaJapan
  5. 5.Department of Palliative MedicineKobe University School of MedicineKobeJapan
  6. 6.Department of Cardiovascular MedicineSaga UniversitySagaJapan
  7. 7.Department of CardiologyYokohama Minami Kyosai HospitalYokohamaJapan
  8. 8.Department of Cardiovascular MedicineKyushu University Graduate School of Medical SciencesFukuokaJapan
  9. 9.Yumino Heart ClinicTokyoJapan
  10. 10.Department of NursingNational Cerebral and Cardiovascular CenterSuitaJapan
  11. 11.Department of NursingNagoya Heart CenterNagoyaJapan
  12. 12.Department of NursingMitsubishi Kyoto HospitalKyotoJapan
  13. 13.Department of NursingHyogo Prefectural Amagasaki General Medical CenterAmagasakiJapan
  14. 14.Department of PharmacyHyogo Cancer CenterAkashiJapan
  15. 15.Department of Cardiovascular MedicineOsaka University Graduate School of MedicineSuitaJapan

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