Effectiveness of an Intervention Supporting Shared Decision Making for Destination Therapy Left Ventricular Assist Device: The DECIDE-LVAD Randomized Clinical Trial

Allen, Larry A.; McIlvennan, Colleen K.; Thompson, Jocelyn S.; Dunlay, Shannon M.; LaRue, Shane J.; Lewis, Eldrin F.; Patel, Chetan B.; Blue, Laura; Fairclough, Diane L.; Leister, Erin C.; Glasgow, Russell E.; Cleveland, Joseph C.; Phillips, Clifford; Baldridge, Vicie; Walsh, Mary Norine; Matlock, Daniel D.

doi:10.1001/jamainternmed.2017.8713

Cited by 179Patient-Provider Communication in HealthcarePalliative Care and End-of-Life IssuesMechanical Circulatory Support Devices

Effectiveness of an Intervention Supporting Shared Decision Making for Destination Therapy Left Ventricular Assist Device: The DECIDE-LVAD Randomized Clinical Trial

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Allen, Larry A., McIlvennan, Colleen K., Thompson, Jocelyn S., Dunlay, Shannon M., LaRue, Shane J., Lewis, Eldrin F., Patel, Chetan B., Blue, Laura +8 more·2018·JAMA Internal Medicine

DOI 10.1001/jamainternmed.2017.8713PMC PMC5876922

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Abstract

Importance: Shared decision making helps patients and clinicians elect therapies aligned with patients' values and preferences. This is particularly important for invasive therapies with considerable trade-offs. Objective: To assess the effectiveness of a shared decision support intervention for patients considering destination therapy left ventricular assist device (DT LVAD) placement. Design, Setting, and Participants: From 2015 to 2017, a randomized, stepped-wedge trial was conducted in 6 US LVAD implanting centers including 248 patients being considered for DT LVAD. After randomly varying time in usual care, sites were transitioned to an intervention consisting of clinician education and use of DT LVAD pamphlet and video patient decision aids. Follow up occurred at 1 and 6 months. Main Outcomes and Measures: Decision quality as measured by knowledge and values-choice concordance. Results: In total, 135 patients were enrolled during control and 113 during intervention periods. At enrollment, 59 (23.8%) participants were in intensive care, 60 (24.1%) were older than 70 years, 39 (15.7%) were women, 45 (18.1%) were racial/ethnic minorities, and 62 (25.0%) were college graduates. Patient knowledge (mean test performance) during the decision-making period improved from 59.5% to 64.9% in the control group vs 59.1% to 70.0% in the intervention group (adjusted difference of difference, 5.5%; P = .03). Stated values at 1 month (scale 1 = "do everything I can to live longer…" to 10 = "live with whatever time I have left…") were a mean of 2.37 in control and 3.33 in intervention (P = .03). Patient-reported treatment choice at 1 month favored LVAD more in the control group (than in the intervention group (47 [59.5%] vs 95 [91.3%], P < .001). Correlation between stated values and patient-reported treatment choice at 1 month was stronger in the intervention group than in the control group (difference in Kendall's τ, 0.28; 95% CI, 0.05-0.45); however, there was no improved correlation between stated values and actual treatment received by 6 months for the intervention compared with the control group (difference in Kendall's τ, 0.01; 95% CI, -0.24 to 0.25). The adjusted rate of LVAD implantation by 6 months was higher for those in the control group (79.9%) than those in the intervention group (53.9%, P = .008), with significant variation by site. There were no differences in decision conflict, decision regret, or preferred control. Conclusions and Relevance: A shared decision-making intervention for DT LVAD modestly improved patient decision quality as measured by patient knowledge and concordance between stated values and patient-reported treatment choice, but did not improve concordance between stated values and actual treatment received. The rate of implantation of LVADs was substantially lower in the intervention compared with the control group. Trial Registration: clinicaltrials.gov Identifier: NCT02344576.

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Decision aids have decreased rates of implementation of left ventricular assist devices in outpatients with congestive heart failure.
“decreased rates of implementation of left ventricular assist devices in outpatients with congestive heart failure”
From Effects of a Personalized Web-Based Decision Aid for Surrogate Decision Makers of Patients With Prolonged Mechanical Ventilation (2019) · cites this paper as [31]
The Results (Decision Quality: Knowledge and Values-Choice Concordance; page unavailable) report lower LVAD implantation by six months in the intervention group than in controls. But the intervention combined decision aids with clinician training, so the study does not isolate the effect of decision aids. The Results (Patients; page unavailable) also show that most participants were enrolled as inpatients, not outpatients, and do not establish the claimed decrease specifically among outpatients. (LLM, conf=0.90)
Experimental — accuracy not yet measured
Some recent studies found that family support interventions did not reduce psychological symptoms in family members.
“However, some recent studies found that family support interventions did not reduce psychological symptoms in family members. 66,67,75,79”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [75]
The Results (Secondary Outcomes; page unavailable) report no significant intervention–control difference in stress or depression. But the reported outcomes concern the LVAD decision-support study’s patients; although Methods (Study Participants; page unavailable) says patient–caregiver dyads were enrolled, this passage does not establish that psychological symptoms in family members were measured or unchanged. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Communication supported by strategies such as video decision aids may be associated with improved family satisfaction, according to recent studies.
“Furthermore, according to recent studies, communication supported by other strategies such as video decision aids may be associated with improved family satisfaction. 67,75,78”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [75]
The Introduction and Methods > Intervention describe video decision aids used alongside clinician training for patients and caregivers considering destination-therapy LVAD. The Methods > Outcomes and Results report patient decision-making measures, not family satisfaction; the claimed improvement in family satisfaction is therefore unsupported by this paper. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Decision aids have decreased hospital transfer rates in nursing home residents with dementia.
“decreased hospital transfer rates in nursing home residents with dementia (31, 32)”
From Effects of a Personalized Web-Based Decision Aid for Surrogate Decision Makers of Patients With Prolonged Mechanical Ventilation (2019) · cites this paper as [31]
The Methods (Study Participants; page unavailable) describe patients with end-stage heart failure being considered for a left ventricular assist device, not nursing home residents with dementia. The Conclusions (page unavailable) report changes in decision knowledge and device implantation, but not hospital transfer rates; searches for dementia, nursing homes, and hospital transfers found no passage addressing the claim. (LLM, conf=0.76)
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“Decision aids have also had notable clinical effects in populations with serious conditions, such as decreased rates of implementation of left ventricular assist devices in outpatients with congestive heart failure and decreased hospital transfer rates in nursing home residents with dementia (31, 32).”
The International Society for Heart and Lung Transplantation/Heart Failure Society of America Guideline on Acute Mechanical Circulatory Support
Bernhardt, A. M. J., Copeland, H., Deswal, A., Gluck, J., Givertz, M. M., Bernhardt, A. M. J., Gluck, J., Garan, A. R., Hall, S. A., Hayanga, A. J., et al. (2023) · The Journal of Heart and Lung Transplantation · doi:10.1016/j.healun.2022.10.028 · Cited by 135 · see citing works
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Shared decision making for the allergist
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Prediction of Survival After Implantation of a Fully Magnetically Levitated Left Ventricular Assist Device
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The Importance of Mental Models in Implementation Science
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Shared decision‐making for older adults with cardiovascular disease
Backman, W., Levine, S. A., WENGER, N. K., & Harold, J. G. (2019) · Clinical Cardiology · doi:10.1002/clc.23267 · Cited by 95 · see citing works
Shared decision-making in the management of patients with inflammatory bowel disease
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Decision coaching for people making healthcare decisions
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Cardiogenic Shock in Older Adults: A Focus on Age-Associated Risks and Approach to Management: A Scientific Statement From the American Heart Association
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Racial inequities in access to VAD and transplant persist after consideration for preferences for care: A report from the Registry Evaluation for Vital Information for VADs in Ambulatory Life (REVIVAL)
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The International Society for Heart and Lung Transplantation/Heart Failure Society of America Guideline on Acute Mechanical Circulatory Support
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Implementation Science to Achieve Equity in Heart Failure Care: A Scientific Statement From the American Heart Association
Breathett, K. K., Lewsey, S. C., Brownell, N. K., Enright, K. J., Evangelista, L. S., Ibrahim, N. E., Iturrizaga, J. C., Matlock, D. D., Ogunniyi, M. O., Sterling, M. R., et al. (2024) · Circulation · doi:10.1161/cir.0000000000001231 · Cited by 61 · see citing works
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Shared Decision Making for Athletes with Cardiovascular Disease: Practical Considerations
Baggish, A. L., Ackerman, M. J., Putukian, M., & Lampert, R. J. (2019) · Current Sports Medicine Reports · doi:10.1249/jsr.0000000000000575 · Cited by 57 · see citing works
Shared decision making in cardiology: a systematic review and meta-analysis
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Shared Decision Making Among Older Adults With Advanced CKD
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Advance care planning for adults with heart failure
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Priorities for Patient‐Centered Research in Valvular Heart Disease: A Report From the National Heart, Lung, and Blood Institute Working Group
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Palliative Care Across the Spectrum of Heart Failure
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A Multisite Randomized Controlled Trial of a Patient-Centered Ventricular Assist Device Decision Aid (VADDA Trial)
Kostick, K. M., Bruce, C. R., Minard, C. G., Volk, R. J., Civitello, A. B., Krim, S. R., Horstmanshof, D., Thohan, V., Loebe, M. M., Hanna, M. A., et al. (2018) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2018.08.008 · Cited by 42 · see citing works
Optimal Management of Hereditary Angioedema: Shared Decision-Making
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Caregivers of Patients Considering a Destination Therapy Left Ventricular Assist Device and a Shared Decision-Making Intervention
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Shared decision-making in vascular surgery
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Palliative cardiovascular care: The right patient at the right time
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Shared Decision Making in Cardiovascular Patient Care to Address Cardiovascular Disease Disparities
Turkson‐Ocran, R., Ogunwole, S. M., Hines, A. L., & Peterson, P. N. (2021) · Journal of the American Heart Association · doi:10.1161/jaha.120.018183 · Cited by 36 · see citing works
Ethik der Reanimation und Entscheidungen am Lebensende
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Pre-Ventricular Assist Device Palliative Care Consultation: A Qualitative Analysis
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Framework for improving outcome prediction for acute to chronic low back pain transitions
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Integration of Palliative Care into Heart Failure Care: Consensus-Based Recommendations from the Heart Failure Society of America
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Suicide Attempts Among LVAD Recipients
Charton, M., Flecher, E. M., Leclercq, C., Delmas, C., Dambrin, C., Goéminne, C., Vincentelli, A., Michel, M., Hélias, L. L., Verdonk, C. G., et al. (2020) · Circulation · doi:10.1161/circulationaha.119.041910 · Cited by 28 · see citing works
Life-Prolonging Benefits of LVAD Therapy in Advanced Heart Failure
Mehra, M. R., Nayak, A., & Desai, A. S. (2023) · JACC Heart Failure · doi:10.1016/j.jchf.2023.05.013 · Cited by 28 · see citing works
Impact of shared decision making on healthcare in recent literature: a scoping review using a novel taxonomy
Wehking, F., Debrouwere, M., Danner, M., Geiger, F., Bünzen, C., Lewejohann, J.-C., & Scheibler, F. (2023) · Journal of Public Health · doi:10.1007/s10389-023-01962-w · Cited by 27 · see citing works
Coronary Artery Revascularization in the Older Adult Population: A Scientific Statement From the American Heart Association
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Effectiveness of patient decision aid supported shared decision-making intervention in in-person and virtual hybrid pulmonary rehabilitation in older adults with chronic obstructive pulmonary disease: A pilot randomized controlled trial
Jiang, Y., Nuerdawulieti, B., Chen, Z., Guo, J., Sun, P., Chen, M., & Li, J. (2023) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x231156631 · Cited by 26 · see citing works
Video-Based Interventions for Cancer Control: A Systematic Review
Blake, K. D., Thai, C. L., Falisi, A. L., Chou, W. S., Oh, A., Jackson, D. N., Gaysynsky, A., & Hesse, B. W. (2019) · Health Education & Behavior · doi:10.1177/1090198119887210 · Cited by 26 · see citing works
The Approach to the Psychosocial Evaluation of Cardiac Transplant and Mechanical Circulatory Support Candidates
Dew, M. A., DiMartini, A. F., Dobbels, F., Grady, K. L., Jowsey‐Gregoire, S. G., Kaan, A., Kendall, K., & Young, Q. (2019) · Current Heart Failure Reports · doi:10.1007/s11897-019-00443-0 · Cited by 25 · see citing works
Pretransplant Patient Education in Solid-organ Transplant: A Narrative Review
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Recognition of the Large Ambulatory C2D Stage of Advanced Heart Failure—A Call to Action
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Palliative Care for Patients on Mechanical Circulatory Support
Wordingham, S. E., & McIlvennan, C. K. (2019) · The AMA Journal of Ethic · doi:10.1001/amajethics.2019.435 · Cited by 23 · see citing works
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Decision Aid Implementation among Left Ventricular Assist Device Programs Participating in the DECIDE-LVAD Stepped-Wedge Trial
Matlock, D. D., McIlvennan, C. K., Thompson, J. S., Morris, M. A., Venechuk, G. E., Dunlay, S. M., LaRue, S., Lewis, E. F., Patel, C. B., Blue, L. J., et al. (2020) · Medical Decision Making · doi:10.1177/0272989x20915227 · Cited by 23 · see citing works
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Prognostic Understanding and Preference for the Communication Process with Physicians in Hospitalized Heart Failure Patients
Kitakata, H., Kohno, T., Kohsaka, S., Fujisawa, D., Nakano, N., Shiraishi, Y., Katsumata, Y., Yuasa, S., & Fukuda, K. (2020) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2020.10.009 · Cited by 22 · see citing works
The right time for palliative care in heart failure: a review of critical moments for palliative care intervention
Slavin, S. D., & Warraich, H. J. (2019) · Revista Española de Cardiología (English Edition) · doi:10.1016/j.rec.2019.07.013 · Cited by 21 · see citing works
Shared Decision-making in the U.S.: Evidence exists, but implementation science must now inform policy for real change to occur
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El momento óptimo para comenzar los cuidados paliativos en insuficiencia cardiaca: una revisión narrativa
Slavin, S. D., & Warraich, H. J. (2019) · Revista Española de Cardiología · doi:10.1016/j.recesp.2019.07.028 · Cited by 21 · see citing works
Palliative Care for Patients With Advanced Heart Disease
Klinedinst, R., Kornfield, Z. N., & Hadler, R. A. (2018) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2018.04.047 · Cited by 20 · see citing works
Top Ten Tips Palliative Care Clinicians Should Know About Caring for Patients with Left Ventricular Assist Devices
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Development and piloting of four decision aids for implantable cardioverter‐defibrillators in different media formats
Wallace, B. C., Jones, J., Masoudi, F. A., Nowels, C. T., Varosy, P. D., Thomson, R., Elwyn, G. J., Brega, A. G., Vermilye, T., Knoepke, C. E., et al. (2021) · Pacing and Clinical Electrophysiology · doi:10.1111/pace.14365 · Cited by 19 · see citing works
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Strategies for Patient, Family, and Caregiver Engagement
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Ethical Challenges in Care of Patients on Mechanical Circulatory Support at End-of-Life
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Changes over Time in Patient Stated Values and Treatment Preferences Regarding Aggressive Therapies: Insights from the DECIDE-LVAD Trial
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Medical Management of Left Ventricular Assist Device Patients: A Practical Guide for the Nonexpert Clinician
Kiamanesh, O., Kaan, A., & Toma, M. (2019) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2019.09.020 · Cited by 17 · see citing works
Stress and Coping Among Family Caregivers of Patients With a Destination Therapy Left Ventricular Assist Device: A Multicenter Mixed Methods Study
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Innovations in Ventricular Assist Devices for End-Stage Heart Failure
Miller, R. J. H., Teuteberg, J. J., & Hunt, S. A. (2018) · Annual Review of Medicine · doi:10.1146/annurev-med-041217-011015 · Cited by 16 · see citing works
A multicenter trial of a shared DECision Support Intervention for Patients offered implantable Cardioverter-DEfibrillators: DECIDE-ICD rationale, design, Medicare changes, and pilot data
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Randomized evaluation of decision support interventions for atrial fibrillation: Rationale and design of the RED-AF study
Jones, A. E., McCarty, M. M., Brito, J. P., Noseworthy, P., Cavanaugh, K., Cameron, K. A., Barnes, G., Steinberg, B., Witt, D., Crossley, G., et al. (2022) · American Heart Journal · doi:10.1016/j.ahj.2022.02.010 · Cited by 11 · see citing works
Experiences Implementing a Suite of Decision Aids for Implantable Cardioverter Defibrillators: Qualitative Insights From the DECIDE-ICD Trial
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Decisional Needs and Patient Treatment Preferences for Heart Failure Medications: A Scoping Review
MacDonald, B. J., Barry, A. R., & Turgeon, R. D. (2022) · CJC Open · doi:10.1016/j.cjco.2022.11.013 · Cited by 14 · see citing works
Patient perspectives on the need for implanted device information: Implications for a post‐procedural communication framework
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Current Review of Implantable Cardioverter Defibrillator Use in Patients With Left Ventricular Assist Device
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Decisional regret in left ventricular assist device patient-caregiver dyads
Stahl, E. P., Dickert, N. W., Cole, R. T., Laskar, S. R., Morris, A. A., Smith, A. L., Vega, J. D., & Gupta, D. (2019) · Heart & Lung · doi:10.1016/j.hrtlng.2019.05.003 · Cited by 13 · see citing works
End-of-Life in Pediatric Patients Supported by Ventricular Assist Devices: A Network Database Cohort Study
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Clinical implications of differences between real world and clinical trial usage of left ventricular assist devices for end stage heart failure
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How Values Are Discussed, Reflected Upon, and Acted On by Patients and Family Caregivers in the Context of Heart Failure: A Scoping Review
Bechthold, A. C., Knoepke, C. E., Ejem, D., McIlvennan, C. K., Wells, R. D., Matlock, D. D., Bakitas, M. A., & Dionne-Odom, J. N. (2023) · Medical Decision Making · doi:10.1177/0272989x231165958 · Cited by 12 · see citing works
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Heart Failure and the Affordable Care Act
Wolfe, J. D., & Maddox, K. E. J. (2019) · JACC Heart Failure · doi:10.1016/j.jchf.2019.04.021 · Cited by 12 · see citing works
Impact of Socioeconomic Factors on Patient Desire for Early LVAD Therapy Prior to Inotrope Dependence
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Quality indicators of palliative care for cardiovascular intensive care
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Patient decision support interventions for candidates considering elective surgeries: a systematic review and meta-analysis
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Evaluation of a covariate-constrained randomization procedure in stepped wedge cluster randomized trials
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Shared Decision-Making for Implantable Cardioverter-Defibrillators: Policy Goals, Metrics, and Challenges
Rao, B. R., Merchant, F. M., Howard, D. H., Matlock, D. D., & Dickert, N. W. (2021) · The Journal of Law Medicine & Ethics · doi:10.1017/jme.2021.85 · Cited by 11 · see citing works
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Facilitating Shared Decision Making Among Black Patients at Risk for Sudden Cardiac Arrest
Thomas, K. L., Al‐Khatib, S. M., Kosinski, A. S., Sears, S. F., LaPointe, N. M. A., Jackson, L. R., Matlock, D. D., Haithcock, D. B., Colley, B. J., Hirsh, D. S., et al. (2023) · Annals of Internal Medicine · doi:10.7326/m22-2934 · Cited by 11 · see citing works
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Perceived Stress and Depressive Symptoms as Predictors of Decisional Conflict in Dyads Considering a Left Ventricular Assist Device
McIlvennan, C. K., Matlock, D. D., Allen, L. A., Thompson, J. S., Ranby, K. W., & Sannes, T. S. (2020) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.119.006155 · Cited by 10 · see citing works
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Improving Surgical Informed Consent
Raper, S. E., Clapp, J. T., & Fleisher, L. A. (2021) · Annals of Surgery Open · doi:10.1097/as9.0000000000000030 · Cited by 10 · see citing works
Disparities in Practice Patterns by Sex, Race, and Ethnicity in Patients Referred for Advanced Heart Failure Therapies
Herr, J., Sheikh, F. H., Patel, P. J., Lala, A., Chien, C., Hsiao, S., Srivastava, A., Pedrotty, D. M., Nowaczyk, J., Tompkins, S., et al. (2022) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2022.09.015 · Cited by 10 · see citing works
Social Determinants of Health and Rates of Implantation for Patients Considering Destination Therapy Left Ventricular Assist Device
Flint, K. M., Chaussee, E. L., Henderson, K., Breathett, K. K., Khazanie, P., Thompson, J. S., McIlvennan, C. K., LaRue, S., Matlock, D. D., & Allen, L. A. (2020) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2020.12.009 · Cited by 10 · see citing works
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Palliative Care in Heart Failure: An Integrative Review of Nurse Practice
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Advanced Heart Failure: Therapeutic Options and Challenges in the Evolving Field of Left Ventricular Assist Devices
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Caregivers of Patients Considering a Destination Therapy Left Ventricular Assist Device and a Shared Decision-Making Intervention
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An Acceptability and Feasibility Study of Decision Aids for Patients and Their Caregivers Considering Destination Therapy Left Ventricular Assist Device
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A Multicenter Trial of a Shared Decision Support Intervention for Patients and Their Caregivers Offered Destination Therapy for Advanced Heart Failure: DECIDE-LVAD
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IMPLEMENTATION OF A SHARED DECISION SUPPORT INTERVENTION FOR PATIENTS CONSIDERING DESTINATION THERAPY LEFT VENTRICULAR ASSIST DEVICE: THE DECIDE-LVAD TRIAL
Matlock, D. D., Thompson, J. S., Morris, M. A., McIlvennan, C. K., Finnigan-Fox, G., Glasgow, R. E., Leister, E. C., Lewis, C. L., & Allen, L. A. (2018) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(18)33188-7
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A Multisite Randomized Controlled Trial of a Patient-Centered Ventricular Assist Device Decision Aid (VADDA Trial)
Kostick, K. M., Bruce, C. R., Minard, C. G., Volk, R. J., Civitello, A. B., Krim, S. R., Horstmanshof, D., Thohan, V., Loebe, M. M., Hanna, M. A., et al. (2018) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2018.08.008 · Cited by 42 · see citing works

Authors: Allen, L. A., McIlvennan, C. K., Thompson, J. S., Dunlay, S. M., LaRue, S. J., Lewis, E. F., Patel, C. B., Blue, L., Fairclough, D. L., Leister, E. C., Glasgow, R. E., Cleveland, J. C., Phillips, C., Baldridge, V., Walsh, M. N., & Matlock, D. D.
Affiliations: University of Colorado Anschutz (US)
Mayo Clinic (US)
Washington University in St. Louis (US)
Brigham and Women's Hospital (US)
Duke Medical Center (US)
Colorado School of Public Health (US)
VA Eastern Colorado Health Care System (US)
Patient stakeholder
Caregiver stakeholder
St Vincent Hospital (US)
Corresponding author: Allen, Larry A.
ORCID: Allen, Larry A.
McIlvennan, Colleen K.
Thompson, Jocelyn S.
Dunlay, Shannon M.
LaRue, Shane J.
Lewis, Eldrin F.
Patel, Chetan B.
Blue, Laura
Glasgow, Russell E.
Cleveland, Joseph C.
Phillips, Clifford
Walsh, Mary Norine
Matlock, Daniel D.
Venue: JAMA Internal Medicine
Publisher: American Medical Association (AMA)
Published: 2018-04-01
Volume: 178
Issue: 4
Pages: 520
ISSN: 2168-6106 (ISSN-L)
DOI: 10.1001/jamainternmed.2017.8713
PMC: PMC5876922
OpenAlex: W2792883637
Cited by: 179
References: 50
Citations by year: 2026: 16 · 2025: 11 · 2024: 23 · 2023: 21 · 2022: 23 · 2021: 27 · 2020: 21 · 2019: 27 · 2018: 10
FWCI: 32.45
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
Locations: JAMA Internal Medicine (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Digital Commons@Becker (Washington University School of Medicine) (submittedVersion, cc-by)
Funders: Patient-Centered Outcomes Research Institute
Topics: Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Physical Sciences › Engineering › Biomedical Engineering › Mechanical Circulatory Support Devices
Keywords: shared decision-making, patient decision aids, patient education, patient knowledge, treatment selection, end-of-life care, advanced heart failure, clinician education, patient-centered care, intervention effectiveness, patient-reported outcomes, quality of life, health-related quality of life, patient satisfaction
MeSH terms: Aged, Decision Making, Decision Support Techniques, Female, Heart Failure, Heart-Assist Devices, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Patient Participation, Patient Preference

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Effectiveness of an Intervention Supporting Shared Decision Making for Destination Therapy Left Ventricular Assist Device: The DECIDE-LVAD Randomized Clinical Trial

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