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Research
Open Access

Regional collaborative home-based palliative care and health care outcomes among adults with heart failure

Kieran L. Quinn, Therese A. Stukel, Erin Campos, Cassandra Graham, Dio Kavalieratos, Susanna Mak, Leah Steinberg, Peter Tanuseputro, Meltem Tuna and Sarina R. Isenberg
CMAJ September 26, 2022 194 (37) E1274-E1282; DOI: https://doi.org/10.1503/cmaj.220784
Kieran L. Quinn
Department of Medicine (Quinn, Campos, Graham, Mak), University of Toronto, Toronto, Ont.; ICES (Quinn, Stukel, Tanuseputro, Tuna), Toronto, Ont. and Ottawa, Ont.; Department of Medicine (Quinn, Mak, Steinberg), Sinai Health System; Interdepartmental Division of Palliative Care (Quinn, Steinberg), Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ont.; Division of Palliative Medicine, Department of Family and Preventive Medicine (Kavalieratos), Emory University, Atlanta, Ga.; Clinical Epidemiology Program (Tanuseputro, Tuna), Ottawa Hospital Research Institute; School of Epidemiology, Public Health and Preventive Medicine (Tanuseputro) and Department of Medicine (Tanuseputro, Isenberg), University of Ottawa; Bruyère Research Institute (Tanuseputro, Isenberg), Ottawa, Ont.; Department of Family and Community Medicine (Quinn, Steinberg, Isenberg), University of Toronto; Division of Cardiology (Mak), Sinai Health System; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
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Therese A. Stukel
Department of Medicine (Quinn, Campos, Graham, Mak), University of Toronto, Toronto, Ont.; ICES (Quinn, Stukel, Tanuseputro, Tuna), Toronto, Ont. and Ottawa, Ont.; Department of Medicine (Quinn, Mak, Steinberg), Sinai Health System; Interdepartmental Division of Palliative Care (Quinn, Steinberg), Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ont.; Division of Palliative Medicine, Department of Family and Preventive Medicine (Kavalieratos), Emory University, Atlanta, Ga.; Clinical Epidemiology Program (Tanuseputro, Tuna), Ottawa Hospital Research Institute; School of Epidemiology, Public Health and Preventive Medicine (Tanuseputro) and Department of Medicine (Tanuseputro, Isenberg), University of Ottawa; Bruyère Research Institute (Tanuseputro, Isenberg), Ottawa, Ont.; Department of Family and Community Medicine (Quinn, Steinberg, Isenberg), University of Toronto; Division of Cardiology (Mak), Sinai Health System; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
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Erin Campos
Department of Medicine (Quinn, Campos, Graham, Mak), University of Toronto, Toronto, Ont.; ICES (Quinn, Stukel, Tanuseputro, Tuna), Toronto, Ont. and Ottawa, Ont.; Department of Medicine (Quinn, Mak, Steinberg), Sinai Health System; Interdepartmental Division of Palliative Care (Quinn, Steinberg), Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ont.; Division of Palliative Medicine, Department of Family and Preventive Medicine (Kavalieratos), Emory University, Atlanta, Ga.; Clinical Epidemiology Program (Tanuseputro, Tuna), Ottawa Hospital Research Institute; School of Epidemiology, Public Health and Preventive Medicine (Tanuseputro) and Department of Medicine (Tanuseputro, Isenberg), University of Ottawa; Bruyère Research Institute (Tanuseputro, Isenberg), Ottawa, Ont.; Department of Family and Community Medicine (Quinn, Steinberg, Isenberg), University of Toronto; Division of Cardiology (Mak), Sinai Health System; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
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Cassandra Graham
Department of Medicine (Quinn, Campos, Graham, Mak), University of Toronto, Toronto, Ont.; ICES (Quinn, Stukel, Tanuseputro, Tuna), Toronto, Ont. and Ottawa, Ont.; Department of Medicine (Quinn, Mak, Steinberg), Sinai Health System; Interdepartmental Division of Palliative Care (Quinn, Steinberg), Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ont.; Division of Palliative Medicine, Department of Family and Preventive Medicine (Kavalieratos), Emory University, Atlanta, Ga.; Clinical Epidemiology Program (Tanuseputro, Tuna), Ottawa Hospital Research Institute; School of Epidemiology, Public Health and Preventive Medicine (Tanuseputro) and Department of Medicine (Tanuseputro, Isenberg), University of Ottawa; Bruyère Research Institute (Tanuseputro, Isenberg), Ottawa, Ont.; Department of Family and Community Medicine (Quinn, Steinberg, Isenberg), University of Toronto; Division of Cardiology (Mak), Sinai Health System; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
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Dio Kavalieratos
Department of Medicine (Quinn, Campos, Graham, Mak), University of Toronto, Toronto, Ont.; ICES (Quinn, Stukel, Tanuseputro, Tuna), Toronto, Ont. and Ottawa, Ont.; Department of Medicine (Quinn, Mak, Steinberg), Sinai Health System; Interdepartmental Division of Palliative Care (Quinn, Steinberg), Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ont.; Division of Palliative Medicine, Department of Family and Preventive Medicine (Kavalieratos), Emory University, Atlanta, Ga.; Clinical Epidemiology Program (Tanuseputro, Tuna), Ottawa Hospital Research Institute; School of Epidemiology, Public Health and Preventive Medicine (Tanuseputro) and Department of Medicine (Tanuseputro, Isenberg), University of Ottawa; Bruyère Research Institute (Tanuseputro, Isenberg), Ottawa, Ont.; Department of Family and Community Medicine (Quinn, Steinberg, Isenberg), University of Toronto; Division of Cardiology (Mak), Sinai Health System; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
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Susanna Mak
Department of Medicine (Quinn, Campos, Graham, Mak), University of Toronto, Toronto, Ont.; ICES (Quinn, Stukel, Tanuseputro, Tuna), Toronto, Ont. and Ottawa, Ont.; Department of Medicine (Quinn, Mak, Steinberg), Sinai Health System; Interdepartmental Division of Palliative Care (Quinn, Steinberg), Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ont.; Division of Palliative Medicine, Department of Family and Preventive Medicine (Kavalieratos), Emory University, Atlanta, Ga.; Clinical Epidemiology Program (Tanuseputro, Tuna), Ottawa Hospital Research Institute; School of Epidemiology, Public Health and Preventive Medicine (Tanuseputro) and Department of Medicine (Tanuseputro, Isenberg), University of Ottawa; Bruyère Research Institute (Tanuseputro, Isenberg), Ottawa, Ont.; Department of Family and Community Medicine (Quinn, Steinberg, Isenberg), University of Toronto; Division of Cardiology (Mak), Sinai Health System; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
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Leah Steinberg
Department of Medicine (Quinn, Campos, Graham, Mak), University of Toronto, Toronto, Ont.; ICES (Quinn, Stukel, Tanuseputro, Tuna), Toronto, Ont. and Ottawa, Ont.; Department of Medicine (Quinn, Mak, Steinberg), Sinai Health System; Interdepartmental Division of Palliative Care (Quinn, Steinberg), Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ont.; Division of Palliative Medicine, Department of Family and Preventive Medicine (Kavalieratos), Emory University, Atlanta, Ga.; Clinical Epidemiology Program (Tanuseputro, Tuna), Ottawa Hospital Research Institute; School of Epidemiology, Public Health and Preventive Medicine (Tanuseputro) and Department of Medicine (Tanuseputro, Isenberg), University of Ottawa; Bruyère Research Institute (Tanuseputro, Isenberg), Ottawa, Ont.; Department of Family and Community Medicine (Quinn, Steinberg, Isenberg), University of Toronto; Division of Cardiology (Mak), Sinai Health System; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
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Peter Tanuseputro
Department of Medicine (Quinn, Campos, Graham, Mak), University of Toronto, Toronto, Ont.; ICES (Quinn, Stukel, Tanuseputro, Tuna), Toronto, Ont. and Ottawa, Ont.; Department of Medicine (Quinn, Mak, Steinberg), Sinai Health System; Interdepartmental Division of Palliative Care (Quinn, Steinberg), Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ont.; Division of Palliative Medicine, Department of Family and Preventive Medicine (Kavalieratos), Emory University, Atlanta, Ga.; Clinical Epidemiology Program (Tanuseputro, Tuna), Ottawa Hospital Research Institute; School of Epidemiology, Public Health and Preventive Medicine (Tanuseputro) and Department of Medicine (Tanuseputro, Isenberg), University of Ottawa; Bruyère Research Institute (Tanuseputro, Isenberg), Ottawa, Ont.; Department of Family and Community Medicine (Quinn, Steinberg, Isenberg), University of Toronto; Division of Cardiology (Mak), Sinai Health System; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
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Meltem Tuna
Department of Medicine (Quinn, Campos, Graham, Mak), University of Toronto, Toronto, Ont.; ICES (Quinn, Stukel, Tanuseputro, Tuna), Toronto, Ont. and Ottawa, Ont.; Department of Medicine (Quinn, Mak, Steinberg), Sinai Health System; Interdepartmental Division of Palliative Care (Quinn, Steinberg), Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ont.; Division of Palliative Medicine, Department of Family and Preventive Medicine (Kavalieratos), Emory University, Atlanta, Ga.; Clinical Epidemiology Program (Tanuseputro, Tuna), Ottawa Hospital Research Institute; School of Epidemiology, Public Health and Preventive Medicine (Tanuseputro) and Department of Medicine (Tanuseputro, Isenberg), University of Ottawa; Bruyère Research Institute (Tanuseputro, Isenberg), Ottawa, Ont.; Department of Family and Community Medicine (Quinn, Steinberg, Isenberg), University of Toronto; Division of Cardiology (Mak), Sinai Health System; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
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Sarina R. Isenberg
Department of Medicine (Quinn, Campos, Graham, Mak), University of Toronto, Toronto, Ont.; ICES (Quinn, Stukel, Tanuseputro, Tuna), Toronto, Ont. and Ottawa, Ont.; Department of Medicine (Quinn, Mak, Steinberg), Sinai Health System; Interdepartmental Division of Palliative Care (Quinn, Steinberg), Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ont.; Division of Palliative Medicine, Department of Family and Preventive Medicine (Kavalieratos), Emory University, Atlanta, Ga.; Clinical Epidemiology Program (Tanuseputro, Tuna), Ottawa Hospital Research Institute; School of Epidemiology, Public Health and Preventive Medicine (Tanuseputro) and Department of Medicine (Tanuseputro, Isenberg), University of Ottawa; Bruyère Research Institute (Tanuseputro, Isenberg), Ottawa, Ont.; Department of Family and Community Medicine (Quinn, Steinberg, Isenberg), University of Toronto; Division of Cardiology (Mak), Sinai Health System; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
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Article Information

vol. 194 no. 37 E1274-E1282
DOI 
https://doi.org/10.1503/cmaj.220784
PubMed 
36162834
History 
  • Accepted August 29, 2022
  • Published online September 25, 2022.
Copyright & Usage 
© 2022 CMA Impact Inc. or its licensors This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY-NC-ND 4.0) licence, which permits use, distribution and reproduction in any medium, provided that the original publication is properly cited, the use is noncommercial (i.e., research or educational use), and no modifications or adaptations are made. See: https://creativecommons.org/licenses/by-nc-nd/4.0/

Author Information

  1. Kieran L. Quinn, MD PhD,
  2. Therese A. Stukel, PhD,
  3. Erin Campos, MD,
  4. Cassandra Graham, MD,
  5. Dio Kavalieratos, PhD,
  6. Susanna Mak, MD PhD,
  7. Leah Steinberg, MD,
  8. Peter Tanuseputro, MD MPH,
  9. Meltem Tuna, PhD,
  10. Sarina R. Isenberg, PhD
  1. Department of Medicine (Quinn, Campos, Graham, Mak), University of Toronto, Toronto, Ont.; ICES (Quinn, Stukel, Tanuseputro, Tuna), Toronto, Ont. and Ottawa, Ont.; Department of Medicine (Quinn, Mak, Steinberg), Sinai Health System; Interdepartmental Division of Palliative Care (Quinn, Steinberg), Temmy Latner Centre for Palliative Care, Sinai Health System, Toronto, Ont.; Division of Palliative Medicine, Department of Family and Preventive Medicine (Kavalieratos), Emory University, Atlanta, Ga.; Clinical Epidemiology Program (Tanuseputro, Tuna), Ottawa Hospital Research Institute; School of Epidemiology, Public Health and Preventive Medicine (Tanuseputro) and Department of Medicine (Tanuseputro, Isenberg), University of Ottawa; Bruyère Research Institute (Tanuseputro, Isenberg), Ottawa, Ont.; Department of Family and Community Medicine (Quinn, Steinberg, Isenberg), University of Toronto; Division of Cardiology (Mak), Sinai Health System; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
  1. Correspondence to: Sarina Isenberg, sisenberg{at}bruyere.org
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Regional collaborative home-based palliative care and health care outcomes among adults with heart failure
Kieran L. Quinn, Therese A. Stukel, Erin Campos, Cassandra Graham, Dio Kavalieratos, Susanna Mak, Leah Steinberg, Peter Tanuseputro, Meltem Tuna, Sarina R. Isenberg
CMAJ Sep 2022, 194 (37) E1274-E1282; DOI: 10.1503/cmaj.220784

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Regional collaborative home-based palliative care and health care outcomes among adults with heart failure
Kieran L. Quinn, Therese A. Stukel, Erin Campos, Cassandra Graham, Dio Kavalieratos, Susanna Mak, Leah Steinberg, Peter Tanuseputro, Meltem Tuna, Sarina R. Isenberg
CMAJ Sep 2022, 194 (37) E1274-E1282; DOI: 10.1503/cmaj.220784
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