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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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Canadian Medical Association Journal: 194 (37)
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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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