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Table 5 Characteristics of included guidelines

From: Towards integration of palliative care in patients with chronic heart failure and chronic obstructive pulmonary disease: a systematic literature review of European guidelines and pathways

Title/Country/Year Disease Setting Integrated Palliative Care Criteria (IPC) Quality of Evidence
Multidisciplinary guideline Heart Failure/The Netherlands/2010 [22]. Heart Failure inpatient/outpatient 9 IPC: Discussion of illness limitations and prognosis, Holistic assessments, Timing of PC introduction, Patient’s goals, Continuous goal adjustment, Suffering reduction, ACP*, Involvement of PC team, Last hours of living care. High
Guideline Palliative care for people with COPD/The Netherlands/ 2011 [23]. COPD inpatient/outpatient 8 IPC : Discussion of illness limitations and prognosis, Holistic assessments, Timing of holistic assessments, Timing of PC introduction, Patient’s goals, Suffering reduction, ACP, Involvement of PC team. Medium
Guideline COPD/ The Netherlands/ 2010 [24]. COPD inpatient/outpatient 5 IPC: Discussion of illness limitations and prognosis, Timing of PC introduction, Patient’s goals, Continuous goal adjustment, Suffering reduction. Low
Guideline Heart failure/The Netherlands/2010 [25]. Heart failure inpatient/outpatient 7 IPC: Discussion of illness limitations and prognosis, Holistic assessments, Timing of PC introduction, Patient’s goals, Suffering reduction, Involvement of PC team, Last hours of living care. Low
Multidisciplinary guideline diagnostics and treatment of COPD/ The Netherlands/ 2010 [26]. COPD inpatient/outpatient 5 IPC : Discussion of illness limitations and prognosis, Holistic assessments, Timing of PC introduction, Patient’s goals, Suffering reduction. High
95 Management of chronic heart failure. A national clinical guideline/UK- Scotland/2007 [27]. Heart failure inpatient/outpatient 4 IPC: Discussion of illness limitations and prognosis, Timing of holistic assessments, Patient’s goals, Suffering reduction. High
Living and dying with advanced heart failure: a palliative care approach/UK- Scotland/2008 [28]. Heart Failure inpatient/outpatient 10 IPC: Discussion of illness limitations and prognosis, Holistic assessments, Timing of holistic assessments, Timing of PC introduction, Patient’s goals, Continuous goal adjustment, Suffering reduction, ACP, Involvement of PC team, Last hours of living care. High
NICE clinical guideline 101: Management of chronic obstructive pulmonary disease in adults in primary and secondary care/UK/2010 [29]. COPD inpatient/outpatient 3 IPC: Holistic assessments, Suffering reduction, Involvement of PC team. High
Chronic Obstructive Pulmonary Disease Services/UK- Scotland/ 2010 [30]. COPD inpatient/outpatient 5 IPC: Discussion of illness limitations and prognosis, Holistic assessments, , Patient’s goals, ACP, Involvement of PC team. High
Global Strategy for Diagnosis, Management, and Prevention of COPD/UK/ 2013 [31]. COPD inpatient/outpatient 7 IPC: Discussion of illness limitations and prognosis, Timing of holistic assessments, Timing of PC introduction, Continuous goal adjustment, Suffering reduction, ACP, Involvement of PC team. High
Heart Disease: quick reference guide/UK/ 2012 [32]. Heart Failure inpatient/outpatient 3 IPC: Discussion of illness limitations and prognosis, Timing of PC introduction, Suffering reduction. Low
IMPRESS guide for commissioners on supportive and end of life care for people with COPD/UK/ 2012 [33]. COPD inpatient/outpatient 9 IPC : Discussion of illness limitations and prognosis, Holistic assessments, Timing of PC introduction, Patient’s goals, Continuous goal adjustment, Suffering reduction, ACP, Involvement of PC team, Grief and bereavement care. High
Services for people with chronic obstructive pulmonary disease CMG43/UK/ 2011 [34]. COPD inpatient/outpatient 11 IPC: Discussion of illness limitations and prognosis, Holistic assessments, Timing of holistic assessments, Timing of PC introduction, Patient’s goals, Continuous goal adjustment, Suffering reduction, ACP, Involvement of PC team, Last hours of living care, Grief and bereavement care. High
Services for people with chronic heart failure/UK/2011 [35]. Heart Failure inpatient/outpatient 9 IPC : Discussion of illness limitations and prognosis, Holistic assessments, Timing of holistic assessments, Timing of PC introduction, Suffering reduction, ACP, Involvement of PC team, Last hours of living care, Grief and bereavement care. High
Chronic obstructive pulmonary disease: Management of chronic obstructive pulmonary disease in adults in primary and secondary care/UK/ 2010 [36]. COPD inpatient/outpatient 2 IPC: Suffering reduction, Involvement of PC team. High
Best practice guidance on developing a respiratory service specification/UK/ 2008 [37]. COPD inpatient/outpatient 2 IPC:, Suffering reduction, Last hours of living care. Low
ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012/Europe/2012 [38]. Heart Failure Acute setting 8 IPC: Discussion of illness limitations and prognosis, Holistic assessments, Timing of holistic assessments, Timing of PC introduction, Continuous goal adjustment, Suffering reduction, ACP, Involvement of PC team. High
  1. The included guidelines are described in different categories: title, country and year, type of disease, setting, Integrated Palliative Care (ICP) criteria and quality of evidence. ACP= Advance Care Planning, COPD= Chronic Obstructive Pulmonary Disorder.