Prognosis of patients with heart failure compared with common types of cancer.

Heart failure monitor Pub Date : 2003-01-01
Simon Stewart
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Abstract

Heart failure (HF) is a growing epidemic that not only exerts an enormous burden on the healthcare system but also imparts extremely poor quality of life in the increasing number of patients dying from this fatal syndrome. For the majority of these patients, end-of-life care is clearly suboptimal. It is within this context that this article reviews the case for comparing the prognosis of HF with that of the most common types of cancer. It also summarizes the numerous difficulties in trying to make such comparisons and highlights key comparative data--the majority of which indicate that the prognosis of HF is comparable with that of cancer. Finally, it discusses how these comparisons can highlight the need to extend the type of public health response to HF usually reserved for high profile disease states, such as cancer.

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心衰患者与普通类型癌症的预后比较。
心力衰竭(HF)是一种日益严重的流行病,不仅给卫生保健系统带来巨大负担,而且使越来越多死于这一致命综合征的患者的生活质量极差。对这些病人中的大多数来说,临终关怀显然不是最理想的。正是在这种背景下,本文回顾了比较心衰与最常见类型癌症预后的病例。本文还总结了进行此类比较的众多困难,并强调了关键的比较数据,其中大多数数据表明心衰的预后与癌症的预后相当。最后,本文讨论了这些比较如何能够突出扩大对心衰的公共卫生反应类型的必要性,这种反应通常只针对癌症等严重疾病。
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