{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T14:49:22Z","timestamp":1786114162245,"version":"build-2736575974"},"reference-count":51,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002839","name":"Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002839","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017268","name":"Berlin Institute of Health at Charit\u00e9","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100017268","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","semthorcardiovascsurg.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Seminars in Thoracic and Cardiovascular Surgery"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1053\/j.semtcvs.2026.04.003","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T16:35:43Z","timestamp":1781022943000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Palliative Care Throughout the Entire Perioperative Pathway in Cardiovascular Surgery"],"prefix":"10.1053","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3221-0048","authenticated-orcid":false,"given":"Moritz","family":"Blum","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Schoenrath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johann","family":"Ahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathrin","family":"Bockbreder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sascha","family":"Ott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Schmitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"J\u00f6bges","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Gelfman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volkmar","family":"Falk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1053\/j.semtcvs.2026.04.003_bib1","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.xjon.2021.02.001","article-title":"Trends and outcomes for cardiac surgery in the United Kingdom from 2002 to 2016","volume":"7","author":"Grant","year":"2021","journal-title":"JTCVS Open"},{"issue":"5","key":"10.1053\/j.semtcvs.2026.04.003_bib2","first-page":"362","article-title":"German heart surgery report 2021: The annual updated registry of the German Society for Thoracic and Cardiovascular Surgery","volume":"70","author":"Beckmann","year":"2022","journal-title":"Thorac\u00a0Cardiovasc\u00a0Surg"},{"issue":"10","key":"10.1053\/j.semtcvs.2026.04.003_bib3","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1097\/EJA.0000000000001881","article-title":"Pain management after cardiac surgery via median sternotomy: A systematic review with procedure-specific postoperative pain management (PROSPECT) recommendations","volume":"40","author":"Mae\u00dfen","year":"2023","journal-title":"Eur J\u00a0Anaesthesiol"},{"issue":"1","key":"10.1053\/j.semtcvs.2026.04.003_bib4","article-title":"Postoperative pulmonary dysfunction and mechanical ventilation in cardiac surgery","volume":"2015","author":"Badenes","year":"2015","journal-title":"Crit Care Res\u00a0Pract"},{"issue":"9384","key":"10.1053\/j.semtcvs.2026.04.003_bib5","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/S0140-6736(03)14190-6","article-title":"Depression as a risk factor for mortality after coronary artery bypass surgery","volume":"362","author":"Blumenthal","year":"2003","journal-title":"Lancet Lond\u00a0Engl"},{"issue":"11","key":"10.1053\/j.semtcvs.2026.04.003_bib6","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-032751","article-title":"Experiences of informal caregivers after cardiac surgery: A systematic integrated review of qualitative and quantitative studies","volume":"9","author":"Bj\u00f8rnnes","year":"2019","journal-title":"BMJ Open"},{"issue":"12","key":"10.1053\/j.semtcvs.2026.04.003_bib7","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.1089\/jpm.2018.0431","article-title":"National consensus project clinical practice guidelines for quality palliative care guidelines, 4th Edition","volume":"21","author":"Ferrell","year":"2018","journal-title":"J\u00a0Palliat\u00a0Med"},{"key":"10.1053\/j.semtcvs.2026.04.003_bib8","unstructured":"World Health Organization. Palliative care. Published online 2020.\u00a0Available at: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care.\u00a0Accessed February 18, 2022."},{"issue":"2","key":"10.1053\/j.semtcvs.2026.04.003_bib9","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1001\/jamasurg.2015.3625","article-title":"Palliative care interventions for surgical patients: A systematic review","volume":"151","author":"Lilley","year":"2016","journal-title":"JAMA Surg"},{"issue":"5","key":"10.1053\/j.semtcvs.2026.04.003_bib10","first-page":"823","article-title":"Concurrent palliative care for surgical patients","volume":"99","author":"Berlin","year":"2019","journal-title":"Surg\u00a0Clin\u00a0North\u00a0Am"},{"issue":"2","key":"10.1053\/j.semtcvs.2026.04.003_bib11","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1001\/jamasurg.2019.5083","article-title":"Palliative care and end-of-life outcomes following high-risk surgery","volume":"155","author":"Yefimova","year":"2020","journal-title":"JAMA Surg"},{"issue":"2","key":"10.1053\/j.semtcvs.2026.04.003_bib12","first-page":"113","article-title":"Future of the palliative care workforce: Preview to an impending crisis","volume":"130","author":"Kamal","year":"2017","journal-title":"Am\u00a0J\u00a0Med"},{"issue":"13","key":"10.1053\/j.semtcvs.2026.04.003_bib13","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1056\/NEJMp1215620","article-title":"Generalist plus specialist palliative care\u2014Creating a more sustainable model","volume":"368","author":"Quill","year":"2013","journal-title":"N Engl J\u00a0Med"},{"issue":"4","key":"10.1053\/j.semtcvs.2026.04.003_bib14","first-page":"332","article-title":"Criteria for referral of patients with advanced heart failure for specialized palliative care","volume":"80","author":"Chang","year":"2022","journal-title":"J\u00a0Am\u00a0Coll Cardiol"},{"issue":"10","key":"10.1053\/j.semtcvs.2026.04.003_bib15","doi-asserted-by":"crossref","first-page":"2318","DOI":"10.1097\/CCM.0b013e31828cf12c","article-title":"Choosing and using screening criteria for palliative care consultation in the ICU: A report from the improving palliative care in the ICU (IPAL-ICU) advisory board","volume":"41","author":"Nelson","year":"2013","journal-title":"Crit Care Med"},{"issue":"1","key":"10.1053\/j.semtcvs.2026.04.003_bib16","doi-asserted-by":"crossref","DOI":"10.1016\/j.jacadv.2022.100160","article-title":"The multidisciplinary heart team in cardiovascular medicine","volume":"2","author":"Batchelor","year":"2023","journal-title":"JACC Adv"},{"issue":"2","key":"10.1053\/j.semtcvs.2026.04.003_bib17","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.athoracsur.2020.09.014","article-title":"High-risk committee for cardiac surgery decision-making: Results from 110 consecutive patients","volume":"112","author":"Huckaby","year":"2021","journal-title":"Ann\u00a0Thorac Surg"},{"issue":"6","key":"10.1053\/j.semtcvs.2026.04.003_bib18","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1016\/j.athoracsur.2024.01.001","article-title":"Decision-making in surgery","volume":"117","author":"Angelos","year":"2024","journal-title":"Ann Thorac\u00a0Surg"},{"issue":"10","key":"10.1053\/j.semtcvs.2026.04.003_bib19","first-page":"e844","article-title":"REMAP: A framework for goals of care conversations","volume":"13","author":"Childers","year":"2017","journal-title":"J\u00a0Oncol\u00a0Pract"},{"issue":"11","key":"10.1053\/j.semtcvs.2026.04.003_bib20","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1001\/jamasurg.2023.2396","article-title":"Shared decision-making in the surgical sciences","volume":"158","author":"Hawkins","year":"2023","journal-title":"JAMA Surg"},{"issue":"1","key":"10.1053\/j.semtcvs.2026.04.003_bib21","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1007\/s11019-020-09986-9","article-title":"Evaluating the effectiveness of clinical ethics committees: A systematic review","volume":"24","author":"Crico","year":"2021","journal-title":"Med\u00a0Health Care Philos"},{"issue":"4","key":"10.1053\/j.semtcvs.2026.04.003_bib22","first-page":"523","article-title":"Advance care planning in a preoperative clinic: A retrospective chart review","volume":"34","author":"Sinha","year":"2019","journal-title":"J\u00a0Gen\u00a0Intern\u00a0Med"},{"issue":"5","key":"10.1053\/j.semtcvs.2026.04.003_bib23","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1016\/j.jpainsymman.2016.12.331","article-title":"Defining advance care planning for adults: A consensus definition from a multidisciplinary delphi panel","volume":"53","author":"Sudore","year":"2017","journal-title":"J\u00a0Pain Symptom Manag"},{"issue":"4","key":"10.1053\/j.semtcvs.2026.04.003_bib24","first-page":"301","article-title":"Symptom burden clusters and their impact on psychosocial functioning following coronary artery bypass surgery","volume":"25","author":"Abbott","year":"2010","journal-title":"J\u00a0Cardiovasc\u00a0Nurs"},{"issue":"2","key":"10.1053\/j.semtcvs.2026.04.003_bib25","first-page":"6","article-title":"The Edmonton Symptom Assessment System (ESAS): A simple method for the assessment of palliative care patients","volume":"7","author":"Bruera","year":"1991","journal-title":"J Palliat\u00a0Care"},{"issue":"9","key":"10.1053\/j.semtcvs.2026.04.003_bib26","first-page":"1326","article-title":"The memorial symptom assessment scale: An instrument for the evaluation of symptom prevalence, characteristics and distress","volume":"30A","author":"Portenoy","year":"1994","journal-title":"Eur\u00a0J\u00a0Cancer Oxf Engl 1990"},{"issue":"3","key":"10.1053\/j.semtcvs.2026.04.003_bib27","first-page":"248","article-title":"Stressors and anxiety in patients undergoing coronary artery bypass surgery","volume":"16","author":"Gallagher","year":"2007","journal-title":"Am\u00a0J\u00a0Crit\u00a0Care Publ\u00a0Am\u00a0Assoc\u00a0Crit-Care Nurses"},{"issue":"1","key":"10.1053\/j.semtcvs.2026.04.003_bib28","first-page":"37","article-title":"Integrated psychosocial support in the ICU","volume":"38","author":"Rose","year":"2025","journal-title":"Curr\u00a0Opin\u00a0Anaesthesiol"},{"issue":"12","key":"10.1053\/j.semtcvs.2026.04.003_bib29","doi-asserted-by":"crossref","first-page":"1707","DOI":"10.1097\/CCM.0000000000004016","article-title":"Early palliative care consultation in the medical ICU: A cluster randomized crossover trial","volume":"47","author":"Ma","year":"2019","journal-title":"Crit\u00a0Care Med"},{"issue":"4","key":"10.1053\/j.semtcvs.2026.04.003_bib30","first-page":"e321","article-title":"Lessons learned from an embedded palliative care model in the medical intensive care unit","volume":"65","author":"Mehta","year":"2023","journal-title":"J\u00a0Pain\u00a0Symptom Manag"},{"issue":"1","key":"10.1053\/j.semtcvs.2026.04.003_bib31","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.athoracsur.2016.10.022","article-title":"Complications after cardiac operations: All are not created equal","volume":"103","author":"Crawford","year":"2017","journal-title":"Ann Thorac\u00a0Surg"},{"issue":"3","key":"10.1053\/j.semtcvs.2026.04.003_bib32","first-page":"164","article-title":"Approaching difficult communication tasks in oncology","volume":"55","author":"Back","year":"2005","journal-title":"CA Cancer J\u00a0Clin"},{"issue":"11","key":"10.1053\/j.semtcvs.2026.04.003_bib33","article-title":"Family meetings on behalf of patients with serious illness","volume":"383","author":"Widera","year":"2020","journal-title":"N\u00a0Engl\u00a0J\u00a0Med"},{"issue":"4","key":"10.1053\/j.semtcvs.2026.04.003_bib34","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1097\/CCM.0000000000004197","article-title":"Best practices for conducting interprofessional team rounds to facilitate performance of the ICU liberation (ABCDEF) bundle","volume":"48","author":"Stollings","year":"2020","journal-title":"Crit Care Med"},{"issue":"5","key":"10.1053\/j.semtcvs.2026.04.003_bib35","first-page":"e439","article-title":"Patient and family preferences about place of end-of-life care and death: An umbrella review","volume":"67","author":"Pinto","year":"2024","journal-title":"J\u00a0Pain\u00a0Symptom Manag"},{"issue":"11","key":"10.1053\/j.semtcvs.2026.04.003_bib36","doi-asserted-by":"crossref","first-page":"1740","DOI":"10.1007\/s00134-024-07579-1","article-title":"European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit","volume":"50","author":"Kesecioglu","year":"2024","journal-title":"Intensive Care Med"},{"issue":"9","key":"10.1053\/j.semtcvs.2026.04.003_bib37","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1007\/s00134-018-5339-x","article-title":"Time-limited trial of intensive care treatment: An overview of current literature","volume":"44","author":"Vink","year":"2018","journal-title":"Intensive Care Med"},{"key":"10.1053\/j.semtcvs.2026.04.003_bib38","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.hrtlng.2024.08.011","article-title":"Optimizing outcomes: Impact of palliative care consultation timing in the cardiovascular intensive care unit","volume":"68","author":"Kumar","year":"2024","journal-title":"Heart Lung J Crit Care"},{"issue":"5","key":"10.1053\/j.semtcvs.2026.04.003_bib39","first-page":"1223","article-title":"Communication skills training for general surgery residents","volume":"76","author":"Nakagawa","year":"2019","journal-title":"J\u00a0Surg\u00a0Educ"},{"key":"10.1053\/j.semtcvs.2026.04.003_bib40","first-page":"314","article-title":"Annual structured communication skills training for surgery residents","volume":"281","author":"Coleman","year":"2023","journal-title":"J\u00a0Surg\u00a0Res"},{"issue":"1","key":"10.1053\/j.semtcvs.2026.04.003_bib41","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.113.000544","article-title":"Not the \u201cgrim reaper service\u201d: An assessment of provider knowledge, attitudes, and perceptions regarding palliative care referral barriers in heart failure","volume":"3","author":"Kavalieratos","year":"2014","journal-title":"J Am Heart Assoc"},{"issue":"1","key":"10.1053\/j.semtcvs.2026.04.003_bib42","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1093\/ejcts\/ezy289","article-title":"2018 ESC\/EACTS Guidelines on myocardial revascularization","volume":"55","author":"Sousa-Uva","year":"2019","journal-title":"Eur\u00a0J Cardiothorac\u00a0Surg"},{"issue":"2","key":"10.1053\/j.semtcvs.2026.04.003_bib43","first-page":"210","article-title":"2019 EACTS\/EACTA\/EBCP guidelines on cardiopulmonary bypass in adult cardiac surgery","volume":"57","author":"Wahba","year":"2020","journal-title":"Eur\u00a0J\u00a0Cardiothorac\u00a0Surg"},{"issue":"3","key":"10.1053\/j.semtcvs.2026.04.003_bib44","first-page":"522","article-title":"Composition, structure, and function of heart teams: A joint position paper of the ACVC, EAPCI, EACTS, and EACTA focused on the management of patients with complex coronary artery disease requiring myocardial revascularization","volume":"59","author":"Leonardi","year":"2021","journal-title":"Eur\u00a0J\u00a0Cardiothorac\u00a0Surg"},{"issue":"2","key":"10.1053\/j.semtcvs.2026.04.003_bib45","article-title":"2022 Joint ESC\/EACTS review of the 2018 guideline recommendations on the revascularization of left main coronary artery disease in patients at low surgical risk and anatomy suitable for PCI or CABG","volume":"64","author":"Byrne","year":"2023","journal-title":"Eur J\u00a0Cardiothorac\u00a0Surg"},{"issue":"2","key":"10.1053\/j.semtcvs.2026.04.003_bib46","article-title":"2024 EACTS\/EACTAIC\/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery","volume":"67","author":"Wahba","year":"2025","journal-title":"Eur\u00a0J\u00a0Cardiothorac\u00a0Surg"},{"issue":"1","key":"10.1053\/j.semtcvs.2026.04.003_bib47","article-title":"2024 EACTS Guidelines on perioperative medication in adult cardiac surgery","volume":"67","author":"Jeppsson","year":"2025","journal-title":"Eur\u00a0J\u00a0Cardiothorac\u00a0Surg"},{"issue":"4","key":"10.1053\/j.semtcvs.2026.04.003_bib48","first-page":"727","article-title":"2021 ESC\/EACTS guidelines for the management of valvular heart disease: Developed by the task force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"60","author":"Beyersdorf","year":"2021","journal-title":"Eur\u00a0J\u00a0Cardiothorac\u00a0Surg"},{"issue":"44","key":"10.1053\/j.semtcvs.2026.04.003_bib49","first-page":"4635","article-title":"2025 ESC\/EACTS Guidelines for the management of valvular heart disease: Developed by the task force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"46","author":"Praz","year":"2025","journal-title":"Eur J\u00a0Cardiothorac\u00a0Surg"},{"issue":"3","key":"10.1053\/j.semtcvs.2026.04.003_bib50","article-title":"EACTS Expert Consensus Document on protected cardiac surgery: Pre-emptive use of temporary mechanical circulatory support in adult cardiac surgery patients at high risk for perioperative low cardiac output syndrome","volume":"68","author":"Lorusso","year":"2026","journal-title":"Eur J\u00a0Cardiothorac\u00a0Surg"},{"key":"10.1053\/j.semtcvs.2026.04.003_bib51","article-title":"Palliative care in heart failure guidelines - A comparison of the 2021 ESC and the 2022 AHA\/ACC\/HFSA guidelines on heart failure","author":"Blum","year":"2023","journal-title":"Eur\u00a0J\u00a0Heart Fail"}],"container-title":["Seminars in Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1043067926000328?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1043067926000328?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T20:30:44Z","timestamp":1785961844000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1043067926000328"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":51,"alternative-id":["S1043067926000328"],"URL":"https:\/\/doi.org\/10.1053\/j.semtcvs.2026.04.003","relation":{},"ISSN":["1043-0679"],"issn-type":[{"value":"1043-0679","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Palliative Care Throughout the Entire Perioperative Pathway in Cardiovascular Surgery","name":"articletitle","label":"Article Title"},{"value":"Seminars in Thoracic and Cardiovascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1053\/j.semtcvs.2026.04.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}