Primary Objective:
To determine if there is a reduction in the mean symptom severity scores for the heart failure specific symptom items between baseline and at the end of three months between patients whose symptoms are managed using the MDASI-HF symptom assessment scores (treatment group) as a decision making guide, as compared to patients managed without using the MDASI-HF symptom assessment scores (control group).
Secondary Objectives:
The secondary objectives of the study are to:
1) examine the correlation between mean symptom severity scores and the secondary endpoints of: a) exercise tolerance ( 6-minute walk), b) NYHA (New York Heart Association) functional classification, c) B-type natriuretic peptide (a biomarker for heart failure), and d) dose titration of HF (heart failure) medications.
2) Define symptom severity critical values in cancer patients with concurrent heart failure that trigger clinical intervention
3) Identify symptom clusters which may occur in cancer patients with concurrent heart failure. |