Evidence map›Paper›PMID 21432009›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2011

Standardizing integration of palliative care into comprehensive cancer therapy--a disease specific approach.

Jan Gaertner, Juergen Wolf, Michael Hallek, Jan-Peter Glossmann, Raymond Voltz

Abstract read
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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  5. Systematic vs. on-demand early palliative care in gastric cancer patients: a randomized clinical trial assessing patient and healthcare service outcomes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
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  10. Duration of palliative care involvement and immunotherapy treatment near the end of life among patients with cancer who died in-hospital.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  12. Models of Integration of Specialized Palliative Care with Oncology.Current treatment options in oncology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jan GaertnerDepartment of Palliative Medicine, University Hospital of Cologne, 50924, Cologne, Germany. jan.gaertner@uk-koeln.de
Juergen Wolf
Michael Hallek
Jan-Peter Glossmann
Raymond Voltz

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur comprehensive cancer centre adopted the WHO recommendation literally in the cancer care guidelines to implement the early integration (EI) of palliative care (PC). Evaluation of the first 2 years of this approach revealed that this guideline was too vague to trigger EI.

objectiveAs a consequence, an interdisciplinary working group was set up to propose and implement a more effective concept.

methodsAn interdisciplinary (PC, oncology, radiotherapy, etc.) working group identified the need to (a) specify the timing of EI and (b) specify PC assignments by (c) providing more clear cut semantic and clinical definitions. As a result of repeated discussion in the different interdisciplinary working groups in charge of developing and consenting a once-yearly update of treatment guidelines [standard operating procedure (SOP)] for each malignancy, the need for disease-specific EI SOPs was identified.

resultsSOPs were developed for 19 malignancies (a) to identify a disease-specific point in each disease trajectory to initiate EI ("green flags") and to provide (b) a clear delineation and semantic differentiation of PC assignments ["palliative care" vs. "supportive" or "palliative therapies" ("green" vs. "red flags")]. DISCUSSION: To date, ASCO and WHO recommendations for EI lack detailed information about timing and infrastructure. The guidelines presented here aim to provide the missing information by reporting our developed and consented interdisciplinary guidelines for EI.

conclusionWith this concept, the authors provide a framework for realizing EI and hope to initiate a discussion about specific recommendations for EI.

Indexed as

BereavementHealth PolicyDelivery of Health Care, IntegratedHumansNeoplasmsPalliative CarePatient Care TeamPrognosisProgram EvaluationTime FactorsWorld Health Organization

Identifiers

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.