Trial reportBMC family practice2011
Early identification of and proactive palliative care for patients in general practice, incentive and methods of a randomized controlled trial.
Trial report in BMC family practice, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 8 of them syntheses that pooled 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.
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.
Who cites it
25 citing papers in PubMed, 8 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Palliative care needs in adults with chronic disease: a systematic review of measuring instruments.BMC palliative care · 2026Pooled it
- Needs-based triggers for timely referral to palliative care for older adults severely affected by noncancer conditions: a systematic review and narrative synthesis.BMC palliative care · 2023Pooled it
- Educational interventions for health professionals managing chronic obstructive pulmonary disease in primary care.The Cochrane database of systematic reviews · 2022Pooled it
- Self-management interventions for people with chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2022Pooled it
- A Systematic Review of the Development and Implementation of Needs-Based Palliative Care Tools in Heart Failure and Chronic Respiratory Disease.Frontiers in cardiovascular medicine · 2022Pooled it
- Tools to help healthcare professionals recognize palliative care needs in patients with advanced heart failure: A systematic review.Palliative medicine · 2021Pooled it
- Early palliative care for adults with advanced cancer.The Cochrane database of systematic reviews · 2017Pooled it
- Palliative care and prognosis in COPD: a systematic review with a validation cohort.International journal of chronic obstructive pulmonary disease · 2017Pooled it
- Training general practitioners contributes to the identification of palliative patients and to multidimensional care provision: secondary outcomes of an RCT.BMJ supportive & palliative care · 2019Trial
- Adding a second surprise question triggers general practitioners to increase the thoroughness of palliative care planning: results of a pilot RCT with cage vignettes.BMC palliative care · 2018Trial
- Writing information transfers for out-of-hours palliative care: a controlled trial among GPs.Scandinavian journal of primary health care · 2016Trial
- Training general practitioners in early identification and anticipatory palliative care planning: a randomized controlled trial.BMC family practice · 2015Trial
- [Survey on the presence of palliative care knowledge and palliative care structures in German emergency departments].Die Anaesthesiologie · 2023Article
- Pharmacy Technicians' Perception About Symptoms and Concerns of Older Patients Visiting Pharmacies: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2021Article
- Palliative care needs-assessment and measurement tools used in patients with heart failure: a systematic mixed-studies review with narrative synthesis.Heart failure reviews · 2021Review
- Systematic identification of critically ill and dying patients in primary care using the German version of the Supportive and Palliative Care Indicators Tool (SPICT-DE).German medical science : GMS e-journal · 2020Article
- Development, modelling, and pilot testing of a complex intervention to support end-of-life care provided by Danish general practitioners.BMC family practice · 2018Article
- Early Identification of Patients in Need of Palliative Care in Slovenian General Practice.Zdravstveno varstvo · 2018Article
- Systematic development and adjustment of the German version of the Supportive and Palliative Care Indicators Tool (SPICT-DE).BMC palliative care · 2018Article
- Timely identification of palliative patients and anticipatory care planning by GPs: practical application of tools and a training programme.BMC palliative care · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccording to the Word Health Organization, patients who can benefit from palliative care should be identified earlier to enable proactive palliative care. Up to now, this is not common practice and has hardly been addressed in scientific literature. Still, palliative care is limited to the terminal phase and restricted to patients with cancer. Therefore, we trained general practitioners (GPs) in identifying palliative patients in an earlier phase of their disease trajectory and in delivering structured proactive palliative care. The aim of our study is to determine if this training, in combination with consulting an expert in palliative care regarding each palliative patient's tailored care plan, can improve different aspects of the quality of the remaining life of patients with severe chronic diseases such as chronic obstructive pulmonary disease, congestive heart failure and cancer. METHODS/
designA two-armed randomized controlled trial was performed. As outcome variables we studied: place of death, number of hospital admissions and number of GP out of hours contacts. DISCUSSION: We expect that this study will increase the number of identified palliative care patients and improve different aspects of quality of palliative care. This is of importance to improve palliative care for patients with COPD, CHF and cancer and their informal caregivers, and to empower the GP. The study protocol is described and possible strengths and weaknesses and possible consequences have been outlined.
trial registrationThe Netherlands National Trial Register: NTR2815.
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Registered trials
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.