Evidence map›Paper›PMID 22101861›Full record

Trial reportQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2012

Palliative care outcomes in surgical oncology patients with advanced malignancies: a mixed methods approach.

Gwenyth R Wallen, Karen Baker, Marilyn Stolar, Claiborne Miller-Davis, Nancy Ames, Jan Yates, Jacques Bolle, Donna Pereira, Diane St Germain, Daniel Handel and 1 more

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 9 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

20 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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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

11 authors.

Gwenyth R WallenNational Institutes of Health Clinical Center, Building 10, Room 2B14, 10 Center Drive, Bethesda, MD 20892, USA. gwallen@cc.nih.gov
Karen Baker
Marilyn Stolar
Claiborne Miller-Davis
Nancy Ames
Jan Yates
Jacques Bolle
Donna Pereira
Diane St Germain
Daniel Handel
Ann Berger

Funding

Pain And Palliative Care Evaluation StudyZIACL001136 · CLC · CLINICAL CENTER · PI WALLEN, GWENYTH R · 2009 to 2015
$0k
Intramural NIH HHS ZIA CL001136
6 · The paper itself

Abstract

purposeTo prospectively compare outcomes and processes of hospital-based early palliative care with standard care in surgical oncology patients (N = 152).

methodsA randomized, mixed methods, longitudinal study evaluated the effectiveness of a hospital-based Pain and Palliative Care Service (PPCS). Interviews were conducted presurgically and at follow-up visits up to 1 year. Primary outcome measures included the Gracely Pain Intensity and Unpleasantness Scales and the Symptom Distress Scale. Qualitative interviews assessed social support, satisfaction with care, and communication with providers. Survival analysis methods explored factors related to treatment crossover and study discontinuation. Models for repeated measures within subjects over time explored treatment and covariate effects on patient-reported pain and symptom distress.

resultsNone of the estimated differences achieved statistical significance; however, for those who remained on study for 12 months, the PPCS group performed better than their standard of care counterparts. Patients identified consistent communication, emotional support, and pain and symptom management as positive contributions delivered by the PPCS.

conclusionsIt is unclear whether lower pain perceptions despite greater symptom distress were clinically meaningful; however, when coupled with the patients' perceptions of their increased resources and alternatives for pain control, one begins to see the value of an integrated PPCS.

Indexed as

Medical OncologyPalliative CareQuality of LifeSurveys and QuestionnairesAdultAgedAPACHECommunicationFemaleHumansInterviews as TopicLinear ModelsLongitudinal StudiesMaleMiddle AgedNeoplasms

Identifiers

PMID22101861
PMCPMC3481844

What OpenQuestion holds

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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.