Evidence map›Paper›PMID 22268406›Full record

ReviewJournal of palliative medicine2012

Dyspnea review for the palliative care professional: treatment goals and therapeutic options.

Arif H Kamal, Jennifer M Maguire, Jane L Wheeler, David C Currow, Amy P Abernethy

Abstract readReview
In one paragraph

Review in Journal of palliative medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Review
  8. Review
  9. End-of-life care in patients with a highly transmissible respiratory virus: implications for COVID-19.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2020
    Review
  10. Management of dyspnea in palliative care.Current oncology (Toronto, Ont.) · 2020
    Article
  11. Review
  12. Review
  13. Impact of dyspnea on advanced cancer patients referred to a palliative radiotherapy clinic.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
  14. Review
  15. Article
  16. Article
  17. Observational
  18. Is breathlessness what the professional says it is? Analysis of patient and professionals' assessments from a German nationwide register.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014
    Article
  19. Review
  20. Clinical pearls in palliative medicine 2012.Mayo Clinic proceedings · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Arif H KamalDepartment of Medicine, Division of Medical Oncology, Duke University Medical Center, Durham, North Carolina 27710, USA.
Jennifer M Maguire
Jane L Wheeler
David C Currow
Amy P Abernethy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although dyspnea is frequently encountered in the palliative care setting, its optimal management remains uncertain. Clinical approaches begin with accurate assessment, as delineated in part one of this two-part series. Comprehensive dyspnea assessment, which encompasses the physical, emotional, social, and spiritual aspects of this complex symptom, guide the clinician in choosing therapeutic approaches herein presented as part two. Global management of dyspnea is appropriate both as complementary to disease-targeted treatments that target the underlying etiology, and as the sole focus when the symptom has become intractable, disease is maximally treated, and goals of care shift to comfort and quality of life. In this setting, current evidence supports the use of oral or parenteral opioids as the mainstay of dyspnea management, and of inhaled furosemide and anxiolytics as adjuncts. Nonpharmacologic interventions such as acupuncture and pulmonary rehabilitation have potential effectiveness, although further research is needed, and use of a simple fan warrants consideration given its potential benefit and minimal burden and cost.

Indexed as

DyspneaGoalsHumansPalliative Care

Identifiers

PMID22268406
PMCPMC3304253

What OpenQuestion holds

Textmetadata
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.