Evidence map›Paper›PMID 22357732›Full record

ArticleThe oncologist2012

Palliative care consultation service and palliative care unit: why do we need both?

Jan Gaertner, Sebastian Frechen, Markus Sladek, Christoph Ostgathe, Raymond Voltz

Open access · bronzeAbstract read
In one paragraph

Article in The oncologist, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.0field-weighted citation impact, top 4% of its field
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

16 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
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  4. Review
  5. Exploratory Study of Palliative Care Utilization and Medical Expense for Inpatients at the End-of-Life.International journal of environmental research and public health · 2022
    Article
  6. Article
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  11. Care trajectories and survival after discharge from specialized inpatient palliative care--results from an observational follow-up study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015
    Observational
  12. Article
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  15. Review
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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 at 3 institutions in 2 countries.

Jan GaertnerDepartment of Palliative Care, University Hospital Cologne, 50924 Cologne, Germany. jan.gaertner@uk-koeln.de
Sebastian Frechen
Markus Sladek
Christoph Ostgathe
Raymond Voltz
University Hospital Cologne · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPalliative care (PC) infrastructure has developed differently around the globe. Whereas some institutions consider the palliative care unit (PCU) a valuable component, others report that the sole provision of a state-of-the art palliative care consultation service (PCCS) suffices to adequately care for the severely ill and dying.

objectiveTo aid institutional planning, this study aimed at gathering patient data to distinguish assignments of a concomitantly run PCU and PCCS at a large hospital and academic medical center.

methodsDemographics, Eastern Cooperative Oncology Group performance status, symptom/problem burden, discharge modality, and team satisfaction with care for all 601 PCU and 851 PCCS patients treated in 2009 and 2010 were retrospectively analyzed.

resultsPatients admitted to the PCU versus those consulted by the PCCS: (a) had a significantly worse performance status (odds ratio [OR], 1.48); (b) were significantly more likely to suffer from severe symptoms and psychosocial problems (OR, 2.05), in particular concerning physical suffering and complexity of care; and (c) were significantly much more likely to die during hospital stay (OR, 11.03). For patients who were dying or in other challenging clinical situations (suffering from various severe symptoms), self-rated team satisfaction was significantly higher for the PCU than the PCCS.

conclusionThis study presents a direct comparison between patients in a PCU and a PCCS. Results strongly support the hypothesis that the coexistence of both institutions in one hospital contributes to the goal of ensuring optimal high-quality PC for patients in complex and challenging clinical situations.

Indexed as

Health ServicesPalliative CareQuality Assurance, Health CareReferral and ConsultationAdultAgedAged, 80 and overFemaleHospitalizationHumansMaleMiddle AgedPatient Care TeamPatient TransferTerminal Care

Identifiers

PMID22357732
PMCPMC3316929
OpenAlexW2147677347

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.