SynthesisJournal of general internal medicine2013
A systematic review of communication quality improvement interventions for patients with advanced and serious illness.
Synthesis in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 6 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
35 citing papers in PubMed, 6 syntheses or guidelines pooled it, 96 citations in OpenAlex.
- A systematic review of impact of person-centred interventions for serious physical illness in terms of outcomes and costs.BMJ open · 2022Pooled it
- Interventions for interpersonal communication about end of life care between health practitioners and affected people.The Cochrane database of systematic reviews · 2022Pooled it
- Improving Care Experiences for Patients and Caregivers at End of Life: A Systematic Review.The American journal of hospice & palliative care · 2021Pooled it
- Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions.Journal of perinatology : official journal of the California Perinatal Association · 2019Pooled it
- Physician-patient communication in rheumatology: a systematic review.Rheumatology international · 2018Pooled it
- Improving hospital-based end of life care processes and outcomes: a systematic review of research output, quality and effectiveness.BMC palliative care · 2017Pooled it
- Family Caregivers' Characterization of Conversations Following an ACP Event.The American journal of hospice & palliative care · 2018Trial
- Effects of Brief Communication Skills Training for Workers Based on the Principles of Cognitive Behavioral Therapy: A Randomized Controlled Trial.Journal of occupational and environmental medicine · 2017Trial
- Speaker Role Identification in Clinical Conversations.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2026Article
- The Role of Pre-surgery Clinical Communication on Metabolic and Bariatric Surgery Outcomes: A Prospective Study.Obesity surgery · 2025Article
- Obstacles to effective communication between physical/occupational therapists and patients in the Saudi Arabian context: a cross-sectional study.BMC health services research · 2024Article
- Sex Differences in the Speech of Persons With and Without Parkinson's Disease.American journal of speech-language pathology · 2024Article
- "Am I Going to Die?": Delivering Serious News to Patients With Liver Disease.Gastroenterology · 2023Article
- Current Status of the Evaluation and Management of Lupus Patients and Future Prospects.Frontiers in medicine · 2021Review
- Validity and Reliability of a Thai Version of Family Satisfaction with Care in the Intensive Care Unit Survey.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020Article
- Hemoptysis from the perspective of people with cystic fibrosis.The clinical respiratory journal · 2020Article
- Protocol for a Cluster Randomized Trial Comparing Team-Based to Clinician-Focused Implementation of Advance Care Planning in Primary Care.Journal of palliative medicine · 2019Article
- Potential of an Electronic Health Record-Integrated Patient Portal for Improving Care Plan Concordance during Acute Care.Applied clinical informatics · 2019Article
- Increasing Timely Family Meetings in Neonatal Intensive Care: A Quality Improvement Project.Hospital pediatrics · 2018Article
- Patient-identified information and communication needs in the context of major trauma.BMC health services research · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective communication is an interaction between two or more people that produces a desired effect and is a key element of quality of care for patients with advanced and serious illness and their family members. Suboptimal provider-patient/family communication is common, with negative effects on patient/family-centered outcomes.
objectivesTo systematically review the evidence for effectiveness of communication-related quality improvement interventions for patients with advanced and serious illness and to explore the effectiveness of consultative and integrative interventions. DATA SOURCES: MEDLINE, CINAHL, PsycINFO, Cochrane, and DARE from 2000 through December 2011 and reference list of eligible articles and reviews. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS AND
interventionsProspective, controlled quality improvement studies in populations with life-limiting or severe life-threatening illness with a primary intervention focus of improving communication with patients and/or families. STUDY APPRAISAL AND SYNTHESIS
methodsTwo investigators independently screened and abstracted data on patient/family-centered outcomes.
resultsWe included 20 studies; 13 (65 %) were in intensive care. We found four intervention types: (1) family meetings with the usual team (11 studies, 77 % found improvement in healthcare utilization), (2) palliative care teams (5 studies, 50 % found improvement in healthcare utilization), (3) ethics consultation (2 studies, 100 % found improvement in healthcare utilization), and (4) physician-patient communication (2 studies, no significant improvement in healthcare utilization). Among studies addressing the outcomes of patient/family satisfaction, 22 % found improvement; among studies addressing healthcare utilization (e.g., length of stay), 73 % found improvement. Results suggest that consultative interventions, as opposed to integrative ones, may be more effective, but more research is needed. LIMITATIONS: Study heterogeneity did not allow quantitative synthesis. CONCLUSIONS AND IMPLICATIONS OF KEY
findingsCommunication in the care of patients with advanced and serious illness can be improved using quality improvement interventions, particularly for healthcare utilization as an outcome. Interventions may be more effective using a consultative approach.
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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.