Evidence map›Paper›PMID 24383458›Full record

ArticleJournal of palliative medicine2014

Patterns of hospice use in patients dying from hematologic malignancies.

Amy Sexauer, M Jennifer Cheng, Louise Knight, Anthony W Riley, Lauren King, Thomas J Smith

Open access · greenAbstract read
In one paragraph

Article in Journal of palliative medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Effects and satisfaction of dignity therapy among patients with hematologic neoplasms in the Chinese cultural context: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Trial
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  4. Differences in attitudes and beliefs toward end-of-life care between hematologic and solid tumor oncology specialists.Annals of oncology : official journal of the European Society for Medical Oncology · 2015
    Trial
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  14. Healthcare Utilization and End-of-Life Outcomes in Patients Receiving CAR T-Cell Therapy.Journal of the National Comprehensive Cancer Network : JNCCN · 2021
    Article
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  20. Transfusion practices at end of life for hematopoietic stem cell transplant patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
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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

6 authors at 2 institutions in 1 country.

Amy Sexauer1 Oncology Department, Johns Hopkins School of Medicine , Baltimore, Maryland.
M Jennifer Cheng
Louise Knight
Anthony W Riley
Lauren King
Thomas J Smith
Johns Hopkins University · USSidney Kimmel Comprehensive Cancer Center · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
NCI NIH HHS CA006973NCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

backgroundHospice brings substantial clinical benefits to dying patients and families but is underutilized by patients dying of hematologic malignancies (HM); nationwide, only 2% of HM patients use hospice. There are 70,000 deaths among U.S. patients with hematologic malignancies yearly.

objectiveWe measured the use and length of stay (LOS) in hospice among patients with HMs at a large academic cancer center.

designThis was a single center retrospective review of adult patients (≥18 years) with lymphoma, leukemia, myelodysplastic syndrome, aplastic anemia, and multiple myeloma referred for hospice. MEASUREMENTS: Information included demographics, transplant, hospice type, LOS, and use of "expanded access" services.

resultsFifty-nine patients were referred to hospice, and 53 utilized hospice services, 25% of 209 HM decedents. Thirty-five received home hospice and 18 used inpatient hospice. The median home hospice LOS was nine days (SD 13) and inpatient hospice six days (SD 10). Nine patients with "expanded access" hospice received only a few blood transfusions, and none received radiation.

conclusionsHM patients are referred late or never for hospice services. Studies evaluating earlier integration of palliative and hospice care with usual HM care are warranted. We present a one-page negotiation form that we have found useful in negotiations among HM physicians, hospice medical directors, and payers.

Indexed as

Terminal CareAdultAgedAged, 80 and overFemaleHematologic NeoplasmsHospicesHumansLength of StayMaleMiddle AgedRetrospective StudiesUnited States

Identifiers

PMID24383458
PMCPMC3997144
OpenAlexW2323390397

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.