Evidence map›Paper›PMID 24885960›Full record

ArticleJournal of palliative medicine2014

Why is high-quality research on palliative care so hard to do? Barriers to improved research from a survey of palliative care researchers.

Emily K Chen, Catherine Riffin, M Cary Reid, Ronald Adelman, Marcus Warmington, Sonal S Mehta, Karl Pillemer

2 registry-linked trialsAbstract 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. It is linked to 2 registered trials, which are not on this map. Cited by 33 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 5 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.

NCT04525924 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Feasibility Study of Adjunctive Bright Light Therapy (BLT) for Amelioration of Fatigue in Chinese Cancer Patients Admitted to a Palliative Care Unit

TypeinterventionalSponsorHospital Authority, Hong KongRan2020 to 2020Enrolled42ConditionsFatigue, CancerArmsbright light therapy
NCT04894162 nacompletednot on this mapstarted 2021, after this paper: background citation

Participating in Palliative Care Research

TypeinterventionalSponsorNorthumbria Healthcare NHS Foundation TrustRan2021 to 2022Enrolled100ConditionsPalliative Care, Terminal Illness, Hospice CareArmsQuestionnaire
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Methylphenidate Versus Placebo for Treating Fatigue in Patients With Advanced Cancer: Randomized, Double-Blind, Multicenter, Placebo-Controlled Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
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  12. Article
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  16. Indian Society of Critical Care Medicine and Indian Association of Palliative Care Expert Consensus and Position Statements for End-of-life and Palliative Care in the Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  17. Article
  18. Challenges to delivering evidence-based palliative medicine.Clinical medicine (London, England) · 2023
    Review
  19. Beyond the Fight: Why President Biden's Cancer Moonshot Must Include Palliative Care.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Article
  20. Article
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

7 authors.

Emily K Chen1 Department of Human Development, Cornell University , Ithaca, New York.
Catherine Riffin
M Cary Reid
Ronald Adelman
Marcus Warmington
Sonal S Mehta
Karl Pillemer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubstantial agreement has been achieved on research priorities in palliative care over the past 15 years, as evidenced by consensus conferences and systematic reviews. Despite the presence of a widely endorsed research agenda, however, addressing the gaps in scientific knowledge has progressed slowly, suggesting that researchers face significant obstacles to conducting high-quality research on the most pressing topics in the field.

objectiveTo systematically identify barriers to improved and expanded palliative care research as reported by researchers.

designSemistructured telephone interviews to solicit barriers to research in palliative care. SETTING/SUBJECTS: A purposive, interdisciplinary sample of 61 leading researchers in palliative care. MEASUREMENTS: Interviews were transcribed and analyzed using standard qualitative methods.

resultsRespondents named five barriers impeding progress: (1) funding, (2) institutional capacity, (3) researcher workforce, (4) challenges related to the topic and population (e.g., attrition, heightened human subjects protections), and (5) public and professional misunderstanding of palliative care and aversion to topics related to serious illness and end-of-life.

conclusionsResearch in palliative care is being held back by significant barriers that require the attention of institutions and funders. The consensus within the interdisciplinary sample indicates that concentrated effort to address barriers related to funding and researcher workforce could facilitate progress on established research priorities. More research is needed on viable strategies for overcoming the identified barriers.

Indexed as

Palliative CareResearch PersonnelHealth Services ResearchHumansInterviews as TopicQualitative ResearchResearch Support as TopicUnited States

Identifiers

PMID24885960
PMCPMC4082348

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.