Evidence map›Paper›PMID 25038849›Full record

ArticleJournal of neuro-oncology2014

End of life care in high-grade glioma patients in three European countries: a comparative study.

J A F Koekkoek, L Dirven, J C Reijneveld, E M Sizoo, H R W Pasman, T J Postma, L Deliens, R Grant, S McNamara, W Grisold and 7 more

Abstract readComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  12. Disparities in place of death for patients with primary brain tumors and brain metastases in the USA.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  13. Review
  14. Observational
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  20. Advance care planning in glioblastoma patients: development of a disease-specific ACP program.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    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

17 authors at 9 institutions in 4 countries.

J A F KoekkoekDepartment of Neurology, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands, j.koekkoek@vumc.nl.
L Dirven
J C Reijneveld
E M Sizoo
H R W Pasman
T J Postma
L Deliens
R Grant
S McNamara
W Grisold
E Medicus
G Stockhammer
S Oberndorfer
B Flechl
C Marosi
M J B Taphoorn
J J Heimans
Amsterdam UMC Location Vrije Universiteit Amsterdam · NLComprehensive Cancer Center Vienna · ATWestern General Hospital · GBAmsterdam Public Health · NLInnsbruck Medical University · ATKaiser-Franz-Josef-Spital · ATMedisch Centrum Haaglanden · NLUniversitätsklinikum St. Pölten · ATVrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exploring cross-national differences is useful to evaluate whether different patterns of end of life (EOL) care meet patient's specific needs. This study aimed to (1) compare EOL care processes for high-grade glioma (HGG) patients in three European countries, (2) explore differences in perceived quality of care (QOC), and (3) identify aspects of good QOC in the EOL phase. We analyzed 207 questionnaires from relatives of deceased HGG patients, using a similar retrospective study design in three countries [The Netherlands (n = 83), Austria (n = 72) and the UK (n = 52)], and examined four subthemes: (1) organization of EOL care, (2) treatment preferences, (3) experiences with EOL care, (4) perceived QOC. Three months before death 75 % of patients were at home. In all countries, on average, 50 % were transferred to a hospital at least once and received effective symptom treatment during the last 3 months. In The Netherlands, Austria and UK, respectively, patients most often died at home (60 %), in a hospital (41 %) or hospice (41 %) (p < 0.001). Advance directives were present in 46 % of Dutch, 36 % of British and 6 % of Austrian patients (p < 0.001). Fifty-three percent of patients experienced good QOC, irrespective of country. Dying at the preferred place, satisfaction with information provided and effective symptom treatment were independently associated with good QOC. There are various cross-national differences in organization and experiences with EOL care for HGG, but patient's perceived QOC is similar in the three countries. As symptom treatment was considered effective in only half of HGG patients, and independently predicted good QOC, this particularly needs further improvement in all countries.

Indexed as

Advance Care PlanningAgedAged, 80 and overBrain NeoplasmsEuropeFemaleFollow-Up StudiesGliomaHospice CareHumansMaleNeoplasm GradingPrognosisQuality of Health CareQuality of LifeRetrospective Studies

Identifiers

PMID25038849
OpenAlexW2018520314

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.