Evidence map›Paper›PMID 25331744›Full record

ArticleHead & neck2016

Use of inpatient palliative care services in patients with metastatic incurable head and neck cancer.

Carolyn L Mulvey, Thomas J Smith, Christine G Gourin

Open access · greenAbstract read
In one paragraph

Article in Head & neck, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 13% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. The health care cost of palliative care for cancer patients: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Pooled it
  2. Pooled it
  3. Proactive symptom monitoring to initiate timely palliative care for patients with advanced cancer: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
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  13. Association between palliative care referral and burden of illness among cancers of the lip, oral cavity and pharynx.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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  15. Trends in inpatient palliative care use for primary brain malignancies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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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

3 authors at 2 institutions in 1 country.

Carolyn L MulveyDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland.
Thomas J SmithDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Christine G GourinDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland.
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 P30 CA006973
6 · The paper itself

Abstract

backgroundSubstantial health care resources are used on aggressive end-of-life care, despite an increasing recognition that palliative care improves quality of life and reduces health care costs. We examined the incidence of palliative care encounters in in-patients with incurable head and neck cancer and associations with in-hospital mortality, length of hospitalization, and costs.

methodsData from the Nationwide Inpatient Sample (NIS) for 80,514 head and neck cancer patients with distant metastatic disease in 2001 to 2010 was analyzed using cross-tabulations and multivariate regressions.

resultsPalliative care encounters occurred in 4029 cases (5%) and were significantly associated with age ≥80 years, female sex, self-pay payor status, and prior radiation. Palliative care was significantly associated with increased in-hospital mortality and reduced hospital-related costs.

conclusionInpatient palliative care consultation in terminal head and neck cancer is associated with reduced hospital-related costs, but appears to be underutilized and restricted to the elderly, uninsured, and patients with an increased risk of mortality.

Indexed as

Hospital MortalityAdolescentAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHead and Neck NeoplasmsHospital CostsHumansInpatientsLength of StayLogistic ModelsMaleMiddle AgedPalliative Carecomplicationscostshead and neck neoplasmsNationwide Inpatient Samplepalliative care

Identifiers

PMID25331744
PMCPMC4405456
OpenAlexW1495575166

What OpenQuestion holds

Textmetadata
LicenceTDM
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.