Evidence map›Paper›PMID 26286538›Full record

ArticleBMC palliative care2015

Design of, and enrollment in, the palliative care communication research initiative: a direct-observation cohort study.

Robert Gramling, Elizabeth Gajary-Coots, Susan Stanek, Nathalie Dougoud, Heather Pyke, Marie Thomas, Jenica Cimino, Mechelle Sanders, Stewart C Alexander, Ronald Epstein and 6 more

Abstract read
In one paragraph

Article in BMC palliative care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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.

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

11 citing papers in PubMed.

  1. Trial
  2. Conducting a randomized controlled clinical trial on palliative care in patients with glioblastoma - what are the challenges?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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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

16 authors.

Robert GramlingFamily Medicine Research Programs, University of Rochester, 1381 South Avenue, Rochester, NY, 14620, USA. robert_gramling@URMC.Rochester.edu.
Elizabeth Gajary-CootsFamily Medicine Research Programs, University of Rochester, 1381 South Avenue, Rochester, NY, 14620, USA. elizabeth_gajary@URMC.Rochester.edu.
Susan StanekSchool of Nursing, University of Rochester, 601 Elmwood Avenue, Box SON, Rochester, NY, 14642, USA. susan_stanek@urmc.rochester.edu.
Nathalie DougoudSchool of Nursing, University of Rochester, 601 Elmwood Avenue, Box SON, Rochester, NY, 14642, USA. nathalie_dougoud@urmc.rochester.edu.
Heather PykeSchool of Nursing, University of Rochester, 601 Elmwood Avenue, Box SON, Rochester, NY, 14642, USA. heather_pyke@urmc.rochester.edu.
Marie ThomasFamily Medicine Research Programs, University of Rochester, 1381 South Avenue, Rochester, NY, 14620, USA. marie_thomas@urmc.rocheter.edu.
Jenica CiminoDivision of Hospital Medicine and Palliative Care Program, University of California, Clinical Sciences Building Suite C-126, 521 Parnassus Ave, Box 0131, San Francisco, CA, 94143-0131, USA. jenica.cimino@ucsf.edu.
Mechelle SandersFamily Medicine Research Programs, University of Rochester, 1381 South Avenue, Rochester, NY, 14620, USA. mechelle_sanders@urmc.rochester.edu.
Stewart C AlexanderPurdue University, Matthews Hall, 812 West State Street, West Lafayette, IN, 47907-2060, USA. alexan90@purdue.edu.
Ronald EpsteinFamily Medicine Research Programs, University of Rochester, 1381 South Avenue, Rochester, NY, 14620, USA. ronald_epstein@urmc.rochester.edu.
Kevin FiscellaFamily Medicine Research Programs, University of Rochester, 1381 South Avenue, Rochester, NY, 14620, USA. kevin_fiscella@urmc.rochester.edu.
David GramlingUniversity of Arizona, 301 Learning Services Building, 1512 East First St., Tucson, AZ, 85721, USA. dgl@email.arizona.edu.
Susan LadwigPalliative Care Program, University of Rochester Medical Center, 601 Elmwood Avenue, Box 687, Rochester, NY, 14642, USA. susan_ladwig@urmc.rochester.edu.
Wendy AndersonDivision of Hospital Medicine and Palliative Care Program, University of California, Clinical Sciences Building Suite C-126, 521 Parnassus Ave, Box 0131, San Francisco, CA, 94143-0131, USA. wendy.anderson@ucsf.edu.
Stephen PantilatDivision of Hospital Medicine and Palliative Care Program, University of California, Clinical Sciences Building Suite C-126, 521 Parnassus Ave, Box 0131, San Francisco, CA, 94143-0131, USA. stephen.pantilat@ucsf.edu.
Sally A NortonSchool of Nursing, University of Rochester, 601 Elmwood Avenue, Box SON, Rochester, NY, 14642, USA. sally_norton@urmc.rochester.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the characteristics of communication that foster patient-centered outcomes amid serious illness are essential for the science of palliative care. However, epidemiological cohort studies that directly observe clinical conversations can be challenging to conduct in the natural setting. We describe the successful enrollment, observation and data collection methods of the ongoing Palliative Care Communication Research Initiative (PCCRI).

methodsThe PCCRI is a multi-site cohort study of naturally occurring inpatient palliative care consultations. The 6-month cohort data includes directly observed and audio-recorded palliative care consultations (up to first 3 visits); patient/proxy/clinician self-report questionnaires both before and the day after consultation; post-consultation in-depth interviews; and medical/administrative records.

resultsOne hundred fourteen patients or their proxies enrolled in PCCRI during Enrollment Year One (of Three). Seventy percent of eligible patients/proxies were invited to hear about a communication research study (188/269); 60% of them ultimately enrolled in the PCCRI (114/188), resulting in a 42% sampling proportion (114/269 eligible). All PC clinicians at study sites were invited to participate; all 45 participated.

conclusionsEpidemiologic study of patient-family-clinician communication in palliative care settings is feasible and acceptable to patients, proxies and clinicians. We detail the successful PCCRI methods for enrollment, direct observation and data collection for this complex "field" environment.

Indexed as

CommunicationPatient SelectionResearchCohort StudiesHumansPalliative CarePatient Outcome AssessmentSurveys and Questionnaires

Identifiers

PMID26286538
PMCPMC4544824

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.