Evidence map›Paper›PMID 26345486›Full record

ReviewInternational journal of chronic obstructive pulmonary disease2015

Palliative care in COPD: an unmet area for quality improvement.

Julia H Vermylen, Eytan Szmuilowicz, Ravi Kalhan

Open access · goldAbstract readReview
In one paragraph

Review in International journal of chronic obstructive pulmonary disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
11.6field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Palliative care and prognosis in COPD: a systematic review with a validation cohort.International journal of chronic obstructive pulmonary disease · 2017
    Pooled it
  4. Proactive palliative care for patients with COPD (PROLONG): a pragmatic cluster controlled trial.International journal of chronic obstructive pulmonary disease · 2017
    Trial
  5. Article
  6. Review
  7. A Proposed Checklist for Optimizing COPD Patient Discharge Processes in Italian Internal Medicine Wards.International journal of chronic obstructive pulmonary disease · 2026
    Review
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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 1 institution in 1 country.

Julia H VermylenDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Eytan SzmuilowiczSection of Palliative Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Ravi KalhanAsthma and COPD Program, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Northwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COPD is a leading cause of morbidity and mortality worldwide. Patients suffer from refractory breathlessness, unrecognized anxiety and depression, and decreased quality of life. Palliative care improves symptom management, patient reported health-related quality of life, cost savings, and mortality though the majority of patients with COPD die without access to palliative care. There are many barriers to providing palliative care to patients with COPD including the difficulty in prognosticating a patient's course causing referrals to occur late in a patient's disease. Additionally, physicians avoid conversations about advance care planning due to unique communication barriers present with patients with COPD. Lastly, many health systems are not set up to provide trained palliative care physicians to patients with chronic disease including COPD. This review analyzes the above challenges, the available data regarding palliative care applied to the COPD population, and proposes an alternative approach to address the unmet needs of patients with COPD with proactive primary palliative care.

Indexed as

Advance Care PlanningCost of IllnessDelivery of Health CareHumansPalliative CarePulmonary Disease, Chronic ObstructiveQuality ImprovementQuality Indicators, Health CareQuality of LifeTerminal CareTime FactorsTreatment Outcomeadvance care planningadvanced lung diseaseend-of-life careprimary palliative careprognosisquality of life

Identifiers

PMID26345486
PMCPMC4531041
OpenAlexW1482110527

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.