Evidence map›Paper›PMID 26537133›Full record

ArticleBMC palliative care2015

Identification of the palliative phase in people with dementia: a variety of opinions between healthcare professionals.

Jasper van Riet Paap, Elena Mariani, Rabih Chattat, Raymond Koopmans, Hélène Kerhervé, Wojciech Leppert, Maria Forycka, Lukas Radbruch, Birgit Jaspers, Kris Vissers and 3 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 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 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.

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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Palliative Care in Early Dementia.Journal of pain and symptom management · 2024
    Pooled it
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  19. Complex Clinical Intersection: Palliative Care in Patients with Dementia.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2018
    Review
  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

13 authors.

Jasper van Riet PaapScientific Institute for Quality of Healthcare (IQ healthcare), Radboud university medical center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. Jasper.vanRietPaap@radboudumc.nl.
Elena MarianiDepartment of Psychology, University of Bologna, Viale Berti Pichat 5, 40127, Bologna, Italy. elena.mariani6@unibo.it.
Rabih ChattatDepartment of Psychology, University of Bologna, Viale Berti Pichat 5, 40127, Bologna, Italy. rabih.chattat@unibo.it.
Raymond KoopmansDepartment of Primary and Community Care, Radboud university medical center, P.O. 6500 HB, Nijmegen, The Netherlands. Raymond.Koopmans@radboudumc.nl.
Hélène KerhervéDepartment of Geriatrics, Broca Hospital, AP-HP, 54-56 rue Pascal, 75013, Paris, France. helene.kerherve@brc.aphp.fr.
Wojciech LeppertDepartment of Palliative Medicine, Poznan University of Medical Sciences, 61-245, Poznan, Poland. wojciechleppert@wp.pl.
Maria ForyckaDepartment of Palliative Medicine, Poznan University of Medical Sciences, 61-245, Poznan, Poland. mariaforycka@gmail.com.
Lukas RadbruchDepartment of Palliative Medicine, Universitätsklinikum Bonn, Sigmund-Freud-Street 25, 53127, Bonn, Germany. Lukas.Radbruch@malteser.org.
Birgit JaspersDepartment of Palliative Medicine, Universitätsklinikum Bonn, Sigmund-Freud-Street 25, 53127, Bonn, Germany. Birgit.Jaspers@malteser.org.
Kris VissersDepartment of Anaesthesiology, Pain and Palliative Medicine, Radboud university medical center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. Kris.Vissers@radboudumc.nl.
Myrra Vernooij-DassenScientific Institute for Quality of Healthcare (IQ healthcare), Radboud university medical center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. Myrra.Vernooij-Dassen@radboudumc.nl.
Yvonne EngelsDepartment of Anaesthesiology, Pain and Palliative Medicine, Radboud university medical center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. Yvonne.Engels@radboudumc.nl.
IMPACT research team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with dementia can benefit from a palliative care approach. Recommendations, such as those of the EAPC have been proposed to strengthen the provision of palliative care for this group of patients. Yet, it remains challenging for professionals to identify when a person with dementia is in need of palliative care. The objective of this study therefore was to explore when professionals in long-term care settings consider a person with dementia in need of palliative care.

methodsTeams with in total 84 professionals working in 13 long-term care settings from 6 countries (France, Germany, Italy, Norway, Poland and the Netherlands) received a case-vignette concerning a person with dementia recently admitted to a nursing home. Teams were asked to discuss when they considered people with dementia eligible for palliative care. The constant comparative method was used to analyse their answers.

resultsThree different time points in the disease trajectory when people with dementia were considered to be eligible for palliative care were extracted: (1) early in the disease trajectory; (2) when signs and symptoms of advanced dementia are present; and (3) from the time point that curative treatment of co-morbidities is futile. Yet, none of these time points was uniformly considered by the professional teams across Europe. In some cases, professionals working in the same nursing home didn't even reach consensus when considering persons with dementia eligible for palliative care.

conclusionThe results of the study identified that professionals across Europe have different opinions regarding the time point when to consider a person with dementia in need of palliative care.

Indexed as

Palliative CareAttitude of Health PersonnelConsensusDementiaEuropeHealth PersonnelHumansLong-Term CarePatient Care

Identifiers

PMID26537133
PMCPMC4632478

What OpenQuestion holds

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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.