Evidence map›Paper›PMID 26940753›Full record

SynthesisBMC palliative care2016

To what degree is palliative care integrated in guidelines and pathways for adult cancer patients in Europe: a systematic literature review.

Karen Van Beek, Naouma Siouta, Nancy Preston, Jeroen Hasselaar, Sean Hughes, Sheila Payne, Lukas Radbruch, Carlos Centeno, Agnes Csikos, Eduardo Garralda and 4 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMC palliative care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

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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

14 authors.

Karen Van BeekDepartment of Radiation-Oncology and Palliative Medicine, University Hospital Gasthuisberg, Leuven, Belgium. karen.vanbeek@uzleuven.be.
Naouma SioutaDepartment of Radiation-Oncology and Palliative Medicine, University Hospital Gasthuisberg, Leuven, Belgium. naouma.siouta@ppw.kuleuven.com.
Nancy PrestonInternational Observatory on End of Life Care, Division of Health Research Lancaster University, Lancaster, United Kingdom. n.j.preston@lancaster.ac.uk.
Jeroen HasselaarDepartment of Anesthesiology, Pain and Palliative Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. Jeroen.Hasselaar@radboudumc.nl.
Sean HughesInternational Observatory on End of Life Care, Division of Health Research Lancaster University, Lancaster, United Kingdom. sean.hughes@lancaster.ac.uk.
Sheila PayneInternational Observatory on End of Life Care, Division of Health Research Lancaster University, Lancaster, United Kingdom. s.a.payne@lancaster.ac.uk.
Lukas RadbruchDepartment of Palliative Medicine, University Hospital Bonn, Bonn, Germany. Lukas.Radbruch@malteser.org.
Carlos CentenoDepartment of Palliative Medicine, University of Navarra Hospital, Pamplona, Navarra, Spain. ccenteno@unav.es.
Agnes CsikosFaculty of Medicine, Institute of Family Medicine, University of Pécs Medical School, Pécs, Hungary. agnes.csikoska@gmail.com.
Eduardo GarraldaDepartment of Palliative Medicine, University of Navarra Hospital, Pamplona, Navarra, Spain. egarralda@unav.es.
Marlieke van der EerdenDepartment of Anesthesiology, Pain and Palliative Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. Marlieke.vanderEerden@radboudumc.nl.
Farina HodiamontDepartment of Palliative Medicine, University Hospital Bonn, Bonn, Germany. Farina.Hodiamont@med.uni-muenchen.de.
Ildiko RadvanyiFaculty of Medicine, Institute of Family Medicine, University of Pécs Medical School, Pécs, Hungary. csillabusa@gmail.com.
Johan MentenDepartment of Radiation-Oncology and Palliative Medicine, University Hospital Gasthuisberg, Leuven, Belgium. johan.menten@uzleuven.be.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPalliative Care (PC) aims to improve the quality of life for patients with cancer and their families and its benefits have been demonstrated by several studies. The objective of this systematic review is to assess the integration of PC in the content of guidelines/pathways of adult cancer patients in Europe.

methodsWe included studies of adult patients with cancer published from 01/01/1995 and 31/12/2013 in Europe in six languages. We searched nine electronic databases, hand-searched six journals and also performed citation tracking. Studies were ranked using Emanuel's Integrated Palliative Care (IPC) criteria, a tool containing 11 domains to assess PC content in guidelines. Two reviewers screened the results and narrative synthesis has been employed.

resultsWe identified a total of 28,277 potentially relevant articles from which 637 were eligible for full-text screening. The final review included 60 guidelines and 14 pathways. Eighty percent (80%) of the guidelines/pathways emphasize a holistic approach and 66% focus on PC interventions aimed at reducing suffering. Fifty seven percent (57%) did not discuss referral criteria for PC. Of all studies, five fulfilled at least 10/11 IPC criteria. Differences existed with regard to the referral criteria for bereavement care and the continuous adjustment of goals of care.

conclusionOverall, most of the identified guidelines/pathways highlighted the importance of the holistic approach of IPC. The studies that were found to fulfil at least 10/11 Emanuel's IPC criteria could serve as benchmarks of IPC.

Indexed as

Health Planning GuidelinesReferral and ConsultationAdultEuropeHumansNeoplasmsPalliative CareQuality of Life

Identifiers

PMID26940753
PMCPMC4778279

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.