Trial reportBMJ supportive & palliative care2019
Training general practitioners contributes to the identification of palliative patients and to multidimensional care provision: secondary outcomes of an RCT.
Trial report in BMJ supportive & palliative care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Educational interventions for health professionals managing chronic obstructive pulmonary disease in primary care.The Cochrane database of systematic reviews · 2022Pooled it
- A Systematic Review of the Development and Implementation of Needs-Based Palliative Care Tools in Heart Failure and Chronic Respiratory Disease.Frontiers in cardiovascular medicine · 2022Pooled it
- Tools to help healthcare professionals recognize palliative care needs in patients with advanced heart failure: A systematic review.Palliative medicine · 2021Pooled it
- Identification of patients with potential palliative care needs: A systematic review of screening tools in primary care.Palliative medicine · 2020Pooled it
- Synthesis of Existent Oncology Curricula for Primary Care Providers: A Scoping Review With a Global Equity Lens.JCO global oncology · 2023Article
- An online international comparison of palliative care identification in primary care using the Surprise Question.Palliative medicine · 2022Article
- Palliative care needs-assessment and measurement tools used in patients with heart failure: a systematic mixed-studies review with narrative synthesis.Heart failure reviews · 2021Review
- Home-based palliative care management: what are the useful resources for general practitioners? a qualitative study among GPs in France.BMC family practice · 2020Article
- A cluster randomized controlled trial on a multifaceted implementation strategy to promote integrated palliative care in COPD: study protocol of the COMPASSION study.BMC palliative care · 2020Article
- Physicians' perspectives on estimating and communicating prognosis in palliative care: a cross-sectional survey.BJGP open · 2020Article
- Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases.Primary health care research & development · 2020Article
- Factors influencing GPs' perception of specialised palliative homecare (SPHC) importance - results of a cross-sectional study.BMC palliative care · 2020Article
- Early identification of the end-of-life in primary care setting.Family practice · 2020Article
- Variation in the implementation of PaTz: a method to improve palliative care in general practice - a prospective observational study.BMC palliative care · 2020Observational
- Early Identification of Patients in Need of Palliative Care in Slovenian General Practice.Zdravstveno varstvo · 2018Article
- Early palliative care: taking ownership and creating the conditions.Current oncology (Toronto, Ont.) · 2016Article
- Utilisation of Non-pharmacological Interventions for Management of Cancer-related Fatigue in Palliative Care Services - An Audit Cycle.Indian journal of palliative careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTo support general practitioners (GPs) in providing early palliative care to patients with cancer, chronic obstructive pulmonary disease or heart failure, the RADboud university medical centre indicators for PAlliative Care needs tool (RADPAC) and a training programme were developed to identify such patients and to facilitate anticipatory palliative care planning. We studied whether GPs, after 1 year of training, identified more palliative patients, and provided multidimensional and multidisciplinary care more often than untrained GPs.
methodsWe performed a survey 1 year after GPs in the intervention group of an RCT were trained. With the help of a questionnaire, all 134 GPs were asked how many palliative patients they had identified, and whether anticipatory care was provided. We studied number of identified palliative patients, expected lifetime, contact frequency, whether multidimensional care was provided and which other disciplines were involved.
resultsTrained GPs identified more palliative patients than did untrained GPs (median 3 vs 2; p 0.046) and more often provided multidimensional palliative care (p 0.024). In both groups, most identified patients had cancer.
conclusionsRADPAC sensitises GPs in the identification of palliative patients. Trained GPs more often provided multidimensional palliative care. Further adaptation and evaluation of the tools and training are necessary to improve early palliative care for patients with organ failure. TRIAL REGISTRATION NUMBER: NTR2815; post results.
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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.