Evidence map›Paper›PMID 27165157›Full record

ArticleBMC neurology2016

How integrated are neurology and palliative care services? Results of a multicentre mapping exercise.

Liesbeth M van Vliet, Wei Gao, Daniel DiFrancesco, Vincent Crosby, Andrew Wilcock, Anthony Byrne, Ammar Al-Chalabi, K Ray Chaudhuri, Catherine Evans, Eli Silber and 5 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06072105 (Medical Decision Making in Multiple System Atrophy), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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.

NCT06072105 narecruitingnot on this mapstarted 2023, after this paper: background citation

Medical Decision Making in Multiple System Atrophy: Developing Personalized Best Medical Care with Integrated Telemedicine and Mobile Palliative Care for Individuals with Multiple System Atrophy

TypeinterventionalSponsorMedical University InnsbruckRan2023 to 2027Enrolled92ConditionsMultiple System AtrophyArmsTelemedicine visits, Multidisciplinary, personalized symptomatic treatment
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Managing cognition in progressive supranuclear palsy.Neurodegenerative disease management · 2016
    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

15 authors at 6 institutions in 1 country.

Liesbeth M van VlietDepartment of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, King's College London, Bessemer Road, London, SE5 9PJ, UK.
Wei GaoDepartment of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, King's College London, Bessemer Road, London, SE5 9PJ, UK. wei.gao@kcl.ac.uk.
Daniel DiFrancescoDepartment of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, King's College London, Bessemer Road, London, SE5 9PJ, UK.
Vincent CrosbyNottingham University Hospitals NHS Foundation Trust, Nottingham, UK.
Andrew WilcockThe University of Nottingham, Nottingham, UK.
Anthony ByrneCardiff and Vale University Health Board, Cardiff, UK.
Ammar Al-ChalabiMaurice Wohl Clinical Neuroscience Institute, King's College London, Institute of Psychiatry, Psychology & Neuroscience London, London, UK.
K Ray ChaudhuriDepartment of Clinical Neuroscience, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK.
Catherine EvansDepartment of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, King's College London, Bessemer Road, London, SE5 9PJ, UK.
Eli SilberKing's College Hospital NHS Foundation Trust, London, UK.
Carolyn YoungThe Walton Centre NHS Foundation Trust, Liverpool, UK.
Farida MalikSt Wilfrids Hospice, Eastbourne, UK.
Rachel QuibellNewcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Irene J HigginsonDepartment of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, King's College London, Bessemer Road, London, SE5 9PJ, UK. irene.higginson@kcl.ac.uk.
OPTCARE Neuro
King's College London · GBCardiff and Vale University Health Board · GBNottingham University Hospitals NHS Trust · GBUniversity of Liverpool · GBCicely Saunders International · GBSt Christopher's Hospice · GB

Funding

Department of Health 12/130/47Department of Health CAT/CL10/003Department of Health PB-PG-1111-26071Marie Curie MCCC-FCO-11-CMedical Research Council MR/L501529/1Motor Neurone Disease Association ALCHALABI-TALBOT/APR14/926-794
6 · The paper itself

Abstract

backgroundPatients affected by progressive long-term neurological conditions might benefit from specialist palliative care involvement. However, little is known on how neurology and specialist palliative care services interact. This study aimed to map the current level of connections and integration between these services.

methodsThe mapping exercise was conducted in eight centres with neurology and palliative care services in the United Kingdom. The data were provided by the respective neurology and specialist palliative care teams. Questions focused on: i) catchment and population served; ii) service provision and staffing; iii) integration and relationships.

resultsCentres varied in size of catchment areas (39-5,840 square miles) and population served (142,000-3,500,000). Neurology and specialist palliative care were often not co-terminus. Service provisions for neurology and specialist palliative care were also varied. For example, neurology services varied in the number and type of provided clinics and palliative care services in the settings they work in. Integration was most developed in Motor Neuron Disease (MND), e.g., joint meetings were often held, followed by Parkinsonism (made up of Parkinson's Disease (PD), Multiple-System Atrophy (MSA) and Progressive Supranuclear Palsy (PSP), with integration being more developed for MSA and PSP) and least in Multiple Sclerosis (MS), e.g., most sites had no formal links. The number of neurology patients per annum receiving specialist palliative care reflected these differences in integration (range: 9-88 MND, 3-25 Parkinsonism, and 0-5 MS).

conclusionsThis mapping exercise showed heterogeneity in service provision and integration between neurology and specialist palliative care services, which varied not only between sites but also between diseases. This highlights the need and opportunities for improved models of integration, which should be rigorously tested for effectiveness.

Indexed as

NeurologyPalliative CareAdultAgedFemaleHumansMaleNeurodegenerative DiseasesUnited KingdomEnd of life careHomeHospiceIntegrated careInterventionMappingNeurologyPalliative careTerminal care

Identifiers

PMID27165157
PMCPMC4862117
OpenAlexW2346351879

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.