Evidence map›Paper›PMID 27391378›Full record

SynthesisBMC palliative care2016

Integrated palliative care in Europe: a qualitative systematic literature review of empirically-tested models in cancer and chronic disease.

Naouma Siouta, K Van Beek, M E van der Eerden, N Preston, J G Hasselaar, S Hughes, E Garralda, C Centeno, A Csikos, M Groot and 3 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
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 53 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 6 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

53 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Prevalence of oral diseases in patients under palliative care: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  5. The impact of specialized palliative care on cancer patients' health-related quality of life: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
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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

13 authors.

Naouma SioutaDepartment of Radiation-Oncology and Palliative Medicine, University Hospital Gasthuisberg, Herestraat 49, 3000, Leuven, Belgium. naouma.siouta@gmail.com.
K Van BeekDepartment of Radiation-Oncology and Palliative Medicine, University Hospital Gasthuisberg, Herestraat 49, 3000, Leuven, Belgium.
M E van der EerdenDepartment of Anesthesiology, Pain and Palliative Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
N PrestonInternational Observatory on End of Life Care, Division of Health Research, Lancaster University, Lancaster, UK.
J G HasselaarDepartment of Anesthesiology, Pain and Palliative Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
S HughesInternational Observatory on End of Life Care, Division of Health Research, Lancaster University, Lancaster, UK.
E GarraldaDepartment of Palliative Medicine, University of Navarra Hospital, Pamplona, Navarra, Spain.
C CentenoDepartment of Palliative Medicine, University of Navarra Hospital, Pamplona, Navarra, Spain.
A CsikosFaculty of Medicine, Institute of Family Medicine, University of Pécs Medical School, Pécs, Hungary.
M GrootDepartment of Anesthesiology, Pain and Palliative Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
L RadbruchDepartment of Palliative Medicine, University Hospital Bonn, Bonn, Germany.
S PayneInternational Observatory on End of Life Care, Division of Health Research, Lancaster University, Lancaster, UK.
J MentenDepartment of Radiation-Oncology and Palliative Medicine, University Hospital Gasthuisberg, Herestraat 49, 3000, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntegrated Palliative Care (PC) strategies are often implemented following models, namely standardized designs that provide frameworks for the organization of care for people with a progressive life-threatening illness and/or for their (in)formal caregivers. The aim of this qualitative systematic review is to identify empirically-evaluated models of PC in cancer and chronic disease in Europe. Further, develop a generic framework that will consist of the basis for the design of future models for integrated PC in Europe.

methodsCochrane, PubMed, EMBASE, CINAHL, AMED, BNI, Web of Science, NHS Evidence. Five journals and references from included studies were hand-searched. Two reviewers screened the search results. Studies with adult patients with advanced cancer/chronic disease from 1995 to 2013 in Europe, in English, French, German, Dutch, Hungarian or Spanish were included. A narrative synthesis was used.

results14 studies were included, 7 models for chronic disease, 4 for integrated care in oncology, 2 for both cancer and chronic disease and 2 for end-of-life pathways. The results show a strong agreement on the benefits of the involvement of a PC multidisciplinary team: better symptom control, less caregiver burden, improvement in continuity and coordination of care, fewer admissions, cost effectiveness and patients dying in their preferred place.

conclusionBased on our findings, a generic framework for integrated PC in cancer and chronic disease is proposed. This framework fosters integration of PC in the disease trajectory concurrently with treatment and identifies the importance of employing a PC-trained multidisciplinary team with a threefold focus: treatment, consulting and training.

Indexed as

AdultChronic DiseaseDelivery of Health Care, IntegratedEuropeHumansInterprofessional RelationsModels, TheoreticalNeoplasmsPalliative CarePatient Care TeamChronic diseaseDelivery of health careIntegratedMedical oncologyPalliative careReviewSystematic

Identifiers

PMID27391378
PMCPMC4939056

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.