Evidence map›Paper›PMID 27804005›Full record

SynthesisDigestive diseases and sciences2017

Palliative Care Quality Indicators for Patients with End-Stage Liver Disease Due to Cirrhosis.

A M Walling, S C Ahluwalia, N S Wenger, M Booth, C P Roth, K Lorenz, F Kanwal, S Dy, S M Asch, Palliative Care Cirrhosis Quality Expert Panel

Open access · greenAbstract readConsensus StatementSystematic Review
In one paragraph

Synthesis in Digestive diseases and sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Defining Serious Illness Among Adult Surgical Patients.Journal of pain and symptom management · 2019
    Article
  11. Barriers to Use of Palliative Care and Advance Care Planning Discussions for Patients With End-Stage Liver Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2019
    Article
  12. 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

10 authors at 4 institutions in 1 country.

A M WallingGreater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA, USA. awalling@mednet.ucla.edu.
S C AhluwaliaRAND Health, Santa Monica, CA, USA.
N S WengerDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
M BoothRAND Health, Santa Monica, CA, USA.
C P RothRAND Health, Santa Monica, CA, USA.
K LorenzPalo Alto VA Health System, Palo Alto, CA, USA.
F KanwalMichael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA.
S DyJohns Hopkins Kimmel Cancer Center, Baltimore, MD, USA.
S M AschPalo Alto VA Health System, Palo Alto, CA, USA.
Palliative Care Cirrhosis Quality Expert Panel
RAND Corporation · USMichael E. DeBakey VA Medical Center · USJohns Hopkins University · USVA Palo Alto Health Care System · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
NCATS NIH HHS UL1 TR000124NIA NIH HHS L30 AG030993
6 · The paper itself

Abstract

BACKGROUND AND

aimsThere are guidelines for the medical management of cirrhosis and associated quality indicators (QIs), but QIs focusing on standards for palliative aspects of care are needed.

methodsWe convened a 9-member, multidisciplinary expert panel and used RAND/UCLA modified Delphi methods to develop palliative care quality indicators for patients with cirrhosis. Experts were provided with a report based on a systematic review of the literature that contained evidence concerning the proposed candidate QIs. Panelists rated QIs prior to a planned meeting using a standard 9-point RAND appropriateness scale. These ratings guided discussion during a day-long phone conference meeting, and final ratings were then provided by panel members. Final QI scores were computed and QIs with a final median score of greater than or equal to 7, and no disagreement was included in the final set.

resultsAmong 28 candidate QIs, the panel rated 19 as valid measures of quality care. These 19 quality indicators cover care related to information and care planning (13) and supportive care (6).

conclusionsThese QIs are evidence-based process measures of care that may be useful to improve the quality of palliative care. Research is needed to better understand the quality of palliative care provided to patients with cirrhosis.

Indexed as

Quality Indicators, Health CareAdvance Care PlanningDelphi TechniqueEnd Stage Liver DiseaseHumansLiver CirrhosisLiver TransplantationOutcome and Process Assessment, Health CarePalliative CareEnd-stage liver diseasePalliative careQuality

Identifiers

PMID27804005
PMCPMC5384571
OpenAlexW2548963849

What OpenQuestion holds

Textmetadata
LicenceTDM
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.