Evidence map›Paper›PMID 27810570›Full record

ArticleJournal of pain and symptom management2016

Adherence to Measuring What Matters Items When Caring for Patients With Hematologic Malignancies Versus Solid Tumors.

Thomas W LeBlanc, Christine S Ritchie, Fred Friedman, Janet Bull, Jean S Kutner, Kimberly S Johnson, Arif H Kamal, AAHPM Research Committee Writing Group

Open access · bronzeAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Journal of pain and symptom management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

4 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
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

8 authors at 7 institutions in 3 countries.

Thomas W LeBlancDuke Cancer Institute, Duke University School of Medicine, Durham, North Carolina, USA. Electronic address: thomas.leblanc@duke.edu.
Christine S RitchieUniversity of California at San Francisco School of Medicine, San Francisco, California, USA.
Fred FriedmanDuke Cancer Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Janet BullFour Seasons, Flat Rock, North Carolina, USA.
Jean S KutnerUniversity of Colorado School of Medicine, Aurora, Colorado, USA.
Kimberly S JohnsonDivision of Geriatrics, Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA; Geriatrics Research Education and Clinical Center, Durham VAMC, Durham, North Carolina, USA.
Arif H KamalDuke Cancer Institute, Duke University School of Medicine, Durham, North Carolina, USA.
AAHPM Research Committee Writing Group
Duke University · USCentre for Nursing Innovation · GBFour Seasons · USGeneral Department of Preventive Medicine · VNRutgers, The State University of New Jersey · USUniversity of California, San Francisco · USUniversity of Colorado Denver · US

Funding

Refinement and Expansion of the Palliative Care Research Cooperative Group (PCRC)U24NR014637 · NINR · DUKE UNIVERSITY · PI KUTNER, JEAN S, POLLAK, KATHRYN I · 2013 to 2017
$9.6M
Palliative Care Research Cooperative Group (PCRC): Refinement and ExpansionU2CNR014637 · NINR · UNIVERSITY OF COLORADO DENVER · PI RITCHIE, CHRISTINE S · 2018 to 2022
$8.6M
Implementing best practice in palliative careR18HS022763 · AHRQ · DUKE UNIVERSITY · PI JOHNSON, KIMBERLY S. · 2013 to 2017
$2.5M
Which palliative care quality measures improve patient-centered outcomes?K08HS023681 · AHRQ · DUKE UNIVERSITY · PI KAMAL, ARIF · 2015 to 2019
$733k
AHRQ HHS K08 HS023681AHRQ HHS R18 HS022763NINR NIH HHS U24 NR014637NINR NIH HHS U2C NR014637
6 · The paper itself

Abstract

contextMeasuring What Matters (MWM) prioritizes quality measures in palliative care practice. Hematologic malignancy patients are less likely to access palliative care, yet little is known about their unique needs. Differences in MWM adherence may highlight opportunities to improve palliative care in hematology.

objectivesTo assess adherence to MWM measures by palliative care clinicians caring for patients with hematologic malignancies, compared to those with solid tumors.

methodsWe used the Quality Data Collection Tool to assess completion of MWM measures across nine sites.

resultsWe included data from 678 patients' first visits and various care settings; 64 (9.4%) had a hematologic malignancy, whereas 614 (90.6%) had a solid tumor. Hematology patients were more likely to be seen in a hospital (52 or 81.3% vs. 420 or 68%), whereas solid tumor patients were more frequently seen at home or in clinics (160 or 26% vs. 7 or 10.9%). Of the nine MWM measures we assessed, high adherence (>90%) was seen regardless of tumor type in measures #3 (Pain Treatment), #7 (Spiritual Concerns), #8 (Treatment Preferences), and #9 (Care Consistent With Preferences). Clinicians seeing hematology patients were significantly less likely to meet measures #2 (Screening for Physical Symptoms; 57.8% vs. 84.2%, P < 0.001), and #5 (Discussion of Emotional Needs; 56.3% vs. 70.0%, P = 0.03).

conclusionMWM adherence regarding symptom assessment and meeting emotional needs was lower for patients with hematologic malignancies compared to those with solid tumors. This finding suggests two key areas for quality improvement initiatives in palliative care for patients with hematologic malignancies.

Indexed as

Palliative CareCross-Sectional StudiesEmotionsFemaleHematologic NeoplasmsHumansMalePhysiciansProspective StudiesQuality of Health CareRegistriesTreatment Outcomeblood cancerscollaborativeshematologic malignanciesHematologyMeasuring What Matterspalliative careQDACTqualityquality measures

Identifiers

PMID27810570
PMCPMC5472042
OpenAlexW2547050113

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.