Evidence map›Paper›PMID 28062341›Full record

ArticleJournal of pain and symptom management2017

Implementation and Impact of Patient Lay Navigator-Led Advance Care Planning Conversations.

Gabrielle B Rocque, J Nicholas Dionne-Odom, Chao-Hui Sylvia Huang, Soumya J Niranjan, Courtney P Williams, Bradford E Jackson, Karina I Halilova, Kelly M Kenzik, Kerri S Bevis, Audrey S Wallace and 8 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 3 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

54 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

18 authors.

Gabrielle B RocqueComprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA; Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA. Electronic address: grocque@uabmc.edu.
J Nicholas Dionne-OdomSchool of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Chao-Hui Sylvia HuangDivision of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Soumya J NiranjanComprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Courtney P WilliamsDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Bradford E JacksonComprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA; Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Karina I HalilovaComprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Kelly M KenzikDivision of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Kerri S BevisDivision of Gynecologic Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Audrey S WallaceComprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA; Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Nedra LisoviczDivision of Preventive Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Richard A TaylorSchool of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Maria PisuComprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA; Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Edward E PartridgeComprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Thomas W ButlerUniversity of South Alabama Mitchell Cancer Institute, Mobile, Alabama, USA.
Linda A BriggsGundersen Health System, La Crosse, Wisconsin, USA.
Elizabeth A KvaleComprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, Alabama, USA; Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Patient Care Connect Group

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
UAB K12 in Patient Centered Outcomes ResearchK12HS023009 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2014 to 2018
$4.0M
AHRQ HHS K12 HS023009NCI NIH HHS P30 CA013148
6 · The paper itself

Abstract

contextAdvance care planning (ACP) improves alignment between patient preferences for life-sustaining treatment and care received at end of life (EOL).

objectivesTo evaluate implementation of lay navigator-led ACP.

methodsA convergent, parallel mixed-methods design was used to evaluate implementation of navigator-led ACP across 12 cancer centers. Data collection included 1) electronic navigation records, 2) navigator surveys (n = 45), 3) claims-based patient outcomes (n = 820), and 4) semistructured navigator interviews (n = 26). Outcomes of interest included 1) the number of ACP conversations completed, 2) navigator self-efficacy, 3) patient resource utilization, hospice use, and chemotherapy at EOL, and 4) navigator-perceived barriers and facilitators to ACP.

resultsFrom June 1, 2014 to December 31, 2015, 50 navigators completed Respecting Choices

conclusionA navigator-led ACP program was feasible and may be associated with lower rates of resource utilization near EOL.

Indexed as

Advance Care PlanningCommunicationHealth PersonnelPatient NavigationAgedAntineoplastic AgentsEducation, MedicalFeasibility StudiesFemaleFollow-Up StudiesHumansInterviews as TopicMaleNeoplasmsPatient PreferenceQualitative ResearchAntineoplastic AgentsAdvance care planningend of lifelay navigationlay navigator

Identifiers

PMID28062341
PMCPMC6559345

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.