Evidence map›Paper›PMID 28273750›Full record

SynthesisThe American journal of hospice & palliative care2018

Multicomponent Palliative Care Interventions in Advanced Chronic Diseases: A Systematic Review.

Veerawat Phongtankuel, Lauren Meador, Ronald D Adelman, Jordan Roberts, Charles R Henderson, Sonal S Mehta, Tessa Del Carmen, M C Reid

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in The American journal of hospice & palliative care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 12% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  14. Trend analysis of quality indicators in palliative home care among terminally ill cancer and non-cancer patients in Taiwan: a 6-year observational study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Observational
  15. Review
  16. Article
  17. Symptom Classes in Decompensated Liver Disease.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Article
  18. Review
  19. Dissemination and Implementation of Palliative Care in Oncology.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Review
  20. 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 2 institutions in 1 country.

Veerawat Phongtankuel1 Department of Medicine, Joan and Sanford I Weill Medical College of Cornell University, New York, NY, USA.
Lauren Meador1 Department of Medicine, Joan and Sanford I Weill Medical College of Cornell University, New York, NY, USA.
Ronald D Adelman1 Department of Medicine, Joan and Sanford I Weill Medical College of Cornell University, New York, NY, USA.
Jordan Roberts2 Boston Children's Hospital, Boston, MA, USA.
Charles R Henderson3 Department of Human Development, Cornell University, Ithaca, NY, USA.
Sonal S Mehta1 Department of Medicine, Joan and Sanford I Weill Medical College of Cornell University, New York, NY, USA.
Tessa Del Carmen1 Department of Medicine, Joan and Sanford I Weill Medical College of Cornell University, New York, NY, USA.
M C Reid1 Department of Medicine, Joan and Sanford I Weill Medical College of Cornell University, New York, NY, USA.
Cornell University · USBoston Children's Hospital · US

Funding

Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
Reid Aging and Pain Research Training ProgramK24AG053462 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI REID, MANNEY CARRINGTON · 2016 to 2025
$1.8M
NIA NIH HHS K24 AG053462NIA NIH HHS P30 AG022845
6 · The paper itself

Abstract

backgroundMany patients live with serious chronic or terminal illnesses. Multicomponent palliative care interventions have been increasingly utilized in patient care; however, it is unclear what is being implemented and who is delivering these interventions.

objectivesTo (1) describe the delivery of multicomponent palliative care interventions, (2) characterize the disciplines delivering care, (3) identify the components being implemented, and (4) analyze whether the number of disciplines or components being implemented are associated with positive outcomes.

designSystematic review. STUDY SELECTION: English-language articles analyzing multicomponent palliative care interventions. OUTCOMES MEASURED: Delivery of palliative interventions by discipline, components of palliative care implemented, and number of positive outcomes (eg, pain, quality of life).

resultsOur search strategy yielded 71 articles, which detailed 64 unique multicomponent palliative care interventions. Nurses (n = 64, 88%) were most often involved in delivering care, followed by physicians (n = 43, 67%), social workers (n = 33, 52%), and chaplains (n = 19, 30%). The most common palliative care components patients received were symptom management (n = 56, 88%), psychological support/counseling (n = 52, 81%), and disease education (n = 48, 75%). Statistical analysis did not uncover an association between number of disciplines or components and positive outcomes.

conclusionsWhile there has been growth in multicomponent palliative care interventions over the past 3 decades, important aspects require additional study such as better inclusion of key groups (eg, chronic obstructive pulmonary disease, end-stage renal disease, minorities, older adults); incorporating core components of palliative care (eg, interdisciplinary team, integrating caregivers, providing spiritual support); and developing ways to evaluate the effectiveness of interventions that can be readily replicated and disseminated.

Indexed as

Terminally IllChronic DiseaseClergyHealth PersonnelHospice CareHumansPalliative CarePatient Care PlanningPatient Care TeamPatient Education as TopicQuality of LifeReligionSocial WorkerscancerCHFCOPDESRDinterventionspalliative carereview

Identifiers

PMID28273750
PMCPMC5879777
OpenAlexW2551660765

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.