Evidence map›Paper›PMID 28471764›Full record

ReviewAnnals of surgery2018

Palliative Care in Surgery: Defining the Research Priorities.

Elizabeth J Lilley, Zara Cooper, Margaret L Schwarze, Anne C Mosenthal

Open access · greenAbstract readReview
In one paragraph

Review in Annals of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
10.2field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 124 citations in OpenAlex.

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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

4 authors at 3 institutions in 1 country.

Elizabeth J LilleyThe Center for Surgery and Public Health at Brigham and Women's Hospital, Boston, MA.
Zara CooperThe Center for Surgery and Public Health at Brigham and Women's Hospital, Boston, MA.
Margaret L SchwarzeDepartment of Surgery, University of Wisconsin, Madison, WI.
Anne C MosenthalDepartment of Surgery, Rutgers New Jersey Medical School, Newark, NJ.
Brigham and Women's Hospital · USRutgers, The State University of New Jersey · USUniversity of Wisconsin–Madison · US

Funding

Psychosocial Approaches to Better Understanding & End-Stage Cancer Care (PROTECT)R35CA197730 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Holly Gwen Prigerson · 2015 to 2026
$11.2M
Development and Validation of a Delirium Severity ToolkitR01AG044518 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI INOUYE, SHARON K., JONES, RICHARD N · 2014 to 2024
$7.3M
Beyond 30-Days: Patient-Oriented Outcomes Among Older Adults After Emergency General SurgeryK76AG054859 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI COOPER, ZARA R · 2016 to 2020
$863k
A communication tool to assist older adults facing difficult surgical decisionsR03AG047920 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI SCHWARZE, MARGARET · 2014 to 2015
$226k
NCI NIH HHS R35 CA197730NIA NIH HHS K76 AG054859NIA NIH HHS R01 AG044518NIA NIH HHS R03 AG047920
6 · The paper itself

Abstract

objectiveTo describe the existing science of palliative care in surgery within three priority areas and expose specific gaps within the field.

backgroundGiven the acute and often life-limiting nature of surgical illness, as well as the potential for treatment to induce further suffering, surgical patients have considerable palliative care needs. Yet these patients are less likely to receive palliative care than their medical counterparts and palliative care consultations often occur when death is imminent, reflecting poor quality end-of-life care.

methodsThe National Institutes of Health and the National Palliative Care Research Center convened researchers from several medical subspecialties to develop a national agenda for palliative care research. The surgeon work group reviewed the existing surgical literature to identify critical knowledge gaps.

resultsTo date, evidence to support the role of palliative care in surgical practice is sparse and palliative care research in surgery is encumbered by methodological challenges and entrenched cultural norms that impede appropriate provision of palliative care. Priorities for future research on palliative care in surgery include: 1) measuring outcomes that matter to patients, 2) communication and decision making, and 3) delivery of palliative care to surgical patients.

conclusionsSurgical patients would likely benefit from early palliative care delivered alongside surgical treatment to promote goal-concordant decision making and to improve patients' physical, emotional, social and spiritual well-being and quality of life. We propose a research agenda to address major gaps in the literature and provide a road map for future investigation.

Indexed as

General SurgeryHealth Services ResearchQuality of LifeHumansPalliative Care

Identifiers

PMID28471764
PMCPMC6088241
OpenAlexW2610346477

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.