Evidence map›Paper›PMID 28817348›Full record

ArticleJournal of palliative medicine2018

Palliative Care Consults in U.S. Nursing Homes: Not Just for the Dying.

Julie C Lima, Susan C Miller

Open access · greenAbstract read
In one paragraph

Article in Journal of palliative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 23% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Advanced Care Plan Among Older Chinese in Residential Aged Care: A Retrospective Review.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Telehealth Palliative Care in Nursing Homes: A Scoping Review.Journal of the American Medical Directors Association · 2023
    Article
  10. High-Quality Nursing Home and Palliative Care-One and the Same.Journal of the American Medical Directors Association · 2022
    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

2 authors at 1 institution in 1 country.

Julie C LimaDepartment of Health Services, Policy and Practice, Center for Gerontology and Health Care Research, Brown University School of Public Health , Providence, Rhode Island.
Susan C MillerDepartment of Health Services, Policy and Practice, Center for Gerontology and Health Care Research, Brown University School of Public Health , Providence, Rhode Island.
Rhode Island Department of Health · US

Funding

Palliative Care Consultations: An Unstudied Care Model in Nursing HomesR21AG042550 · NIA · BROWN UNIVERSITY · PI MILLER, SUSAN C · 2013 to 2014
$447k
NIA NIH HHS R21 AG042550
6 · The paper itself

Abstract

backgroundLittle is known about nursing home (NH) residents who receive palliative care (PC) consults in the United States.

objectiveSeparately by short versus long (≥90 days) stays, to describe NH residents with PC consults compared to a prevalent NH sample.

designDescriptive longitudinal study. SETTING/SUBJECTS: NH residents in 2008-2010 in 54 NHs. MEASUREMENTS: Resident characteristics came from merged Medicare and NH data from the Centers for Medicare and Medicaid Services and consult information from two PC organizations that were the sole PC consult providers in the study NHs.

resultsFour percent of all NH residents received a PC consult during the study period. Two-thirds had short NH stays, and 81% of short- and 27% of long-stay consult recipients were on the Medicare skilled nursing facility (SNF) benefit at the time of initial consult. Short- and long-stay NH residents with PC consults differed not only, in many respects, from NH residents generally but also from each other. Despite these differences, half of short-stay and 57% of long-stay residents were alive six months after initial consults. Residents dead at six months died at 33.5 and 34.5 median days (respectively) after initial consults. At six months, 65% of surviving short-stay consult recipients were in the community without hospice, while 59% of long-stay residents were in the NH without hospice or Medicare SNF care.

conclusionThe high rates of SNF care and six-month survival among NH recipients of PC consults demonstrate the utility of these consults before Medicare hospice eligibility or use.

Indexed as

AgedAged, 80 and overFemaleHomes for the AgedHumansLongitudinal StudiesMaleNorth CarolinaNursing HomesPalliative CareReferral and ConsultationRhode IslandUnited StatesMedicarenursing homespalliative care

Identifiers

PMID28817348
PMCPMC5797323
OpenAlexW2746590483

What OpenQuestion holds

Textmetadata
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.