Evidence map›Paper›PMID 28898603›Full record

ArticleJournal of oncology practice2017

Strange Bedfellows No More: How Integrated Stem-Cell Transplantation and Palliative Care Programs Can Together Improve End-of-Life Care.

Deena R Levine, Justin N Baker, Joanne Wolfe, Leslie E Lehmann, Christina Ullrich

Abstract read
In one paragraph

Article in Journal of oncology practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Article
  2. Paediatric palliative care in cancer.Ecancermedicalscience · 2024
    Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Nursing Research on Benign Prostatic Hyperplasia Based on Continuous Nursing Care.Computational and mathematical methods in medicine · 2022
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Pediatric Palliative Care in Oncology.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Review
  17. Article
  18. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2020
    Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Deena R LevineSt Jude Children's Research Hospital, Memphis, TN; Dana-Farber Cancer Institute; and Boston Children's Hospital, Boston, MA.
Justin N BakerSt Jude Children's Research Hospital, Memphis, TN; Dana-Farber Cancer Institute; and Boston Children's Hospital, Boston, MA.
Joanne WolfeSt Jude Children's Research Hospital, Memphis, TN; Dana-Farber Cancer Institute; and Boston Children's Hospital, Boston, MA.
Leslie E LehmannSt Jude Children's Research Hospital, Memphis, TN; Dana-Farber Cancer Institute; and Boston Children's Hospital, Boston, MA.
Christina UllrichSt Jude Children's Research Hospital, Memphis, TN; Dana-Farber Cancer Institute; and Boston Children's Hospital, Boston, MA.

Funding

Symptom Distress in Pediatric Hematopoietic Stem Cell Transplant RecipientsK23HL107452 · NHLBI · DANA-FARBER CANCER INST · PI ULLRICH, CHRISTINA K · 2011 to 2015
$713k
NHLBI NIH HHS K23 HL107452
6 · The paper itself

Abstract

In the intense, cure-oriented setting of hematopoietic stem-cell transplantation (HSCT), delivery of high-quality palliative and end-of-life care is a unique challenge. Although HSCT affords patients a chance for cure, it carries a significant risk of morbidity and mortality. During HSCT, patients usually experience high symptom burden and a significant decrease in quality of life that can persist for long periods. When morbidity is high and the chance of cure remote, the tendency after HSCT is to continue intensive medical interventions with curative intent. The nature of the complications and overall condition of some patients may render survival an unrealistic goal and, as such, continuation of artificial life-sustaining measures in these patients may prolong suffering and preclude patient and family preparation for end of life. Palliative care focuses on the well-being of patients with life-threatening conditions and their families, irrespective of the goals of care or anticipated outcome. Although not inherently at odds with HSCT, palliative care historically has been rarely offered to HSCT recipients. Recent evidence suggests that HSCT recipients would benefit from collaborative efforts between HSCT and palliative care services, particularly when initiated early in the transplantation course. We review palliative and end-of-life care in HSCT and present models for integrating palliative care into HSCT care. With open communication, respect for roles, and a spirit of collaboration, HSCT and palliative care can effectively join forces to provide high-quality, multidisciplinary care for these highly vulnerable patients and their families.

Indexed as

Hematopoietic Stem Cell TransplantationCommunicationFamilyHumansNeoplasmsPalliative CareQuality of LifeTerminal Care

Identifiers

PMID28898603
PMCPMC6366811

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.