Evidence map›Paper›PMID 29034687›Full record

ArticleThe American journal of hospice & palliative care2018

Predictors of Placement of Inpatient Palliative Care Consult Orders Among Patients With Breast, Lung, and Colon Cancer in a Safety Net Hospital System.

Lauren N Smith, Ramona L Rhodes, Lei Xuan, Ethan A Halm

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Article 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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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.

Lauren N Smith1 UT Southwestern Medical Center, Dallas, TX, USA.
Ramona L Rhodes2 Division of Geriatric Medicine, UT Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-5849-6921
Lei Xuan1 UT Southwestern Medical Center, Dallas, TX, USA.
Ethan A Halm1 UT Southwestern Medical Center, Dallas, TX, USA.

Funding

AHRQ HHS R24 HS022418
6 · The paper itself

Abstract

backgroundThe provision of palliative and end-of-life care to patients who are underrepresented and underserved provides unique challenges and opportunities.

objectivesTo examine predictors of placement of inpatient palliative care consult orders among patients with breast, lung, and colorectal cancer hospitalized in a safety net hospital in 2010.

methodsSimple and multivariable logistic regression of data on selected patients with cancer was performed to identify predictors of placement of inpatient palliative care consult orders.

resultsOf 979 patients, 56% had colorectal cancer, 23% had lung cancer, and 21% had breast cancer. Of those patients, 16% received an order for inpatient palliative care consultation during the study period. Patients who had more than 20 prescriptions for opioids ordered (adjusted odds ratio [AOR]: 9.10, 95% confidence interval [CI]: 4.62-17.95), had an order for a radiation oncology consult (AOR: 2.60, 95% CI: 1.50-4.49), or had low albumin (AOR: 2.75, 95% CI: 4.71) were more likely to have an order for an inpatient palliative care consult placed. Race and ethnicity were not statistically significant predictors.

conclusionIn this cohort of patients in a safety net hospital, markers of pain, advanced disease, and poor prognosis were associated with placement of inpatient palliative care consult orders.

Indexed as

Safety-net ProvidersAgedBreast NeoplasmsCohort StudiesColonic NeoplasmsDecision MakingFemaleHumansInpatientsLung NeoplasmsMaleMiddle AgedPalliative CareReferral and Consultationconsultationhospitalinpatientpalliative carepredictorssafety net

Identifiers

PMID29034687
PMCPMC7422682

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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.