Evidence map›Paper›PMID 29298714›Full record

ArticleBMC palliative care2018

Paediatric palliative care improves patient outcomes and reduces healthcare costs: evaluation of a home-based program.

P H Chong, J A De Castro Molina, K Teo, W S Tan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC palliative care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 5 pooled it
–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

37 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pediatric palliative care and end-of-life: a systematic review of economic health analyses.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2022
    Pooled it
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  4. Impact of Specialized Pediatric Palliative Care: A Systematic Review.Journal of pain and symptom management · 2020
    Pooled it
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  19. The adult and pediatric palliative care: differences and shared issues.Journal of anesthesia, analgesia and critical care · 2023
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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.

P H ChongHCA Hospice Care, Singapore, Singapore. pohhengC@hcahospicecare.org.sg.
J A De Castro MolinaNational Healthcare Group Singapore, Singapore, Singapore.
K TeoNational Healthcare Group Singapore, Singapore, Singapore.
W S TanNational Healthcare Group Singapore, Singapore, Singapore.

Funding

Tote board - Singapore TB048
6 · The paper itself

Abstract

backgroundAround the world, different models of paediatric palliative care have responded to the unique needs of children with life shortening conditions. However, research confirming their utility and impact is still lacking. This study compared patient-related outcomes and healthcare expenditures between those who received home-based paediatric palliative care and standard care. The quality of life and caregiver burden for patients receiving home-based paediatric palliative care were also tracked over the first year of enrolment to evaluate the service's longitudinal impact.

methodA structured impact and cost evaluation of Singapore-based HCA Hospice Care's Star PALS (Paediatric Advance Life Support) programme was conducted over a three-year period, employing both retrospective and prospective designs with two patient groups.

resultsCompared to the control group (n = 67), patients receiving home-based paediatric palliative care (n = 71) spent more time at home than in hospital in the last year of life by 52 days (OR = 52.30, 95% CI: 25.44-79.17) with at least two fewer hospital admissions (OR = 2.46, 95% CI: 0.43-4.48); and were five times more likely to have an advance care plan formulated (OR = 5.51, 95% CI: 1.55-19.67). Medical costs incurred by this group were also considerably lower (by up to 87%). Moreover, both patients' quality of life (in terms of pain and emotion), and caregiver burden showed improvement within the first year of enrolment into the programme. DISCUSSION: Our findings suggest that home-based paediatric palliative care brings improved resource utilization and cost-savings for both patients and healthcare providers. More importantly, the lives of patients and their caregivers have improved, with terminally ill children and their caregivers being able to spend more quality time at home at the final stretch of the disease.

conclusionsThe benefits of a community paediatric palliative care programme have been validated. Study findings can become key drivers when engaging service commissioners or even policy makers in appropriate settings.

Indexed as

Patient Outcome AssessmentAdolescentChildChild, PreschoolCohort StudiesFemaleHealth Care CostsHome Care ServicesHumansInfantMalePalliative CarePediatricsProspective StudiesQuality of LifeRetrospective StudiesCaregiver burdenCostsEffectivenessEvaluationHealth-related quality of lifePaediatricsPalliative care

Identifiers

PMID29298714
PMCPMC5751774

What OpenQuestion holds

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LicenceCC BY
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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.