Evidence map›Paper›PMID 30265282›Full record

SynthesisAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2019

Impact of Interdisciplinary Outpatient Specialty Palliative Care on Survival and Quality of Life in Adults With Advanced Cancer: A Meta-Analysis of Randomized Controlled Trials.

Michael Hoerger, Graceanne R Wayser, Gregory Schwing, Ayako Suzuki, Laura M Perry

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
9.6field-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

53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Population Preferences for Treatment in Life-Limiting Illness: Valuing the Way Time Is Spent at the End of Life.Medical decision making : an international journal of the Society for Medical Decision Making · 2025
    Article
  13. Performance Status as an Indicator for Palliative Care Referral.Clinical journal of oncology nursing · 2025
    Article
  14. Review
  15. Article
  16. Review
  17. Clinician perspectives on delivering primary and specialty palliative care in community oncology practices.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  18. Article
  19. Article
  20. 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

5 authors at 2 institutions in 1 country.

Michael HoergerDepartments of Psychology, Psychiatry, and Medicine, Tulane University, New Orleans, LA.
Graceanne R WayserDepartment of Epidemiology, Tulane University, New Orleans, LA.
Gregory SchwingDepartment of Biology, University of New Orleans, New Orleans, LA.
Ayako SuzukiDepartment of Epidemiology, Tulane University, New Orleans, LA.
Laura M PerryDepartment of Psychology, Tulane University, New Orleans, LA.
Tulane University · USUniversity of New Orleans · US

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI JUDD E SHELLITO · 2012 to 2026
$69.1M
NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

backgroundIn advanced cancer, patients want to know how their care options may affect survival and quality of life, but the impact of outpatient specialty palliative care on these outcomes in cancer is uncertain. PURPOSE: To estimate the impact of outpatient specialty palliative care programs on survival and quality of life in adults with advanced cancer.

methodsFollowing PRISMA guidelines, we conducted a systematic review and meta-analysis of randomized controlled trials comparing outpatient specialty palliative care with usual care in adults with advanced cancer. Primary outcomes were 1 year survival and quality of life. Analyses were stratified to compare preliminary studies against higher-quality studies. Secondary outcomes were survival at other endpoints and physical and psychological quality-of-life measures.

resultsFrom 2,307 records, we identified nine studies for review, including five high-quality studies. In the three high-quality studies with long-term survival data (n = 646), patients randomized to outpatient specialty palliative care had a 14% absolute increase in 1 year survival relative to controls (56% vs. 42%, p < .001). The survival advantage was also observed at 6, 9, 15, and 18 months, and median survival was 4.56 months longer (14.55 vs. 9.99 months). In the five high-quality studies with quality-of-life data (n = 1,398), outpatient specialty palliative care improved quality-of-life relative to controls (g = .18, p < .001), including for physical and psychological measures.

conclusionsPatients with advanced cancer randomized to receive outpatient specialty palliative care lived longer and had better quality of life. Findings have implications for improving care in advanced cancer.

Indexed as

Ambulatory CareOutcome Assessment, Health CarePalliative CareQuality of LifeRandomized Controlled Trials as TopicAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasmsBehavioral medicineMeta-analysisMortalityPalliative careQuality of life

Identifiers

PMID30265282
PMCPMC6546936
OpenAlexW2893714653

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.