Evidence map›Paper›PMID 30394821›Full record

ArticleJournal of palliative medicine2019

Assessing the Impact of a Novel Integrated Palliative Care and Medical Oncology Inpatient Service on Health Care Utilization before Hospice Enrollment.

Emily M Ray, Richard F Riedel, Thomas W LeBlanc, Christel N Rushing, Anthony N Galanos

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of palliative medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 21% 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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Trial
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.

Emily M Ray1 Division of Hematology and Oncology, University of North Carolina , Chapel Hill, North Carolina.
Richard F Riedel2 Duke Cancer Institute, Duke University Medical Center , Durham, North Carolina.
Thomas W LeBlanc2 Duke Cancer Institute, Duke University Medical Center , Durham, North Carolina.
Christel N Rushing2 Duke Cancer Institute, Duke University Medical Center , Durham, North Carolina.
Anthony N Galanos2 Duke Cancer Institute, Duke University Medical Center , Durham, North Carolina.
Duke Medical Center · USUniversity of North Carolina at Chapel Hill · US

Funding

UNC-CH TRAINING PROGRAM IN HEALTH SERVICES RESEARCHT32HS000032 · AHRQ · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HOLMES, GEORGE M · 1989 to 2024
$8.2M
AHRQ HHS T32 HS000032
6 · The paper itself

Abstract

backgroundEvidence increasingly supports the integration of specialist palliative care (PC) into routine cancer care. A novel, fully integrated PC and medical oncology inpatient service was developed at Duke University Hospital in 2011.

objectiveTo assess the impact of PC integration on health care utilization among hospitalized cancer patients before hospice enrollment.

methodsRetrospective cohort study. Patients in the solid tumor inpatient unit who were discharged to hospice between September 1, 2009, and June 30, 2010 (pre-PC integration), and September 1, 2011, to June 30, 2012 (postintegration). Cohorts were compared on the following outcomes from their final hospitalization before hospice enrollment: intensive care unit days, invasive procedures, subspecialty consultations, radiographic studies, hospital length of stay, and use of chemotherapy or radiation. Cohort differences were examined with descriptive statistics and nonparametric tests.

resultsTwo hundred ninety-six patients were included in the analysis (133 pre-PC integration; 163 post-PC integration). Patient characteristics were similar between cohorts. Health care utilization was relatively low in both groups, although 26% and 24% were receiving chemotherapy at the time of admission or during hospitalization in the pre- and post-PC integration cohorts, respectively, and 6.8% in each cohort spent time in an intensive care unit. We found no significant differences in utilization between cohorts. DISCUSSION: PC integration into an inpatient solid tumor service may not impact health care utilization during the final hospitalization before discharge to hospice. This likely reflects the greater benefits of integrating PC farther upstream from the terminal hospitalization, if one hopes to meaningfully impact utilization near the end of life.

Indexed as

AdultAgedAged, 80 and overCohort StudiesDelivery of Health Care, IntegratedFemaleHospice and Palliative Care NursingHumansMaleMedical OncologyMiddle AgedNeoplasmsNorth CarolinaPatient Acceptance of Health CareRetrospective Studiescancer patientsend-of-life carehealth care utilizationhospiceoncologypalliative care in oncology

Identifiers

PMID30394821
PMCPMC8121187
OpenAlexW2900135205

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.