Evidence map›Paper›PMID 30660204›Full record

ArticleBMC palliative care2019

Integrated respiratory and palliative care leads to high levels of satisfaction: a survey of patients and carers.

Natasha Smallwood, Thomas Moran, Michelle Thompson, Peter Eastman, Brian Le, Jennifer Philip

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Natasha SmallwoodDepartment of Respiratory and Sleep Medicine, The Royal Melbourne Hospital, Royal Parade, Parkville, Victoria, 3050, Australia. Natasha.smallwood@mh.org.au.ORCID http://orcid.org/0000-0002-3403-3586
Thomas MoranThe Melbourne Medical School, University of Melbourne, Parkville, Victoria, 3050, Australia.
Michelle ThompsonDepartment of Respiratory and Sleep Medicine, The Royal Melbourne Hospital, Royal Parade, Parkville, Victoria, 3050, Australia.
Peter EastmanDepartment of Palliative Care, The Royal Melbourne Hospital, Parkville, Victoria, 3050, Australia.
Brian LeDepartment of Palliative Care, The Royal Melbourne Hospital, Parkville, Victoria, 3050, Australia.
Jennifer PhilipChair of Palliative Medicine, University of Melbourne, St Vincent's Hospital and Victorian Comprehensive Cancer Centre, Melbourne, Australia.
The Royal Melbourne Hospital · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Advanced Lung Disease Service is a unique, new model of integrated respiratory and palliative care, which aims to address the unmet needs of patients with advanced, non-malignant, respiratory diseases. This study aimed to explore patients' and carers' experiences of integrated palliative care and identify valued aspects of care.

methodsAll current patients of the integrated service and their carers were invited to complete a confidential questionnaire by post or with an independent researcher.

resultsEighty-eight responses were received from 64 (80.0%) eligible patients and from 24 (60%) eligible carers. Most participants (84, 95.5%) believed the integrated service helped them to manage breathlessness and nearly all participants (87, 98.9%) reported increased confidence managing symptoms. One third of patients (34.4%) had received a nurse-led domiciliary visit, with nearly all regarding this as helpful. Most participants believed the integrated respiratory and palliative care team listened to them carefully (87, 98.9%) with opportunities to express their views (88, 100%). Highly valued aspects of the service were continuity of care (82, 93.2%) and long-term care (77, 87.5%). Three quarters of participants (66, 75.0%) rated their care as excellent, with 20.5% rating it as very good. Nearly all (87, 98.9%) participants reported that they would recommend the service to others.

conclusionsPatients and carers expressed high levels of satisfaction with this model of integrated respiratory and palliative care. Continuity of care, high quality communication and feeling cared for were greatly valued and highlight simple but important aspects of care for all patients.

Indexed as

AgedCaregiversDelivery of Health Care, IntegratedFemaleHumansMaleMiddle AgedPalliative CarePatientsPatient SatisfactionQuality of Health CareRespiratory TherapySurveys and QuestionnairesAttitudesDyspneaIntegrated carePalliative careSatisfactionSurvey

Identifiers

PMID30660204
PMCPMC6339689
OpenAlexW2909189174

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.