Evidence map›Paper›PMID 30791565›Full record

ArticleHealthcare (Basel, Switzerland)2019

Development and Use of the 'SENS'-Structure to Proactively Identify Care Needs in Early Palliative Care-An Innovative Approach.

Monica C Fliedner, Geoffrey Mitchell, Daniel Bueche, Monika Mettler, Jos M G A Schols, Steffen Eychmueller

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Monica C FliednerUniversity Centre for Palliative Care, University Hospital Bern, 3010 Bern, Switzerland. monica.fliedner@insel.ch.
Geoffrey MitchellPrimary Care Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane 4072, Australia. g.mitchell@uq.edu.au.ORCID 0000-0001-7817-6821
Daniel BuecheCentre for Palliative Care, Kantonsspital St.Gallen, CH-9007 St.Gallen, Switzerland. daniel.bueche@kssg.ch.
Monika MettlerCentre for Palliative Care, Kantonsspital St.Gallen, CH-9007 St.Gallen, Switzerland. monika.mettler@kssg.ch.
Jos M G A ScholsDepartment of Health Services Research, School CAPHRI (Care and Public Health Research Institute), Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands. jos.schols@maastrichtuniversity.nl.
Steffen EychmuellerUniversity Centre for Palliative Care, University Hospital Bern, 3010 Bern, Switzerland. steffen.eychmueller@insel.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anticipatory planning for end of life requires a common language for discussion among patients, families, and professionals. Studies show that early Palliative Care (PC) interventions based on a problem-oriented approach can improve quality of life, support decision-making, and optimize the timing of medical treatment and transition to hospice services. The aim of this quality-improvement project was to develop a pragmatic structure meeting all clinical settings and populations needs. Based on the Medical Research Council (MRC) framework, a literature review identifying approaches commonly used in PC was performed. In addition, more than 500 hospital-based interprofessional consultations were analyzed. Identified themes were structured and compared to published approaches. We evaluated the clinical usefulness of this structure with an online survey among professionals. The emerged 'SENS'-structure stands for: Symptoms patients suffer from; End-of-life decisions; Network around the patient delivering care; and Support for the carer. Evaluation among professionals has confirmed that the 'SENS'-structure covers all relevant areas for anticipatory planning in PC. 'SENS' is useful in guiding patient-centered PC conversations and pragmatic anticipatory planning, alongside the regular diagnosis-triggered approach in various settings. Following this approach, 'SENS' may facilitate systematic integration of PC in clinical practice. Depending on clearly defined outcomes, this needs to be confirmed by future randomized controlled studies.

Indexed as

advance care planningchronic life-limiting conditionearly palliative care interventionneeds assessmentpalliative carepatient-centered care

Identifiers

PMID30791565
PMCPMC6473309

What OpenQuestion holds

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Registered trials

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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.