Evidence map›Paper›PMID 30834140›Full record

ArticlePilot and feasibility studies2019

Early integrated palliative care in chronic heart failure and chronic obstructive pulmonary disease: protocol of a feasibility before-after intervention study.

N Siouta, A Heylen, B Aertgeerts, P Clement, J Van Cleemput, W Janssens, J Menten

Registry-linked trialAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05575791 (Evaluation of Preoperative Acceptance of Proactive Palliative Care Intervention), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT05575791 unknown statusnot on this mapstarted 2022, after this paper: background citation

Evaluation of Preoperative Acceptance of Proactive Palliative Care Intervention

Typeobservational_patient_registrySponsorCharite University, Berlin, GermanyRan2022 to 2023Enrolled100ConditionsCancer, Heart Failure, Chronic Obstructive Pulmonary Disease, Postoperative Complications
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
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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

7 authors.

N Siouta1Laboratory of Experimental Radiotherapy-Palliative Care, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.ORCID 0000-0003-3172-6712
A Heylen2Palliative Support Team, UZ Leuven, Herestraat 49, 3000 Leuven, Belgium.
B Aertgeerts3Academic Center for General Practice, KU Leuven, Kapucijnenvoer 33, 3000 Leuven, Belgium.
P Clement4Department of Oncology, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.
J Van Cleemput5Department of Cardiology, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.
W Janssens6Department of Pneumology, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.
J Menten1Laboratory of Experimental Radiotherapy-Palliative Care, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with chronic heart failure (CHF) and patients with chronic obstructive pulmonary disease (COPD) are amenable to integrated palliative care (PC); however, despite the recommendation by various healthcare organizations, these patients have limited access to integrated PC services. In this study, we present the protocol of a feasibility prospective study that aims to explore if an "early integrated PC" intervention can be performed in an acute setting (cardiology and pulmonology wards) and whether it will have an effect on (i) the satisfaction of care and (ii) the quality of life and the level of symptom control of CHF/COPD patients and their informal caregivers.

methodsA before-after intervention study with three phases, (i) baseline phase where the control group receives standard care, (ii) training phase where the personnel is trained on the application of the intervention, and (iii) intervention phase where the intervention is applied, will be carried out in cardiology and pulmonology wards in the University Hospital Leuven for patients with advanced CHF/COPD and their informal caregivers. Eligible patients (both control and intervention group) and their informal caregivers will be asked to complete the Palliative Outcome Scale, the CANHELP Lite, and the Advance Care Planning Questionnaire at the inclusion moment and 3 months after hospital discharge. DISCUSSION: The present study will assess the feasibility of carrying out PC-focused studies in acute wards for CHF/COPD patients and draw lessons for the further integration of PC alongside standard treatment. Further, it will measure the quality of life and quality of care of patients and thus shed light on the care needs of this population. Finally, it will evaluate the potential efficacy of the "early integrated palliative care" by comparing against existing practices.

trial registrationCurrent Controlled Trials ISRCTN24796028 (date of registration August 30, 2018).

Identifiers

PMID30834140
PMCPMC6385452

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Registered trials

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.