Evidence map›Paper›PMID 30838311›Full record

ArticleMovement disorders clinical practice2019

Defining Palliative Care Needs in Parkinson's Disease.

Benzi M Kluger, Jo Shattuck, Julie Berk, Kelly Sebring, Wallace Jones, Fabian Brunetti, Isabel Fairmont, Daniel W Bowles, Stefan Sillau, David B Bekelman

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PubMed Full text at PMC Publisher
In one paragraph

Article in Movement disorders clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
–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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

10 authors.

Benzi M KlugerDepartment of Neurology University of Colorado School of Medicine Aurora Colorado USA.
Jo ShattuckCenter for Brain, Biology, and Behavior University of Nebraska Lincoln Nebraska USA.
Julie BerkDepartment of Neurology University of Colorado School of Medicine Aurora Colorado USA.
Kelly SebringDepartment of Neurology University of Colorado School of Medicine Aurora Colorado USA.
Wallace JonesDepartment of Neurology University of Colorado School of Medicine Aurora Colorado USA.
Fabian BrunettiDepartment of Neurology University of Colorado School of Medicine Aurora Colorado USA.
Isabel FairmontDepartment of Neurology University of Colorado School of Medicine Aurora Colorado USA.
Daniel W BowlesDivision of Medical Oncology University of Colorado School of Medicine Aurora Colorado USA.
Stefan SillauDepartment of Neurology University of Colorado School of Medicine Aurora Colorado USA.
David B BekelmanDivision of General Internal Medicine University of Colorado School of Medicine Aurora Colorado USA.

Funding

Academic Career Leadership Award in Geriatric Palliative Care ResearchK07AG030337 · NIA · UNIVERSITY OF COLORADO DENVER · PI KUTNER, JEAN S · 2008 to 2012
$540k
NIA NIH HHS K07 AG030337
6 · The paper itself

Abstract

objectivesPalliative care addresses the suffering of patients and families affected by progressive illness through the management of medical symptoms, psychosocial issues, and spiritual concerns. Although there is an emerging interest in applying palliative care to Parkinson's disease (PD), potential palliative care needs have not been systematically investigated in PD patients. Our primary objective was to determine the prevalence of clinically significant symptomatic, psychosocial, and spiritual issues in PD and understand their impact on health-related quality of life (HRQOL). Secondary objectives included comparing the level of palliative care needs of PD patients to advanced cancer patients and assessing preferences for advance care planning.

methodsNinety PD patients and 47 patients with advanced cancer were surveyed regarding potential palliative care needs, including symptom burden, mood, anticipatory grief, and spiritual well-being. PD patients completed additional scales regarding HRQOL, motor symptoms, cognitive impairment, and preferences regarding advance care planning.

resultsPotential palliative care needs, including high symptom burden and grief, were common in PD patients and contributed to HRQOL even when controlling for depression and motor severity. In all domains investigated, PD patients had similar or higher levels of palliative care needs as patients with advanced cancer. PD patients expressed a desire to complete advance directives early in the disease course and with a physician.

conclusionsPalliative care needs contribute to HRQOL in PD and are of similar severity as cancer patients. This study supports and helps focus efforts to integrate palliative care principles in PD care across the spectrum of the disease.

Indexed as

palliative careParkinson's disease/parkinsonismquality of life

Identifiers

PMID30838311
PMCPMC6384178

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.