Evidence map›Paper›PMID 30842998›Full record

ArticleJAMIA open2018

A systematic review of the use of the electronic health record for patient identification, communication, and clinical support in palliative care.

Ruth A Bush, Alexa Pérez, Tanja Baum, Caroline Etland, Cynthia D Connelly

Open access · goldAbstract read
In one paragraph

Article in JAMIA open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Needs and health-related quality of life domains relevant to people in Europe with advanced cancer in need of palliative care: a systematic review of qualitative research.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Pooled it
  2. Pooled it
  3. Role of Digital Health on Palliative Care: Umbrella Review.Journal of medical Internet research · 2025
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Palliative care and social practice · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

5 authors at 2 institutions in 1 country.

Ruth A BushBeyster Institute of Nursing Research, Hahn School of Nursing and Health Science, University of San Diego, San Diego, California, USA.
Alexa PérezBeyster Institute of Nursing Research, Hahn School of Nursing and Health Science, University of San Diego, San Diego, California, USA.
Tanja BaumBeyster Institute of Nursing Research, Hahn School of Nursing and Health Science, University of San Diego, San Diego, California, USA.
Caroline EtlandBeyster Institute of Nursing Research, Hahn School of Nursing and Health Science, University of San Diego, San Diego, California, USA.
Cynthia D ConnellyBeyster Institute of Nursing Research, Hahn School of Nursing and Health Science, University of San Diego, San Diego, California, USA.
University of San Diego · USSharp HealthCare Foundation · US

Funding

Adolescent Disease Autonomy using Patient Portal Technology (ADAPPT)R00HS022404 · AHRQ · UNIVERSITY OF SAN DIEGO · PI BUSH, RUTH A · 2015 to 2017
$747k
AHRQ HHS R00 HS022404
6 · The paper itself

Abstract

objectivesGlobally, healthcare systems are using the Electronic Health Record (EHR) and elements of clinical decision support (CDS) to facilitate palliative care (PC). Examination of published results is needed to determine if the EHR is successfully supporting the multidisciplinary nature and complexity of PC by identifying applications, methodology, outcomes, and barriers of active incorporation of the EHR in PC clinical workflow.

methodsA systematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses

resultsThe search returned 433 articles, 30 of which met inclusion criteria. Most studies were feasibility studies or retrospective cohort analyses; one study incorporated prospective longitudinal mixed methods. Twenty-three of 30 (77%) were published after 2014. The review identified five major areas in which the EHR is used to support PC. Studies focused on CDS to: identify individuals who could benefit from PC; electronic advanced care planning (ACP) documentation; patient-reported outcome measures (PROMs) such as rapid, real-time pain feedback; to augment EHR PC data capture capabilities; ,and to enhance interdisciplinary communication and care. DISCUSSION: Beginning in 2015, there was a proliferation of articles about PC and EHRs, suggesting increasing incorporation of and research about the EHR with PC. This review indicates the EHR is underutilized for PC CDS, facilitating PROMs, and capturing ACPs.

Indexed as

clinicaldecision support systemselectronic health recordsmedical informaticspalliative carepatient reported outcome measures

Identifiers

PMID30842998
PMCPMC6398614
OpenAlexW2884608892

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.