Evidence map›Paper›PMID 30918095›Full record

ArticleNeurology2019

Inpatients with neurologic disease referred for palliative care consultation.

Breana L Taylor, David L O'Riordan, Steven Z Pantilat, Claire J Creutzfeldt

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurology, 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
3.6field-weighted citation impact, top 8% 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, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Palliative Care and Neurology Needs in Patients With and Without COVID-19.The American journal of hospice & palliative care · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. High-Quality Nursing Home and Palliative Care-One and the Same.Journal of the American Medical Directors Association · 2022
    Review
  12. Article
  13. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Breana L TaylorFrom the Department of Neurology (B.L.T., C.J.C.), University of Washington, Seattle; and Department of Medicine (D.L.O., S.Z.P.), Division of Palliative Medicine, University of California San Francisco. btaylor6@uw.edu.
David L O'RiordanFrom the Department of Neurology (B.L.T., C.J.C.), University of Washington, Seattle; and Department of Medicine (D.L.O., S.Z.P.), Division of Palliative Medicine, University of California San Francisco.
Steven Z PantilatFrom the Department of Neurology (B.L.T., C.J.C.), University of Washington, Seattle; and Department of Medicine (D.L.O., S.Z.P.), Division of Palliative Medicine, University of California San Francisco.
Claire J CreutzfeldtFrom the Department of Neurology (B.L.T., C.J.C.), University of Washington, Seattle; and Department of Medicine (D.L.O., S.Z.P.), Division of Palliative Medicine, University of California San Francisco.
University of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare characteristics and needs of inpatients with neurologic disease to those with cancer referred for palliative care (PC) consultation.

methodsThis prospective cohort study used data collected by the Palliative Care Quality Network from January 2013 until December 2016. We compared demographics, reasons for consultation, discharge disposition, Palliative Performance Scale (PPS) score, and outcomes of care among patients with a primary diagnosis of neurologic disease vs cancer.

resultsThe most common reason for PC consultation in all patients was assistance with goals of care and advanced care planning. PC consultation was less often requested for pain and symptom management in patients with neurologic disease compared to patients with cancer (13.7% vs 43%, odds ratio 0.3) and more often for assistance with transition to comfort measures only and withdrawal of life-sustaining treatment (19.1% vs 7.1%, odds ratio 1.3). Patients with cancer had higher PPS scores (42.1% vs 23.4%) and were more likely to be discharged home from the hospital, while patients with neurologic disease were more likely to die in hospital.

conclusionsPatients with neurologic disease as a reason for PC consultation are more in need of end-of-life care planning and more likely to die in the hospital than those with cancer, suggesting that targeted approaches may best address the needs of each patient population. Our results can direct further research and education in neuropalliative care.

Indexed as

Advance Care PlanningNervous System DiseasesPalliative CareReferral and ConsultationTerminal CareAgedDatabases, FactualFemaleHumansInpatientsMalePatient DischargeProspective Studies

Identifiers

PMID30918095
PMCPMC6511082
OpenAlexW2930667963

What OpenQuestion holds

Textmetadata
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.