ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020
Examination of referral criteria for outpatient palliative care among patients with advanced cancer.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Referral criteria to specialist palliative care for patients with dementia: A systematic review.Journal of the American Geriatrics Society · 2021Pooled it
- Referral Criteria to Palliative Care for Patients With Heart Failure: A Systematic Review.Circulation. Heart failure · 2020Pooled it
- Impact of early palliative care according to baseline symptom severity: Secondary analysis of a cluster-randomized controlled trial in patients with advanced cancer.Cancer medicine · 2022Trial
- Timing and outcomes of outpatient palliative care consultations in advanced cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026Article
- Integrating Physiatry and Palliative Care in Outpatient Oncology: A Clinical Framework for Bidirectional Referral and Co-Management.Current oncology (Toronto, Ont.) · 2026Review
- The development of local outpatient palliative care referral criteria for persons with advanced cancer at the University Hospital Centre Zagreb: a Delphi study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Assessment of a clinical nurse specialist-led early palliative care initiative for patients with advanced pancreatic cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Adaptation and Validation of the Supportive and Palliative Care Indicators Tool (SPICT): A Quantitative Methodological Study.Journal of advanced nursing · 2025Observational
- Unscheduled hospitalization as a potential trigger for specialist palliative care referral in patients with high grade glioma: a retrospective analysis in a tertiary hospital.Journal of neuro-oncology · 2025Article
- Clinical Characteristics and Management of Patients Admitted to the Supportive Care Clinic and Predisposing Factors of Unplanned Hospital Readmission: Single-Center Experience.Journal of clinical medicine · 2025Article
- Advance Care Planning in Palliative Care in Asia: Barriers and Implications.Journal of hospice and palliative care · 2024Review
- Assessing the sensitivity and acceptability of the Royal Marsden Palliative Care Referral "Triggers" Tool for outpatients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Frequency of vaccine hesitancy among patients with advanced cancer.Palliative & supportive care · 2024Article
- Impact of an Institution-Wide Goals of Care Program on the Timing of Referrals to Outpatient Palliative Care.Journal of pain and symptom management · 2023Review
- Interrater agreement of multi-professional case review as reference standard for specialist palliative care need: a mixed-methods study.BMC palliative care · 2023Article
- Implementation of Patient Reported Outcomes in Outpatient Palliative Care: From Paper to Computer.Journal of pain and symptom management · 2023Article
- Palliative care outpatients in a German comprehensive cancer center-identifying indicators for early and late referral.BMC palliative care · 2022Article
- Development of the palliative care referral system: proposal of a tool for the referral of cancer patients to specialized palliative care.BMC palliative care · 2022Article
- Outpatient palliative care referral system (PCRS) for patients with advanced cancer: an impact evaluation protocol.BMJ open · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAn international panel achieved consensus on 9 need-based and 2 time-based major referral criteria to identify patients appropriate for outpatient palliative care referral. To better understand the operational characteristics of these criteria, we examined the proportion and timing of patients who met these referral criteria at our Supportive Care Clinic.
methodsWe retrieved data on consecutive patients with advanced cancer who were referred to our Supportive Care Clinic between January 1, 2016, and February 18, 2016. We examined the proportion of patients who met each major criteria and its timing.
resultsAmong 200 patients (mean age 60, 53% female), the median overall survival from outpatient palliative care referral was 14 (95% confidence interval 9.2, 17.5) months. A majority (n = 170, 85%) of patients met at least 1 major criteria; specifically, 28%, 30%, 20%, and 8% met 1, 2, 3, and ≥ 4 criteria, respectively. The most commonly met need-based criteria were severe physical symptoms (n = 140, 70%), emotional symptoms (n = 36, 18%), decision-making needs (n = 26, 13%), and brain/leptomeningeal metastases (n = 25, 13%). For time-based criteria, 54 (27%) were referred within 3 months of diagnosis of advanced cancer and 63 (32%) after progression from ≥ 2 lines of palliative systemic therapy. The median duration from patient first meeting any criterion to palliative care referral was 2.4 (interquartile range 0.1, 8.6) months.
conclusionsPatients were referred early to our palliative care clinic and a vast majority (85%) of them met at least one major criteria. Standardized referral based on these criteria may facilitate even earlier referral.
Indexed as
Identifiers
What OpenQuestion holds
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.