Observational studyJournal of pain and symptom management2019
Outcomes of Palliative Care Consultations for Hospitalized Patients With Liver Disease.
Observational study in Journal of pain and symptom management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis 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
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- EASL position paper on palliative care in advanced chronic liver disease.JHEP reports : innovation in hepatology · 2026Guideline
- Variation in Palliative Care Program Performance for Patients With Metastatic Cancer.Journal of pain and symptom management · 2025Article
- Rates, patterns, and predictors of specialty palliative care consultation among patients with acute-on-chronic liver failure.JHEP reports : innovation in hepatology · 2024Article
- Advances in the management of complications from cirrhosis.Gastroenterology report · 2024Review
- Advance care planning in end-stage cirrhosis in a UK district general hospital.Future healthcare journal · 2023Article
- Quality of end-of-life care with non-malignant liver disease: Analysis of the VOICES National Survey of Bereaved People.Liver international : official journal of the International Association for the Study of the Liver · 2023Article
- AASLD Practice Guidance: Palliative care and symptom-based management in decompensated cirrhosis.Hepatology (Baltimore, Md.) · 2022Article
- Palliative Care, Patient-Reported Measures, and Outcomes in Hospitalized Patients With Cirrhosis.Journal of pain and symptom management · 2022Article
- Palliative long-term abdominal drains for the management of refractory ascites due to cirrhosis: a consensus document.Frontline gastroenterology · 2022Article
- Symptom control in advanced chronic liver disease: integrating anticipatory palliative and supportive care.Frontline gastroenterology · 2022Article
- Developing Priorities for Palliative Care Research in Advanced Liver Disease: A Multidisciplinary Approach.Hepatology communications · 2021Review
- Patient and Caregiver Perspectives on Palliative Care in End-Stage Liver Disease.Journal of palliative medicine · 2021Article
- Creating Effective Models for Delivering Palliative Care in Advanced Liver Disease.Current hepatology reports · 2021Review
- Cardiopulmonary Resuscitation Preferences of People Receiving Dialysis.JAMA network open · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
contextAlthough palliative care (PC) has been shown to improve symptoms and end-of-life (EOL) care for patients with cancer, data are lacking on the patterns of use and outcomes of PC consultations for hospitalized patients with liver disease.
objectivesWe sought to characterize the patterns of use and outcomes of PC consultations for hospitalized patients with liver disease compared with patients with cancer.
methodsWe conducted an observational study using data from the Palliative Care Quality Network (PCQN). The PCQN contains prospectively collected data on 135,197 hospitalized patients receiving PC consultations at 88 PCQN sites between January 2013 and December 2017. The PCQN data set includes patient demographics, processes of care, and patient-level clinical outcomes.
resultsThe cohort included 44,933 patients, of whom 4402 (9.8%) had liver disease and 40,531 (90.2%) had cancer. Patients with liver disease were younger (58.9 years vs. 65.2 years, P < 0.0001) and had higher in-hospital mortality (28% vs. 16.8%, P < 0.0001). Patients with liver disease were more likely to receive PC consultations to address goals of care (81.7% vs. 67.9%, P < 0.0001) as opposed to pain management (10.9% vs. 34.9%, P < 0.0001). Both groups had similar rates of symptom improvement and change in resuscitation preferences after PC consultation.
conclusionHospitalized patients with liver disease were more likely to have a PC referral to address goals of care compared with those with cancer and were more likely to die in the hospital. Despite late PC consultations, patients with liver disease experienced improvement in symptoms and clarification of their goals of care, similar to those with cancer.
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.