Evidence map›Paper›PMID 31386082›Full record

ReviewNeuro-oncology practice2016

A clinical care pathway to improve the acute care of patients with glioma.

Natalie B V Riblet, Evelyn M Schlosser, Jennifer A Snide, Lara Ronan, Katherine Thorley, Melissa Davis, Jennifer Hong, Linda P Mason, Tobi J Cooney, Lanelle Jalowiec and 4 more

Abstract readReview

PubMed Full text at PMC Publisher

In one paragraph

Review in Neuro-oncology practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it

0cells of the map it votes in

9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

A Systematic Review of Electronic Medical Record Driven Quality Measurement and Feedback Systems.International journal of environmental research and public health · 2022
Pooled it
The Clinical Value of High-Quality Nursing in Concurrent Radiotherapy and Chemotherapy after Glioma Surgery and Its Influence on the Stress Indicators Cor, ACTH, and CRP.Journal of healthcare engineering · 2022
Trial
Identifying components of care coordination for primary brain tumor: A scoping review.Neuro-oncology practice · 2025
Review
Dexamethasone in brain tumor patients: a real-world pharmacovigilance audit.Frontiers in neurology · 2025
Article
Classical and disease-specific quality indicators in glioma surgery-Development of a quality checklist to improve treatment quality in glioma patients.Neuro-oncology practice · 2022
Article
Team interventions in acute hospital contexts: a systematic search of the literature using realist synthesis.BMC health services research · 2018
Review
Quality improvement in neurology: Neuro-oncology quality measurement set.Neurology · 2018
Article
Quality improvement in neurology: Neuro-Oncology Quality Measurement Set.Neuro-oncology · 2018
Article
Fulfilling the purpose and scope ofNeuro-oncology practice · 2016
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

14 authors.

Natalie B V RibletDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Evelyn M SchlosserDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Jennifer A SnideDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Lara RonanDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Katherine ThorleyDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Melissa DavisDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Jennifer HongDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Linda P MasonDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Tobi J CooneyDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Lanelle JalowiecDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Nancy L KennedyDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Sabrina RichieDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

David NalepinskiDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Camilo E FadulDartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756 (E.M.S., J.A.S., L.R., K.T., M.D., J.H., L.P.M., T.J.C., L.J., N.L.K., S.R., D.N., C.E.F.); Norris Cotton Cancer Center, 1 Medical Center Drive, Lebanon, NH 03756 (M.D., J.S., L.R., L.M., L.J., S.R., D.N., C.F.); Geisel School of Medicine at Dartmouth, 1 Rope Ferry Drive, Hanover, NH 03755 (N.B.V.R., L.R., C.F.); VA Medical Center, 215 North Main Street, White River Junction VT 05009 (N.B.V.R.).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with glioma are at increased risk for tumor-related and treatment-related complications. Few guidelines exist to manage complications through supportive care. Our prior work suggests that a clinical care pathway can improve the care of patients with glioma.

methodsWe designed a quality improvement (QI) project to address the acute care needs of patients with gliomas. We formed a multidisciplinary team and selected 20 best-practice measures from the literature. Using a plan-do-study-act framework, we brainstormed and implemented various improvement strategies starting in October 2013. Statistical process control charts were used to assess progress.

resultsRetrospective data were available for 12 best practice measures. The baseline population consisted of 98 patients with glioma. Record review suggested wide variation in performance, with compliance ranging from 30% to 100%. The team hypothesized that lack of process standardization may contribute to less-than-ideal performance. After implementing improvement strategies, we reviewed the records of 63 consecutive patients with glioma. The proportion of patients meeting criteria for 12 practice measures modestly improved (65% pre-QI; 76% post-QI,

conclusionsCreating evidence-based clinical care pathways for addressing the acute care needs of patients with glioma is feasible and important. There are many challenges, however, to developing sustainable systems for measuring and reporting performance outcomes overtime.

Indexed as

gliomaoutcomesquality improvement

Identifiers

PMID31386082

DOI10.1093/nop/npv050

PMCPMC6668280

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.