Evidence map›Paper›PMID 32023156›Full record

ReviewJournal of clinical oncology : official journal of the American Society of Clinical Oncology2020

Forging a New Frontier: Providing Palliative Care to People With Cancer in Rural and Remote Areas.

Marie Bakitas, Kristen Allen Watts, Emily Malone, J Nicholas Dionne-Odom, Susan McCammon, Richard Taylor, Rodney Tucker, Ronit Elk

Abstract readReview
In one paragraph

Review in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

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

  1. Pooled it
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  16. Clinician perspectives on delivering primary and specialty palliative care in community oncology practices.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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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

8 authors.

Marie BakitasUniversity of Alabama at Birmingham, Birmingham, AL.
Kristen Allen WattsUniversity of Alabama at Birmingham, Birmingham, AL.
Emily MaloneUniversity of Alabama at Birmingham, Birmingham, AL.
J Nicholas Dionne-OdomUniversity of Alabama at Birmingham, Birmingham, AL.
Susan McCammonUniversity of Alabama at Birmingham, Birmingham, AL.
Richard TaylorUniversity of Alabama at Birmingham, Birmingham, AL.
Rodney TuckerUniversity of Alabama at Birmingham, Birmingham, AL.
Ronit ElkUniversity of Alabama at Birmingham, Birmingham, AL.

Funding

A Community-Developed, Culturally-Based PC Tele-Consult Program for African American and White Rural Southern Elders with a Life-limiting Illness. (Diversity Supplement)R01NR017181 · NINR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BAKITAS, MARIE ANNE, ELK, RONIT · 2018 to 2022
$3.7M
ENABLE: CHF-PC (Comprehensive Heartcare For Patients and Caregivers)R01NR013665 · NINR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BAKITAS, MARIE ANNE · 2015 to 2019
$3.6M
An Upstream Palliative Care Intervention for Rural Family CaregiversR00NR015903 · NINR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ODOM, JAMES N. · 2018 to 2020
$727k
NINR NIH HHS R00 NR015903NINR NIH HHS R01 NR013665NINR NIH HHS R01 NR017181
6 · The paper itself

Abstract

Mounting evidence supports oncology organizations' recommendations of early palliative care as a cancer care best practice for patients with advanced cancer and/or high symptom burden. However, few trials on which these best practices are based have included rural and remote community-based oncology care. Therefore, little is known about whether early palliative care models are applicable in these low-resource areas. This literature synthesis identifies some of the challenges of integrating palliative care in rural and remote cancer care. Prominent themes include being mindful of rural culture; adapting traditional geographically based specialty care delivery models to under-resourced rural practices; and using novel palliative care education delivery methods to increase community-based health professional, layperson, and family palliative expertise to account for limited local specialty palliative care resources. Although there are many limitations, many rural and remote communities also have strengths in their capacity to provide high-quality care by capitalizing on close-knit, committed community practitioners, especially if there are receptive local palliative and hospice care champions. Hence, adapting palliative care models, using culturally appropriate novel delivery methods, and providing remote education and support to existing community providers are promising advances to aid rural people to manage serious illness and to die in place. Reformulating health policy and nurturing academic-community partnerships that support best practices are critical components of providing early palliative care for everyone everywhere.

Indexed as

Models, OrganizationalTelemedicineDelivery of Health CareDisease ManagementHumansNeoplasmsPalliative CareQuality of Health CareRural Population

Identifiers

PMID32023156
PMCPMC7082159

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.