Evidence map›Paper›PMID 32286157›Full record

SynthesisPalliative medicine2020

The experiences of, and need for, palliative care for people with motor neurone disease and their informal caregivers: A qualitative systematic review.

Kate Flemming, Victoria Turner, Samantha Bolsher, Bill Hulme, Elizabeth McHugh, Ian Watt

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Palliative medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 15% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Kate FlemmingDepartment of Health Sciences, Faculty of Science, University of York, York, UK.ORCID 0000-0002-0795-8516
Victoria TurnerDepartment of Health Sciences, Faculty of Science, University of York, York, UK.ORCID 0000-0002-8820-6518
Samantha BolsherExpert by Experience, York, UK.
Bill HulmeSt Leonard's Hospice, York, UK.
Elizabeth McHughDepartment of Health Sciences, Faculty of Science, University of York, York, UK.
Ian WattDepartment of Health Sciences, Faculty of Science, University of York, York, UK.
University of York · GBSt Christopher's Hospice · GB

Funding

Marie Curie MCRGS-07-16-16
6 · The paper itself

Abstract

backgroundDespite being a terminal neurodegenerative disease, the role of palliative care is less recognised for motor neurone disease than for other life-limiting conditions. Understanding the experiences of, and need for, palliative care for patients and carers is key to configuring optimal policy and healthcare services.

aimTo explore the experiences of, and need for, palliative care of people with motor neurone disease and their informal carers across the disease trajectory.

designA systematic review of qualitative research conducted using Thematic Synthesis - PROSPERO registration CRD42017075311. DATA SOURCES: Four electronic databases were searched (MEDLINE, CINAHL, PsycINFO, Social Science Citation Index) using terms for motor neurone disease, amyotrophic lateral sclerosis, palliative care, and qualitative research, from inception to November 2018. Included papers were data extracted and assessed for quality.

resultsA total of 41 papers were included, representing the experiences of 358 people with motor neurone disease and 369 caregivers. Analytical themes were developed detailing patients' and carers' experiences of living with motor neurone disease and of palliative care through its trajectory including response to diagnosis, maintaining control, decision-making during deterioration, engaging with professionals, planning for end-of-life care, bereavement.

conclusionThe review identified a considerable literature exploring the care needs of people with motor neurone disease and their carers; however, descriptions of palliative care were associated with the last days of life. Across the disease trajectory, clear points were identified where palliative care input could enhance patient and carer experience of the disease, particularly at times of significant physical change.

Indexed as

CaregiversMotor Neuron DiseasePalliative CareHospice CareHumansQualitative Researchamyotrophic lateral sclerosiscaregiversMotor neurone diseasepalliative carequalitative researchsystematic review

Identifiers

PMID32286157
PMCPMC7444021
OpenAlexW3007522374

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.