Evidence map›Paper›PMID 32321483›Full record

ArticleBMC palliative care2020

Early palliative care versus standard care in haematologic cancer patients at their last active treatment: study protocol of a feasibility trial.

Silvia Tanzi, Stefano Luminari, Silvio Cavuto, Elena Turola, Luca Ghirotto, Massimo Costantini

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03743480 (Early Palliative Care and Hematological Cancer Patients), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

NCT03743480 naterminatednot on this map

Early Palliative Care and Hematological Cancer Patients: a Phase II Study

TypeinterventionalSponsorAzienda USL Reggio Emilia - IRCCSRan2018 to 2021Enrolled15ConditionsHematologic NeoplasmsArmsearly palliative care
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. A multicentre survey on the perception of palliative care among health professionals working in haematology.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
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.

Silvia TanziPalliative Care Unit, Azienda USL-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123, Reggio Emilia, Italy. silvia.tanzi@ausl.re.it.
Stefano LuminariHaematology Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Silvio CavutoClinical Trials an Statistics Unit, Infrastructure Research and Statistic, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Elena TurolaPalliative Care Unit, Azienda USL-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123, Reggio Emilia, Italy.
Luca GhirottoQualitative Research Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Massimo CostantiniScientific Directorate, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with advanced haematological malignancies suffer from a very high symptom burden and psychological, spiritual, social and physical symptoms comparable with patients with metastatic non-haematological malignancy. Referral to palliative care services for these patients remains limited or often confined to the last days of life. We developed a palliative care intervention (PCI) integrated with standard haematological care. The aim of the study was focussed on exploring the feasibility of the intervention by patients, professionals and caregivers and on assessing its preliminary efficacy. METHODS/

designThis is a mixed-methods phase 2 trial. The Specialist Palliative Care Team (SPCT) will follow each patient on a monthly basis in the outpatient clinic or will provide consultations during any hospital admission. SPCT and haematologists will discuss active patient issues to assure a team approach to the patient's care. This quantitative study is a monocentric parallel-group superiority trial with balanced randomisation comparing the experimental PCI plus haematological standard care versus haematological standard care alone. The primary endpoint will calculate on adherence to the planned PCI, measured as the percentage of patients randomised to the experimental arm who attend all the planned palliative care visits in the 24 weeks after randomisation. The qualitative study follows the methodological indications of concurrent nested design and was aimed at exploring the acceptability of the PCI from the point of view of patients, caregivers and physicians. DISCUSSION: In this trial, we will test the feasibility of an integrated palliative care approach starting when the haematologist decides to propose the last active treatment to the patient, according to his/her clinical judgement. We decided to test this criterion because it is able to intercept a wide range of patients'needs. The feasibility of this approach requires that we enrol at least 60 patients and that more than 50% of them be followed by the palliative care team for at least 24 weeks. The trial will include integrated qualitative data analysis; to give essential information on feasibility and acceptability.

trial registrationClinicalTrials.gov: NCT03743480 (November 16, 2018).

Indexed as

Hematologic NeoplasmsPalliative CareClinical Trials, Phase II as TopicFeasibility StudiesHumansPsychometricsQualitative ResearchSurveys and QuestionnairesTreatment Outcome

Identifiers

PMID32321483
PMCPMC7178743

What OpenQuestion holds

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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.