Evidence map›Paper›PMID 32348711›Full record

ArticlePalliative medicine2020

Response and role of palliative care during the COVID-19 pandemic: A national telephone survey of hospices in Italy.

Massimo Costantini, Katherine E Sleeman, Carlo Peruselli, Irene J Higginson

Open access · hybridAbstract read
In one paragraph

Article in Palliative medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 4 pooled it
28.8field-weighted citation impact, top 1% 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

59 citing papers in PubMed, 4 syntheses or guidelines pooled it, 167 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

4 authors at 3 institutions in 2 countries.

Massimo CostantiniAzienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0002-5293-7079
Katherine E SleemanCicely Saunders Institute, King's College London, London, UK.ORCID 0000-0002-9777-4373
Carlo PeruselliItalian Society of Palliative Care (SICP), Milan, Italy.
Irene J HigginsonCicely Saunders Institute, King's College London, London, UK.ORCID 0000-0002-3687-1313
King's College London · GBAzienda Sanitaria Unità Locale di Reggio Emilia · ITItalian Society of Physiotherapy · IT

Funding

Medical Research Council MR/V012908/1
6 · The paper itself

Abstract

backgroundPalliative care is an important component of health care in pandemics, contributing to symptom control, psychological support, and supporting triage and complex decision making.

aimTo examine preparedness for, and impact of, the COVID-19 pandemic on hospices in Italy to inform the response in other countries.

designCross-sectional telephone survey, in March 2020.

settingItalian hospices, purposively sampled according to COVID-19 regional prevalence categorised as high (>25), medium (15-25) and low prevalence (<15) COVID-19 cases per 100,000 inhabitants. A brief questionnaire was developed to guide the interviews. Analysis was descriptive.

resultsSeven high, five medium and four low prevalence hospices provided data. Two high prevalence hospices had experienced COVID-19 cases among both patients and staff. All hospices had implemented policy changes, and several had rapidly implemented changes in practice including transfer of staff from inpatient to community settings, change in admission criteria and daily telephone support for families. Concerns included scarcity of personal protective equipment, a lack of hospice-specific guidance on COVID-19, anxiety about needing to care for children and other relatives, and poor integration of palliative care in the acute planning response.

conclusionThe hospice sector is capable of responding flexibly and rapidly to the COVID-19 pandemic. Governments must urgently recognise the essential contribution of hospice and palliative care to the COVID-19 pandemic and ensure these services are integrated into the health care system response. Availability of personal protective equipment and setting-specific guidance is essential. Hospices may also need to be proactive in connecting with the acute pandemic response.

Indexed as

PandemicsProfessional RoleAdultBetacoronavirusCoronavirus InfectionsCOVID-19Cross-Sectional StudiesFemaleHealth PersonnelHospicesHumansItalyMaleMiddle AgedPalliative CarePneumonia, ViralCOVID-19epidemicshealth care surveyshospice carehospicespalliative care end-of-life carepandemicssevere acute respiratory syndrome coronavirus 2

Identifiers

PMID32348711
PMCPMC7218350
OpenAlexW3017994323

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.