Evidence map›Paper›PMID 32384215›Full record

ArticlePediatric pulmonology2020

Palliative care skills in CF: Perspectives of adults with CF, caregivers, and CF care team members.

Elizabeth T Trandel, Dio Kavalieratos, Melissa Basile, Mara R Hobler, Anna M Georgiopoulos, Elaine Chen, Jessica L Goggin, Christopher H Goss, Sarah E Hempstead, Albert Faro and 1 more

Open access · greenAbstract read
In one paragraph

Article in Pediatric pulmonology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.6field-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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Guideline
  2. Symptoms and quality of life in adults with cystic fibrosis: A cross-sectional analysis of the InSPIRe:CF trial.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2024
    Article
  3. Clinician perspectives on barriers and solutions to symptom management in cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2023
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 1 country.

Elizabeth T TrandelSchool of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0001-6060-340X
Dio KavalieratosDepartment of Family and Preventive Medicine, Division of Palliative Medicine, Emory University, Atlanta, Georgia.
Melissa BasileCenter for Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York.
Mara R HoblerDepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, Washington.
Anna M GeorgiopoulosDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-0924-4031
Elaine ChenDepartment of Internal Medicine, Pulmonary, Critical Care, and Palliative Medicine, Rush University Medical Center, Chicago, Illinois.
Jessica L GogginDivision of Pulmonary, Critical Care, and Sleep Medicine, University of California San Diego, San Diego, California.ORCID 0000-0002-7074-2769
Christopher H GossDepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, Washington.
Sarah E HempsteadCystic Fibrosis Foundation, Bethesda, Maryland.
Albert FaroCystic Fibrosis Foundation, Bethesda, Maryland.
Elisabeth P DellonDepartment of Pediatrics, Division of Pulmonology, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0003-3794-6329
Cystic Fibrosis Foundation · USUniversity of Washington · USEmory University · USMassachusetts General Hospital · USNorthwell Health · USRush University Medical Center · USUniversity of California System · USUniversity of North Carolina at Chapel Hill · USUniversity of Pittsburgh · US

Funding

Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss · 2010 to 2026
$21.4M
Proof of Principle Evaluation of IV Gallium Nitrate in Patients with CFUM1HL119073 · NHLBI · UNIVERSITY OF WASHINGTON · PI GOSS, CHRISTOPHER HOOPER, SINGH, PRADEEP K · 2013 to 2017
$4.8M
INTEGRATING PALLIATIVE CARE WITH DISEASE MANAGEMENT TO IMPROVE OUTCOMES AMONG PATIENTS WITH ADVANCED HEART FAILURE: INTERVENTIONAL RESEARCH CAREER DEVELOPMENTK01HL133466 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAVALIERATOS, DIONYSIOS · 2016 to 2019
$527k
NCATS NIH HHS L30 TR001226NHLBI NIH HHS K01 HL133466NHLBI NIH HHS K01HL133466NHLBI NIH HHS UM1 HL119073NIDDK NIH HHS P30 DK089507
6 · The paper itself

Abstract

backgroundThe role of cystic fibrosis (CF) care team members in delivering palliative care (PC) remains undefined. We aimed to understand the PC skills of CF care teams.

methodsCF care team members ("clinicians"), adults with CF ("patients"), and family caregivers ("caregivers") rated the ability of CF clinicians to provide aspects of PC using a five-point scale ("poor" to "excellent"). Median ratings were compared between groups.

resultsA total of 70 patients, 100 caregivers, and 350 clinicians participated. Clinicians consistently rated their PC skills higher than patients or caregivers rated them, particularly for advanced PC skills. While clinicians, patients, and caregivers rated clinicians as "very good" at basic pain assessment and "good" at discussing prognostic uncertainty, clinicians rated themselves more highly at providing most skills, including simultaneous PC and standard CF care (P < .0001), basic depression assessment (P < .001), and discussing transplant, advance directives, end of life, code status, and hospice (all P < .0001). Respondents affiliated with adult CF care teams rated clinicians more highly than respondents affiliated with pediatric CF care teams at discussing lung transplant (P < .001), end of life (P = .006), advance directives (P < .001), code status (P = .012), and hospice (P = .016). Most patients (69%) and caregivers (60%) felt CF clinicians should receive more PC training.

conclusionsDiscrepancies exist among patient/caregiver and clinician perceptions of PC skills in CF, and skills of adult and pediatric teams may differ. Patients and caregivers feel clinicians' more advanced PC skills are lacking. CF clinicians may benefit from PC training to enhance skills and to understand how and when to utilize specialty PC services.

Indexed as

Clinical CompetencePalliative CareAdultCaregiversChildCystic FibrosisHumansPhysiciansSurveys and Questionnairescystic fibrosispalliative caresocial dimensions of pulmonary medicine

Identifiers

PMID32384215
PMCPMC8597706
OpenAlexW3021784654

What OpenQuestion holds

Textmetadata
LicenceTDM
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.