Evidence map›Paper›PMID 32544648›Full record

ArticleJournal of pain and symptom management2020

The Creation of a Psychiatry-Palliative Care Liaison Team: Using Psychiatrists to Extend Palliative Care Delivery and Access During the COVID-19 Crisis.

Daniel Shalev, Shunichi Nakagawa, Oliver M Stroeh, Melissa R Arbuckle, Rebecca Rendleman, Craig D Blinderman, Peter A Shapiro

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. The Early Impacts of the COVID-19 Pandemic on Mental Health Facilities and Psychiatric Professionals.International journal of environmental research and public health · 2021
    Pooled it
  2. Postgraduate Psychiatric Education During the COVID-19 Pandemic: A Scoping Review.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
    Article
  3. Palliative Care Training for Geriatric Psychiatry Fellows: A National Survey Project.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022
    Article
  4. Article
  5. Article
  6. Kansas Needs Psychiatric Subspecialists.Kansas journal of medicine · 2022
    Article
  7. Article
  8. Article
  9. On Redeployment to Palliative Care.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

7 authors.

Daniel ShalevDepartment of Psychiatry, Columbia University Irving Medical Center and New York State Psychiatric Institute, New York, New York, USA. Electronic address: ds3372@cumc.columbia.edu.
Shunichi NakagawaDepartment of Medicine, Adult Palliative Care Service, Columbia University Irving Medical Center, New York, New York, USA.
Oliver M StroehDepartment of Psychiatry, Columbia University Irving Medical Center and New York State Psychiatric Institute, New York, New York, USA.
Melissa R ArbuckleDepartment of Psychiatry, Columbia University Irving Medical Center and New York State Psychiatric Institute, New York, New York, USA.
Rebecca RendlemanDepartment of Psychiatry, Weill Cornell Medicine, New York, New York, USA.
Craig D BlindermanDepartment of Medicine, Adult Palliative Care Service, Columbia University Irving Medical Center, New York, New York, USA.
Peter A ShapiroDepartment of Psychiatry, Columbia University Irving Medical Center and New York State Psychiatric Institute, New York, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextDuring the course of March and April 2020, New York City experienced a surge of a 170,000 coronavirus disease 2019 (COVID-19) cases, overwhelming hospital systems and leading to an unprecedented need for palliative care services.

objectivesTo present a model for rapid palliative care workforce expansion under crisis conditions, using supervised advanced psychiatry trainees to provide primary palliative services in the acute care and emergency setting.

methodsIn response to the New York City COVID-19 surge, advanced psychiatry trainees at New York-Presbyterian Columbia University Irving Medical Center were rapidly trained and redeployed to a newly formed psychiatry-palliative care liaison team. Under the supervision of consultation-liaison psychiatrists (who also served as team coordinators), these trainees provided circumscribed palliative care services to patients and/or their families, including goals-of-care discussions and psychosocial support. Palliative care attendings remained available to all team members for more advanced and specialized supervision.

resultsThe psychiatry-palliative care liaison team effectively provided palliative care services during the early phase and peak of New York City's COVID-19 crisis, managing up to 16 new cases per day and provided longitudinal follow-up, thereby enabling palliative care specialists to focus on providing services requiring specialist-level palliative care expertise.

conclusionBy training and supervising psychiatrists and advanced psychiatry trainees in specific palliative care roles, palliative care teams could more effectively meet markedly increased service needs of varying complexity during the COVID-19 crisis. As new geographic regions experience possible COVID-19 surges in the coming months, this may serve as a model for rapidly increasing palliative care workforce.

Indexed as

BetacoronavirusCoronavirus InfectionsCOVID-19Delivery of Health CareHumansPalliative CarePandemicsPatient Care TeamPneumonia, ViralPsychiatryPsychotherapySARS-CoV-2COVID-19primary palliative carepsychiatryworkforce

Identifiers

PMID32544648
PMCPMC7293533

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.