Evidence map›Paper›PMID 32675211›Full record

GuidelineThe European respiratory journal2020

COVID-19: guidance on palliative care from a European Respiratory Society international task force.

Daisy J A Janssen, Magnus Ekström, David C Currow, Miriam J Johnson, Matthew Maddocks, Anita K Simonds, Thomy Tonia, Kristoffer Marsaa

Abstract readPractice Guideline
In one paragraph

Guideline in The European respiratory journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Observational
  16. Article
  17. Article
  18. COVID-19, Suffering and Palliative Care: A Review.The American journal of hospice & palliative care · 2022
    Review
  19. Article
  20. Article
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

8 authors.

Daisy J A JanssenDept of Research and Development, CIRO, Horn, The Netherlands daisyjanssen@ciro-horn.nl.ORCID 0000-0002-1827-9869
Magnus EkströmFaculty of Medicine, Dept of Clinical Sciences Lund, Respiratory Medicine and Allergology, Lund University, Lund, Sweden.ORCID 0000-0002-7227-5113
David C CurrowIMPACCT, Faculty of Health, University of Technology Sydney, Ultimo, Sydney, Australia.
Miriam J JohnsonWolfson Palliative Care Research Centre, University of Hull, Hull, UK.
Matthew MaddocksCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Anita K SimondsSleep and Ventilation Unit, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
Thomy ToniaInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Kristoffer MarsaaPalliative Unit, Herlev and Gentofte Hospital, Copenhagen, Denmark.

Funding

British Heart Foundation CS/13/2/30584
6 · The paper itself

Abstract

backgroundMany people are dying from coronavirus disease 2019 (COVID-19), but consensus guidance on palliative care in COVID-19 is lacking. This new life-threatening disease has put healthcare systems under pressure, with the increased need of palliative care provided to many patients by clinicians who have limited prior experience in this field. Therefore, we aimed to make consensus recommendations for palliative care for patients with COVID-19 using the Convergence of Opinion on Recommendations and Evidence (CORE) process.

methodsWe invited 90 international experts to complete an online survey including stating their agreement, or not, with 14 potential recommendations. At least 70% agreement on directionality was needed to provide consensus recommendations. If consensus was not achieved on the first round, a second round was conducted.

results68 (75.6%) experts responded in the first round. Most participants were experts in palliative care, respiratory medicine or critical care medicine. In the first round, consensus was achieved on 13 recommendations based upon indirect evidence and clinical experience. In the second round, 58 (85.3%) out of 68 of the first-round experts responded, resulting in consensus for the 14th recommendation.

conclusionThis multi-national task force provides consensus recommendations for palliative care for patients with COVID-19 concerning: advance care planning; (pharmacological) palliative treatment of breathlessness; clinician-patient communication; remote clinician-family communication; palliative care involvement in patients with serious COVID-19; spiritual care; psychosocial care; and bereavement care. Future studies are needed to generate empirical evidence for these recommendations.

Indexed as

Coronavirus InfectionsPalliative CarePandemicsPneumonia, ViralPsychosocial Support SystemsAdvance Care PlanningAdvisory CommitteesBetacoronavirusConsensusCOVID-19EuropeHumansRespiratory TherapySARS-CoV-2Severity of Illness Index

Identifiers

PMID32675211
PMCPMC7366176

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.