Evidence map›Paper›PMID 32833987›Full record

ArticlePloS one2020

Palliative care in Mozambique: Physicians' knowledge, attitudes and practices.

Emilia Pinto, Gustavo Marcos, Camila Walters, Ferraz Gonçalves, Jahit Sacarlal, Luisa Castro, Guilhermina Rego

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

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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

7 authors.

Emilia PintoSchool of Medicine, Porto University, Porto, Portugal.ORCID 0000-0001-8286-9014
Gustavo MarcosAnesthesiology Department, Maputo Central Hospital, Maputo, Mozambique.
Camila WaltersAnesthesiology Department, Vanderbilt University, Nashville, Tennessee, United States of America.ORCID 0000-0001-7131-3088
Ferraz GonçalvesSchool of Medicine, Porto University, Porto, Portugal.
Jahit SacarlalSchool of Medicine, Universidade Eduardo Mondlane, Maputo, Mozambique.ORCID 0000-0003-1059-217X
Luisa CastroCenter for Health Technology and Services Research (CINTESIS), University of Porto, Porto, Portugal.
Guilhermina RegoSchool of Medicine, Porto University, Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPalliative care is an essential part of medical practice but it remains limited, inaccessible, or even absent in low and middle income countries.

objectivesTo evaluate the general knowledge, attitudes, and practices of Mozambican physicians on palliative care.

methodsA cross-sectional observational study was conducted between August 2018 and January 2019 in the 3 main hospitals of Mozambique, in addition to the only hospital with a standalone palliative care service. Data was collected from a self-administered survey directed to physicians in services with oncology patients.

resultsTwo hundred and seven out of 306 physicians surveyed answered the questionnaire. The median physician age was 38 years. Fifty-five percent were males, and 49.8% residents. The most common medical specialty was surgery with 26.1%. Eighty percent of physicians answered that palliative care should be provided to patients when no curative treatments are available; 87% believed that early integration of palliative care can improve patients' quality of life; 73% regularly inform patients of a cancer diagnosis; 60% prefer to inform the diagnosis and prognosis to the family/caregivers. Fifty percent knew what a "do-not-resuscitate" order is, and 51% knew what palliative sedation is. Only 25% of the participants answered correctly all questions on palliative care general knowledge, and only 24% of the participants knew all answers about euthanasia.

conclusionsMozambican physicians in the main hospitals of Mozambique have cursory knowledge about palliative care. Paternalism and the family-centered model are the most prevalent. More interventions and training of professionals are needed to improve palliative care knowledge and practice in the country.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedMozambiquePalliative CareSurveys and Questionnaires

Identifiers

PMID32833987
PMCPMC7446778

What OpenQuestion holds

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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.