Evidence map›Paper›PMID 32964286›Full record

ArticleDigestive diseases and sciences2021

Burdensome Transitions of Care for Patients with End-Stage Liver Disease and Their Caregivers.

Nneka N Ufere, John Donlan, Teresa Indriolo, James Richter, Ryan Thompson, Vicki Jackson, Angelo Volandes, Raymond T Chung, Lara Traeger, Areej El-Jawahri

Abstract read
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Article in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Trial
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  3. Article
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  6. Article
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  9. Consider hospice in end-stage liver disease prognostic scale to open discussions regarding six-month mortality.JGH open : an open access journal of gastroenterology and hepatology · 2023
    Article
  10. Article
  11. Review
  12. Article
  13. The Impact of Social Workers in Cirrhosis Care: a Systematic Review.Current treatment options in gastroenterology · 2022
    Review
  14. Article
  15. 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

10 authors.

Nneka N UfereLiver Center, Gastrointestinal Division, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA, 02114, USA. nneka.ufere@mgh.harvard.edu.ORCID http://orcid.org/0000-0001-8255-9374
John DonlanLiver Center, Gastrointestinal Division, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA, 02114, USA.
Teresa IndrioloLiver Center, Gastrointestinal Division, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA, 02114, USA.
James RichterLiver Center, Gastrointestinal Division, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA, 02114, USA.
Ryan ThompsonDepartment of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Vicki JacksonDivision of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Angelo VolandesSection of General Internal Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Raymond T ChungLiver Center, Gastrointestinal Division, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA, 02114, USA.
Lara Traeger *Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Areej El-Jawahri *Division of Hematology and Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Funding

NIDDK NIH HHS L30 DK126237
6 · The paper itself

Abstract

backgroundPatients with end-stage liver disease (ESLD) experience frequent readmissions; however, studies focused on patients' and caregivers' perceptions of their transitional care experiences to identify root causes of burdensome transitions of care are lacking.

aimTo explore the transitional care experiences of patients with ESLD and their caregivers in order to identify their supportive care needs.

methodsWe conducted interviews with 15 patients with ESLD and 14 informal caregivers. We used semi-structured interview guides to explore their experiences since the diagnosis of ESLD including their care transitions. Two raters coded interviews independently (κ = 0.95) using template analysis.

resultsParticipants reported feeling unprepared to manage their informational, psychosocial, and practical care needs as they transitioned from hospital to home after the diagnosis of ESLD. Delay in the timely receipt of supportive care services addressing these care needs resulted in hospital readmissions, emotional distress, caregiver burnout, reduced work capacity, and financial hardship. Participants shared the following resources that they perceived would improve their quality of care: (1) discharge checklist, (2) online resources, (3) mental health support, (4) caregiver support and training, and (5) financial navigation.

conclusionTransitional care models that attend to the informational, psychosocial, and practical domains of care are needed to better support patients with ESLD and their caregivers at the time of diagnosis and beyond. Without attending to the multidimensional care needs of newly diagnosed patients with ESLD and their caregivers, they are at risk of burdensome transitions of care, high healthcare utilization, and poor health-related quality of life.

Indexed as

Caregiver BurdenEnd Stage Liver DiseaseInformation LiteracyPatient ReadmissionPsychiatric RehabilitationTransitional CareCaregiversContinuity of Patient CareEfficiencyFemaleFinancial StressHumansMaleMedical OveruseMiddle AgedNeeds AssessmentCaregiversCirrhosisQualitative researchSupportive careTransitions of care

Identifiers

What OpenQuestion holds

Textmetadata
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Registered trials

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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.