Evidence map›Paper›PMID 33314743›Full record

ArticleCancer medicine2021

Comparison of the prevalence and associated factors of hyperactive delirium in advanced cancer patients between inpatient palliative care and palliative home care.

Jun Hamano, Masanori Mori, Taketoshi Ozawa, Jun Sasaki, Masanori Kawahara, Asumi Nakamura, Kotaro Hashimoto, Kazuhiro Hisajima, Tomoyuki Koga, Keiji Goto and 11 more

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Prevalence of Delirium in End-of-Life Palliative Care Patients: An Observational Study.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2022
    Observational
  8. 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

21 authors at 18 institutions in 2 countries.

Jun HamanoDivision of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.ORCID 0000-0003-0304-9881
Masanori MoriSeirei Mikatahara General Hospital, Shizuoka, Japan.
Taketoshi OzawaMegumi Zaitaku Clinic, Yokohama, Japan.
Jun SasakiYushoukai Medical Corporation, Tokyo, Japan.
Masanori KawaharaSoshukai Okabe Clinic Sendai, Miyagi, Japan.
Asumi NakamuraHimawari Clinic, Chiba, Japan.
Kotaro HashimotoFukushima Home Palliative Care Clinic, Fukushima, Japan.
Kazuhiro HisajimaDr. GON Kamakura Clinic, Kanagawa, Japan.
Tomoyuki KogaNozominohana Clinic, Chiba, Japan.
Keiji GotoHimawari clinic, Kumamoto, Japan.
Kazuhiko FukumotoIwata Home Care Clinic, Shizuoka, Japan.
Yuri MorimotoMorimoto Clinic, Hyogo, Japan.
Masahiro GoshimaHome care clinic Kobe, Hyofo, Japan.
Go SekimotoSekimoto Clinic, Hyogo, Japan.
Mika BabaDepartment of Palliative Medicine, Suita Tokushukai Hospital, Suita, Japan.
Kiyofumi OyaDepartment of Palliative and Supportive Care, Aso Iizuka Hospital, Fukuoka, Japan.
Ryo MatsunumaDepartment of Palliative Medicine, Kobe University Graduate school of Medicine, Hyogo, Japan.
Yukari AzumaTokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan.
Kengo ImaiSeirei Hospice, Seirei Mikatahara General Hospital, Shizuoka, Japan.
Tatsuya MoritaDepartment of Palliative and Supportive Care, Palliative Care Team, and Seirei Hospice, Seirei Mikatahara General Hospital, Shizuoka, Japan.
Takuya ShinjoShinjo-clinic, Hyogo, Japan.
Seirei Mikatabara General Hospital · JPOno Clinic · JPAso Iizuka Hospital · JPChiba Hospital · JPEstudios Clínicos Latinoamérica · ARFujimoto Dental and Oral Surgery Clinic · JPFukushima University · JPKobe University · JPKumamoto Orthopedic Surgery Hospital · JPMiyagi University · JPSan-ikukai Hospital · JPShinko Hospital · JPShizuoka Sangyo University · JPShonan Kamakura General Hospital · JPSuita Tokushukai Hospital · JPTokyo Institute of Technology · JPTokyo Metropolitan Komagome Hospital · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHyperactive delirium is known to increase family distress and the burden on health care providers. We compared the prevalence and associated factors of agitated delirium in advanced cancer patients between inpatient palliative care and palliative home care on admission and at 3 days before death.

methodsThis was a post hoc exploratory analysis of two multicenter, prospective cohort studies of advanced cancer patients, which were performed at 23 palliative care units (PCUs) between Jan and Dec 2017, and on 45 palliative home care services between July and Dec 2017.

resultsIn total, 2998 patients were enrolled and 2829 were analyzed in this study: 1883 patients in PCUs and 947 patients in palliative home care. The prevalence of agitated delirium between PCUs and palliative home care was 5.2% (95% CI: 4.2% - 6.3%) vs. 1.4% (0.7% - 2.3%) on admission (p < 0.001) and 7.6% (6.4% - 8.9%) vs. 5.4% (4.0% - 7.0%) 3 days before death (p < 0.001). However, multivariate logistic regression analysis revealed that the place of care was not significantly associated with the prevalence of agitated delirium at 3 days before death after adjusting for prognostic factors, physical risk factors, and symptoms.

conclusionsThere was no significant difference in the prevalence of agitated delirium at 3 days before death between inpatient palliative care and palliative home care after adjusting for the patient background, prognostic factors, symptoms, and treatment.

Indexed as

AgedDeliriumFemaleFollow-Up StudiesHome Care ServicesHospitalizationHumansInpatientsJapanMaleNeoplasmsPalliative CarePrevalencePrognosisProspective StudiesRetrospective Studiesadvanced cancer patientshyperactive deliriuminpatient palliative carepalliative home careplace of care

Identifiers

PMID33314743
PMCPMC7897964
OpenAlexW3111686072

What OpenQuestion holds

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LicenceCC BY
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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.