SynthesisPalliative medicine2021
Effectiveness and implementation of palliative care interventions for patients with chronic obstructive pulmonary disease: A systematic review.
Synthesis in Palliative medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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.
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.
Who cites it
20 citing papers in PubMed.
- The effect of an integrated palliative care intervention on quality of life and acute healthcare use in patients with COPD: Results of the COMPASSION cluster randomized controlled trial.Palliative medicine · 2023Trial
- Signs and symptoms indicating the transition to the palliative phase in patients with COPD and heart failure in primary healthcare: a mixed-methods study.BMC palliative care · 2026Article
- Healthcare professionals' challenges and solutions in providing palliative care to patients with severe chronic obstructive pulmonary disease.Journal of global health · 2026Article
- Patient-Caregiver Dyads in Severe and Advanced COPD: Relationships, Caregiving Burden, and Intervention Support: A Narrative Review.International journal of chronic obstructive pulmonary disease · 2026Review
- Healthcare professionals' perspectives on implementing the Swedish palliative care guide in geriatrics - a qualitative study using small-group and individual interviews.BMC geriatrics · 2025Article
- Cough and dyspnea management in pulmonary fibrosis.Current opinion in supportive and palliative care · 2025Review
- A joint hospital initiative to strengthen general palliative care in the hospital: an action research study on challenges and facilitators.BMC palliative care · 2025Article
- A study on the intervention of eight-section brocade exercises in combination with comprehensive measures on the physical function status of patients with chronic obstructive pulmonary disease.Clinics (Sao Paulo, Brazil) · 2025Article
- Patient Perceptions on the Role of Informal Caregiver Support in Managing Advanced COPD.Journal of patient experience · 2025Article
- Differences in the palliative care phase between patients with nonmalignant pulmonary disease and lung cancer: a retrospective study.BMC palliative care · 2024Article
- Feasibility of a new transmural care pathway for advance care planning for older persons: A qualitative study into community care registered nurses' perspectives.International journal of nursing studies advances · 2024Article
- Using a Patient-Reported Outcome Measure to Assess Physical, Psychosocial, and Existential Issues in COPD.Journal of clinical medicine · 2024Article
- Early Palliative Care in the Emergency Department: A Concept Clarification.Journal of caring sciences · 2024Article
- Community-Based Interventions in People with Palliative Care Needs: An Integrative Review of Studies from 2017 to 2022.Healthcare (Basel, Switzerland) · 2024Review
- Pain prevalence and pain relief in end-of-life care - a national registry study.BMC palliative care · 2024Article
- Individual Socioeconomic Factors Have a Greater Impact on End-of-Life Care Outcomes Than Regional Factors.Journal of palliative medicine · 2024Article
- Social determinants of advanced chronic respiratory interventions: a scoping review.European respiratory review : an official journal of the European Respiratory Society · 2023Article
- Increased patient satisfaction by integration of palliative care into geriatrics-A prospective cohort study.PloS one · 2023Article
- Implementation of a palliative care intervention for patients with COPD - a mixed methods process evaluation of the COMPASSION study.BMC palliative care · 2022Article
- Early, integrated palliative care for people with chronic respiratory disease: lessons learnt from lung cancer.Therapeutic advances in respiratory diseaseReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough guidelines recommend palliative care for patients with chronic obstructive pulmonary disease, there is little evidence for the effectiveness of palliative care interventions for this patient group specifically.
aimTo describe the characteristics of palliative care interventions for patients with COPD and their informal caregivers and review the available evidence on effectiveness and implementation outcomes.
designSystematic review and narrative synthesis (PROSPERO CRD42017079962). DATA SOURCES: Seven databases were searched for articles reporting on multi-component palliative care interventions for study populations containing ⩾30% patients with COPD. Quantitative as well as qualitative and mixed-method studies were included. Intervention characteristics, effect outcomes, implementation outcomes and barriers and facilitators for successful implementation were extracted and synthesized qualitatively.
resultsThirty-one articles reporting on twenty unique interventions were included. Only four interventions (20%) were evaluated in an adequately powered controlled trial. Most interventions comprised of longitudinal palliative care, including care coordination and comprehensive needs assessments. Results on effectiveness were mixed and inconclusive. The feasibility level varied and was context-dependent. Acceptability of the interventions was high; having someone to call for support and education about breathlessness were most valued characteristics. Most frequently named barriers were uncertainty about the timing of referral due to the unpredictable disease trajectory (referrers), time availability (providers) and accessibility (patients).
conclusionLittle high-quality evidence is yet available on the effectiveness and implementation of palliative care interventions for patients with COPD. There is a need for well-conducted effectiveness studies and adequate process evaluations using standardized methodologies to create higher-level evidence and inform successful implementation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.