Evidence map›Paper›PMID 33380163›Full record

ArticleThe American journal of hospice & palliative care2021

Added Value of Early Consultation of an Inpatient Palliative Care Team in Hospitalized Older Patients With High Symptom Burden: A Prospective Comparative Study.

Myrthe W Naaktgeboren, Fabienne J H Magdelijns, Daisy J A Janssen, Marieke H J van den Beuken-van Everdingen

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 2 institutions in 1 country.

Myrthe W NaaktgeborenCentre of Expertise in Palliative Care, 199236Maastricht University Medical Centre (MUMC+), Maastricht, the Netherlands.
Fabienne J H MagdelijnsDepartment of Internal Medicine, 199236Maastricht University Medical Centre (MUMC+), Maastricht University, Maastricht, the Netherlands.
Daisy J A JanssenCIRO, Centre of Expertise for Chronic Organ Failure, Horn, the Netherlands.
Marieke H J van den Beuken-van EverdingenCentre of Expertise in Palliative Care, 199236Maastricht University Medical Centre (MUMC+), Maastricht, the Netherlands.ORCID https://orcid.org/0000-0002-2446-2862
Maastricht University Medical Centre · NLMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is estimated that in 2050 one quarter of the population in Europe will be aged 65 years and older. Although the added value of a palliative care team is emphasized in the literature, the impact of the palliative care team on the symptom burden in older non-cancer patients is not yet well established.

objectivesTo structurally measure symptoms and to investigate whether proactive consultation with a palliative care team results in improvement of symptoms.

designThis study has a prospective comparative design. SETTING/

participantsOlder patients, admitted to a Dutch University Medical Centre for who a health care professional had a negative response to the Surprise Question, were selected. MEASUREMENTS,

resultsIn period one, 59 patients completed the Utrecht Symptom Diary (USD) at day one of admission and after 7 days. In period 2 (n = 60), the same procedure was followed; additionally, the palliative care team was consulted for patients with high USD-scores. Significant improvement on the USD Total Distress Score (TSDS) was observed in both groups without a difference between the 2 periods. This study showed an association between consultation of the palliative care team and improvement on USD TSDS (adjusted odds ratio: 4.9; 95% confidence interval: 1.816-13.198), despite low follow-up rate of advices (approximately 50%).

conclusionsThis study emphasizes the importance of creating awareness for consulting the palliative care team. Further research should focus on assessing the reason behind the low follow-up rate of the advice given and understanding the specific advices contributing to symptom improvement.

Indexed as

InpatientsPalliative CareAgedHospitalizationHumansProspective StudiesReferral and Consultationcomparative effectiveness researchconsultationelderlypalliative careterminal care

Identifiers

PMID33380163
PMCPMC8377279
OpenAlexW3115369675

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.