Evidence map›Paper›PMID 33476179›Full record

ArticleJCO oncology practice2021

Can Community Health Workers Increase Palliative Care Use for African American Patients? A Pilot Study.

Ramy Sedhom, Richard Nudotor, Karen M Freund, Thomas J Smith, Lisa A Cooper, Jill T Owczarzak, Fabian M Johnston

Open access · bronzeAbstract read
In one paragraph

Article in JCO oncology practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.9field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

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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 at 4 institutions in 1 country.

Ramy SedhomSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD.
Richard NudotorDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Karen M FreundDepartment of Medicine, Tufts University School of Medicine, Boston, MA.
Thomas J SmithPalliative Care Program, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD.
Lisa A CooperDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Jill T OwczarzakDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Fabian M JohnstonDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins University · USJohns Hopkins Medicine · USSidney Kimmel Comprehensive Cancer Center · USTufts University · US

Funding

EPIDEMIOLOGY AND BIOSTATISTICS OF AGINGT32AG000247 · NIA · JOHNS HOPKINS UNIVERSITY · PI Karen J. Bandeen-Roche · 1996 to 2026
$13.2M
Promoting Early Utilization of Palliative Care for African Americans Using Culturally Informed Patient NavigationK08HS024736 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI JOHNSTON, FABIAN M · 2016 to 2020
$738k
AHRQ HHS K08 HS024736NIA NIH HHS T32 AG000247
6 · The paper itself

Abstract

purposeAfrican American patients with cancer underutilize advance care planning (ACP) and palliative care (PC). This feasibility study investigated whether community health workers (CHWs) could improve ACP and PC utilization for African American patients with advanced cancer.

methodsAfrican American patients diagnosed with an advanced solid organ cancer (stage IV or stage III disease with a palliative performance score < 60%) were enrolled. Patients completed baseline surveys that assessed symptom burden and distress at baseline and 3 months post-CHW intervention. The CHW intervention consisted of a comprehensive assessment of multiple PC domains and social determinants of health. CHWs provided tailored support and education on the basis of iterative assessment of patient needs. Intervention feasibility was determined by patient and caregiver retention rate above 50% at 3 months.

resultsOver a 12-month period, 24 patients were screened, of which 21 were deemed eligible. Twelve patients participated in the study. Patient retention was high at 3 months (75%) and 6 months (66%). Following the CHW intervention, symptom assessment as measured by Edmonton Symptom Assessment System improved from 33.8 at baseline to 18.8 (

conclusionUtilization of CHWs to address PC domains and social determinants of health is feasible. Although study enrollment was identified as a potential barrier, most recruited patients were retained on study.

Indexed as

Hospice and Palliative Care NursingPalliative CareBlack or African AmericanCommunity Health WorkersHumansPilot Projects

Identifiers

PMID33476179
PMCPMC8257996
OpenAlexW3125046560

What OpenQuestion holds

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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.