Evidence map›Paper›PMID 33965406›Full record

ArticleJournal of the American Medical Directors Association2021

Availability of Palliative Care in Long-Term Acute Care Hospitals.

Nathan Sumarsono, Rebecca L Sudore, Alexander K Smith, Steven Z Pantilat, Wendy G Anderson, Anil N Makam

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Medical Directors Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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

6 authors at 4 institutions in 1 country.

Nathan SumarsonoUniversity of Texas Southwestern School of Medicine, Dallas, TX, USA.
Rebecca L SudoreDivision of Geriatrics, University of California, San Francisco, CA, USA; San Francisco Veterans Affairs Health Care System, San Francisco, CA, USA.
Alexander K SmithDivision of Geriatrics, University of California, San Francisco, CA, USA; San Francisco Veterans Affairs Health Care System, San Francisco, CA, USA.
Steven Z PantilatDivision of Palliative Medicine, University of California, San Francisco, CA, USA.
Wendy G AndersonDivision of Hospital Medicine, San Francisco General Hospital, University of California, San Francisco, CA, USA; Supportive and Palliative Care Program, San Francisco General Hospital, University of California, San Francisco, CA, USA.
Anil N MakamDivision of Hospital Medicine, San Francisco General Hospital, University of California, San Francisco, CA, USA; Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, CA, USA. Electronic address: anil.makam@ucsf.edu.
San Francisco General Hospital · USSan Francisco VA Medical Center · USThe University of Texas Southwestern Medical Center · USUniversity of California, San Francisco · US

Funding

Mentoring Researchers in Advance Care Planning for Underrepresented Older Adults at Risk for Alzheimer’s Disease and Related Dementias and Their CaregiversK24AG054415 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI REBECCA L SUDORE · 2017 to 2026
$1.7M
Mentoring Researchers in Prognosis Research in Alzheimer’s Disease and Related DementiasK24AG068312 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 2020 to 2026
$1.2M
Post-Acute Care in the Elderly: the Role of Long-Term Acute Care HospitalsK23AG052603 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI MAKAM, ANIL NAGA · 2016 to 2021
$1.1M
NIA NIH HHS K23 AG052603NIA NIH HHS K24 AG054415NIA NIH HHS K24 AG068312
6 · The paper itself

Abstract

objectiveTo determine the availability of palliative care programs in long-term acute care hospitals (LTACHs)

designCross-sectional analysis using the 2016 American Hospital Association (AHA) Annual Survey. SETTING AND

participantsLTACHs in the United States.

methodWe used descriptive analyses to compare the prevalence of palliative care programs in LTACHs across the United States in 2016. For LTACHs without a program, we also examined palliative care physician capacity in regions where those LTACHs resided to evaluate if expertise existed in those regions.

resultsOne-third (36.5%) of 405 LTACHs (50.6% response rate) self-reported having a palliative care program. Among LTACHs without palliative care, 42.4% were in regions with the highest palliative care physician capacity nationwide. CONCLUSIONS AND IMPLICATIONS: LTACHs care for patients with serious and prolonged illnesses, many of whom would benefit from palliative care. Despite this, our study finds that specialty palliative care is limited in LTACHs. The limited palliative care availability in LTACHs is mismatched with the needs of this seriously ill population. Greater focus on increasing palliative care in LTACHs is essential and may be feasible as 40% of LTACHs without a palliative care program were located in regions with the highest palliative care physician capacity.

Indexed as

HospitalsPalliative CareCross-Sectional StudiesHealth FacilitiesHumansLong-Term CareUnited Stateshealth policyhealth servicesLong-term acute careLTACHpalliative care

Identifiers

PMID33965406
PMCPMC10186213
OpenAlexW3159166005

What OpenQuestion holds

Textmetadata
LicenceTDM
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.