Evidence map›Paper›PMID 34001099›Full record

ArticleBMC palliative care2021

Factors influencing length of survival in ambulatory palliative care - a cross sectional study based on secondary data.

Johannes Just, Marie-Therese Schmitz, Ulrich Grabenhorst, Thomas Joist, Kirsten Horn, Bettina Engel, Klaus Weckbecker

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 26 citations in OpenAlex.

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  4. Performance Status as an Indicator for Palliative Care Referral.Clinical journal of oncology nursing · 2025
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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.

Johannes JustInstitute of General Practice and Interprofessional Care Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58453, Witten, Germany. johannes.just@uni-wh.de.
Marie-Therese SchmitzDepartment of Medical Biometry, Informatics and Epidemiology (IMBIE), University Hospital Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Germany.
Ulrich GrabenhorstVSTN e.V. (Association of SAPV Teams in North Rhine), Venloer Straße 40, 41751, Viersen, Germany.
Thomas JoistVSTN e.V. (Association of SAPV Teams in North Rhine), Venloer Straße 40, 41751, Viersen, Germany.
Kirsten HornVSTN e.V. (Association of SAPV Teams in North Rhine), Venloer Straße 40, 41751, Viersen, Germany.
Bettina EngelDivision of General Practice, Department of Health Services Research, Carl von Ossietzky University of Oldenburg, 26129, Oldenburg, Germany.
Klaus WeckbeckerInstitute of General Practice and Interprofessional Care Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58453, Witten, Germany.
Metallurgische Verfahrenstechnik (Germany) · DEWitten/Herdecke University · DECarl von Ossietzky Universität Oldenburg · DEInstitut für Medizinische Biometrie, Informatik und Epidemiologie · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuality of life and patient self-determination are key elements in successful palliative care. To achieve these goals, a robust prediction of the remaining survival time is useful as it can provide patients and their relatives with information for individual goal setting including appropriate priorities. The Aim of our study was to assess factors that influence survival after enrollment into ambulatory palliative care.

methodsIn this cross-sectional, multicenter study (n = 14 study centers) clinical records of all palliative care patients who were treated in 2017 were extracted and underwent statistical analysis. The main outcome criterion was the association of survival time with clinical characteristics such as age, type of disease, symptoms and performance status.

resultsA total of 6282 cases were evaluated. Median time of survival was 26 days (95 % CI: 25-27 days). The strongest association for an increased hazard ratio was found for the following characteristics: moderate/severe weakness (aHR: 1.91; 95 % CI: 1.27-2.86) Karnofsky score 10-30 (aHR: 1.80; 95 % CI: 1.67-1.95), and age > 85 (aHR: 1.50; 95 % CI: 1.37-1.64). Surprisingly, type of disease (cancer vs. non-cancer) was not associated with a change in survival time (aHR: 1.03; 95 % CI: 0.96-1.10).

conclusionsIn this cross-sectional study, the most relevant predictor for a short survival time in specialized ambulatory palliative care was the performance status while type of disease was irrelevant to survival.

Indexed as

NeoplasmsPalliative CareCross-Sectional StudiesHumansKarnofsky Performance StatusQuality of LifeAmbulatory Carenon-cancer diseasePalliative CareSurvival

Identifiers

PMID34001099
PMCPMC8130350
OpenAlexW3162368736

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.