Evidence map›Paper›PMID 34006157›Full record

Trial reportPalliative medicine2021

Lessons from the COVID-19 pandemic for improving outpatient neuropalliative care: A qualitative study of patient and caregiver perspectives.

Zachary A Macchi, Roman Ayele, Megan Dini, Jensine Lamira, Maya Katz, Steven Z Pantilat, Jacqueline Jones, Benzi M Kluger

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Palliative medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03076671 (More Than a Movement Disorder), which is not on this map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
8.4field-weighted citation impact, top 2% 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.

NCT03076671 nacompletednot on this map

More Than a Movement Disorder: Applying Palliative Care to Parkinson's Disease

TypeinterventionalSponsorUniversity of Colorado, DenverRan2017 to 2020Enrolled783ConditionsParkinson Disease, Parkinsonism, Lewy Body Disease, Supranuclear Palsy, ProgressiveArmsPalliative Care
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The Experiences of Informal Carers during the COVID-19 Pandemic: A Qualitative Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. 2024 Alzheimer's disease facts and figures.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  10. Article
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  12. Article
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  15. Review
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  19. Ethical, Legal, Organisational and Social Issues of Teleneurology: A Scoping Review.International journal of environmental research and public health · 2023
    Article
  20. 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

8 authors at 3 institutions in 1 country.

Zachary A MacchiDepartment of Neurology, University of Colorado Anschutz, Aurora, CO, USA.ORCID 0000-0001-8900-9500
Roman AyeleCollege of Nursing, University of Colorado Anschutz, Aurora, CO, USA.
Megan DiniDepartment of Neurology, University of Colorado Anschutz, Aurora, CO, USA.
Jensine LamiraDepartment of Cell & Developmental Biology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Maya KatzDepartment of Neurology, University of California San Francisco, San Francisco, CA, USA.
Steven Z PantilatDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA.
Jacqueline JonesCollege of Nursing, University of Colorado Anschutz, Aurora, CO, USA.
Benzi M KlugerDepartments of Neurology and Medicine, University of Rochester Medical Center, Rochester, NY, USA.
University of Colorado Anschutz Medical Campus · USUniversity of California, San Francisco · USUniversity of Rochester Medical Center · US

Funding

More than a Movement Disorder: Applying Palliative Care to Parkinson's Disease and Lewy Body DementiasR01NR016037 · NINR · UNIVERSITY OF ROCHESTER · PI KLUGER, BENZI M · 2016 to 2025
$6.5M
Multidisciplinary Research Training in Palliative CareT32AG044296 · NIA · UNIVERSITY OF COLORADO DENVER · PI STACY M FISCHER, JEAN S KUTNER · 2014 to 2026
$3.3M
Advancing Palliative Care for Older Adults Affected by Neurodegenerative Disease: Parkinsons disease, Alzheimers disease and Related DementiasK02AG062745 · NIA · UNIVERSITY OF ROCHESTER · PI KLUGER, BENZI M · 2020 to 2024
$711k
NIA NIH HHS K02 AG062745NIA NIH HHS T32 AG044296NINR NIH HHS R01 NR016037
6 · The paper itself

Abstract

backgroundCOVID-19 has impacted persons with serious illness, including those with chronic, neurodegenerative conditions. While there are several reports on COVID-19's impact on inpatient palliative care, literature is limited about the impact on outpatient care which may be more relevant for these patients.

aimTo generate a person-centered description of the impact of COVID-19 from the perspectives of patients living with neurodegenerative disease and caregivers to improve outpatient palliative care delivery.

designThis qualitative study used rapid analysis via matrix design to identify emergent themes related to participant perspectives on the challenges of COVID-19. Data sources included semi-structured interviews, open-ended survey responses, medical record documentation and participant-researcher communications. SETTING/

participantsData was collected from 108 patients with Parkinson's disease, Alzheimer's disease or related disorders and 90 caregivers enrolled in a multicenter, clinical trial of community-based, outpatient palliative care between March 20, 2020 and August 8, 2020 (NCT03076671).

resultsFour main themes emerged: (1) disruptions to delivery of healthcare and other supportive services; (2) increased symptomatic and psychosocial needs; (3) increased caregiver burden; (4) limitations of telecommunications when compared to in-person contact. We observed that these themes interacted and intersected.

conclusionsPatients and caregivers have unmet care needs because of the pandemic, exacerbated by social isolation. While telemedicine has helped improve access to healthcare, patients and caregivers perceive clear limitations compared to in-person services. Changes in society and healthcare delivery in response to COVID-19 highlight ongoing and novel gaps that must be addressed to optimize future outpatient palliative care for neurologic illness.

Indexed as

COVID-19Neurodegenerative DiseasesPalliative CareAmbulatory CareCaregiversHumansOutpatientsPandemicsSARS-CoV-2Alzheimer’s diseaseCOVID-19neuropalliative careParkinson’s disease/Parkinsonismquality of life

Identifiers

PMID34006157
PMCPMC9447864
OpenAlexW3163145523

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.