Evidence map›Paper›PMID 34035634›Full record

ArticleIndian journal of palliative care

Preparedness and Capacity of Indian Palliative Care Services to Respond to the COVID-19 Pandemic: An Online Rapid Assessment Survey.

Cheng-Pei Lin, Sabah Boufkhed, Asha Albuquerque Pai, Eve Namisango, Emmanuel Luyirika, Katherine E Sleeman, Massimo Costantini, Carlo Peruselli, Irene J Higginson, Maria L Ekstrand and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of palliative care. 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
2.0field-weighted citation impact, top 15% 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, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Life before Death in India: A Narrative Review.Indian journal of palliative care
    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

13 authors at 7 institutions in 6 countries.

Cheng-Pei LinFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Cicely Saunders Institute, King's College London, London, UK.
Sabah BoufkhedFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Cicely Saunders Institute, King's College London, London, UK.
Asha Albuquerque PaiDepartment of Palliative Medicine and Supportive Care, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Eve NamisangoAfrican Palliative Care Association, Kampala, Uganda.
Emmanuel LuyirikaAfrican Palliative Care Association, Kampala, Uganda.
Katherine E SleemanFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Cicely Saunders Institute, King's College London, London, UK.
Massimo CostantiniAzienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Carlo PeruselliSocietà Italiana di Cure Palliative (Italian Society of Palliative Care), MI, Italy.
Irene J HigginsonFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Cicely Saunders Institute, King's College London, London, UK.
Maria L EkstrandDepartment of Medicine, Division of Prevention Science, University of California, San Francisco, USA.
Richard HardingFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Cicely Saunders Institute, King's College London, London, UK.
Naveen SalinsDepartment of Palliative Medicine and Supportive Care, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Sushma BhatnagarDepartment of Oncoanesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.
Cicely Saunders International · GBAfrican Palliative Care Association · UGKasturba Medical College, Manipal · INKing's College London · GBAll India Institute of Medical Sciences · INIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of California, San Francisco · US

Funding

Stigma as a barrier to cancer palliative care outcomes among people with HIV in IndiaR21CA235808 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EKSTRAND, MARIA L., SALINS, NAVEEN · 2018 to 2019
$326k
Medical Research Council MR/V012908/1NCI NIH HHS R21 CA235808
6 · The paper itself

Abstract

backgroundCOVID-19 has been causing a high burden of suffering for patients and families. There is limited evidence on the preparedness of Indian palliative care services for the pandemic.

aimThis study aimed to assess the preparedness and capacity of Indian palliative care services in response to the COVID-19 pandemic.

methodsA cross-sectional online survey was developed based on prior evidence and international health regulations. It was emailed to the Indian Palliative Care Association members and investigators' professional networks in India. One participant per palliative care service was requested. Descriptive analysis was used.

resultsRepresentatives of 78 palliative care services completed the survey. Three in four services had COVID-19 case definition and adapted their protocols for infection control (75%). About half of the services (55%) reported concerns about achieving appropriate hand hygiene in the community. More than half of the services (59%) had capacity to train nonspecialists for symptom control and psychological support. About half of the services reported that they had plans to redeploy staff (56%) and resources (53%) in the case of outbreaks. Two-fifths of the services used paper records to store an updated contact list of staff (40%) and did not have designated focal contacts for information update (40%). Staff anxiety related to personal infection risk and family care was relatively high (median score = 7 on a 1-10 scale).

conclusionWe recommend the following resource allocation to enable palliative care services to support the Indian health system in delivering essential care in this and future pandemics: (1) infection control, especially in the community; (2) training using existing clinical protocols to strengthen palliative care across the health system; and (3) redeployment plans.

Indexed as

COVID-19Indiapalliative carepandemicpreparedness

Identifiers

PMID34035634
PMCPMC8121233
OpenAlexW3129994220

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.