Evidence map›Paper›PMID 34277022›Full record

ArticleNeuro-oncology practice2021

Inpatient palliative care utilization for patients with brain metastases.

Meghan Price, Elizabeth P Howell, Tara Dalton, Luis Ramirez, Claire Howell, Theresa Williamson, Peter E Fecci, Carey K Anders, Devon K Check, Arif H Kamal and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
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  4. 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

11 authors at 2 institutions in 1 country.

Meghan PriceDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
Elizabeth P HowellDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
Tara DaltonDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
Luis RamirezDuke Center for Brain and Spine Metastasis, Duke University Medical Center, Durham, North Carolina, USA.
Claire HowellDuke Cancer Institute, Duke University Medical Center, Durham, North Carolina, USA.
Theresa WilliamsonDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
Peter E FecciDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
Carey K AndersDuke Cancer Institute, Duke University Medical Center, Durham, North Carolina, USA.
Devon K CheckDuke Cancer Institute, Duke University Medical Center, Durham, North Carolina, USA.
Arif H KamalDuke Cancer Institute, Duke University Medical Center, Durham, North Carolina, USA.
C Rory GoodwinDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
Duke Medical Center · USDuke University Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGiven the high symptom burden and complex clinical decision making associated with a diagnosis of brain metastases (BM), specialty palliative care (PC) can meaningfully improve patient quality of life. However, no prior study has formally evaluated patient-specific factors associated with PC consultation among BM patients.

methodsWe examined the rates of PC consults in a cohort of 1303 patients with BM admitted to three tertiary medical centers from October 2015 to December 2018. Patient demographics, surgical status, 30-day readmission, and death data were collected via retrospective chart review. PC utilization was assessed by identifying encounters for which an inpatient consult to PC was placed. Statistical analyses were performed to compare characteristics and outcomes between patients who did and did not receive PC consults.

resultsWe analyzed 1303 patients admitted to the hospital with BM. The average overall rate of inpatient PC consultation was 19.6%. Rates of PC utilization differed significantly by patient race (17.5% in White/Caucasian vs 26.0% in Black/African American patients,

conclusionsIn our dataset, PC consultation rates varied by patient demographic, surgical status, discharging service, and practice setting. Further work is needed to identify the specific barriers to optimally utilizing specialty PC in this population.

Indexed as

brain metastasisinpatientpalliative care

Identifiers

PMID34277022
PMCPMC8278343
OpenAlexW3131984518

What OpenQuestion holds

Textmetadata
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.