Evidence map›Paper›PMID 34406856›Full record

Trial reportJCO global oncology2021

mPalliative Care Link: Examination of a Mobile Solution to Palliative Care Coordination Among Tanzanian Patients With Cancer.

Mamsau Ngoma, Beatrice Mushi, Robert S Morse, Twalib Ngoma, Habiba Mahuna, Kaley Lambden, Erin Quinn, Sarah B Sagan, Yun Xian Ho, F Lee Lucas and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JCO global oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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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

12 authors at 4 institutions in 2 countries.

Mamsau NgomaOcean Road Cancer Institute, Dar es Salaam, Tanzania.ORCID 0000-0003-1382-8037
Beatrice MushiMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0002-5700-8017
Robert S MorseDa Vinci Usability Incorporated, Lexington, MA.ORCID 0000-0003-1320-9797
Twalib NgomaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Habiba MahunaOcean Road Cancer Institute, Dar es Salaam, Tanzania.
Kaley LambdenDimagi Incorporated, Cambridge, MA.ORCID 0000-0001-6285-8182
Erin QuinnDimagi Incorporated, Cambridge, MA.ORCID 0000-0002-1348-3502
Sarah B SaganDimagi Incorporated, Cambridge, MA.
Yun Xian HoDimagi Incorporated, Cambridge, MA.
F Lee LucasMaine Medical Center, Portland, ME.ORCID 0000-0002-3155-7560
Joshua MmariOcean Road Cancer Institute, Dar es Salaam, Tanzania.ORCID 0000-0001-5250-8226
Susan MiesfeldtMaine Medical Center, Portland, ME.ORCID 0000-0001-8227-3165
Dimagi (United States) · USOcean Road Cancer Institute · TZMaine Medical Center · USMuhimbili University of Health and Allied Sciences · TZ

Funding

m-Palliative Care Link: Improving symptom control and information exchange among specialists and local health workers treating late stage Tanzanian cancer patientsR21TW010190 · FIC · MAINEHEALTH · PI HO, Y. XIAN, MIESFELDT, SUSAN · 2018 to 2019
$399k
FIC NIH HHS R21 TW010190
6 · The paper itself

Abstract

purposeLate-stage cancer patient symptom control is a national priority in Tanzania. Mobile health promises to improve the reach of a limited pool of palliative care specialists through interprofessional, community-based care coordination. This work assessed the effectiveness of a smartphone- or Web-based app, mPalliative Care Link (mPCL), to extend specialist access via shared data and communication with local health workers. Central to mPCL is the African Palliative care Outcome Scale (POS), adapted for automated mobile symptom assessment and response.

methodsAdult patients with incurable cancer were randomly assigned at hospital discharge to mPCL versus phone-contact POS collection. Sociodemographic, clinical, and POS data were obtained at baseline. Twice-weekly POS responses were collected and managed via mPCL or phone contact with clinician study personnel for up to 4 months, on the basis of study arm assignment. Patient end-of-study care satisfaction was assessed via phone survey.

resultsForty-nine patients per arm participated. Comparison of baseline characteristics showed an insignificant trend toward more women (

conclusionHigher symptom severity scores in the mPCL arm likely reflect between-group sociodemographic and clinical differences and clinical support of phone-contact arm participants. Similar rates of care satisfaction in both groups suggest that mPCL may support symptom-focused care coordination in a more efficient and scalable manner than phone contact. A broader study of mPCL's cost efficiency and utility in Tanzania is needed.

Indexed as

NeoplasmsTelemedicineTerminal CareFemaleHumansPalliative CarePatient Satisfaction

Identifiers

PMID34406856
PMCPMC8457843
OpenAlexW3194532094

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.