Evidence map›Paper›PMID 34740592›Full record

ReviewChest2022

The Role of Palliative Care in COPD.

Anand S Iyer, Donald R Sullivan, Kathleen O Lindell, Lynn F Reinke

Open access · greenAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Chest, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
10.4field-weighted citation impact, top 1% 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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.

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  12. A Proposed Checklist for Optimizing COPD Patient Discharge Processes in Italian Internal Medicine Wards.International journal of chronic obstructive pulmonary disease · 2026
    Review
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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

4 authors at 4 institutions in 1 country.

Anand S IyerDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL; Lung Health Center, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL; Center for Palliative and Supportive Care, Division of Gerontology, Geriatrics and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL. Electronic address: aiyer@uabmc.edu.
Donald R SullivanDivision of Pulmonary and Critical Medicine, Oregon Health and Sciences University, Portland, OR; Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR.
Kathleen O LindellCollege of Nursing, Medical University of South Carolina, Charleston, SC.
Lynn F ReinkeDepartment of Biobehavioral Nursing and Health Informatics, School of Nursing, University of WA, Seattle, WA; VA Puget Sound Health Care System, Seattle, WA.
Medical University of South Carolina · USUniversity of Alabama at Birmingham · USVA Portland Health Care System · USVA Puget Sound Health Care System · US

Funding

Aging Well with COPD through Geriatrics-Palliative CareK76AG064327 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI IYER, ANAND SATHYAN · 2020 to 2024
$1.2M
NIA NIH HHS K76 AG064327
6 · The paper itself

Abstract

COPD is the fourth leading cause of death in the United States and is a serious respiratory illness characterized by years of progressively debilitating breathlessness, high prevalence of associated depression and anxiety, frequent hospitalizations, and diminished well-being. Despite the potential to confer significant quality-of-life benefits for patients and their care partners and to improve end-of-life (EOL) care, specialist palliative care is rarely implemented in COPD, and when initiated, it often occurs only at the very EOL. Primary palliative care delivered by frontline clinicians is a feasible model, but is not integrated routinely in COPD. In this review, we discuss the following: (1) the role of specialist and primary palliative care for patients with COPD and the case for earlier integration into routine practice; (2) the domains of the National Consensus Project Guidelines for Quality Palliative Care applied to people living with COPD and their care partners; and (3) triggers for initiating palliative care and practical ways to implement palliative care using case-based examples. This review solidifies that palliative care is much more than hospice and EOL care and demonstrates that early palliative care is appropriate at any point during the COPD trajectory. We emphasize that palliative care should be integrated long before the EOL to provide comprehensive support for patients and their care partners and to prepare them better for the EOL.

Indexed as

Hospice and Palliative Care NursingHospice CarePulmonary Disease, Chronic ObstructiveTerminal CareHumansPalliative CareQuality of LifeUnited StatesCOPDend-of-life carehospice carepalliative care

Identifiers

PMID34740592
PMCPMC9131048
OpenAlexW3211153575

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.