Evidence map›Paper›PMID 34823512›Full record

Observational studyBMC palliative care2021

Trend analysis of palliative care consultation service for terminally ill non-cancer patients in Taiwan: a 9-year observational study.

Lian-Shin Lin, Ling-Hui Huang, Yu-Chen Chang, Chun-Li Wang, Lung-Chun Lee, Chung-Chieh Hu, Pi-Shan Hsu, Wei-Min Chu

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.1field-weighted citation impact, top 6% 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, 29 citations in OpenAlex.

  1. Trial
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  4. Article
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  7. Article
  8. Trend analysis of quality indicators in palliative home care among terminally ill cancer and non-cancer patients in Taiwan: a 6-year observational study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Observational
  9. Article
  10. Article
  11. Observational
  12. Observational
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  14. Predictors and Assessment of Hospice Use for End-Stage Renal Disease Patients in Taiwan.International journal of environmental research and public health · 2021
    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.

Lian-Shin LinDepartment of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan.
Ling-Hui HuangDepartment of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan.
Yu-Chen ChangTechnology Transfer and Incubation Center, National Health Research Institutes, Miaoli, Taiwan.
Chun-Li WangDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Lung-Chun LeeDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Chung-Chieh HuDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Pi-Shan HsuDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Wei-Min ChuDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan. williamchu0110@gmail.com.
Taichung Veterans General Hospital · TWChung Shan Medical University · TWNational Health Research Institutes · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundsEarly integration of palliative care for terminally ill non-cancer patients improves quality of life. However, there are scanty data on Palliative Care Consultation Service (PCCS) among non-cancer patients.

methodsIn this 9-year observational study Data were collected from the Hospice-Palliative Clinical Database (HPCD) of Taichung Veterans General Hospital (TCVGH). Terminally ill non-cancer patients with 9 categories of diagnoses who received PCCS during 2011 to 2019 were enrolled. Trend analysis was performed to evaluate differences in categories of diagnosis throughout study period, duration of PCCS, patient outcomes, DNR declaration, awareness of disease by patients and families before and after PCCS.

resultsIn total, 536 non-cancer patients received PCCS from 2011 to 2019 with an average age of 70.7 years. The average duration of PCCS was 18.4 days. The distributions of age, gender, patient outcomes, family's awareness of disease before PCCS, and patient's awareness of disease after PCCS were significantly different among the diagnoses. Organic brain disease and Chronic kidney disease (CKD) were the most prevalent diagnoses in patients receiving PCCS in 2019. For DNR declaration, the percentage of patients signing DNR before PCCS remained high throughout the study period (92.8% in 2019). Patient outcomes varied according to the disease diagnoses.

conclusionThis 9-year observational study showed that the trend of PCCS among non-cancer patients had changed over the duration of the study. An increasing number of terminally ill non-cancer patients received PCCS during late life, thereby increasing the awareness of disease for both patients and families, which would tend to better prepare terminally ill patients for end-of-life as they may consider DNR consent. Early integration of PCCS into ordinary care for terminally non-cancer patients is essential for better quality of life.

Indexed as

NeoplasmsPalliative CareAgedHumansQuality of LifeReferral and ConsultationTaiwanTerminally IllAwarenessDo-not-resuscitateNon-cancerPalliative care consultation service

Identifiers

PMID34823512
PMCPMC8614035
OpenAlexW3216746017

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.