Evidence map›Paper›PMID 35441551›Full record

ArticlePalliative medicine2022

Identifying barriers and facilitators to palliative care integration in the management of hospitalized patients with COVID-19: A qualitative study.

Kirsten Wentlandt, Kayla T Wolofsky, Andrea Weiss, Lindsay Hurlburt, Eddy Fan, Ebru Kaya, Erin O'Connor, Warren Lewin, Cassandra Graham, Camilla Zimmermann and 1 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Palliative medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 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

11 authors at 3 institutions in 1 country.

Kirsten WentlandtDepartment of Supportive Care, University Health Network, Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-1873-7794
Kayla T WolofskyDepartment of Supportive Care, University Health Network, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Andrea WeissDepartment of Supportive Care, University Health Network, Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Lindsay HurlburtDepartment of Supportive Care, University Health Network, Department of Anesthesiology & Pain Medicine, University of Toronto, Toronto, ON, Canada.
Eddy FanInterdepartmental Division of Critical Care Medicine and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Ebru KayaDepartment of Supportive Care, University Health Network, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Erin O'ConnorDepartments of Emergency Medicine and Supportive Care, University Health Network, Divisions of Palliative Medicine and Emergency Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Warren LewinDepartment of Supportive Care, University Health Network, Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Cassandra GrahamDepartment of Supportive Care, University Health Network, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Camilla ZimmermannDepartment of Supportive Care, University Health Network; Division of Palliative Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-4889-0244
Sarina R IsenbergDepartment of Medicine, Bruyère Research Institute; University of Ottawa; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
University Health Network · CAUniversity of Ottawa · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPalliative care is well suited to support patients hospitalized with COVID-19, but integration into care has been variable and generally poor.

aimTo understand barriers and facilitators of palliative care integration for hospitalized patients with COVID-19.

methodsInternists, Intensivists and palliative care physicians completed semi-structured interviews about their experiences providing care to patients with COVID-19. Results were analysed using thematic analysis.

resultsTwenty-three physicians (13 specialist palliative care, five intensivists, five general internists) were interviewed; mean ± SD age was 42 ± 11 years and 61% were female. Six thematic categories were described including: patient and family factors, palliative care knowledge, primary provider factors, COVID-19 specific factors, palliative care service factors, and leadership and culture factors.

conclusionThe study findings highlight the need for leadership support for formal integrated models of palliative care for patients with COVID-19, a palliative care role in pandemic planning, and educational initiatives with primary palliative care providers.

Indexed as

COVID-19Hospice and Palliative Care NursingAdultFemaleHumansMaleMiddle AgedPalliative CareQualitative ResearchQuality of Lifeaccess to carebarrierscoronavirusCOVID-19end of lifefacilitatorsintegrationPalliative carepalliative care understandingpandemic planningprimary palliative carereferralspecialist palliative care

Identifiers

PMID35441551
PMCPMC9174575
OpenAlexW4224278621

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.