Evidence map›Paper›PMID 35859543›Full record

ArticleNeuro-oncology practice2022

Trends and outcomes of early and late palliative care consultation for adult patients with glioblastoma: A SEER-Medicare retrospective study.

Adela Wu, Beatrice Ugiliweneza, Dengzhi Wang, Gary Hsin, Maxwell Boakye, Stephen Skirboll

Abstract read
In one paragraph

Article in Neuro-oncology practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Review
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  11. Observational
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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

6 authors.

Adela WuDepartment of Neurosurgery, Stanford University, Palo Alto, California, USA.
Beatrice UgiliwenezaDepartment of Neurological Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA.ORCID https://orcid.org/0000-0001-7334-6924
Dengzhi WangDepartment of Neurological Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA.
Gary HsinDepartment of Extended Care and Palliative Medicine Service, VA Palo Alto Health Care System, Palo Alto, California, USA.
Maxwell BoakyeDepartment of Neurological Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA.
Stephen SkirbollDepartment of Neurosurgery, Stanford University, Palo Alto, California, USA.

Funding

Reducing Racial Disparities in Advance Care Planning within Neuro-OncologyF32HS028747 · AHRQ · STANFORD UNIVERSITY · PI WU, ADELA · 2021 to 2022
$140k
AHRQ HHS F32 HS028747
6 · The paper itself

Abstract

Background: Glioblastoma (GBM) carries a poor prognosis despite standard of care. Early palliative care (PC) has been shown to enhance survival and quality of life while reducing healthcare costs for other cancers. This study investigates differences in PC timing on outcomes for patients with GBM. Methods: This study used Surveillance, Epidemiology, and End Results (SEER)-Medicare data from 1997 to 2016. Based on ICD codes, three groups were defined: (1) early PC within 10 weeks of diagnosis, (2) late PC, and (3) no PC. Outcomes were compared between the three groups. Results: Out of 10 812 patients with GBM, 1648 (15.24%) patients had PC consultation with an overall positive trend over time. There were no significant differences in patient characteristics. The late PC group had significantly higher number of hospice claims (1.06 ± 0.69) compared to those without PC, in the last month of life. There were significant differences in survival among the three groups ( Conclusion: We present the first investigation of PC consultation prevalence and outcomes, stratified by early versus late timing, for adult GBM patients. Despite an overall increase in PC consultations, only a minority of GBM patients receive PC. Patients with late PC had the longest survival times and had greater hospice use in the last month of life compared to other subgroups. Prospective studies can provide additional valuable information about this unique population of patients with GBM.

Indexed as

glioblastomahealthcare costshospicepalliative careresource utilization

Identifiers

PMID35859543
PMCPMC9290893

What OpenQuestion holds

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Read underepoch 390

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.