Evidence map›Paper›PMID 36157626›Full record

ArticleNeurology. Clinical practice2022

Embedded Palliative Care for Amyotrophic Lateral Sclerosis: A Pilot Program and Lessons Learned.

Kelly Fahrner-Scott, Carly Zapata, David L O'Riordan, Eve Cohen, Laura Rosow, Steven Z Pantilat, Catherine Lomen-Hoerth, Kara E Bischoff

Abstract read
In one paragraph

Article in Neurology. Clinical practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Palliative Care Involvement in Hospitalized Amyotrophic Lateral Sclerosis Patients.International journal of environmental research and public health · 2026
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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

8 authors.

Kelly Fahrner-ScottSchool of Medicine (KF-S), Division of Palliative Medicine (CZ, DLO, EC, SZP, KEB), Department of Medicine, and Department of Neurology (LR, CL-H), University of California, San Francisco.
Carly ZapataSchool of Medicine (KF-S), Division of Palliative Medicine (CZ, DLO, EC, SZP, KEB), Department of Medicine, and Department of Neurology (LR, CL-H), University of California, San Francisco.
David L O'RiordanSchool of Medicine (KF-S), Division of Palliative Medicine (CZ, DLO, EC, SZP, KEB), Department of Medicine, and Department of Neurology (LR, CL-H), University of California, San Francisco.
Eve CohenSchool of Medicine (KF-S), Division of Palliative Medicine (CZ, DLO, EC, SZP, KEB), Department of Medicine, and Department of Neurology (LR, CL-H), University of California, San Francisco.
Laura RosowSchool of Medicine (KF-S), Division of Palliative Medicine (CZ, DLO, EC, SZP, KEB), Department of Medicine, and Department of Neurology (LR, CL-H), University of California, San Francisco.
Steven Z PantilatSchool of Medicine (KF-S), Division of Palliative Medicine (CZ, DLO, EC, SZP, KEB), Department of Medicine, and Department of Neurology (LR, CL-H), University of California, San Francisco.
Catherine Lomen-HoerthSchool of Medicine (KF-S), Division of Palliative Medicine (CZ, DLO, EC, SZP, KEB), Department of Medicine, and Department of Neurology (LR, CL-H), University of California, San Francisco.
Kara E BischoffSchool of Medicine (KF-S), Division of Palliative Medicine (CZ, DLO, EC, SZP, KEB), Department of Medicine, and Department of Neurology (LR, CL-H), University of California, San Francisco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: Palliative care (PC) is recommended for people with amyotrophic lateral sclerosis (ALS), but there is scant literature about how to best provide this care. We describe the structure and impact of a pilot program that integrates longitudinal, interdisciplinary PC into the care of patients with ALS. Methods: Observational cohort study of patients with ALS referred to outpatient PC and seen for at least 3 PC visits October 2017-July 2020. Results: Fifty-five patients met the inclusion criteria. Three-quarters (74.5%) were Caucasian, and 78.2% spoke English. Patients were referred for advance care planning (58.2%), support for patient/family (52.7%), and symptoms other than pain (50.9%). Patients had a mean of 5 scheduled PC visits, the majority occurred by video. A PC physician, nurse, social worker, and chaplain addressed pain (for 43.6% of patients), nonpain symptoms (94.5%), psychosocial distress (78.2%), spiritual concerns (29.1%), care planning (96.4%), and supported family caregivers (96.4%). With PC, the rate of completion of advance directives increased from 16.4% to 36.4% ( Discussion: Integrating longitudinal, interdisciplinary PC into the care of patients with ALS is feasible, addresses needs in multiple domains, and is associated with increased rates of advance care planning. Controlled studies are needed to further elucidate the impact of PC on patients with ALS, their families, and clinicians.

Identifiers

PMID36157626
PMCPMC9491500

What OpenQuestion holds

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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.