ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023
Impact of an Interdisciplinary Goals-of-Care Program Among Medical Inpatients at a Comprehensive Cancer Center During the COVID-19 Pandemic: A Propensity Score Analysis.
Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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.
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.
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Who cites it
12 citing papers in PubMed.
- Evolution of tracheostomy practices after the COVID-19 pandemic: The fast lane in the post-COVID era.World journal of virology · 2026Article
- Determining patient-oncologist cancer treatment intent concordance using systematic screening in a supportive care center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
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- Situation, Education, Innovation, and Recommendation: A Large-Scale Systematic Review of Advance Care Planning in the Age of COVID-19.Healthcare (Basel, Switzerland) · 2024Review
- The impact of a multidisciplinary goals-of-care program on unplanned readmission rates at a comprehensive cancer center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Impact of an Institution-Wide Goals of Care Program on the Timing of Referrals to Outpatient Palliative Care.Journal of pain and symptom management · 2023Review
- Implementing a Serious Illness Risk Prediction Model: Impact on Goals of Care Documentation.Journal of pain and symptom management · 2023Article
- Differential Impact of a Multicomponent Goals-of-Care Program in Patients with Hematologic and Solid Malignancies.Cancers · 2023Article
- Personalizing the Setting of Palliative Care Delivery for Patients with Advanced Cancer: "Care Anywhere, Anytime".Current treatment options in oncology · 2023Review
- Changes in dietary habits and weight status during the COVID-19 pandemic and its association with socioeconomic status among Iranians adults.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
20 authors.
Funding
Abstract
purposeMany hospitals have established goals-of-care programs in response to the coronavirus disease 2019 pandemic; however, few have reported their outcomes. We examined the impact of a multicomponent interdisciplinary goals-of-care program on intensive care unit (ICU) mortality and hospital outcomes for medical inpatients with cancer.
methodsThis single-center study with a quasi-experimental design included consecutive adult patients with cancer admitted to medical units at the MD Anderson Cancer Center, TX, during the 8-month preimplementation (May 1, 2019-December 31, 2019) and postimplementation period (May 1, 2020-December 31, 2020). The primary outcome was ICU mortality. Secondary outcomes included ICU length of stay, hospital mortality, and proportion/timing of care plan documentation. Propensity score weighting was used to adjust for differences in potential covariates, including age, sex, cancer diagnosis, race/ethnicity, and Sequential Organ Failure Assessment score.
resultsThis study involved 12,941 hospitalized patients with cancer (pre n = 6,977; post n = 5,964) including 1,365 ICU admissions (pre n = 727; post n = 638). After multicomponent goals-of-care program initiation, we observed a significant reduction in ICU mortality (28.2%
conclusionThis study showed improvement in hospital outcomes and care plan documentation after implementation of a system-wide, multicomponent goals-of-care intervention.
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Registered trials
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