Evidence map›Paper›PMID 36206949›Full record

ArticleJournal of pain and symptom management2023

Quality of Telehealth-Delivered Inpatient Palliative Care During the Early COVID-19 Pandemic.

Ann A Soliman, Kathleen M Akgün, Jane Coffee, Jennifer Kapo, Laura J Morrison, Elizabeth Hopkinson, Dena Schulman-Green, Shelli L Feder

Open access · greenAbstract read
In one paragraph

Article in Journal of pain and symptom management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. 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 4 institutions in 1 country.

Ann A SolimanYale New Haven Hospital (A.A.S.), New Haven, CT. Electronic address: ann.soliman@yale.edu.
Kathleen M AkgünVA Connecticut Healthcare System (K.M.A., S.L.F.), Yale School of Medicine, New Haven, CT.
Jane CoffeeYale School of Nursing (J.C.), West Haven, CT.
Jennifer KapoYale University (J.K., L.J.M., E.H.), New Haven, CT.
Laura J MorrisonYale University (J.K., L.J.M., E.H.), New Haven, CT.
Elizabeth HopkinsonYale University (J.K., L.J.M., E.H.), New Haven, CT.
Dena Schulman-GreenNYU Rory Meyers College of Nursing (D.S.G.), New York, NY.
Shelli L FederVA Connecticut Healthcare System (K.M.A., S.L.F.), Yale School of Medicine, New Haven, CT.
Yale University · USVA Connecticut Healthcare System · USNew York College of Health Professions · USYale New Haven Hospital · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Scholars in Implementation Science (YSIS)K12HL138037 · NHLBI · YALE UNIVERSITY · PI SHARIFI, MAHNOOSH · 2017 to 2021
$3.0M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K12 HL138037
6 · The paper itself

Abstract

contextConsequent to increasing COVID-19 infection rates, the Palliative Care (PC) service at a large New England hospital shifted from in-person to telehealth-delivered PC (TPC).

objectivesWe compared the quality of TPC to in-person PC during the early COVID-19 pandemic.

methodsWe conducted an electronic health record review of PC consultations of patients hospitalized during three periods: pre-COVID January, 2020-February, 2020 (in-person); peak-COVID March, 2020-June, 2020 (majority TPC); and post-peak September, 2020-October, 2020 (majority in-person). We examined the relationship between these periods and PC delivery characteristics and quality measures using descriptive and bivariate statistics.

resultsOf 377 patients, 50 were pre-COVID (TPC=0%), 271 peak-COVID (TPC=79.3%), and 56 post-peak (TPC<2%) (representation of PC consult: pre- and post-peak=samples; peak-COVID=all consults). Mean age was 69.3 years (standard deviation=15.5), with 54.9% male, 68.7% White, and 22.8% Black. Age and sex did not differ by period. PC consultations were more likely for goals of care (pre=30.0% vs. peak=53.9% vs. post=57.1%; P = 0.005) or hospice (4.0% vs. 14.4% vs. 5.4%, P = 0.031) during peak-COVID compared to pre-COVID. Rates of assessment of physical (98.0% vs. 63.5% vs. 94.6%, P < 0.001) and psychological symptoms (90.0% vs. 33.1% vs. 67.9%, P < 0.001) were lower during peak relative to pre-COVID and post-peak periods. There were no differences in assessment of patients' social needs, family burden, or goals of care across periods.

conclusionThe PC service provided high-quality inpatient PC using TPC despite significant strain during the early COVID-19 pandemic. Developing and testing strategies to promote comprehensive symptom control using TPC remains a priority to adjust to potential unmet PC needs.

Indexed as

COVID-19HospicesTelemedicineAgedFemaleHumansInpatientsMalePalliative CarePandemicsCOVID-19end-of-life caregoals of carehospicePalliative caretelehealth

Identifiers

PMID36206949
PMCPMC9532267
OpenAlexW4301400983

What OpenQuestion holds

Textmetadata
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.