Evidence map›Paper›PMID 36252162›Full record

ArticleJCO global oncology2022

Aanchal Satija, Karl A Lorenz, Odette Spruijt, Archana Ganesh, Nainwant Singh, Natalie B Connell, Raziel C Gamboa, Soraya Fereydooni, Shivani Chandrashekaran, Tayler Hennings and 2 more

Abstract read
In one paragraph

Article in JCO global oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Aanchal SatijaDepartment of Onco-Anesthesia and Palliative Medicine, Dr B. R. Ambedkar, IRCH, AIIMS, New Delhi, India.ORCID 0000-0001-5032-2479
Karl A LorenzVA HSR&D Center for Innovation to Implementation (Ci2i), Menlo Park, CA.
Odette SpruijtPeter MacCallum Cancer Center, University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0002-0957-9528
Archana GaneshDepartment of Onco-Anesthesia and Palliative Medicine, Dr B. R. Ambedkar, IRCH, AIIMS, New Delhi, India.
Nainwant SinghVA HSR&D Center for Innovation to Implementation (Ci2i), Menlo Park, CA.ORCID 0000-0001-5890-9215
Natalie B ConnellVA HSR&D Center for Innovation to Implementation (Ci2i), Menlo Park, CA.
Raziel C GamboaVA HSR&D Center for Innovation to Implementation (Ci2i), Menlo Park, CA.
Soraya FereydooniYale School of Medicine, New Haven, CT.
Shivani ChandrashekaranDuke University School of Medicine, Durham, NC.ORCID 0000-0001-6203-2989
Tayler HenningsVA HSR&D Center for Innovation to Implementation (Ci2i), Menlo Park, CA.
Karleen F GiannitrapaniVA HSR&D Center for Innovation to Implementation (Ci2i), Menlo Park, CA.ORCID 0000-0003-0987-6204
Sushma BhatnagarDepartment of Onco-Anesthesia and Palliative Medicine, Dr B. R. Ambedkar, IRCH, AIIMS, New Delhi, India.

Funding

HSRD VA IK2 HX003077
6 · The paper itself

Abstract

purposeSeven major palliative care (PC) centers in India were mentored through the Palliative Care-Promoting Assessment and Improvement of the Cancer Experience (PC-PAICE) by US and Australian academic institutions to implement a quality improvement (QI) project to improve the accessibility and quality of PC at their respective centers. The objective was to evaluate the experiences of teams in implementing QI methods across diverse geographical settings in India.

methodsA quota sampling approach was used to elicit perspectives of local stakeholders at each site. The Consolidated Framework for Implementation Research informed development of a semistructured interview guide. Analysis leveraged deductive and inductive approaches.

resultsWe interviewed 44 participants (eight organizational leaders, 12 clinical leaders, and 24 team members) at seven sites and identified five themes. (1) Implementing QI methods enabled QI teams to think analytically to solve a complex problem and to identify resources. (2) Developing a problem statement by identifying specific gaps in patient care fostered team collaboration toward a common goal. (3) Making use of QI tools (eg, A3 process) systematically provided a new, straightforward QI toolkit and improved QI teams' conceptual understanding. (4) Enhancing stakeholder engagement allowed shared understanding of QI team members' roles and processes and shaped interventions tailored to the local context. (5) Designing less subjective processes for patient care such as assessment scales to identify patient's symptomatic needs positively changed work practices and culture.

conclusionEngaging and empowering multiple stakeholders to use QI methods facilitated the expansion and improvement of PC and cancer services in India. PC-PAICE demonstrated an efficient, effective way to apply QI methods in an international context. The impact of PC-PAICE is being magnified by developing a cadre of Indian QI leaders.

Indexed as

NeoplasmsQuality ImprovementAustraliaHumansPalliative CarePatient Care Team

Identifiers

PMID36252162
PMCPMC9812511

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.