Evidence map›Paper›PMID 36384234›Full record

Trial reportApplied clinical informatics2022

How a Digital Case Management Platform Affects Community-Based Palliative Care of Sub-Saharan African Cancer Patients: Clinician-Users' Perspectives.

Yun Xian Ho, Robert S Morse, Kaley Lambden, Beatrice P Mushi, Mamsau Ngoma, Habiba Mahuna, Twalib Ngoma, Susan Miesfeldt

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Applied clinical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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 2 countries.

Yun Xian HoDimagi, Inc., Cambridge, Massachusetts, United States.
Robert S MorseDaVinci Usability, Inc., Lexington, Massachusetts, United States.
Kaley LambdenDimagi, Inc., Cambridge, Massachusetts, United States.
Beatrice P MushiMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Mamsau NgomaOcean Road Cancer Institute, Dar es Salaam, Tanzania.
Habiba MahunaOcean Road Cancer Institute, Dar es Salaam, Tanzania.
Twalib NgomaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Susan MiesfeldtMaine Medical Center, Portland, Maine, United States.
Dimagi (United States) · USMuhimbili University of Health and Allied Sciences · TZOcean Road Cancer Institute · TZMaine Medical Center · US

Funding

m-Palliative Care Link: Improving symptom control and information exchange among specialists and local health workers treating late stage Tanzanian cancer patientsR21TW010190 · FIC · MAINEHEALTH · PI HO, Y. XIAN, MIESFELDT, SUSAN · 2018 to 2019
$399k
FIC NIH HHS R21 TW010190
6 · The paper itself

Abstract

backgroundSymptom control among cancer patients is a Tanzanian public health priority impacted by limited access to palliative care (PC) specialists and resources. Mobile Palliative Care Link (mPCL), a mobile/web application, aims to extend specialist access via shared care with local health workers (LHWs) with the African

objectiveThe aim of the study is to assess clinicians' attitudes, beliefs, and perceptions regarding mPCL usability and utility with their patients within a government-supported, urban Tanzanian cancer hospital setting.

methodsWe used a mixed methods approach including surveys, qualitative interviews, and system usage data to assess clinicians' experience with mPCL in a field study where discharged, untreatable cancer patients were randomized to mPCL or phone-contact POS collection.

resultsAll six specialists and 10 LHWs expressed overall satisfaction with mPCL among 49 intervention arm patients. They perceived mPCL as a way to stay connected with patients and support remote symptom control. Timely access to POS responses and medical records were identified as key benefits. Some differences in perceptions of mPCL use and utility were seen between clinician groups; however, both expressed strong interest in continuing app use, recommending it to colleagues, and extending use throughout Tanzania. Primary use was for clinical status communication and care coordination. Pain and other symptom progression were the most frequently reported reasons for provider-patient interactions accounting for 34% (

conclusionThis work demonstrates broad clinician desire for digital health tools to support remote community-based PC among cancer patients, particularly pain management.

Indexed as

NeoplasmsPalliative CareAfrica South of the SaharaCase ManagementHumansSpecialization

Identifiers

PMID36384234
PMCPMC9668489
OpenAlexW4309146628

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.