Evidence map›Paper›PMID 36496112›Full record

ArticleJournal of pain and symptom management2023

Just-in-Time Decision Making: Preliminary Findings of a Goals of Care Rapid Response Team.

Donna S Zhukovsky, Yvonne Heung, Parema Enriquez, Nelda Itzep, Zhanni Lu, Nico Nortje, Penny Stanton, Angelique Wong, Eduardo Bruera

Abstract read
PubMed Full text at PMC Publisher
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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
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  5. Review
  6. 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 · 2023
    Article
  7. Review
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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

9 authors.

Donna S ZhukovskyPalliative, Rehabilitation and Integrative Medicine (D.S.Z.,Y.H.,P.E.,Z.L.,P.S.,A.W. E.B.), Pediatrics (N.I.). Electronic address: dzhukovs@mdanderson.org.
Yvonne HeungPalliative, Rehabilitation and Integrative Medicine (D.S.Z.,Y.H.,P.E.,Z.L.,P.S.,A.W. E.B.), Pediatrics (N.I.).
Parema EnriquezPalliative, Rehabilitation and Integrative Medicine (D.S.Z.,Y.H.,P.E.,Z.L.,P.S.,A.W. E.B.), Pediatrics (N.I.).
Nelda ItzepPalliative, Rehabilitation and Integrative Medicine (D.S.Z.,Y.H.,P.E.,Z.L.,P.S.,A.W. E.B.), Pediatrics (N.I.).
Zhanni LuPalliative, Rehabilitation and Integrative Medicine (D.S.Z.,Y.H.,P.E.,Z.L.,P.S.,A.W. E.B.), Pediatrics (N.I.).
Nico NortjeCritical Care Medicine-Section of Integrated Ethics (N.N.), The University of Texas MD Anderson Cancer Center, Houston, Texas 77030, USA.
Penny StantonPalliative, Rehabilitation and Integrative Medicine (D.S.Z.,Y.H.,P.E.,Z.L.,P.S.,A.W. E.B.), Pediatrics (N.I.).
Angelique WongPalliative, Rehabilitation and Integrative Medicine (D.S.Z.,Y.H.,P.E.,Z.L.,P.S.,A.W. E.B.), Pediatrics (N.I.).
Eduardo BrueraPalliative, Rehabilitation and Integrative Medicine (D.S.Z.,Y.H.,P.E.,Z.L.,P.S.,A.W. E.B.), Pediatrics (N.I.).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThe COVID-19 pandemic placed the issue of resource utilization front and center. Our comprehensive cancer center developed a Goals of Care Rapid Response Team (GOC RRT) to optimize resource utilization balanced with goal-concordant patient care.

objectivesPrimary study objective was to evaluate feasibility of the GOC RRT by describing the frequency of consultations that occurred from those requested. Secondary objectives included adherence to consultation processes in terms of core team member participation and preliminary efficacy in limiting care escalation.

methodsWe conducted a retrospective chart review of patients referred to GOC RRT (3/23/2020-9/30/2020). Analysis was descriptive. Categorical variables were compared with Fisher's exact or Chi-Square tests and continuous variables with Mann-Whitney U tests.

resultsA total of 89 patients were referred. Eighty-five percent (76 of 89) underwent a total of 95 consultations. Median (range) patient age was 61 (49, 69) years, 54% (48 of 89) male, 19% (17 of 89) Hispanic, 48% (43/89) White, 73% (65 of 89) married/partnered and 66% (59 of 89) Christian. Hematologic malignancies and solid tumors were evenly balanced (53% [47/89] vs. 47% [42 of 89, P = 0.199]). Most patients (82%, 73 of 89) had metastatic disease or relapsed leukemia. Seven percent (6 of 89) had confirmed COVID-19. Sixty-nine percent (61 of 89) died during the index hospitalization. There was no statistically significant difference in demographic or clinical characteristics among groups (no consultation, 1 consultation, >1 consultation). Core team members were present at 64% (61 of 95) of consultations. Care limitation occurred in 74% (56 of 76) of patients.

conclusionGOC RRT consultations were feasible and associated with care limitation. Adherence to core team participation was fair.

Indexed as

COVID-19Hospital Rapid Response TeamNeoplasmsDecision MakingHumansMalePandemicsPatient Care PlanningRetrospective Studiesadvance care planningcare limitationfamily meetingsgoal-concordant careGoals of care

Identifiers

PMID36496112
PMCPMC9729166

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.