Evidence map›Paper›PMID 36641450›Full record

Observational studyBMC palliative care2023

Feasibility, use and benefits of patient-reported outcome measures in palliative care units: a multicentre observational study.

Evelyn Müller, Regine Mayer-Steinacker, Deniz Gencer, Jens Keßler, Bernd Alt-Epping, Stefan Schönsteiner, Helga Jäger, Bettina Couné, Luise Elster, Muhammet Keser and 3 more

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
10.1field-weighted citation impact, top 1% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Using Patient-Reported Outcome Measures to Identify Mobility Limitation in Incurable Cancer.Archives of rehabilitation research and clinical translation · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Psychometric properties of the ICECAP-SCM capability-wellbeing measure in specialist palliative care units in Austria.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  9. Article
  10. Observational
  11. Patients' experiences of responding to a Patient-Reported Outcome Measure for palliative care: a mixed method study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  12. Article
  13. Article
  14. Assessment and monitoring by Integrated Palliative care Outcome Scale: an observational study on cancer patients at home.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Observational
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

13 authors at 6 institutions in 1 country.

Evelyn MüllerDepartment of Palliative Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Robert-Koch Str. 3, 79106, Freiburg, Germany. evelyn.mueller@uniklinik-freiburg.de.
Regine Mayer-SteinackerDepartment of Hematology and Oncology, Comprehensive Cancer Center, University Medical Center Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Deniz GencerDepartment of Hematology and Oncology, Mannheim Cancer Center, Mannheim University Hospital, Mannheim Faculty of Medicine, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Jens KeßlerDepartment of Anaesthesiology, Devision of Pain Medicine, University Hospital Heidelberg, Im Neuenheimer Feld 131, 69120, Heidelberg, Germany.
Bernd Alt-EppingCompetence Centre Palliative Care of Baden-Wuerttemberg, Baden-Wuerttemberg, Robert-Koch Str. 3, 79106, Freiburg, Germany.
Stefan SchönsteinerDepartment of Hematology and Oncology, Comprehensive Cancer Center, University Medical Center Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Helga JägerDepartment of Palliative Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Robert-Koch Str. 3, 79106, Freiburg, Germany.
Bettina CounéDepartment of Palliative Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Robert-Koch Str. 3, 79106, Freiburg, Germany.
Luise ElsterDepartment of Palliative Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Robert-Koch Str. 3, 79106, Freiburg, Germany.
Muhammet KeserDepartment of Hematology and Oncology, Mannheim Cancer Center, Mannheim University Hospital, Mannheim Faculty of Medicine, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Julia RauserDepartment of Hematology and Oncology, Comprehensive Cancer Center, University Medical Center Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Susanne MarquardtDepartment of Anaesthesiology, Devision of Pain Medicine, University Hospital Heidelberg, Im Neuenheimer Feld 131, 69120, Heidelberg, Germany.
Gerhild BeckerDepartment of Palliative Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Robert-Koch Str. 3, 79106, Freiburg, Germany.
Heidelberg University · DEUniversity Medical Center Freiburg · DEUniversity Hospital Heidelberg · DEUniversity Hospital Ulm · DEUniversity of Freiburg · DEBaden-Wuerttemberg Cooperative State University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch has shown that routinely assessed, patient-reported outcome measures (PROMs) have positive effects in patients with advanced oncologic diseases. However, the transferability of these results to specialist palliative care is uncertain because patients are more impaired and staff doubt the feasibility and benefits. The aim of this study is to evaluate the feasibility of patient self-assessment of PROMs, their use by staff and the benefits in palliative care wards.

methodA multicentre observational study was conducted in the context of the implementation of the Integrated Patient Outcome Scale (IPOS) in three specialist palliative care wards at university hospitals in Germany. All admitted patients who screened positive regarding their ability to complete questionnaires were asked to participate and complete the IPOS on paper weekly, with assistance if necessary. Feasibility of questionnaire completion (e.g. proportion of patients able to complete them), use (e.g. involvement of different professional groups) and benefit (e.g. unexpected information in IPOS as rated by treating physicians) were assessed. Staff members' opinion was obtained in a written, anonymous evaluation survey, patients' opinion in a short written evaluation.

resultsA total of 557 patients were screened for eligibility, 235 were assessed as able to complete the IPOS (42.2%) and 137 participated in the study (24.6%). A majority needed support in completing the IPOS; 40 staff members and 73 patients completed the evaluation. Unexpected information was marked by physicians in 95 of the 137 patient questionnaires (69.3%). The staff differed in their opinions on the question of whether this also improved treatment. A majority of 32 staff members (80.0%) were in favour of continuing the use of IPOS (4 against continuation, 4 no answer); 43 (58.9%) patients rated their overall experience of IPOS use as 'positive', 29 (39.7%) as 'neutral' and 1 (1.4%) as 'negative'.

conclusionsWhile most staff wished to continue using IPOS, it was a challenge to integrate the effort to support the completion of IPOS into daily practice. Digital implementation was not successful, despite various attempts. To explore the effects on care and patient outcomes, multicentre cluster-randomised trials could be employed.

trial registrationGerman Clinical Trials Register DRKS-ID: DRKS00016681 (24/04/2019).

Indexed as

Hospice and Palliative Care NursingPalliative CareFeasibility StudiesHospitalizationHumansPatient Reported Outcome MeasuresOutcome assessmentPalliative carePalliative medicinePatient-reported outcome measures

Identifiers

PMID36641450
PMCPMC9839955
OpenAlexW4316034942

What OpenQuestion holds

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LicenceCC BY
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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.