Evidence map›Paper›PMID 36900298›Full record

ArticleCancers2023

Differential Impact of a Multicomponent Goals-of-Care Program in Patients with Hematologic and Solid Malignancies.

David Hui, Sairah Ahmed, Nico Nortje, Marina George, Clark R Andersen, Kaycee Wilson, Diana Urbauer, Christopher Flowers, Eduardo Bruera

Full text read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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
  5. Review
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.

David HuiDepartment of Palliative, Rehabilitation and Integrative Medicine, MD Anderson Cancer Center, Houston, TX 77030, USA.ORCID 0000-0003-2733-6607
Sairah AhmedDepartment of Lymphoma and Myeloma, MD Anderson Cancer Center, Houston, TX 77030, USA.ORCID 0000-0001-7302-8299
Nico NortjeDepartment of Critical Care Medicine, MD Anderson Cancer Center, Houston, TX 77030, USA.ORCID 0000-0002-3660-2762
Marina GeorgeDepartment of Hospital Medicine, Division of Internal Medicine, Houston, TX 77030, USA.
Clark R AndersenDepartment of Biostatistics, MD Anderson Cancer Center, Houston, TX 77030, USA.ORCID 0000-0003-1846-9117
Kaycee WilsonDepartment of Inpatient Analytics, MD Anderson Cancer Center, Houston, TX 77030, USA.
Diana UrbauerDepartment of Biostatistics, MD Anderson Cancer Center, Houston, TX 77030, USA.ORCID 0000-0001-6652-944X
Christopher FlowersDepartment of Lymphoma and Myeloma, MD Anderson Cancer Center, Houston, TX 77030, USA.
Eduardo BrueraDepartment of Palliative, Rehabilitation and Integrative Medicine, MD Anderson Cancer Center, Houston, TX 77030, USA.

Funding

NCI NIH HHS R01CA214960; R01CA225701; R01CA231471; P30 CA016672
6 · The paper itself

Abstract

We recently reported that an interdisciplinary multicomponent goals-of-care (myGOC) program was associated with an improvement in goals-of-care (GOC) documentation and hospital outcomes; however, it is unclear if the benefit was uniform between patients with hematologic malignancies and solid tumors. In this retrospective cohort study, we compared the change in hospital outcomes and GOC documentation before and after myGOC program implementation between patients with hematologic malignancies and solid tumors. We examined the change in outcomes in consecutive medical inpatients before (May 2019-December 2019) and after (May 2020-December 2020) implementation of the myGOC program. The primary outcome was intensive care unit (ICU) mortality. Secondary outcomes included GOC documentation. In total, 5036 (43.4%) patients with hematologic malignancies and 6563 (56.6%) with solid tumors were included. Patients with hematologic malignancies had no significant change in ICU mortality between 2019 and 2020 (26.4% vs. 28.3%), while patients with solid tumors had a significant reduction (32.6% vs. 18.8%) with a significant between-group difference (OR 2.29, 95% CI 1.35, 3.88;

Indexed as

advance care planningcommunicationhematologic neoplasmsintensive care unitspalliative carequality of health care

Identifiers

PMID36900298
PMCPMC10001115

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Registered trials

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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.