Evidence map›Paper›PMID 37000288›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

Use and impact of a novel nurse-led consultation model in a palliative care consultation service for terminally ill cancer patients in Taiwan: an 11-year observational study.

Lian-Shin Lin, Ling-Hui Huang, Szu-Pei Chien, Chun-Li Wang, Lung-Chun Lee, Chung-Chieh Hu, Pi-Shan Hsu, Wei-Min Chu

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. 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
0.9field-weighted citation impact, top 26% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. The revised remote area nurse model of consultation.The Australian journal of rural health · 2024
    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.

Lian-Shin LinDepartment of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan.
Ling-Hui HuangDepartment of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan.
Szu-Pei ChienSchool of Public Health, China Medical University, Taichung, Taiwan.
Chun-Li WangDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Lung-Chun LeeDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Chung-Chieh HuDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Pi-Shan HsuDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Wei-Min ChuDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan. williamchu0110@gmail.com.
Taichung Veterans General Hospital · TWChina Medical University · TWChung Shan Medical University · TWNational Center for Geriatrics and Gerontology · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe early integration of palliative care for terminally ill cancer patients improves quality of life. We have developed a new nurse-led consultation model for use in a palliative care consultation service (PCCS) to initiate early palliative care for cancer patients.

methodsIn this 11-year observational study, data were collected from the Hospice-Palliative Clinical Database (HPCD) of Taichung Veterans General Hospital (TCVGH). Terminally ill cancer patients who had received PCCS during the years 2011 to 2021 were enrolled. Trend analysis was performed in order to evaluate differences in outcomes seen within the categories of either a nurse-led consultation model or ordinary consultation model throughout the study period. Analysis included studying the duration of PCCS and DNR declaration, as well as awareness of disease by both patients and families before and after PCCS.

resultsIn total, 6923 cancer patients with an average age of 64.1 years received PCCS from 2011 to 2021, with the average duration of PCCS being 11.1 days. Three thousand four hundred twenty-one patients (49.4%) received both a nurse consultation and doctor consultation during PCCS. Being admitted to the Department of Hematology, a longer duration of hospitalization, a DNR declaration after PCCS, and having had a PCCS consultation by a nurse only or both with a nurse and a doctor were significant determinants of a PCCS duration of more than 7 days.

conclusionThis 11-year observational study shows that the number of terminal cancer patients receiving a novel nurse-led consultation during PCCS has increased significantly during the past decade, while a nurse-led consultation model during PCCS was effective in improving the duration of PCCS among terminally ill cancer patients.

Indexed as

NeoplasmsPalliative CareHumansMiddle AgedNurse's RoleQuality of LifeReferral and ConsultationTaiwanTerminally IllAwarenessCancerDo-not-resuscitateNurse-led consultationPalliative care consultation serviceTime of referral

Identifiers

PMID37000288
OpenAlexW4362475866

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.