Evidence map›Paper›PMID 37414349›Full record

SynthesisJournal of pain and symptom management2023

Pediatric Palliative Care Program Implementation in LMICs: A Systematic Review using SWOT Analysis.

Sarah Ann Kenneson, Alexzandra Hughes-Visentin, Jordan Wrigley, Preet Gujral, Sumiya Lodhi, Saloni Phadke, Spandana Rayala, Xiohara Gentica, Dhatri Malipeddi, Supriya Sarvode and 2 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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  10. 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

12 authors.

Sarah Ann KennesonCollege of Medicine (S.A.K., D.M.), University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Alexzandra Hughes-VisentinFaculty of Medicine (A.H-V., P.G., S.L., S.P., M.D.), University of Ottawa, Ottawa, Ontario, Canada.
Jordan WrigleyBiomedical Library (J.W.), St. Jude Children's Research Hospital, Memphis, Tennessee, USA; University of Colorado (J.W.), Boulder, Colorado, USA.
Preet GujralFaculty of Medicine (A.H-V., P.G., S.L., S.P., M.D.), University of Ottawa, Ottawa, Ontario, Canada.
Sumiya LodhiFaculty of Medicine (A.H-V., P.G., S.L., S.P., M.D.), University of Ottawa, Ottawa, Ontario, Canada.
Saloni PhadkeFaculty of Medicine (A.H-V., P.G., S.L., S.P., M.D.), University of Ottawa, Ottawa, Ontario, Canada.
Spandana RayalaTwo Worlds Cancer Collaboration Foundation (S.R., M.D.), Kelowna, Canada; Department of Pain and Palliative Care (S.R.), MNJ Institute of Oncology & Regional Cancer Centre, Hyderabad, India.
Xiohara GenticaNational Children's Hospital (X.G.), Quezon City, Philippines.
Dhatri MalipeddiCollege of Medicine (S.A.K., D.M.), University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Supriya SarvodeDepartment of Oncology (S.S., E.C.K.), St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Erica C KayeDepartment of Oncology (S.S., E.C.K.), St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Megan DohertyFaculty of Medicine (A.H-V., P.G., S.L., S.P., M.D.), University of Ottawa, Ottawa, Ontario, Canada; Two Worlds Cancer Collaboration Foundation (S.R., M.D.), Kelowna, Canada; Children's Hospital of Eastern Ontario (M.D.), Ottawa, Canada. Electronic address: mdoherty@cheo.on.ca.

Funding

PROFESSIONAL ONCOLOGY EDUCATION PROGRAMR25CA023944 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI SUZANNE A. GRONEMEYER · 1986 to 2026
$8.3M
NCI NIH HHS R25 CA023944
6 · The paper itself

Abstract

contextOf the estimated 21 million children world-wide who need access to pediatric palliative care (PPC), about 97% currently reside in low-and middle-income countries (LMIC). Access to PPC programs in LMIC are limited, and successful strategies and barriers to program implementation remain understudied.

objectivesWe conducted a systematic review to characterize the strengths, weaknesses, opportunities, and threats (SWOT) of PPC program implementation in LMIC.

methodsUsing PRISMA guidelines, we searched key databases from inception to April 2022 and reviewed references manually. Eligible abstracts and articles included content related to composition, role, function, purpose, development, or implementation of PPC programs in LMIC.

resultsFrom 7,846 titles and abstracts and 229 full-text articles, we identified 62 eligible abstracts and articles; 16 articles were added following manual searching of references, resulting in 78 items (28 abstracts, 50 articles). A total of 82 unique programs were described, including nine from low-income, 27 from lower-middle income, and 44 from upper-middle income countries. Common strengths included presence of multidisciplinary teams and psychosocial care. Common weaknesses included lack of PPC training and research infrastructure. Common opportunities involved collaboration between institutions, government support, and growth of PPC education. Common threats comprised limited access to PPC services, medications, and other resources.

conclusionPPC programs are being successfully implemented in resource limited settings. Hospice and palliative medicine organizations should sponsor PPC clinicians to describe and disseminate more detailed descriptions of successes and challenges with program implementation to help build and grow further PPC initiatives in LMICs.

Indexed as

Hospice and Palliative Care NursingHospice CareChildDeveloping CountriesHumansIncomePalliative Careimplementationlow- and middle-income countries (LMIC)palliative carePediatricsystematic review, SWOT analysis

Identifiers

PMID37414349
PMCPMC10712223

What OpenQuestion holds

Textmetadata
LicenceTDM
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.