SynthesisPalliative medicine2023
An evidence-base for the implementation of hospital-based palliative care programs in routine cancer practice: A systematic review.
Synthesis in Palliative medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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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.
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.
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Who cites it
11 citing papers in PubMed.
- Characterizing Home-Based Primary Care, Palliative, and Hospice Cohorts to Optimize Service Integration and Referral Timing.Journal of the American Geriatrics Society · 2026Article
- Regional cancer care leads´ and patient representatives´ perspectives on national governance and organisation of palliative cancer care.BMC health services research · 2026Article
- Building a presence: implementation strategies used to expand palliative care services across six diverse health systems in a longitudinal mixed methods study.BMC palliative care · 2026Article
- Integrated palliative care with early clinical trial: what oncologists say and what patients understand.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Establishment of Integrated Hospital-Based Supportive and Palliative Services: An Experience from Iran.International journal of hematology-oncology and stem cell research · 2026Review
- Knowledge, attitudes, and self-efficacy regarding palliative care among Palestinian nurses in intensive care units.BMC nursing · 2025Article
- The current status of cancer rehabilitation provided by palliative care units in Japan: a nationwide survey.BMC cancer · 2025Article
- A Feasibility Randomized Controlled Trial of Nurse-Led Screening-Based Early Care Program from the Time of Diagnosis for Patients with Advanced Lung Cancer and Their Caregivers.Palliative medicine reports · 2025Article
- Integrating Telehealth into Community-Based Palliative Care: A Systematic Review.Journal of multidisciplinary healthcare · 2025Review
- Benchmarking palliative care practices in neurooncology: a german perspective.Journal of neuro-oncology · 2024Article
- Article
Corrections and comments
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Authors and funding
18 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite global support, there remain gaps in the integration of early palliative care into cancer care. The methods of implementation whereby evidence of benefits of palliative care is translated into practice deserve attention.
aimTo identify implementation frameworks utilised in integrated palliative care in hospital-based oncology services and to describe the associated enablers and barriers to service integration.
designSystematic review with a narrative synthesis including qualitative, mixed methods, pre-post and quasi experimental designs following the guidance by the Centre for Reviews and Dissemination (PROSPERO registration CRD42021252092). DATA SOURCES: Six databases searched in 2021: EMBASE, EMCARE, APA PsycINFO, CINAHL, Cochrane Library and Ovid MEDLINE searched in 2023. Included were qualitative or quantitative studies, in English language, involving adults >18 years, and implementing hospital-based palliative care into cancer care. Critical appraisal tools were used to assess the quality and rigour.
resultsSeven of the 16 studies explicitly cited the use of frameworks including those based on RE-AIM, Medical Research Council evaluation of complex interventions and WHO constructs of health service evaluation. Enablers included an existing supportive culture, clear introduction to the programme across services, adequate funding, human resources and identification of advocates. Barriers included a lack of communication with the patients, caregivers, physicians and palliative care team about programme goals, stigma around the term 'palliative', a lack of robust training, or awareness of guidelines and undefined staff roles.
conclusionsImplementation science frameworks provide a method to underpin programme development and evaluation as palliative care is integrated within the oncology setting.
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