Evidence map›Paper›PMID 38131120›Full record

ArticleJournal of primary care & community health

Unresolved Palliative Care Needs of Elderly Non-Cancer Patients at Home: A Multicenter Prospective Study.

Jun Hamano, Takuya Shinjo, Kazuhiko Fukumoto, Maiko Kodama, Hongja Kim, Sen Otomo, Shoichi Masumoto, Kotaro Hashimoto, Takamichi Matsuki, Kazuhiro Hisajima and 11 more

Open access · goldAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

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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

21 authors at 9 institutions in 1 country.

Jun HamanoInstitute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.ORCID 0000-0003-0304-9881
Takuya ShinjoShinjo-Clinic, Kobe, Hyogo, Japan.
Kazuhiko FukumotoIwata Home Care Clinic, Shizuoka, Japan.
Maiko KodamaUniversity of Fukui Hospital, Yoshida-gun, Fukui, Japan.
Hongja KimTottori University, Yonago, Tottoti, Japan.
Sen OtomoSeimeikan clinic, Sapporo, Hokkaido, Japan.
Shoichi MasumotoInstitute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Kotaro HashimotoFukushima Home Palliative Care Clinic, Fukushima, Japan.
Takamichi MatsukiFujisawa Zengyo Family Clinic, Fujisawa, Kanagawa, Japan.
Kazuhiro HisajimaDr. GON Kamakura Clinic, Kanagawa, Japan.
Nobuyuki MiyataMiyata Clinic, Tikusei, Ibaraki, Japan.
Riri SuzukiYamato Clinic, Sakuragawa, Ibaraki, Japan.
Shoji YokoyaInstitute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.ORCID 0000-0002-7430-2787
Keijiro MiyakeHome Care Keijiro Clinic, Kagawa, Japan.
Ryo TakayanagiMaebashi Kyoritsu Clinic, Maebashi, Gunma, Japan.
Masakatsu ShimizuShimizu Medical Clinic, Akashi, Hyogo, Japan.
Yoshihiro KataokaInstitute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Hiroshi TairaTorimachi Clinic, Takasaki, Gunma, Japan.
Sachiko OzoneInstitute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Hiroki TakahashiKamisusaiseikai Hospital, Kamisu, Ibaraki, Japan.
Yoshiyuki KizawaInstitute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
University of Tsukuba · JPFujisawa City Hospital · JPMiyata Eye Hospital · JPShimizu (Japan) · JPShinko Hospital · JPShonan Kamakura General Hospital · JPTottori University · JPUniversity of Fukui Hospital · JPYamato University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

objectivesThere is growing consensus on the benefits of initiating palliative care early in the disease trajectory; however, palliative care needs for non-cancer patients remain to be elucidated. We investigated the trajectory of unresolved palliative care needs of non-cancer patients at home and explored associated factors.

methodsWe conducted a multicenter prospective cohort study of elderly non-cancer patients at home in Japan between Jan 2020 and Dec 2020. Physicians assessed their palliative care needs using the Integrated Palliative Care Outcome Scale (IPOS). Unresolved palliative care needs were defined as IPOS symptoms above 2 (moderate).

resultsIn total, 785 patients were enrolled. The most frequent unresolved palliative care needs at enrollment were poor mobility (n = 438, 55.8%), followed by weakness/lack of energy (n = 181, 23.1%) and poor appetite (n = 160, 20.4%). Multivariate logistic regression analysis revealed that female and musculoskeletal disease were significantly positively associated with pain at starting home visits (OR = 1.89,

conclusionsThe order of the prevalence of unresolved palliative care needs may remain relatively stable over time, even for those receiving home-based palliative care services. We identified several specific diseases and conditions that were significantly associated with unresolved palliative care needs.

Indexed as

NeoplasmsPhysiciansAgedFemaleHumansPalliative CarePrevalenceProspective Studieshome careIntegrated Palliative Care Outcome Scalenon-cancerpalliative care needs

Identifiers

PMID38131120
OpenAlexW4390108070

What OpenQuestion holds

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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.