Evidence map›Paper›PMID 38219963›Full record

ArticleJournal of pain and symptom management2024

Piloting a Patient Tool to Aid Palliative Care Referrals during Advanced Lung Cancer Treatment.

Laurie E McLouth, Jerod L Stapleton, Vilma Bursac, Carina M Zelaya, Brent J Shelton, Kshitij Thakur, Isaac Hands, Chaney Blu, Ming-Yuan Chih, Jessica M McFarlin

Open access · bronzeAbstract read
In one paragraph

Article in Journal of pain and symptom management, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 2 institutions in 1 country.

Laurie E McLouthDepartment of Behavioral Science, College of Medicine, University of Kentucky, Lexington, Kentucky, USA; Center for Health Equity Transformation, University of Kentucky, Lexington, Kentucky, USA; Markey Cancer Center, University of Kentucky, Lexington, Kentucky, USA. Electronic address: Laurie.mclouth@uky.edu.
Jerod L StapletonMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA; Department of Health, Behavior, and Society, College of Public Health, University of Kentucky, Lexington, Kentucky, USA.
Vilma BursacDepartment of Behavioral Science, College of Medicine, University of Kentucky, Lexington, Kentucky, USA; Center for Health Equity Transformation, University of Kentucky, Lexington, Kentucky, USA.
Carina M ZelayaDepartment of Communication, University of Maryland, Baltimore, Maryland, USA.
Brent J SheltonMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA; Department of Internal Medicine, Division of Cancer Biostatistics, College of Medicine, University of Kentucky, Lexington, Kentucky, USA.
Kshitij ThakurDepartment of Internal Medicine, Gastroenterology, College of Medicine, University of Kentucky, Lexington, Kentucky, USA.
Isaac HandsMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA.
Chaney BluMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA.
Ming-Yuan ChihMarkey Cancer Center, University of Kentucky, Lexington, Kentucky, USA; Department of Health and Clinical Sciences, College of Health Sciences, University of Kentucky, Lexington, Kentucky, USA.
Jessica M McFarlinDepartment of Neurology, College of Medicine, University of Kentucky, Lexington, Kentucky, USA.
University of Kentucky · USUniversity of Maryland, Baltimore · US

Funding

University of Kentucky Markey Cancer Center Support Grant ECIA SupplementP30CA177558 · NCI · UNIVERSITY OF KENTUCKY · PI Bernard Mark Evers · 2013 to 2026
$38.3M
Institutional Career Development CoreKL2TR001996 · NCATS · UNIVERSITY OF KENTUCKY · PI BUSH, MATTHEW LEE, KELLY, THOMAS H. · 2016 to 2025
$7.1M
NCATS NIH HHS KL2 TR001996NCI NIH HHS L30 CA231709NCI NIH HHS P30 CA177558
6 · The paper itself

Abstract

contextPatient misperceptions are a strong barrier to early palliative care discussions and referrals during advanced lung cancer treatment.

objectivesWe developed and tested the acceptability of a web-based patient-facing palliative care education and screening tool intended for use in a planned multilevel intervention (i.e., patient, clinician, system-level targets).

methodsWe elicited feedback from advanced lung cancer patients (n = 6), oncology and palliative care clinicians (n = 4), and a clinic administrator (n = 1) on the perceived relevance of the intervention. We then tested the prototype of a patient-facing tool for patient acceptability and preliminary effects on patient palliative care knowledge and motivation.

resultsPartners agreed that the intervention-clinician palliative care education and an electronic health record-integrated patient tool-is relevant and their feedback informed development of the patient prototype. Advanced stage lung cancer patients (n = 20; age 60 ± 9.8; 40% male; 70% with a technical degree or less) reviewed and rated the prototype on a five-point scale for acceptability (4.48 ± 0.55), appropriateness (4.37 ± 0.62), and feasibility (4.43 ± 0.59). After using the prototype, 75% were interested in using palliative care and 80% were more motivated to talk to their oncologist about it. Of patients who had or were at risk of having misperceptions about palliative care (e.g., conflating it with hospice), 100% no longer held the misperceptions after using the prototype.

conclusionThe palliative care education and screening tool is acceptable to patients and may address misperceptions and motivate palliative care discussions during treatment.

Indexed as

Hospice CareHospicesLung NeoplasmsNeoplasmsAgedFemaleHumansMaleMiddle AgedPalliative CareReferral and Consultationadvanced stage lung cancerclinician educationimproved referral processPalliative carepalliative care misperceptionspatient-requested referral

Identifiers

PMID38219963
PMCPMC10939763
OpenAlexW4390889705

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.