Evidence map›Paper›PMID 38267836›Full record

Trial reportPalliative medicine2024

Does a novel community-based outpatient palliative care intervention for Parkinson's disease and related disorders improve care? Qualitative results from patients and care partners.

Meredith A Bock, Zachary A Macchi, Krista L Harrison, Maya Katz, Megan Dini, Jacqueline Jones, Roman Ayele, Jean S Kutner, Steven Z Pantilat, Christine Martin and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Palliative medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A 360 Degree Qualitative Ethical Assessment of Reporting Patient Reported Outcomes.Journal of empirical research on human research ethics : JERHRE · 2026
    Article
  4. Article
  5. Article
  6. 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

12 authors at 7 institutions in 1 country.

Meredith A BockDepartment of Neurology at University of California, San Francisco, CA, USA.ORCID 0000-0002-8704-916X
Zachary A MacchiDepartments of Neurology and Medicine at University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA.ORCID 0000-0001-8900-9500
Krista L HarrisonDepartment of Medicine, Division of Geriatrics at University of California, San Francisco, CA, USA.
Maya KatzDepartment of Neurology at Stanford University, Stanford, CA, USA.
Megan DiniParkinson's Foundation, New York, NY, USA.
Jacqueline JonesCollege of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Roman AyeleDepartments of Neurology and Medicine at University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA.
Jean S KutnerDepartment of Medicine, Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Steven Z PantilatDepartment of Medicine, Division of Palliative Medicine at University of California, San Francisco, CA, USA.
Christine MartinCenter for Health and Technology, University of Rochester, Rochester, NY, USA.
Stefan SillauDepartments of Neurology and Medicine at University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA.
Benzi KlugerDepartments of Neurology and Medicine, Division of Palliative Care, University of Rochester, Rochester, NY, USA.
University of Colorado Anschutz Medical Campus · USUniversity of California, San Francisco · USUniversity of Rochester · USParkinson's Foundation · USSan Francisco VA Medical Center · USStanford University · USUniversity of Colorado Denver · US

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 2013 to 2026
$19.9M
More than a Movement Disorder: Applying Palliative Care to Parkinson's Disease and Lewy Body DementiasR01NR016037 · NINR · UNIVERSITY OF ROCHESTER · PI KLUGER, BENZI M · 2016 to 2025
$6.5M
NIA NIH HHS P30 AG044281NINR NIH HHS R01 NR016037
6 · The paper itself

Abstract

backgroundPalliative care has the potential to address significant unmet needs in people with Parkinson's disease and related disorders, but models that rely on in-person specialty palliative care teams have limited scalability.

aimTo describe patient and care partner experiences with a novel, community-based palliative care intervention for Parkinson's disease.

designQualitative study embedded in a randomized clinical trial to document participant experiences with a novel palliative care intervention (community neurologist training and remote team-based specialist palliative care). Transcripts were coded and thematically analyzed through a combination of team-based inductive and deductive coding. SETTING/

participantsTwenty-eight patients and 33 care partners purposively sampled from participants in a randomized clinical trial of a palliative care intervention for Parkinson's disease and related disorders conducted at nine sites.

resultsBenefits of the intervention included management of a wider range of non-motor symptoms, facilitation of conversations about the future, greater engagement with the health care team, and increased referrals to resources. Participants identified areas of improvement, including uptake of palliative care training by community neurologists, additional prognostic counseling, and clarity and timeliness of communication with the multidisciplinary team.

conclusionsClinicians caring for people with Parkinson's disease and related disorders should screen for non-motor symptoms, provide regular prognostic counseling, and refer to specialty palliative care services earlier in the course of illness. Future interventions should be designed to promote uptake of palliative care training by community neurologists and further optimize referral to and coordination with in-person or remote specialty palliative teams.

Indexed as

Palliative CareParkinson DiseaseCaregiversHumansOutpatientsQualitative Researchcaregiversimplementation sciencepalliative careParkinson’s diseasetelemedicine

Identifiers

PMID38267836
PMCPMC10865748
OpenAlexW4391227748

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.