Evidence map›Paper›PMID 38367978›Full record

ArticleBMJ open2024

Integrated palliative care in oncology: a protocol for a realist synthesis.

Joanne Reid, Elspeth Banks, Carolyn Blair, Natasha Bradley, Fiona A Lynn, Peter OHalloran, Gillian Prue, Nia Roberts, Geoff Wong, Tracey McConnell

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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 3 institutions in 4 countries.

Joanne ReidSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK j.reid@qub.ac.uk.ORCID 0000-0001-5820-862X
Elspeth BanksPatient Representative, National Cancer Research Institute, London, UK.
Carolyn BlairQueen's University Belfast School of Nursing and Midwifery, Belfast, UK.
Natasha BradleyQueen's University Belfast School of Nursing and Midwifery, Belfast, UK.ORCID 0000-0003-0768-9819
Fiona A LynnQueen's University Belfast School of Nursing and Midwifery, Belfast, UK.ORCID 0000-0002-0216-643X
Peter OHalloranSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.ORCID 0000-0002-0022-7331
Gillian PrueMedical Biology Centre, Queens University Belfast School of Nursing and Midwifery, Belfast, UK.
Nia RobertsBodleian Health Care Libraries, University of Oxford, Oxford, UK.
Geoff WongNuffield Department of Primary Care Health Sciences, Oxford University, Oxford, UK.
Tracey McConnellSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
Queen's University Belfast · GBUniversity of Oxford · GBNational Cancer Research Institute · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEmerging evidence suggests improved quality of life, reduced symptom burden and lower health services costs when integrated palliative care and cancer care are implemented. Integrated palliative care aims to achieve care continuity by integrating organisational, administrative and clinical services involved in patient care networks. However, integrated palliative care for cancer is not common practice. This project, therefore, aims to understand how integrated palliative care and cancer care works in different healthcare settings (inpatient/outpatient), and for which groups of people (at what stage of the cancer journey), so we can develop guidance for optimal delivery. METHODS AND ANALYSIS: We will conduct a realist synthesis to develop a programme theory of how integrated palliative care in cancer works, for whom and in what contexts to achieve improved symptom management and quality of life for patients and their families.This realist synthesis will follow the five stages outlined by Pawson: (1) locating existing theories, (2) searching for evidence, (3) article selection, (4) extracting and organising data and (5) synthesising the evidence and drawing conclusions. We will work closely with our expert stakeholder group, which includes health and social care professionals providing palliative care and oncology; management and policy groups and members of the public and patients. We will adhere to RAMESES quality standards for undertaking a realist synthesis. ETHICS AND DISSEMINATION: Ethics approval for this project is not required.The realist synthesis will develop a programme theory that provides clarity on the optimal delivery of palliative care for adults with cancer. We will use the programme theory to coproduce guidance and user-friendly outputs, working with stakeholders to inform delivery of best practice. Findings will inform further research in integrated palliative care and cancer. Stakeholder engagement will assist in the dissemination of our findings. PROSPERO REGISTRATION NUMBER: CRD42023389791.

Indexed as

Palliative CareQuality of LifeDelivery of Health CareHumansPatient CareHEALTH SERVICES ADMINISTRATION & MANAGEMENTONCOLOGYPALLIATIVE CARE

Identifiers

PMID38367978
PMCPMC10875500
OpenAlexW4391899808

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.