Evidence map›Paper›PMID 38455124›Full record

ArticleNeurology. Clinical practice2024

Current Status of Integrated Palliative Care Among Parkinson Foundation Centers of Excellence in the United States.

Umer Akbar, Sandhya Seshadri, Megan Dini, Peggy Auinger, Sally A Norton, Jodi S Holtrop, Benzi M Kluger

Abstract read
In one paragraph

Article in Neurology. Clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  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

7 authors.

Umer AkbarDepartment of Neurology (UA), Brown University / Rhode Island Hospital, Providence, RI; Department of Neurology (SS, BMK), University of Rochester; Parkinson's Foundation (MD); Center for Health & Technology (PA), University of Rochester; University of Rochester School of Nursing (SAN), NY; and Dissemination and Implementation Science Program (JSH), Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine.ORCID https://orcid.org/0000-0003-1443-7513
Sandhya SeshadriDepartment of Neurology (UA), Brown University / Rhode Island Hospital, Providence, RI; Department of Neurology (SS, BMK), University of Rochester; Parkinson's Foundation (MD); Center for Health & Technology (PA), University of Rochester; University of Rochester School of Nursing (SAN), NY; and Dissemination and Implementation Science Program (JSH), Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine.ORCID https://orcid.org/0000-0002-0809-6903
Megan DiniDepartment of Neurology (UA), Brown University / Rhode Island Hospital, Providence, RI; Department of Neurology (SS, BMK), University of Rochester; Parkinson's Foundation (MD); Center for Health & Technology (PA), University of Rochester; University of Rochester School of Nursing (SAN), NY; and Dissemination and Implementation Science Program (JSH), Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine.ORCID https://orcid.org/0000-0002-7366-1112
Peggy AuingerDepartment of Neurology (UA), Brown University / Rhode Island Hospital, Providence, RI; Department of Neurology (SS, BMK), University of Rochester; Parkinson's Foundation (MD); Center for Health & Technology (PA), University of Rochester; University of Rochester School of Nursing (SAN), NY; and Dissemination and Implementation Science Program (JSH), Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine.ORCID https://orcid.org/0000-0002-5262-8946
Sally A NortonDepartment of Neurology (UA), Brown University / Rhode Island Hospital, Providence, RI; Department of Neurology (SS, BMK), University of Rochester; Parkinson's Foundation (MD); Center for Health & Technology (PA), University of Rochester; University of Rochester School of Nursing (SAN), NY; and Dissemination and Implementation Science Program (JSH), Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine.ORCID https://orcid.org/0000-0001-7686-6327
Jodi S HoltropDepartment of Neurology (UA), Brown University / Rhode Island Hospital, Providence, RI; Department of Neurology (SS, BMK), University of Rochester; Parkinson's Foundation (MD); Center for Health & Technology (PA), University of Rochester; University of Rochester School of Nursing (SAN), NY; and Dissemination and Implementation Science Program (JSH), Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine.ORCID https://orcid.org/0000-0002-5301-4014
Benzi M KlugerDepartment of Neurology (UA), Brown University / Rhode Island Hospital, Providence, RI; Department of Neurology (SS, BMK), University of Rochester; Parkinson's Foundation (MD); Center for Health & Technology (PA), University of Rochester; University of Rochester School of Nursing (SAN), NY; and Dissemination and Implementation Science Program (JSH), Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine.ORCID https://orcid.org/0000-0002-6259-329X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: To assess the current structures, knowledge, and readiness to integrate palliative care (PC) into Parkinson disease (PD) care at Parkinson's Foundation Centers of Excellence (COE) in the United States. Methods: Three unique surveys were administered to health care professionals/staff at COEs to assess PC (1) resources, (2) knowledge and comfort, (3) clinical experience and processes, (4) barriers, and (5) readiness for implementation. Results: Response rates for the 3 surveys were 97%, 98%, and 56%. In total, 41% of COEs have access to outpatient PC specialists, 71% have mental health counseling, 82% have support groups, and 9% had very limited PC resources. Overall, 74% of providers believed persons with advanced PD should receive PC, and knowledge of PC fundamentals was good across providers. For high-needs persons with PD (PWP), only 16% of physicians and 24% of advanced practice providers made referrals to PC specialists ≥75% of the time, while 9% and 16% never made such referrals. Limited time, space, financing, and staffing were seen as major barriers to PC implementation. In total, 37% of providers were satisfied with their COE's ability to provide PC services. Most COEs report a culture open to change and appear well-positioned to implement PC in a more comprehensive fashion. Discussion: These results demonstrate the emergence of structures and processes to provide PC to persons with PD at COEs. They also identify concrete opportunities to strengthen integration of PC through educational, quality improvement, and advocacy efforts.

Identifiers

PMID38455124
PMCPMC10915817

What OpenQuestion holds

Textmetadata
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.