Evidence map›Paper›PMID 38607376›Full record

ArticleJournal of cancer research and clinical oncology2024

Utilization and quality of palliative care in patients with hematological and solid cancers: a population-based study.

Cordula Gebel, Bianka Ditscheid, Franziska Meissner, Ekaterina Slotina, Isabel Kruschel, Ursula Marschall, Ullrich Wedding, Antje Freytag

Open access · goldAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Symptom burden and palliative care in patients with hematologic malignancies: a single-center experience.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Observational
  10. Observational
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

8 authors at 3 institutions in 1 country.

Cordula GebelDepartment of Palliative Care, University Hospital Jena, Friedrich-Schiller University Jena, Jena, Germany. cordula.gebel@med.uni-jena.de.
Bianka DitscheidInstitute of General Practice, University Hospital Jena, Friedrich-Schiller University Jena, Jena, Germany.
Franziska MeissnerInstitute of General Practice, University Hospital Jena, Friedrich-Schiller University Jena, Jena, Germany.
Ekaterina SlotinaInstitute of General Practice, University Hospital Jena, Friedrich-Schiller University Jena, Jena, Germany.
Isabel KruschelDepartment of Palliative Care, University Hospital Jena, Friedrich-Schiller University Jena, Jena, Germany.
Ursula MarschallBARMER, Wuppertal, Germany.
Ullrich WeddingDepartment of Palliative Care, University Hospital Jena, Friedrich-Schiller University Jena, Jena, Germany.
Antje FreytagInstitute of General Practice, University Hospital Jena, Friedrich-Schiller University Jena, Jena, Germany.
Friedrich Schiller University Jena · DEBARMER GEK · DEComprehensive Cancer Center Mainfranken · DE

Funding

Innovation Fund of the German Federal Joint Committee 01VSF19026
6 · The paper itself

Abstract

backgroundPalliative care (PC) contributes to improved end-of-life care for patients with hematologic malignancies (HM) and solid tumors (ST) by addressing physical and psychological symptoms and spiritual needs. Research on PC in HM vs. ST patients is fragmented and suggests less use.

methodsWe analyzed claims data of all deceased members of a large German health insurance provider for the year before death. First, we analyzed the frequency and the beginning of different types of PC and compared patients with HM vs. ST. Second, we analyzed the adjusted impact of PC use on several end-of-life quality outcomes in patients with HM vs. ST. We performed simple and multiple (logistic) regression analysis, adjusted for relevant covariates, and standardized for age and sex.

resultsOf the 222,493 deceased cancer patients from 2016 to 2020, we included 209,321 in the first analysis and 165,020 in the second analysis. Patients with HM vs. ST received PC less often (40.4 vs. 55.6%) and later (34 vs. 50 days before death). PC use significantly improved all six quality indicators for good end-of-life care. HM patients had worse rates in five of the six indicators compared with ST patients. Interaction terms revealed that patients with ST derived greater benefit from PC in five of six quality indicators than those with HM.

conclusionThe data highlight the need to integrate PC more often, earlier, and more effectively into the care of patients with HM.

Indexed as

Hematologic NeoplasmsTerminal CareHumansInsurance, HealthPalliative CareResearchClaims dataEnd of lifeHematologic cancerPalliative careQuality of healthcareSolid tumor

Identifiers

PMID38607376
PMCPMC11014814
OpenAlexW4394748703

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.