Evidence map›Paper›PMID 38631650›Full record

ArticleJournal of pain and symptom management2024

Palliative Care Clinicians' Views on Metrics for Successful Specialist Palliative Care Delivery in the ICU.

Evan Liu, Miguel Cid, Daniel K Manson, Myrick C Shinall, May Hua

Abstract read
PubMed Full text at PMC Publisher
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

5 authors at 3 institutions in 3 countries.

Evan LiuTufts University School of Medicine (E.L.), Boston, Massachusetts, USA.
Miguel CidDepartment of Anesthesiology (M.C.), College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Daniel K MansonDivision of Pulmonary, Allergy, and Critical Care Medicine (D.M.), College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Myrick C ShinallDivision of General Surgery (M.S.), Section of Surgical Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Geriatrics Research, Education, and Clinical Center (M.S.), VA Tennessee Valley Health Care System, Nashville, Tennessee, USA.
May HuaDepartment of Anesthesiology (M.H.), College of Physicians and Surgeons, Columbia University, New York, New York, USA; Department of Epidemiology (M.H.), Mailman School of Public Health, Columbia University, New York, New York, USA. Electronic address: mh2633@cumc.columbia.edu.
Columbia College · CATufts University · USVA Tennessee Valley Healthcare System · US

Funding

Specialist Palliative Care in Surgical OncologyK76AG068436 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SHINALL, MYRICK C · 2020 to 2022
$714k
NIA NIH HHS K76 AG068436
6 · The paper itself

Abstract

contextA quarter of palliative care (PC) clinicians' consultations are now requested from the intensive care unit (ICU). Despite this high usage, a standardized set of quality metrics for PC delivery in the ICU does not exist.

objectivesTo explore PC clinicians' views on how to best measure quality of care delivery in their role as a consultant in the ICU setting.

methodsSecondary analysis of a parent dataset consisting of qualitative data from semi-structured interviews exploring ways to optimize PC clinicians' role in the ICU. Nineteen participants were recruited across five academic medical centers in the US. Participants included PC physicians (n = 14), nurse practitioners (n = 2), and social workers (n = 3). Thematic analysis with an inductive approach was used to generate themes.

resultsWe identified two central themes: difficulties in measuring PC quality in the ICU (theme 1) and tension between the role of PC and metrics (theme 2). Theme 1 had two subthemes related to logistical challenges in measuring outcomes and PC clinicians' preference for metrics that incorporate subjective feedback from patients, family members, and the primary ICU team. Theme 2 described how PC clinicians often felt a disconnect between the goal of meeting a metric and their goals in delivering high-quality clinical care.

conclusionOur findings provide insight into PC clinician perspectives on quality metrics and identify major barriers that need to be addressed to successfully implement quality measurement in the ICU setting.

Indexed as

Attitude of Health PersonnelIntensive Care UnitsPalliative CareAdultDelivery of Health CareFemaleHumansMaleMiddle AgedNurse PractitionersPhysiciansQualitative ResearchQuality of Health CareSocial WorkersIntensive care unitPalliative careQuality metrics

Identifiers

PMID38631650
PMCPMC13659866
OpenAlexW4394824138

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.