Evidence map›Paper›PMID 38826082›Full record

ArticleEuropean journal of neurology2024

Education needs in palliative care and advance care planning of Italian residents in neurology: an online survey.

Alessandro Bombaci, Francesco Di Lorenzo, Eugenio Pucci, Alessandra Solari, Simone Veronese, Società Italiana di Neurologia–Società Italiana di Cure Palliative Intersociety Table

Abstract read
In one paragraph

Article in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Neurophobia in health profession students and practitioners: a systematic review and synthesis without meta-analysis (SWiM).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Neurology training in italy: a perceived proficiency-based survey on Italian residency programmes and compliance with European training standards.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  6. Review
  7. Article
  8. Neurology and physician-assisted suicide: position of the Italian society of neurology.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  9. Neurology and physician-assisted suicide: glossary of definitions and terminology.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  10. 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

6 authors.

Alessandro BombaciPhD Programme in Neuroscience, 'Rita Levi Montalcini' Department of Neuroscience, University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-3961-6780
Francesco Di LorenzoIRCCS Fondazione Santa Lucia, Rome, Italy.ORCID https://orcid.org/0000-0001-9871-229X
Eugenio PucciUOC Neurologia-AST-Fermo, Fermo, Italy.ORCID https://orcid.org/0000-0001-7606-7330
Alessandra SolariUnit of Neuroepidemiology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID https://orcid.org/0000-0001-9930-7579
Simone VeroneseFondazione FARO ETS, Turin, Italy.ORCID https://orcid.org/0000-0002-9555-7252
Società Italiana di Neurologia–Società Italiana di Cure Palliative Intersociety Table

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeMost neurological diseases have a chronic and progressive clinical course, with patients living for extended periods with complex healthcare needs. Evidence from other countries suggests that palliative care (PC) is insufficiently integrated in the care of these patients. This study aims to identify PC and advance care planning (ACP) knowledge and the perceived preparedness of Italian residents in neurology.

methodsThis is a cross-sectional online survey of physicians attending the 36 Italian neurology residency programmes.

resultsOf 854 residents, 188 (22%) participated. Their mean age was 28.4 ± 2.0 years; 49% were women; 45% were from the north, 23% from the centre and 32% from the south of Italy. Few residents (6%) reported that a teaching course in PC was part of the graduate programme, and 3% of the postgraduate programme. During their residency, 9% of participants received PC training, and 18% ACP training. Only 13% reported to have participated in the ACP process, half within their neurology residency programme. Residents considered PC support very/extremely important in all the pre-specified clinical situations, with values ranging between 78% and 96%. Over 70% of residents revealed education needs, particularly concerning ACP.

conclusionsOur data confirm the need for improving PC training in the graduate and postgraduate curriculum. This, together with collaboration and joint training of neurology and PC, is essential to improve the quality and continuity of care and respond to the complex needs of people with neurological disorders causing severe disability.

Indexed as

Advance Care PlanningInternship and ResidencyNeurologyPalliative CareAdultCross-Sectional StudiesFemaleHumansItalyMaleSurveys and Questionnairesadvance care planningItalian residentspalliative caresurveytrainingyoung neurologists

Identifiers

PMID38826082
PMCPMC11295156

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Registered trials

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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.