Evidence map›Paper›PMID 38866115›Full record

ArticleJournal of pain and symptom management2024

"Life…Gets Turned Upside-Down…" Opportunities to Improve Palliative Care for High-Grade Glioma.

Rita C Crooms, Jeannys F Nnemnbeng, Jennie W Taylor, Nathan E Goldstein, Barbara G Vickrey, Ksenia Gorbenko

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
–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

1 citing paper in PubMed.

  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

6 authors.

Rita C CroomsDepartment of Neurology, Icahn School of Medicine at Mount Sinai, (R.C.C, B.G.V), New York, New York, USA; Brookdale Department of Geriatrics and Palliative Medicine, (R.C.C), Icahn School of Medicine at Mount Sinai, New York, New York, USA. Electronic address: Caroline.crooms@mssm.edu.
Jeannys F NnemnbengGraduate School of Biomedical Sciences, (J.F.N), Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Jennie W TaylorDepartments of Neurology and Neurological Surgery, (J.W.T), University of California, San Francisco, San Francisco, California, USA.
Nathan E GoldsteinDepartment of Medicine, (N.E.G), Dartmouth Health and the Geisel School of Medicine, Lebanon, New Hamisphere.
Barbara G VickreyDepartment of Neurology, Icahn School of Medicine at Mount Sinai, (R.C.C, B.G.V), New York, New York, USA.
Ksenia GorbenkoDepartment of Population Health Science and Policy, (K.G), Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Funding

Residing in the Community with Dementia at the End of Life: Understanding Hospice Use and Residential SettingP30AG028741 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ALBERT L SIU · 2010 to 2026
$21.9M
Palliative Care for High-Grade GliomaR03AG074064 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CROOMS, RITA CAROLINE · 2021 to 2022
$338k
NIA NIH HHS P30 AG028741NIA NIH HHS R03 AG074064
6 · The paper itself

Abstract

contextEarly palliative care referral is recommended broadly in oncology. Yet, few patients with high-grade gliomas (HGG) - highly aggressive brain tumors - receive specialty palliative care consultation.

objectivesTo delineate unique needs of HGG patients relative to other oncology patients according to perceptions of a diverse sample of US palliative medicine physicians and neuro-oncologists in each of the eight domains of palliative care; and to describe contrasts between physician specialties on indications for and timing of specialty palliative care referrals in HGG.

methodsBetween September 2021 and May 2023, we conducted semi-structured, 40-minute interviews with ten palliative medicine physicians and ten neuro-oncologists. Participants were recruited via purposive sampling for diversity in geographic setting, years in practice, and practice structure. Interviews were audio-recorded, professionally transcribed, and coded by two investigators. Data were analyzed thematically using a qualitative, phenomenological approach.

resultsThe palliative care needs of HGG relative to other cancers across palliative care domains are distinguished by poor prognosis, physical and cognitive deficits, and neuropsychiatric symptoms. Themes on indications for palliative care referral differed between neuro-oncologists and palliative physicians. Neuro-oncologists favored selective referral for clinical indications such as high non-neurologic symptom burden requiring time-intensive management. Palliative physicians favored early referral of most HGG patients, to allow for maximal benefit across HGG trajectory.

conclusionPatients with HGG have unique palliative care needs that affect palliative care delivery across care domains. Bidirectional education, enhanced collaboration, and consensus guidelines may help overcome barriers to specialty palliative care referral.

Indexed as

Brain NeoplasmsGliomaPalliative CareReferral and ConsultationAdultAttitude of Health PersonnelFemaleHumansMaleMiddle AgedOncologistsQualitative ResearchGliomaNeuro-oncologyNeuropalliative carePalliative care delivery modelsQualitative theme analysis

Identifiers

PMID38866115
PMCPMC11391587

What OpenQuestion holds

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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.