Evidence map›Paper›PMID 38954101›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Quality indicators for integrating oncology and home palliative care in Japan: modified Delphi study.

Takaaki Hasegawa, Takura Ochi, Akemi Yamagishi, Tatsuo Akechi, Akiko Urakubo, Akitaka Sugishita, Rie Yamamoto, Yosuke Kubota, Satofumi Shimoyama

Abstract readSystematic Review
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In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Takaaki HasegawaCenter for Psycho-oncology and Palliative Care, Nagoya City University Hospital, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan. takaaki_hase@bird.ocn.ne.jp.ORCID http://orcid.org/0000-0001-7894-4528
Takura OchiHospice, Matsuyama Bethel Hospital, Matsuyama, Japan.
Akemi YamagishiDepartment of Public Health, Keio University School of Medicine, Tokyo, Japan.
Tatsuo AkechiCenter for Psycho-oncology and Palliative Care, Nagoya City University Hospital, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.ORCID http://orcid.org/0000-0003-1100-7518
Akiko UrakuboDepartment of EBM and Guidelines, Japan Council for Quality Health Care, Nagoya, Japan.
Akitaka SugishitaCenter for Advanced Medicine and Clinical Research, Department of Advanced Medicine, Nagoya University Hospital, Nagoya, Japan.ORCID http://orcid.org/0009-0000-2005-9649
Rie YamamotoDepartment of Palliative Care, Saitama Cancer Center, Ina-machi, Japan.
Yosuke KubotaCenter for Psycho-oncology and Palliative Care, Nagoya City University Hospital, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
Satofumi ShimoyamaDepartment of Palliative Care, Aichi Cancer Center Hospital, Nagoya, Japan.

Funding

Ministry of Health, Labor and Welfare of Japan 20EA1028
6 · The paper itself

Abstract

contextHome palliative care service increases the chance of dying at home, particularly for patients with advanced cancer, but late referrals to home palliative care services still exist. Indicators for evaluating programs that can facilitate the integration of oncology and home palliative care have not been defined.

objectivesThis study developed quality indicators for the integration of oncology and home palliative care in Japan.

methodsWe conducted a systematic literature review (Databases included CENTRAL, MEDLINE, EMBASE, and Emcare) and a modified Delphi study to develop the quality indicators. Panelists rated a potential list of indicators using a 9-point scale over three rounds according to two criteria: appropriateness and feasibility. The criterion for the adoption of candidate indicators was set at a total mean score of 7 or more. Final quality indicators with no disagreement were included.

resultsOf the 973 publications in our initial search, 12 studies were included. The preliminary list of quality indicators by systematic literature review comprised 50 items. In total, 37 panelists participated in the modified Delphi study. Ultimately, 18 indicators were identified from the following domains: structure in cancer hospitals, structure in home palliative care services, the process of home palliative care service delivery, less aggressive end-of-life care, patient's psychological comfort, caregiver's psychological comfort, and patient's satisfaction with home palliative care service.

conclusionComprehensive quality indicators for the integration of oncology and home palliative care were identified. These indicators may facilitate interdisciplinary collaboration between professional healthcare providers in both cancer hospitals and home palliative care services.

Indexed as

Delphi TechniqueHome Care ServicesNeoplasmsPalliative CareQuality Indicators, Health CareHumansJapanMedical OncologyEarly palliative careIntegrated healthcare deliveryMedical oncologyNeoplasmsPalliative home careQuality indicator

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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.