Evidence map›Paper›PMID 39017732›Full record

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

Timely integration of palliative care. the reality check. a retrospective analysis.

F Adamidis, N S Baumgartner, A Kitta, L Kum, F Ecker, J Bär, C Marosi, G Kreye, C Fischer, E L Zeilinger and 3 more

Abstract read
In one paragraph

Article 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. Cited by 10 papers.

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

10 citing papers in PubMed.

  1. Missed opportunities: delayed in-hospital palliative care consultations in patients with non-metastatic cancers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  10. Early integration or last consultation: in-house palliative care involvement for hospitalized patients in tertiary medicine-a retrospective analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

F AdamidisDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria. feroniki.adamidis@meduniwien.ac.at.ORCID http://orcid.org/0000-0002-2218-6788
N S BaumgartnerDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.
A KittaDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0001-9102-593X
L KumDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-7751-7994
F EckerDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0009-0007-6607-6701
J BärDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0009-0004-8228-7566
C MarosiDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-0631-672X
G KreyeDepartment of Internal Medicine II, Clinical Division of Palliative Medicine, University Hospital Krems, Krems an Der Donau, Austria.ORCID http://orcid.org/0000-0003-0674-7079
C FischerDepartment of Health Economics, Center for Public Health, Medical University of Vienna, 1090, Vienna, Austria.ORCID http://orcid.org/0000-0001-7574-8097
E L ZeilingerDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-0625-500X
C PaschenDepartment of Medicine III, Division of Nephrology and Dialysis, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-8456-0683
C WenzelDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-3617-1317
E K MaselDepartment of Medicine I, Division of Palliative Medicine, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0001-6415-4488

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA large volume of literature suggests that timely integration of palliative care (PC) enhances the well-being, quality of life and satisfaction of patients and their families. It may also positively impact clinical outcomes and healthcare costs throughout the disease trajectory. Therefore, reviewing clinical practice to reflect real-life situations regarding timely PC integration is essential.

methodsThis study, conducted at the Vienna General Hospital between March 2016 and August 2022, retrospectively examined PC consultation (PCC) requests. It aimed to assess the timeliness of PC integration by analysing the duration between diagnosis and the first PCC request, as well as the interval between the first PCC request and death.

resultsThis study included 895 PCCs. The median time from diagnosis to the first PCC was 16.6 (interquartile range (IQR): 3.9-48.4) months, while the median time from the first PCC to death was 17.2 (IQR: 6.1-50.7) days. The median time from diagnosis to first PCC was 10.4 months in females (confidence interval (CI): 6.0-14.8) compared to 10.6 months in males (CI: 8.1-13.1; p = 0.675). There were no gender disparities in the time from first PCC to death, with a median of 23.3 days (CI: 15.6-31.0) for females and 22.3 days (CI: 16.2-28.4) for males (p  = 0.93). Fifty percent of patients died between 5 and 47 days after the first PCC.

conclusionThese findings highlight the discrepancy between the clinical perception of PC as end-of-life care and the existing literature, thereby emphasising the importance of timely PC integration.

Indexed as

Palliative CareAdultAgedAged, 80 and overAustriaFemaleHumansMaleMiddle AgedNeoplasmsQuality of LifeReferral and ConsultationRetrospective StudiesTime FactorsConsultation and ReferralDeathNeoplasmsPalliative CarePublic HealthTerminal Care

Identifiers

PMID39017732
PMCPMC11254969

What OpenQuestion holds

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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.