Evidence map›Paper›PMID 39179000›Full record

Trial reportJournal of pain and symptom management2024

Predictors of Specialty Outpatient Palliative Care Utilization Among Persons With Serious Illness.

Paige Comstock Barker, Rebecca Liddicoat Yamarik, Oluwaseun Adeyemi, Allison M Cuthel, Mara Flannery, Nina Siman, Keith S Goldfeld, Corita R Grudzen, EMPallA Investigators

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report 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. It is linked to trial NCT03325985 (Emergency Medicine Palliative Care Access), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT03325985 nacompletednot on this map

Emergency Medicine Palliative Care Access (EMPallA)

TypeinterventionalSponsorNYU Langone HealthRan2018 to 2023Enrolled1,606ConditionsAdvanced Cancer, End Stage Organ FailureArmsNurse-led telephonic case management, Facilitated,outpatient specialty palliative care
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Paige Comstock BarkerDepartment of Medicine (P.C.B.), University of Florida Health, Gainesville, Florida, USA.
Rebecca Liddicoat YamarikDepartment of Medicine (R.L.Y.), Tibor Rubin Long Beach Veteran Affairs, Long Beach, California, USA.
Oluwaseun AdeyemiRonald O. Perelman Department of Emergency Medicine (O.A., A.M.C., M.F., N.S.), New York University School of Medicine, New York, New York, USA.
Allison M CuthelRonald O. Perelman Department of Emergency Medicine (O.A., A.M.C., M.F., N.S.), New York University School of Medicine, New York, New York, USA. Electronic address: Allison.Cuthel@nyulangone.org.
Mara FlanneryRonald O. Perelman Department of Emergency Medicine (O.A., A.M.C., M.F., N.S.), New York University School of Medicine, New York, New York, USA.
Nina SimanRonald O. Perelman Department of Emergency Medicine (O.A., A.M.C., M.F., N.S.), New York University School of Medicine, New York, New York, USA.
Keith S GoldfeldDepartment of Population Health (K.S.G.), New York University Grossman School of Medicine, New York, New York, USA.
Corita R GrudzenDivision of Supportive and Acute Care Services (C.R.G.), Memorial Sloan Kettering Cancer Center, New York, New York, USA.
EMPallA InvestigatorsByline group authorship.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
ED GOAL: An Advance Care Planning Intervention for Seriously Ill Older Adults in the Emergency DepartmentK76AG064434 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI OUCHI, KEI · 2020 to 2024
$1.3M
NCI NIH HHS P30 CA008748NIA NIH HHS K76 AG064434
6 · The paper itself

Abstract

contextOutpatient Palliative Care (OPC) benefits persons living with serious illness, yet barriers exist in utilization.

objectivesTo identify factors associated with OPC clinic utilization.

methodsEmergency Medicine Palliative Care Access is a multicenter, randomized control trial comparing two models of palliative care for patients recruited from the Emergency Department (ED): nurse-led telephonic case management and OPC (one visit a month for six months). Patients were aged 50+ with advanced cancer or end-stage organ failure and recruited from 19 EDs. Using a mixed effects hurdle model, we analyzed patient, provider, clinic and healthcare system factors associated with OPC utilization.

resultsAmong the 603 patients randomized to OPC, about half (53.6%) of patients attended at least one clinic visit. Those with less than high school education were less likely to attend an initial visit than those with a college degree or higher (aOR 0.44; CI 0.23, 0.85), as were patients who required considerable assistance (aOR 0.45; CI 0.25, 0.82) or had congestive heart failure only (aOR 0.46; CI 0.26, 0.81). Those with higher symptom burden had a higher attendance at the initial visit (aOR 1.05; CI 1.00, 1.10). Reduced follow up visit rates were demonstrated for those of older age (aRR 0.90; CI 0.82, 0.98), female sex (aRR 0.84; CI 0.71, 0.99), and those that were never married (aRR 0.62; CI 0.52, 0.87).

conclusionEfforts to improve OPC utilization should focus on those with lower education, more functional limitations, older age, female sex, and those with less social support. Trial Registration ClinicalTrials.gov Identifier: NCT03325985.

Indexed as

Ambulatory CareCritical IllnessPalliative CareAgedFemaleHumansMaleMiddle Agedadvanced illnessEmergency medicineoutpatient palliative carepalliative care

Identifiers

PMID39179000
PMCPMC12614125

What OpenQuestion holds

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Registered trials

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.