Evidence map›Paper›PMID 39408170›Full record

ArticleHealthcare (Basel, Switzerland)2024

Generating Consensus on Good Practices in the Care of Portuguese Internal Medicine Patients Facing Imminent Death: A Delphi Study.

Rui Carneiro, Manuel Luís Capelas, Catarina Simões, Elga Freire, António Henriques Carneiro

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

5 authors.

Rui CarneiroPalliative Care Team, Internal Medicine, Emergency and Intensive Care Department, Hospital da Luz-Arrábida, 4400-346 Vila Nova de Gaia, Portugal.ORCID 0000-0002-0213-2504
Manuel Luís CapelasFaculty of Health Sciences and Nursing, Universidade Católica Portuguesa, 1649-023 Lisbon, Portugal.ORCID 0000-0002-8993-6854
Catarina SimõesPalliative Care Team, Internal Medicine, Emergency and Intensive Care Department, Hospital da Luz-Arrábida, 4400-346 Vila Nova de Gaia, Portugal.ORCID 0000-0003-1813-4632
Elga FreireInternal Medicine and Palliative Care Team, Centro Hospitalar e Universitário de Santo António, 4099-001 Porto, Portugal.ORCID 0000-0002-4081-8312
António Henriques CarneiroInternal Medicine, Emergency and Intensive Care Department, Hospital da Luz-Arrábida, 4400-346 Vila Nova de Gaia, Portugal.ORCID 0000-0002-0774-6863

Funding

Fundação para a Ciência e a Tecnologia UIDB/04279/2020
6 · The paper itself

Abstract

contextModern medicine aims to ensure a world in which all people experience a good end of life as an integral part of their life journey. A good end-of-life experience means dying with dignity and receiving the best healthcare based on scientific evidence.

objectiveThis study aims to reach a consensus about the contents of a comprehensive instrument based on the 10/40 Model of the International Collaborative for the Best Care for the Dying Person for evaluating inpatients facing imminent death in Portuguese internal medicine wards and a proposal for anticipatory medication for symptom control in inpatient and home care settings.

methodsWe employed the Delphi method and conducted various rounds of questionnaire administration to 23 Portuguese internists competent in palliative medicine. Data were obtained in July and September of 2022.

resultsConsensus was reached among the expert panel on the diagnostic, initial assessment, monitoring, and after-death care items of the tool, with minor adjustments to wording or content. However, it was not possible to reach a consensus on most of the proposals presented for anticipatory medication for symptomatic control.

conclusionWe present the consensus about the contents of a comprehensive instrument for evaluating inpatients facing imminent death in Portuguese internal medicine wards. Best practices in this setting were defined from the point of view of internists with expertise in palliative care. However, the best pharmacological practices still require further reviews of the literature and consensus.

Indexed as

Delphi methodorganizationpalliative carequality of lifeterminal care

Identifiers

PMID39408170
PMCPMC11477172

What OpenQuestion holds

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LicenceCC BY
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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.