Evidence map›Paper›PMID 39607499›Full record

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

Quality of end-of-life care in patients with hematological malignancies: potential role of palliative care.

Silvia Allende-Pérez, Martha Edith Valdés-Flores, Oscar Raúl Rodríguez-Mayoral, Jacob Jonatan Cruz-Sánchez, Adriana Peña-Nieves, Mariana Isabel Herrera-Guerrero, Thomas W LeBlanc

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study 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 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

7 authors.

Silvia Allende-PérezPalliative Care Service, Instituto Nacional de Cancerología, Avenida San Fernando 22, Belisario Domínguez, Sección 16, Tlalpan, 14080, Mexico City, Mexico. silvia_allende@hotmail.com.ORCID http://orcid.org/0000-0002-6136-6968
Martha Edith Valdés-FloresPalliative Care Service, Instituto Nacional de Cancerología, Avenida San Fernando 22, Belisario Domínguez, Sección 16, Tlalpan, 14080, Mexico City, Mexico.
Oscar Raúl Rodríguez-MayoralPalliative Care Service, Instituto Nacional de Cancerología, Avenida San Fernando 22, Belisario Domínguez, Sección 16, Tlalpan, 14080, Mexico City, Mexico.ORCID http://orcid.org/0000-0002-5441-1919
Jacob Jonatan Cruz-SánchezPalliative Care Service, Instituto Nacional de Cancerología, Avenida San Fernando 22, Belisario Domínguez, Sección 16, Tlalpan, 14080, Mexico City, Mexico.ORCID http://orcid.org/0000-0002-1021-1739
Adriana Peña-NievesPalliative Care Service, Instituto Nacional de Cancerología, Avenida San Fernando 22, Belisario Domínguez, Sección 16, Tlalpan, 14080, Mexico City, Mexico.ORCID http://orcid.org/0000-0003-0632-0585
Mariana Isabel Herrera-GuerreroPalliative Care Service, Instituto Nacional de Cancerología, Avenida San Fernando 22, Belisario Domínguez, Sección 16, Tlalpan, 14080, Mexico City, Mexico.
Thomas W LeBlancDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0002-0546-7895

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited data are available on the impact of specialist palliative care on end-of-life care quality for patients with hematologic malignancies. This study aims to analyze the quality of end-of-life care in patients with hematological malignancies, comparing those who receive palliative care with those who do not.

methodsObservational, single center retrospective study. This study was conducted at the National Cancer Institute (INCan) in Mexico City, a tertiary care hospital, between January 2016 and June 2021. This study included deceased patients with hematological malignancies who were hospitalized or patients who were hospitalized and receiving home palliative care, with follow-up from the palliative care service. End-of-life care quality was assessed using the ASCO/NQF instrument.

resultsThree hundred sixty deceased patients with hematological malignancies were included in the analysis; 51.4% were men, with a median age of 52 years. The most common diagnosis was non-Hodgkin lymphoma (41.4%); 37.8% of patients were referred to palliative care, with an average referral time from admission to INCan of 99.5 days. Patients without palliative care referral showed worse quality of death indicators (71.6% vs. 28.4%). Survival analysis revealed a median survival of 5.29 months for patients with up to 3 worse quality of death indicators and 3.65 months for those with ≥ 4 worse quality of death indicators at the end-of-life (p < 0.001).

conclusionPatients with hematologic malignancies who did not receive palliative care experienced more intensive end-of-life interventions and had lower overall survival rates. Early integration of palliative care is crucial to promote compassionate approaches near death and ensure quality end-of-life care.

Indexed as

Hematologic NeoplasmsPalliative CareQuality of Health CareTerminal CareAdultAgedAged, 80 and overFemaleHumansMaleMexicoMiddle AgedRetrospective StudiesEnd-of-life careHematologic malignanciesPalliative careQuality of care

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.