Evidence map›Paper›PMID 39756664›Full record

ArticleJournal of pain and symptom management2025

Quality of Virtual vs. In-Person Outpatient Palliative Care: Disparities by Language and Race.

Sarah Nouri, Steven Z Pantilat, Christine S Ritchie, Courtney R Lyles, Ying Shi, David O'Riordan, John Boscardin, Rebecca L Sudore

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2025. 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

8 authors.

Sarah NouriDivision of Palliative Medicine (S.N., S.Z.P., D.O.R.), Department of Medicine, University of California San Francisco, San Francisco, California, USA. Electronic address: sarah.nouri@ucsf.edu.
Steven Z PantilatDivision of Palliative Medicine (S.N., S.Z.P., D.O.R.), Department of Medicine, University of California San Francisco, San Francisco, California, USA.
Christine S RitchieCenter for Aging and Serious Illness (C.S.R.), Division of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Courtney R LylesCenter for Healthcare Policy and Research & Department of Public Health Sciences (C.R.L.), University of California Davis, Sacramento, California, USA.
Ying ShiDivision of Geriatrics, Department of Medicine (Y.S., J.B., R.L.S.), University of California San Francisco, San Francisco, California, USA.
David O'RiordanDivision of Palliative Medicine (S.N., S.Z.P., D.O.R.), Department of Medicine, University of California San Francisco, San Francisco, California, USA.
John BoscardinDivision of Geriatrics, Department of Medicine (Y.S., J.B., R.L.S.), University of California San Francisco, San Francisco, California, USA; Department of Epidemiology & Biostatistics (J.B.), University of California San Francisco, San Francisco, California, USA.
Rebecca L SudoreDivision of Geriatrics, Department of Medicine (Y.S., J.B., R.L.S.), University of California San Francisco, San Francisco, California, USA.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KENNETH E. COVINSKY, MICHAEL A. STEINMAN · 2013 to 2026
$19.9M
Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Mentoring Researchers in Advance Care Planning for Underrepresented Older Adults at Risk for Alzheimer’s Disease and Related Dementias and Their CaregiversK24AG054415 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI REBECCA L SUDORE · 2017 to 2026
$1.7M
CARES: A Caregiver-Facing Digital Symptom Assessment Tool for Marginalized Older Adults with Serious IllnessK76AG088348 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sarah Nouri · 2024 to 2026
$728k
NIA NIH HHS K24 AG054415NIA NIH HHS K76 AG088348NIA NIH HHS P30 AG044281NIDDK NIH HHS P30 DK092924
6 · The paper itself

Abstract

contextVirtual visits have increased in outpatient, clinic-based palliative care (OPC). The association between virtual visits and OPC outcomes is largely unknown.

objectives(1) Examine the association between visit type (virtual vs. in-person) and screening (yes/no) for psychosocial, spiritual, and goals of care needs. (2) Assess effect modification by language.

methodsWe used data from the Palliative Care Quality Network (01/2017-03/2021). We conducted multivariable analyses adjusting for age, sex, diagnosis, self-reported race-ethnicity, and language, clustered by site, and included an interaction term to assess effect modification by language.

resultsAmong 2684 patients, 29% had a virtual visit; 50% were ≥65 years old, 24% non-English preferred languages; 18% identified as Hispanic, 9% Black, 17% Asian, 6% Native Hawaiian/Pacific Islander. There were no differences by visit type in screening for psychosocial (aOR 0.87 vs. in-person visits, 95% CI 0.60-1.25), spiritual (aOR 0.81, 95% CI 0.57-1.15), or goals of care needs (aOR 1.05, 95% CI 0.85-1.31). Patients with non-English preferred languages (vs. English-speaking) had significantly lower odds of screening regardless of visit type. Patients identifying as Black (vs. White) also had significantly lower odds of screening.

conclusionsThere were no differences by visit type in screening for psychosocial, spiritual, and goals of care needs. Patients with preferred languages other than English were significantly less likely to be screened than English speakers, though there was no further difference by visit type. Patients identifying as Black were also significantly less likely to be screened. Addressing these disparities in core OPC elements is essential in providing equitable, high-quality OPC.

Indexed as

Ambulatory CareHealthcare DisparitiesLanguagePalliative CareQuality of Health CareTelemedicineAgedAged, 80 and overEthnicityFemaleHumansMaleMiddle AgedRacial GroupsHealth disparitiesLimited English proficiencyOutcomesOutpatient palliative care

Identifiers

PMID39756664
PMCPMC11931976

What OpenQuestion holds

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LicenceCC BY
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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.