Evidence map›Paper›PMID 39804856›Full record

ArticlePloS one2025

Specialty palliative care use among cancer patients: A population-based study.

J Brian Cassel, Donna McClish, David Buxton, Leanne Yanni, Seth Roberts, Nevena Skoro, Peter May, Egidio Del Fabbro, Danielle Noreika

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  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

9 authors.

J Brian CasselDivision of Hematology, Oncology and Palliative Care, Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia, United States of America.ORCID 0009-0005-3492-2585
Donna McClishDepartment of Biostatistics, Virginia Commonwealth University School of Medicine, Richmond, Virginia, United States of America.
David BuxtonDepartment of Palliative Care, Apollo Medical Group, Johnston Willis Hospital, Richmond, Virginia, United States of America.
Leanne YanniDepartment of Palliative Medicine, Bon Secours Mercy Health, Richmond, Virginia, United States of America.
Seth RobertsDepartment of Palliative Medicine, Bon Secours Mercy Health, Richmond, Virginia, United States of America.
Nevena SkoroOffice of Cancer Analytics, Massey Comprehensive Cancer Center, Virginia Commonwealth University, Richmond, Virginia, United States of America.
Peter MayCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, England.
Egidio Del FabbroDivision of Hematology, Oncology and Palliative Care, Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia, United States of America.
Danielle NoreikaDivision of Hematology, Oncology and Palliative Care, Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRigorous population-based assessments of the use of specialty palliative care (SPC) in the US are rare. SETTINGS/SUBJECTS: This study examined SPC use among cancer patients in a mid-sized metropolitan area in Southeast US. MEASUREMENTS: In this cancer decedent cohort study, data were acquired and linked from the state-wide cancer registry; state-wide hospital discharge dataset; and local SPC providers.

results12,030 individuals with cancer were included in this study; only 2,958 (24.6%) used SPC. Of the 9,072 persons who did not use SPC, 3,877 (42.7%) went only to hospitals that did not offer SPC; and 3,517 (38.8%) went to hospitals that offered SPC but did not use it. About half of SPC recipients (1493; 50.5%) first received SPC in the final 30 days of life, including 768 (26.0%) in the final week of life. Characteristics associated with using SPC use included being in an socio-economic status quintile other than the lowest; being younger; being Black; having a solid (versus hematological) cancer; having a shorter survival with cancer; dying in the latter two years of the study; being from an area of low or complete rurality; having a hospital admission in the final 60 days prior to initiation of PC or death; having more days in hospital; and living within 15 miles of a hospital offering SPC.

conclusionsIn this population-based study, only one-quarter of cancer patients used SPC, and for half who did so, it came in the final 30 days of life.

Indexed as

NeoplasmsPalliative CareAdultAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle AgedRegistries

Identifiers

PMID39804856
PMCPMC11730419

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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.