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Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Assessment and monitoring by Integrated Palliative care Outcome Scale: an observational study on cancer patients at home.

Rita Ostan, Giuseppe Gambino, Luca Franchini, Gianpaolo Neri, Italo Malavasi, Daniele Roganti, Raffaella Pannuti, Simone Veronese, Guido Biasco, Silvia Varani

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, 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

10 authors.

Rita OstanNational Tumor Assistance (ANT) Foundation, Via Jacopo di Paolo, 36, 40128, Bologna, Italy. rita.ostan@ant.it.
Giuseppe GambinoNational Tumor Assistance (ANT) Foundation, Via Jacopo di Paolo, 36, 40128, Bologna, Italy.
Luca FranchiniNational Tumor Assistance (ANT) Foundation, Via Jacopo di Paolo, 36, 40128, Bologna, Italy.
Gianpaolo NeriNational Tumor Assistance (ANT) Foundation, Via Jacopo di Paolo, 36, 40128, Bologna, Italy.
Italo MalavasiNational Tumor Assistance (ANT) Foundation, Via Jacopo di Paolo, 36, 40128, Bologna, Italy.
Daniele RogantiNational Tumor Assistance (ANT) Foundation, Via Jacopo di Paolo, 36, 40128, Bologna, Italy.
Raffaella PannutiNational Tumor Assistance (ANT) Foundation, Via Jacopo di Paolo, 36, 40128, Bologna, Italy.
Simone VeroneseFARO Foundation, Turin, Italy.
Guido BiascoDepartment of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.
Silvia VaraniNational Tumor Assistance (ANT) Foundation, Via Jacopo di Paolo, 36, 40128, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntegrated Palliative care Outcome Scale (IPOS) is a specific tool for assessing needs in palliative care, recording and monitoring physical symptoms, emotional concerns, and communication and practical issues. This study aimed to evaluate if the IPOS tool was able to assess the impact of at-home palliative care program on physical symptoms and psychosocial problems in advanced cancer patients.

methodsThis observational prospective longitudinal mixed-method study included advanced cancer patients assisted at home. IPOS questionnaire (patient version-7-day recall) was administered at the entry, after 2 and 4 weeks. A qualitative thematic analysis (TA) of the first open-ended question was performed. Change over time in IPOS scores was analyzed by Friedman's test for repeated measures.

resultsAmong the 60 patients included (29 men, 31 women; 68.2 ± 14.0 years), 47 completed the 4-week observation period. TA indicated that the 3 main themes running through the three surveys (at the entry, day 14, and day 28) relate patients' concerns about symptoms and side effects of treatments, family members, the evolution of the disease, and the daily issues. Repeated measures test demonstrated that patients entering with medium-high IPOS total score (n = 27) showed a significant decrease in IPOS total score (p = 0.003), physical symptoms (p = 0.002), and communication and practice (p = 0.028) subscales after 2 and 4 weeks.

conclusionPatients entering in home care with higher burden of symptoms and psychosocial problems reported significant decrease in IPOS scores. In these patients, IPOS was responsive to change showing substantial clinical improvements after the activation of home assistance.

Indexed as

Home Care ServicesNeoplasmsOutcome Assessment, Health CarePalliative CareAgedAged, 80 and overFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesSurveys and QuestionnairesCancerHome careIntegrated Palliative care Outcome ScalePalliative carePatient-reported outcome measures

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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.