Evidence map›Paper›PMID 40183794›Full record

ArticleUrologie (Heidelberg, Germany)2025

[Specialized ambulatory palliative care for urological tumors].

Stephan Degener, Nici Markus Dreger, Friedrich-Carl von Rundstedt, Marie-Therese Schmitz, Ulrich Grabenhorst, Oliver Schmalz, Klaus Weckbecker, Johannes Just

Abstract readEnglish Abstract
In one paragraph

Article in Urologie (Heidelberg, Germany), 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. Review
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.

Stephan DegenerKlinik für Urologie und Kinderurologie, Helios Universitätsklinikum Wuppertal, Universität Witten/Herdecke, Heusnerstraße 40, 42283, Wuppertal, Deutschland. stephan.degener@helios-gesundheit.de.
Nici Markus DregerKlinik für Urologie und Kinderurologie, Helios Universitätsklinikum Wuppertal, Universität Witten/Herdecke, Heusnerstraße 40, 42283, Wuppertal, Deutschland.
Friedrich-Carl von RundstedtKlinik für Urologie und Kinderurologie, Helios Universitätsklinikum Wuppertal, Universität Witten/Herdecke, Heusnerstraße 40, 42283, Wuppertal, Deutschland.
Marie-Therese SchmitzInstitut für Medizinische Biometrie, Informatik und Epidemiologie (IMBIE), Medizinische Fakultät, Universität Bonn, Bonn, Deutschland.
Ulrich GrabenhorstVerbund der SAPV-Teams in Nordrhein e. V., Solingen, Deutschland.
Oliver SchmalzKlinik für Hämatologie, Onkologie, klinische Infektiologie und Palliativmedizinx, Helios Universitätsklinikum Wuppertal, Universität Witten/Herdecke, Wuppertal, Deutschland.
Klaus WeckbeckerInstitut für Allgemeinmedizin und ambulante Gesundheitsversorgung (IAMAG), Universität Witten/Herdecke, Witten, Deutschland.
Johannes JustInstitut für Allgemeinmedizin und ambulante Gesundheitsversorgung (IAMAG), Universität Witten/Herdecke, Witten, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrologic tumors comprise about 20% of cancer diagnoses in Germany. To date, there are no studies with large datasets on the palliative situation of patients with urological tumors in the home environment, although dignified end-of-life care in the home environment is the wish of most cancer patients.

methodsData from 5125 patients who received specialized outpatient palliative care (SAPV) with an underlying urological cancer between 2017 and 2021 were included in the analysis.

resultThe analysis showed that 91.5% of patients died at home and the symptom burden remained stable or decreased slightly during treatment. The median survival time of patients receiving SAPV was 24 days. Factors such as age, performance status, loss of appetite, weakness, and pain at the start of treatment influenced the survival time of the patients. Relatives were largely very satisfied with the care provided.

conclusionThe study provides important insights into the palliative care of patients with urological tumors and underlines the importance of SAPV for dignified end-of-life care.

Indexed as

Ambulatory CarePalliative CareUrologic NeoplasmsAdultAgedAged, 80 and overFemaleGermanyHumansMaleMiddle AgedTerminal CareCancerEnd-of-life carePalliative careSAPVSymptom management

Identifiers

PMID40183794
PMCPMC12618423

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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.