Evidence map›Paper›PMID 40209958›Full record

ArticleJournal of pain and symptom management2025

Use of the consideRATE and integRATE Measures to Assess Care Quality in Inpatient Palliative Care.

Meredith A MacMartin, Joseph P Nano, Elodie Richard, Melissa Garland, Kristen Johnson, Kathryn Kirkland, Barbara Mathewson, Mary Thibideau, Catherine H Saunders

Abstract read
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 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.

Meredith A MacMartinDartmouth Hitchcock Medical Center (M.A.M., J.P.N., M.G., K.J., K.K., B.M., M.T., C.H.S.), Lebanon, New Hampshire, USA; Geisel School of Medicine (M.A.M., J.P.N., E.R., K.K., C.H.S), Hanover, New Hampshire, USA. Electronic address: meredith.a.macmartin@hitchcock.org.
Joseph P NanoDartmouth Hitchcock Medical Center (M.A.M., J.P.N., M.G., K.J., K.K., B.M., M.T., C.H.S.), Lebanon, New Hampshire, USA; Geisel School of Medicine (M.A.M., J.P.N., E.R., K.K., C.H.S), Hanover, New Hampshire, USA.
Elodie RichardGeisel School of Medicine (M.A.M., J.P.N., E.R., K.K., C.H.S), Hanover, New Hampshire, USA.
Melissa GarlandDartmouth Hitchcock Medical Center (M.A.M., J.P.N., M.G., K.J., K.K., B.M., M.T., C.H.S.), Lebanon, New Hampshire, USA.
Kristen JohnsonDartmouth Hitchcock Medical Center (M.A.M., J.P.N., M.G., K.J., K.K., B.M., M.T., C.H.S.), Lebanon, New Hampshire, USA.
Kathryn KirklandDartmouth Hitchcock Medical Center (M.A.M., J.P.N., M.G., K.J., K.K., B.M., M.T., C.H.S.), Lebanon, New Hampshire, USA; Geisel School of Medicine (M.A.M., J.P.N., E.R., K.K., C.H.S), Hanover, New Hampshire, USA.
Barbara MathewsonDartmouth Hitchcock Medical Center (M.A.M., J.P.N., M.G., K.J., K.K., B.M., M.T., C.H.S.), Lebanon, New Hampshire, USA.
Mary ThibideauDartmouth Hitchcock Medical Center (M.A.M., J.P.N., M.G., K.J., K.K., B.M., M.T., C.H.S.), Lebanon, New Hampshire, USA.
Catherine H SaundersDartmouth Hitchcock Medical Center (M.A.M., J.P.N., M.G., K.J., K.K., B.M., M.T., C.H.S.), Lebanon, New Hampshire, USA; Geisel School of Medicine (M.A.M., J.P.N., E.R., K.K., C.H.S), Hanover, New Hampshire, USA.

Funding

Setting the Agenda: Empowering people with CKD in rural America through participatory research to develop, implement and trial a clinical visit agenda-setting interventionK01DK139400 · NIDDK · DARTMOUTH-HITCHCOCK CLINIC · PI Catherine H Saunders · 2024 to 2026
$462k
NIDDK NIH HHS K01 DK139400
6 · The paper itself

Abstract

contextDespite recognition of the importance of measuring the quality of palliative care, there are significant gaps in information about how to do so in real-world settings, particularly for patient-reported experience measures (PREMs).

objectivesTo institute a routine process of quality measurement using PREMs to support quality improvement and service recovery, in a single center inpatient palliative care unit in the United States.

methodsVolunteers with prior healthcare experience administered two PREMs: consideRATE (a measure of patient serious illness experience) and integRATE (a measure of healthcare team integration). We calculated both item and overall mean scores, and top-box scores to mitigate potential ceiling effects. Negative or critical complaints were promptly brought to the unit nurse manager for real-time service recovery.

resultsThe overall mean consideRATE score was 3.88 (highest score possible of 4), and the overall mean integRATE score was 3.91 (highest score possible of 4). Top-box scores were 70% for consideRATE, and 75% for integRATE. The majority of the feedback given was positive. Opportunities for improvement of the unit environment, communication with patients and families, and the nursing and medical care, were identified. In some cases, critical feedback was acted on in real time to allow for service recovery.

conclusionUsing consideRATE and integRATE in routine care is feasible, allows for effective identification of patient and family concerns about care, and should be considered for other palliative care settings.

Indexed as

Palliative CarePatient Reported Outcome MeasuresQuality of Health CareFemaleHumansInpatientsMaleMiddle AgedPatient SatisfactionQuality Improvementpalliative care unitPatient experiencequality improvement

Identifiers

PMID40209958
PMCPMC12148681

What OpenQuestion holds

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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.