Evidence map›Paper›PMID 40606950›Full record

ReviewEcancermedicalscience2025

Quality indicators and patient outcome measures for palliative care in cancer patients: a systematic review.

Chase Peng Yun Ng, Moira Hegyi, Grant Lewison, Tania Pastrana, Eve Namisango, James Cleary, Barbara Hasties, Eric Kabisa, Helena Musau, Kathryn Spangenberg and 8 more

Abstract readReview
In one paragraph

Review in Ecancermedicalscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

18 authors.

Chase Peng Yun NgKing's College London, Institute of Cancer Policy, London WC2R 2LS, UK.
Moira HegyiKing's College London, Institute of Cancer Policy, London WC2R 2LS, UK.
Grant LewisonKing's College London, Institute of Cancer Policy, London WC2R 2LS, UK.
Tania PastranaDepartment of Palliative Medicine, Medical Faculty RWTH Aachen University, Aachen 52062, Germany.
Eve NamisangoAfrican Palliative Care Association, Makindye, Kampala, Uganda.
James ClearySupportive Oncology, Department of Medicine, Division of Hematology/Oncology, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Barbara HastiesTeam Humanity International, Amsterdam 1082MT, The Netherlands.
Eric KabisaRwanda Palliative Care and Hospice Organization (RPCHO), Kigali, Rwanda.
Helena MusauKenyatta University Teaching Research and Referral Hospital, Box 7674 - 00100, GPO, Nairobi, Kenya.
Kathryn SpangenbergKomfo Anokye Teaching Hospital, Box 1934, Adum-Kumasi, Ghana.
Paola RuizLa Asociación Cuidados Paliativos de Colombia ASOCUPAC, Cali, Colombia.
Zipporah AliKenya Hospices and Palliative Care association (KEHPCA), Nairobi, 20854-00202 Kenya.
Mertixell Mallafre-LarrosaCity Cancer Challenge, Geneva, 1204 Switzerland.
Alfredo PoloCity Cancer Challenge, Geneva, 1204 Switzerland.
Julie TorodeCicely Saunders Institute King's College London, London SE5 9RS, UK.
Ajay AggarwalHealth Services Research & Policy, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.
Richard SullivanKing's College London, Institute of Cancer Policy, London WC2R 2LS, UK.
Mevhibe HocaogluCicely Saunders Institute King's College London, London SE5 9RS, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: With the exponential rise in global cancer incidence, the surge in demand for palliative care has outstripped capacity, limiting patients' access to quality and holistic palliative care, especially in low- and middle-income countries. Despite an upturn in research activity, evidence in palliative care remains limited, given its complexity as well as the shortage of standardised quality indicators (QIs) and patient outcome measures (POMs). The objective of this systematic review is to assess the QIs and POMs used to evaluate palliative care service on aggregated and individual levels. Methods: We undertook a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines to determine the QIs and/or POMs of palliative care in patients with non-communicable diseases. A Web of Science, EMBASE, PubMed and SOCSCI search between 1 January 2013 and 31 Dec 2022 identified 41 articles. We appraised the quality of all studies using the mixed methods appraisal tool. Results: 26.8% of studies focus on QIs, while 73.2% used POMs. >90% of palliative care research took place in high-income settings. Across domains of palliative care, the outcome of care is most studied, while the structure and process of palliative care are understudied. QIs and POMs identified often had overlapping themes. Due to the multidimensionality and intricacy of palliative care, evidence is limited, patchy and heterogenous in quality. Discussion: There is an overall lack of standardisation of QIs and POMs, as well as variability in evidence of palliative care research. We recommend that stakeholders collaborate to develop a standardised repository of metrics for monitoring and evaluating palliative care services at both individual and system levels, with a particular focus on structural and process indicators. Incorporating validated, patient-centred measures and selecting key items as quality indicators will enable meaningful tracking of changes, guiding resource allocation and driving improvements in patient-centred care. Furthermore, exploring alternative research designs is essential to enhance feasibility, uphold ethical integrity and strengthen the robustness of future studies.

Indexed as

cancerglobal oncologyoutcome measurepalliative careprocess of carequality indicatorstructure of care

Identifiers

PMID40606950
PMCPMC12221262

What OpenQuestion holds

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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.