Evidence map›Paper›PMID 40838200›Full record

ArticleEClinicalMedicine2025

A European Association for Palliative Care White Paper defining an integrative palliative, geriatric, and rehabilitative approach to care and support for older people living with frailty and their family carers: a 28-country Delphi study and recommendations.

Lieve Van den Block, Kim de Nooijer, Sophie Pautex, Lara Pivodic, Nele Van Den Noortgate, Caroline Nicholson, Katarzyna Szczerbińska, Sandra Martins Pereira, Rebecca Tiberini, Barbara Hanratty and 1 more

Abstract read
In one paragraph

Article in EClinicalMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
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  4. Observational
  5. Article
  6. Article
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  10. Review
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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

11 authors.

Lieve Van den BlockEnd-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Universiteit Gent, Brussels, Belgium.
Kim de NooijerEnd-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Universiteit Gent, Brussels, Belgium.
Sophie PautexDivision of Palliative Medicine, Department of Rehabilitation and Geriatrics, University Hospital Geneva and University of Geneva, Switzerland.
Lara PivodicEnd-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Universiteit Gent, Brussels, Belgium.
Nele Van Den NoortgateDepartment of Geriatric Medicine and Palliative Care, Ghent University Hospital, Ghent, Belgium.
Caroline NicholsonFaculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom.
Katarzyna SzczerbińskaLaboratory for Research on Ageing Society, Chair of Epidemiology and Preventive Medicine, Medical Faculty, Jagiellonian University Medical College, Krakow, Poland.
Sandra Martins PereiraUniversidade dos Açores | Fundação Gaspar Frutuoso, CEEAplA: Center of Applied Economic Studies of the Atlantic, Ponta Delgada, São Miguel Island, Azores, Portugal.
Rebecca TiberiniIndependent Consultant in Rehabilitative Palliative Care and Strategic Leadership, St. Moritz, Switzerland.
Barbara HanrattyPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle, United Kingdom.
Rose MirandaEnd-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Universiteit Gent, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A fast-growing number of older people living with frailty experience complex needs throughout their illness trajectory. However, currently, there is no international consensus on optimal care and support to older people living with frailty and their family carers. The European Association for Palliative Care (EAPC) Reference Group on Aging and Palliative Care aimed to develop a White Paper defining an optimal integrative palliative, geriatric, and rehabilitative approach to care and support for this population. Methods: We conducted an international Delphi study, comprising an iterative preparatory phase using literature and input from international and interdisciplinary experts in research, practice, and policy, (between 2020 and 2022) and an online consensus-based survey (2023) with 63 professional experts and 19 older person's representatives from 28 countries in Asia, Australia, Europe, and North America. Findings: The EAPC White Paper comprises 11 key domains that capitalize on the strengths of palliative care, geriatrics, and rehabilitation; and 34 key recommendations that elucidate what is needed from clinical, health service, and public health perspectives to address the multidimensional needs of this population, support their capacities, and maintain their quality of life and well-being until the end of life, including bereavement of carers. Interpretation: This EAPC White Paper presents a gold standard for the care and support for older people living with frailty and their family carers. It calls for a radical shift in healthcare provision to effectively integrate palliative, geriatric, and rehabilitative approaches to care and support for this population and represents a first critical step in establishing how to achieve this. Funding: Research Foundation Flanders Belgium funded the postdoctoral mandates of RM (12D4523N) and KDN (12AEO24N).

Indexed as

AgingFrailtyGeriatricsPalliative careRehabilitation

Identifiers

PMID40838200
PMCPMC12362020

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.