Evidence map›Paper›PMID 41137497›Full record

ArticleJournal of inherited metabolic disease2025

Palliative Care for Children and Adults With Inherited Metabolic Disease in Europe: An Underutilised Service for Supportive Treatment and Care.

Anja Lee, Yngve Thomas Bliksrud, Michela Onali, Julia Neugebauer, Francois Eyskens, Dorothea Haas, Karin Mossler, Antije Enekwe, Beata Kiec-Wilk, Lien My Diep and 6 more

Abstract read
In one paragraph

Article in Journal of inherited metabolic disease, 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

16 authors.

Anja LeeNorwegian National Advisory Unit on Paediatric Palliative Care, Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway.ORCID https://orcid.org/0009-0008-9775-4146
Yngve Thomas BliksrudNorwegian National Unit for Diagnostics of Congenital Metabolic Disorders, Department of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.
Michela OnaliMetabERN, Regional Coordinating Center for Rare Diseases, Udine University Hospital, Udine, Italy.
Julia NeugebauerDepartment of Pediatric Gastroenterology, Nephrology and Metabolic Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Francois EyskensCenter of Inherited Metabolic Diseases, Antwerp University Hospital, Edegem, Belgium.
Dorothea HaasMedical Faculty of Heidelberg, Center for Child and Adolescent Medicine, Division of Child Neurology and Metabolic Medicine, Heidelberg University, Heidelberg, Germany.
Karin MosslerThe Jenny Mossler Rockström Foundation for People With Smith-Lemli-Opitz Syndrome, Stockholm, Sweden.
Antije EnekweSLO Deutschland e.V., Doebeln, Germany.
Beata Kiec-WilkDepartment of Pathophysiology, Jagiellonian University Medical College, Krakow, Poland, and Metabolic Disease Clinic, St John Paul II Specialist Hospital, Kraków, Poland.
Lien My DiepOslo Centre for Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital, Oslo, Norway.
Cinzia Maria BellettatoMetabERN, Regional Coordinating Center for Rare Diseases, Udine University Hospital, Udine, Italy.
Boris ZernikowDepartment of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany.
Maurizio ScarpaRegional Coordinating Center for Rare Diseases, Udine University Hospital, Udine, Italy.
Shamima RahmanMitochondrial Research Group, UCL Great Ormond Street Institute of Child Health, and Metabolic Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0003-2088-730X
Trine TangeraasNorwegian National Unit for Newborn Screening, Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway.
MetabERN collaboration group on palliative care

Funding

EU4Health Bridging Grant (EU$H-2023-ERN-IBA)
6 · The paper itself

Abstract

Palliative care should be an integral part of follow-up for patients with life-limiting/life-threatening conditions, irrespective of age and diagnosis. Many patients with inherited metabolic disorders (IMD) have palliative care needs due to multi-systemic conditions without curative treatment options. To map the organisation and accessibility of palliative care across European IMD expert centres, and to explore the experiences of IMD physicians with palliative care, the European Reference Network for Hereditary Metabolic Disorders (MetabERN) invited physicians from all 103 member institutions to participate in a survey covering various aspects of palliative care. Ninety-two physicians from 63 institutions in 23 countries participated. A national plan or strategy for palliative care had been established in most countries (87%). Both children (91%) and adults (89%) had access to palliative care services. Most paediatric (86%) and many adult IMD physicians (67%) used advance care planning. A total of 284 referrals to palliative care were reported, mostly IMD patients with lysosomal and mitochondrial disorders, and neurological, respiratory, cognitive and gastrointestinal comorbidities. However, during the past 5 years, the majority of physicians (60%) had referred 20% or fewer of their deceased patients to palliative care. Although palliative care is available in most European IMD expert centres, only a small proportion of deceased IMD patients has been referred. The findings of this study indicate both a misconception and underutilisation of modern palliative care services. Addressing existing barriers is essential, and both IMD physicians and patients may need more information about available palliative care services and up-to-date indications for referral.

Indexed as

Metabolic DiseasesMetabolism, Inborn ErrorsPalliative CareAdultChildEuropeFemaleHealth Services AccessibilityHumansMaleReferral and ConsultationSurveys and Questionnaires

Identifiers

PMID41137497
PMCPMC12552833

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.