Evidence map›Paper›PMID 41749496›Full record

Trial reportPalliative & supportive care2026

Evaluating a transdisciplinary supportive care model for advanced liver disease: Results of the

Sarah Pullen, Tazeen Majeed, Sarah Russo, Mary-Anne Dieckmann, Christopher Oldmeadow, Olivia Wynne, Caroline Kuhne, Jane Kerr, John Attia, Katie Wynne

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Palliative & supportive care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Sarah PullenHunter New England (HNE) Health, Supportive Care for Chronic Disease, John Hunter Hospital, New Lambton Heights, NSW, Australia.
Tazeen MajeedEquity in Health and Wellbeing Program, Hunter Medical Research Institute (HMRI), New Lambton Heights, NSW, Australia.ORCID https://orcid.org/0000-0002-8512-3901
Sarah RussoHunter New England (HNE) Health, Department of Nephrology, John Hunter Hospital, New Lambton Heights, NSW, Australia.
Mary-Anne DieckmannHunter New England (HNE) Health, Department of Palliative Care, Tamworth Rural Referral Hospital, Tamworth, NSW, Australia.
Christopher OldmeadowHunter Medical Research Institute (HMRI), New Lambton Heights, NSW, Australia.
Olivia WynneSchool of Medicine and Public Health, University of Newcastle, New Lambton Heights, NSW, Australia.
Caroline KuhneHunter Medical Research Institute (HMRI), New Lambton Heights, NSW, Australia.
Jane KerrHunter New England (HNE) Health, Chronic Disease Network, Tamworth, NSW, Australia.
John AttiaSchool of Medicine and Public Health, University of Newcastle, New Lambton Heights, NSW, Australia.ORCID https://orcid.org/0000-0001-9800-1308
Katie WynneEquity in Health and Wellbeing Program, Hunter Medical Research Institute (HMRI), New Lambton Heights, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPatients with advanced liver disease (ALD) may benefit from the early integration of supportive care toward the end of life. Engagement with supportive and palliative care could decrease disease-related distress and alleviate pressure on the health system. This trial evaluated whether a transdisciplinary supportive care model, aligned with standard care and guided by patient- and carer-identified needs, could optimize health service utilization and outcomes for patients and carers living with ALD.

methodsA 90-day multicenter, mixed-methods pilot randomized controlled trial,

resultsOver 90 days, emergency department presentations were reduced by 66% (incidence rate ratio: 0.34 [0.13-0.80]), and hospital admissions by 64% (incidence rate ratio: 0.36 [0.12-0.98]). Intervention patients were 5 times more likely to have more days "alive and out of hospital" than those receiving standard care alone (odds ratio: 5.34 [1.43-22.1]). As a result, the overall cost of health service use per intervention patient was less than half that of standard care alone. SIGNIFICANCE OF

resultsThe

Indexed as

Liver DiseasesPalliative CareAgedFemaleHumansMaleMiddle AgedNew South WalesPilot ProjectsAdvanced liver diseaseHealth service utilisationPalliative carerandomized controlled trialsupportive caretransdisciplinary

Identifiers

PMID41749496
PMCPMC13166402

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.