Evidence map›Paper›PMID 41792720›Full record

ArticleBMC palliative care2026

A new cross-disciplinary model for early integration of palliative care for patients with incurable cancer - an intervention development study.

Johanna Swenne, Mette Stie, Torben Frøstrup Hansen, Britt Rasmussen, Kristine Nielsen, Jens Søndergaard, Ricko Damberg Nissen, Lars Henrik Jensen

Abstract read
In one paragraph

Article in BMC palliative care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Johanna SwenneDepartment of Oncology, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark. Johanna.Swenne@rsyd.dk.
Mette StieDepartment of Oncology, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
Torben Frøstrup HansenDepartment of Oncology, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
Britt RasmussenHealth Innovation Centre of Southern Denmark, Odense, Denmark.
Kristine NielsenCreo Arkitekter, Odense, Denmark.
Jens SøndergaardDepartment of Public Health, Research Unit of General Practice, University of Southern Denmark, Odense, Denmark.
Ricko Damberg NissenDepartment of Public Health, Research Unit of General Practice, University of Southern Denmark, Odense, Denmark.
Lars Henrik JensenDepartment of Oncology, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with incurable cancer face complex physical, psychological, social, and existential challenges. Early integration of palliative care (PC) has proven essential to improve quality of life and well-being, yet implementation remains inconsistent and often delayed. To address this gap, we developed the Cross-PALL model, a cross-disciplinary approach to integrate PC across oncology and primary care.

methodsFollowing the Medical Research Council’s framework for complex interventions, we used a participatory design approach to develop the model in collaboration with key stakeholders, including patients, their relatives, healthcare professionals from oncology, primary care, municipal services and representatives from voluntary organizations. Development involved iterative phases of evidence synthesis, needs assessment, field studies, collaborative workshops, and prototyping. For each of these phases, various methods and activities are applied to enhance genuine participation from all collaborators. Implementation determinants were continuously identified using the Consolidated Framework for Implementation Research, and a logic model was constructed to link determinants, implementation strategies, mechanisms, and outcomes.

resultsThe Cross-PALL model is structured as a standardized care pathway designed to ensure systematic, person-centered, and coordinated PC. Key components include early initiation of PC at diagnosis, routine patient-reported outcome assessments, decision aids, navigation support, structured inter-sectoral communication, and integration of advance care planning.

conclusionThe Cross-PALL model offers a feasible, scalable, evidence-informed approach to strengthen early PC integration in oncology. By combining implementation science with participatory design, the model aims to enhance relevance, sustainability, and continuity of care, ultimately supporting patients’ quality of life and well-being.

Indexed as

NeoplasmsPalliative CareHumansQuality of LifeDevelopmentModel of carePalliationParticipatory designQuality of life

Identifiers

PMID41792720
PMCPMC13077865

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.