Evidence map›Paper›PMID 41804984›Full record

ArticleAnnals of the American Thoracic Society2026

A "PalliPulm" framework to improve palliative care education and practice in pulmonary-critical care medicine: an official American Thoracic Society Workshop Report.

Anand S Iyer, Kathleen M Akgün, Brynn Bowman, Crystal E Brown, Laura Dingfield, Doranne Donesky, Tracy Fasolino, Betty Ferrell, Rebecca Anna Gersten, Joanna L Hart and 21 more

Abstract read
In one paragraph

Article in Annals of the American Thoracic Society, 2026. 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. Safeguarding palliative and serious illness care in America.Lancet regional health. Americas · 2026
    Review
  2. Review
  3. Review
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

31 authors.

Anand S IyerDivision of Pulmonary, Allergy, and Critical Care Medicine and Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.ORCID 0000-0001-7700-0728
Kathleen M AkgünSection of Pulmonary, Critical Care & Sleep Medicine, Veterans Affairs Connecticut Healthcare System, West Haven, CT, United States.ORCID 0000-0003-2623-7463
Brynn BowmanCenter to Advance Palliative Care, New York, NY, United States.
Crystal E BrownDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, WA, United States.ORCID 0000-0002-1223-7422
Laura DingfieldPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Doranne DoneskySchool of Nursing, University of California, San Francisco, San Francisco, CA, United States.ORCID 0000-0002-1935-7400
Tracy FasolinoCollege of Behavioral, Social and Health Sciences, School of Nursing, Clemson University, Clemson, SC, United States.
Betty FerrellCity of Hope Medical Center, Duarte, CA, United States.ORCID 0000-0003-0061-5235
Rebecca Anna GerstenPulmonary and Critical Care Medicine and Palliative Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States.ORCID 0000-0002-1136-223X
Joanna L HartDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Margaret M HayesBeth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.
Bradley HaywardDivision of Pulmonary and Critical Care Medicine, Weill Cornell Medicine, New York, NY, United States.
Heather KagelPulmonary Fibrosis Foundation Ambassadors, Chicago, IL, United States.
Erin K KrossDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, WA, United States.ORCID 0000-0002-8206-3050
Kathleen Oare LindellCollege of Nursing and Medicine, Medical University of South Carolina, Charleston, SC, United States.ORCID 0000-0002-2927-0659
Cara L McDermottDivision of Geriatrics and Palliative Care, Duke University School of Medicine, Durham, NC, United States.ORCID 0000-0002-2921-1421
Thanh H NevilleDivision of Pulmonary and Critical Care, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.ORCID 0000-0002-8506-7591
Ronan O'BeirneDivision of Continuing Medical Education, University of Alabama at Birmingham, Birmingham, AL, United States.
William E RosaDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, United States.ORCID 0000-0002-0680-8911
Lekshmi SanthoshDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, University of California, San Francisco, San Francisco, CA, United States.ORCID 0000-0002-9897-3462
Jennifer B SeamanDepartment of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, PA, United States.
Nneka O SederstromHennepin Healthcare, Minneapolis, MN, United States.ORCID 0009-0008-7512-3044
Danetta SloanDepartment of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.ORCID 0000-0002-7343-3515
Natasha SmallwoodDepartment of Respiratory and Sleep Medicine, The Alfred Hospital, Melbourne, Victoria, Australia.ORCID 0000-0002-3403-3586
Natalia SmirnovaDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, Emory University, Atlanta, GA, United States.ORCID 0000-0002-2964-2512
Rick TidwellPulmonary Fibrosis Foundation Ambassadors, Chicago, IL, United States.
Courtney WagnerSection of Palliative Care and Medical Ethics, Department of Medicine, University of Pittsburgh Medical Center, PA, United States.
Leah J WittDivision of Pulmonary, Critical Care, Allergy, and Sleep Medicine, University of California, San Francisco, San Francisco, CA, United States.ORCID 0000-0001-5665-4060
Lynn F ReinkeCollege of Nursing, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0003-3173-9513
Donald R SullivanDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Oregon Health & Science University, Portland, OR, United States.ORCID 0000-0003-3266-3389
American Thoracic Society Assembly on Behavioral Science and Health Services Research

Funding

Cambia Health FoundationNCI NIH HHSNHLBINHLBI NIH HHSNIA NIH HHSNIH HHSNIMHD NIH HHSRobert Wood Johnson FoundationTouro University of California and VitalTalk FacultyUniversity of CaliforniaUS Department of Veterans Affairs
6 · The paper itself

Abstract

Despite numerous calls to action, palliative care remains inadequately integrated into pulmonary-critical care medicine (PCCM) practice and is de-emphasized in PCCM education. Barriers to specialty palliative care demonstrate a clear need for efficient and effective primary palliative care delivered by PCCM clinicians with advanced training. This American Thoracic Society Workshop Report builds on our policy statement on the proactive integration of palliative care in serious respiratory illness with 2 goals: (1) Develop a scalable "PalliPulm" framework to improve palliative care education and practice in PCCM and (2) inform palliative care-focused education and training programs in PCCM to guide future initiatives. We convened an interdisciplinary and interprofessional group of experts between May 2024 and February 2025 over 4 phases: (1) hybrid workshop; (2) virtual breakout groups; (3) nominal group technique and rapid qualitative analysis; and (4) workshop report development. We identified core primary palliative care skills that PCCM trainees and clinicians should obtain and prioritized the most essential skills-that is, symptom management, serious illness communication, and caregiver support in ambulatory settings and serious illness communication, symptom management, palliative care fundamentals, and end of life care in inpatient settings. We describe pragmatic ways to integrate palliative care into PCCM education and offer advanced educational resources. We provide recommendations for framing palliative care to patients and caregivers, illustrate ways to deliver culturally appropriate palliative care, and offer a path for the future of PalliPulm. This report guides PCCM leaders, trainees, and clinicians to establish scalable PalliPulm educational and practice initiatives and improve its integration into practice.

Indexed as

Critical CarePalliative CarePulmonary MedicineHumansSocieties, MedicalUnited Statesadvance care planningcaregiverpalliative careserious illnesssymptom management

Identifiers

PMID41804984
PMCPMC13368820

What OpenQuestion holds

Textmetadata
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.