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Community-Based Palliative Care Consultations: Comparing Dementia to Nondementia Serious Illnesses
Krista L Harrison, Janet H Bull, Sarah B Garrett, Lindsay Bonsignore, Tyler Bice, Laura C Hanson, Christine S Ritchie. Journal of palliative medicine, 2020-01-22
Topic: Health services, long-term care and technology
Of 3883 older adults receiving a first palliative care consultation from this organization, 22% (855) had a dementia diagnosis. Compared to those with nondementia serious illnesses, PWD were older with more impaired function; 36% had a prognosis of less than six months. More PWD than those without dementia had a proxy decision maker and documented advance directive. A quarter of PWD were full code before consultation; nearly half changed to some limitation afterward. Symptom characteristics were missing for 67% of PWD due to collection through self-report. Caregivers of PWD were responsible for significantly more activities of daily living than caregivers of people with nondementia serious illnesses. This is the first comparison of a large cohort of people with and without dementia receiving a community-based palliative care consult in the United States. Alternative measures of symptom burden should be used in registries to capture data for PWD. Understanding the unique characteristics of PWD will guide future services for this growing population.
Key findings
- Of 3883 older adults receiving a first palliative care consultation from this organization, 22% (855) had a dementia diagnosis.
- Compared to those with nondementia serious illnesses, PWD were older with more impaired function; 36% had a prognosis of less than six months.
- More PWD than those without dementia had a proxy decision maker and documented advance directive.
- A quarter of PWD were full code before consultation; nearly half changed to some limitation afterward.
- Symptom characteristics were missing for 67% of PWD due to collection through self-report.
Study details
- Evidence strengthModerate
How this study scored 43/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record, multi-centre collaboration and free to read, so those were left out: it earned 24 of the 56 points we could judge it on, which is 43 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of palliative medicine) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 2 / 5 | 2020 — within 10 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 31971857) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 24 / 56 | Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 24 of the 56 points we could judge it on is 43 out of 100. |
| Total | 43 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
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Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 7 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
APA 7th
Harrison, K. L., Bull, J. H., Garrett, S. B., Bonsignore, L., Bice, T., Hanson, L. C., et al. (2020). Community-Based Palliative Care Consultations: Comparing Dementia to Nondementia Serious Illnesses. Journal of palliative medicine. https://doi.org/10.1089/jpm.2019.0250
Vancouver
Harrison KL, Bull JH, Garrett SB, Bonsignore L, Bice T, Hanson LC, et al. Community-Based Palliative Care Consultations: Comparing Dementia to Nondementia Serious Illnesses. Journal of palliative medicine. 2020. doi:10.1089/jpm.2019.0250. PMID: 31971857.
BibTeX
@article{harrison2020-31971857,
author = {Harrison, Krista L and Bull, Janet H and Garrett, Sarah B and Bonsignore, Lindsay and Bice, Tyler and Hanson, Laura C and Ritchie, Christine S},
title = {{Community-Based Palliative Care Consultations: Comparing Dementia to Nondementia Serious Illnesses}},
journal = {Journal of palliative medicine},
year = {2020},
doi = {10.1089/jpm.2019.0250},
pmid = {31971857},
url = {https://doi.org/10.1089/jpm.2019.0250}
}
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