Home › Research › End-of-life care
Palliative Care in a Community-Based Serious-Illness Care Program
Natalie C Ernecoff, Laura C Hanson, Alexandra L Fox, Timothy P Daaleman, Christine E Kistler. Journal of palliative medicine, 2019-10-23
Topic: Health services, long-term care and technology
Patients were seen in an 18-month time frame (n = 159). Mean enrollment in the program was 261.1 days (standard deviation 180.6). Patients' average age was 70 years, 56% were female, and 33% were black. Patients' most frequent comorbidities were dementia (32%), heart failure (32%), and diabetes (28%). Fifty patients (31%) died during the study period. Clinicians most frequently screened for pain (70%), constipation (57%), and dyspnea (57%). Of those screened positive, clinicians most frequently treated pain (92%), anxiety (84%), and constipation (83%). Among the 54% who screened positive for psychosocial distress, 82% received support. Clinicians screened 22% for spiritual needs; 4% received spiritual care. Among decedents, 66% were enrolled in hospice; 14% died in in-hospital. Decedents were more likely than survivors to have ACP (34% vs. 18%, p = 0.03) and a primary goal of comfort (40% vs. 12%, p < 0.01). A CBSC program provided palliative care services comparable with other home-based palliative care programs. Although the CBSC program does not address all domains of palliative care, it provided most with symptom management, psychosocial support, and ACP.
Key findings
- Patients were seen in an 18-month time frame (n = 159).
- Mean enrollment in the program was 261.1 days (standard deviation 180.6).
- Patients' average age was 70 years, 56% were female, and 33% were black.
- Patients' most frequent comorbidities were dementia (32%), heart failure (32%), and diabetes (28%).
- Fifty patients (31%) died during the study period.
Study details
- Participants159
- Evidence strengthLow
How this study scored 48/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported 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 27 of the 56 points we could judge it on, which is 48 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 | 1 / 5 | Rated “low” 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 | 2 / 4 | 159 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| 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 31644370) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 27 / 56 | Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 27 of the 56 points we could judge it on is 48 out of 100. |
| Total | 48 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
Free copy unknown: no free-copy check has an answer for this record yet. That does not mean it is paywalled.
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. Check the citation against the original before you use it.
APA 7th
Ernecoff, N. C., Hanson, L. C., Fox, A. L., Daaleman, T. P., & Kistler, C. E. (2020). Palliative Care in a Community-Based Serious-Illness Care Program. Journal of palliative medicine. https://doi.org/10.1089/jpm.2019.0174
Vancouver
Ernecoff NC, Hanson LC, Fox AL, Daaleman TP, Kistler CE. Palliative Care in a Community-Based Serious-Illness Care Program. Journal of palliative medicine. 2020. doi:10.1089/jpm.2019.0174. PMID: 31644370.
BibTeX
@article{ernecoff2020-31644370,
author = {Ernecoff, Natalie C and Hanson, Laura C and Fox, Alexandra L and Daaleman, Timothy P and Kistler, Christine E},
title = {{Palliative Care in a Community-Based Serious-Illness Care Program}},
journal = {Journal of palliative medicine},
year = {2020},
doi = {10.1089/jpm.2019.0174},
pmid = {31644370},
url = {https://doi.org/10.1089/jpm.2019.0174}
}