Evidence map›Paper›PMID 38696050›Full record

ArticleJournal of neuro-oncology2024

Benchmarking palliative care practices in neurooncology: a german perspective.

Anna Cecilia Lawson McLean, Aaron Lawson McLean, Thomas Ernst, Marie-Therese Forster, Christian Freyschlag, Jens Gempt, Roland Goldbrunner, Stefan Grau, Christine Jungk, Birgitt van Oorschot and 5 more

Abstract read
In one paragraph

Article in Journal of neuro-oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

15 authors.

Anna Cecilia Lawson McLeanDepartment of Neurosurgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, Germany.
Aaron Lawson McLeanDepartment of Neurosurgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, Germany. aaron.lawsonmclean@med.uni-jena.de.
Thomas ErnstUniversity Tumor Center (UTC), Jena University Hospital, Jena, Germany.
Marie-Therese ForsterDepartment of Neurosurgery, University Hospital Frankfurt, Frankfurt, Germany.
Christian FreyschlagDepartment of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria.
Jens GemptDepartment of Neurosurgery, University Hospital Hamburg Eppendorf, Hamburg, Germany.
Roland GoldbrunnerCenter for Neurosurgery, University Hospital Cologne, Cologne, Germany.
Stefan GrauDepartment of Neurosurgery, Klinikum Fulda, Fulda, Germany.
Christine JungkDepartment of Neurosurgery, Medical Faculty, Heidelberg University, Heidelberg, Germany.
Birgitt van OorschotDepartment of Palliative Care, University Hospital Wurzburg, Wurzburg, Germany.
Steffen K RosahlDepartment of Neurosurgery, Helios Klinikum and Health Medical University Erfurt, Erfurt, Germany.
Ulrich WeddingDepartment of Palliative Care, Jena University Hospital, Jena, Germany.
Christian SenftDepartment of Neurosurgery, Jena University Hospital, Friedrich Schiller University Jena, Jena, Germany.
Marcel A KampDepartment of Palliative Care and Neuro-Palliative Care, Brandenburg Medical School Theodor Fontane, Immanuel Klinik Rüdersdorf, Neuruppin, Germany.
German Consortium for Excellence in Neurooncology, Palliative Care (GCE-NPC)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo benchmark palliative care practices in neurooncology centers across Germany, evaluating the variability in palliative care integration, timing, and involvement in tumor board discussions. This study aims to identify gaps in care and contribute to the discourse on optimal palliative care strategies.

methodsA survey targeting both German Cancer Society-certified and non-certified university neurooncology centers was conducted to explore palliative care frameworks and practices for neurooncological patients. The survey included questions on palliative care department availability, involvement in tumor boards, timing of palliative care integration, and use of standardized screening tools for assessing palliative burden and psycho-oncological distress.

resultsOf 57 centers contacted, 46 responded (81% response rate). Results indicate a dedicated palliative care department in 76.1% of centers, with palliative specialists participating in tumor board discussions at 34.8% of centers. Variability was noted in the initiation of palliative care, with early integration at the diagnosis stage in only 30.4% of centers. The survey highlighted a significant lack of standardized spiritual care assessments and minimal use of advanced care planning. Discrepancies were observed in the documentation and treatment of palliative care symptoms and social complaints, underscoring the need for comprehensive care approaches.

conclusionThe study highlights a diverse landscape of palliative care provision within German neurooncology centers, underscoring the need for more standardized practices and early integration of palliative care. It suggests the necessity for standardized protocols and guidelines to enhance palliative care's quality and uniformity, ultimately improving patient-centered care in neurooncology.

Indexed as

BenchmarkingPalliative CareBrain NeoplasmsGermanyHumansMedical OncologyPractice Patterns, Physicians'Surveys and QuestionnairesNeurooncologyPalliative careQuality of life

Identifiers

PMID38696050
PMCPMC11147867

What Socratic 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 Socratic graph.