Evidence map›Paper›PMID 39551753›Full record

ArticleBMC palliative care2024

Integration of palliative rehabilitation in cancer care: a multinational mixed method study.

Guro Birgitte Stene, May Aasebø Hauken, Hilde Hjelmeland Ahmedzai, Constance Gaard Storvestre, Skjalg Eirik Vervik, Joanne Bayly, Augusto Tommaso Caraceni, Stefania Costi, Guillaume Economos, Mai-Britt Guldin and 6 more

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In one paragraph

Article in BMC palliative care, 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. Review
  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

16 authors.

Guro Birgitte SteneCentre for Crisis Psychology, University of Bergen, Bergen, Norway. guro.stene@uib.no.
May Aasebø HaukenCentre for Crisis Psychology, University of Bergen, Bergen, Norway.
Hilde Hjelmeland AhmedzaiCentre for Crisis Psychology, University of Bergen, Bergen, Norway.
Constance Gaard StorvestreCentre for Crisis Psychology, University of Bergen, Bergen, Norway.
Skjalg Eirik VervikCentre for Crisis Psychology, University of Bergen, Bergen, Norway.
Joanne BaylyCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
Augusto Tommaso CaraceniFondazione IRCCS Instituto Nazionale dei Tumori, Milano, Italy.
Stefania CostiAzienda USL - IRCCS of Reggio Emilia, Modena, Italy.
Guillaume EconomosCentre Hospitalier Hôpital Lyon-Sud, Palliative Care Centre, Centre de soins palliatifs, Pierre-Benite, Lyon, France.
Mai-Britt GuldinResearch Unit for General Practice, Aarhus University, Aarhus, Denmark.
Barry J A LairdWestern General Hospital and Institute of Genetics and Cancer, University of Edinburgh, Edinburgh, UK.
Lise NottelmannResearch Unit for General Practice, Aarhus University, Aarhus, Denmark.
Matthew MaddocksCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
Andrew Toby PrevostNightingale-Saunders Clinical Trials and Epidemiology Unit, Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London and Nightingale-Saunders Clinical Trials and Epidemiology Unit, King's College London, London, UK.
Julia RomeyerHôpital Lyon Sud, Unitéde Soins Palliatifs, Pierre Bénite, Lyon, France.
Line Merethe OldervollCentre for Crisis Psychology, University of Bergen, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncurable cancer is a major contributor to societal suffering and disability, and palliative rehabilitation is recommended to be integrated within and between cancer services at all healthcare levels. However, little knowledge exists on how integration of palliative rehabilitation in cancer is understood and achieved in clinical practice. INSPIRE (Integrated short-term palliative rehabilitation to improve quality of life and equitable care access in incurable cancer) is a large European-funded project that aims to promote quality of life through a novel rehabilitation model for people disabled by advanced cancer.

aimTo compare the existing integration of palliative rehabilitation in cancer within official documents and in clinical practice across five European countries including United Kingdom, France, Denmark, Norway, and Italy.

methodsMixed methods study with a concurrent research design, comprising a document analysis (N = 23), stakeholder interviews (N = 22), and an online survey (N = 225). Data from each sub-study were analysed separately before results were merged.

resultsThere was limited integration of palliative rehabilitation in cancer in official documents and in clinical practice, though some indicators of integration, including participation in multidisciplinary teams and adherence to standardised pathways, were identified in the survey. Notably, integration of palliative rehabilitation in cancer in clinical practice was observed within limited organisations in secondary healthcare systems, without widespread adoption. Although palliative rehabilitation in cancer as a concept was sparingly used by stakeholders, they recognised the need for a comprehensive approach including multidisciplinary teams that aligns with the individual patient's needs and goals. Moreover, the ambiguous distinction between the terms 'palliative rehabilitation' and 'palliative care', insufficient funding, lack of well-defined care pathways and competence gaps among healthcare professionals represented barriers to integration of palliative rehabilitation in cancer into clinical practice.

conclusionIntegration of palliative rehabilitation in cancer was limited in the five EU partnership countries investigated. Clarifying the concept of palliative rehabilitation, including adoption of the concept into official documents and delineating it from palliative care, is essential for more successful integration. This can possibly be achieved by addressing the barriers identified and fostering close collaboration across disciplines.

Indexed as

NeoplasmsPalliative CareDenmarkEuropeFranceHumansInternationalityItalyNorwayQualitative ResearchQuality of LifeSurveys and QuestionnairesUnited KingdomCancerDisabilityHealth -service comparisonIntegrationMixed-methodPalliative rehabilitation

Identifiers

PMID39551753
PMCPMC11572245

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.