Evidence mapPaperPMID 39971213Full record

ArticleJournal of pain and symptom management2025

Post-Acute Transition to Home With Supportive Care (PATHS): A Novel Nurse Practitioner-Led Telehealth Intervention to Improve End-of-Life Oncology Care.

William E Rosa, Andrew S Epstein, Tara Lauria, Kelley Qualters, Neena Kapoor-Hintzen, Andrea Knezevic, Barbara Egan, Marcia Levine, Douglas Junwoo Koo, Ashley Gandham and 1 more

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

11 authors.

William E RosaDepartment of Psychiatry and Behavioral Sciences (W.E.R.), Memorial Sloan Kettering Cancer Center, New York, New York. Electronic address: rosaw@mskcc.org.
Andrew S EpsteinDepartment of Medicine (A.S.E., D.J.K., B.E., J.E.N.), Memorial Sloan Kettering Cancer Center, New York, New York; Supportive Care Service (A.S.E., T.L., K.Q., N.K.H., D.J.K., J.E.N.), Memorial Sloan Kettering Cancer Center, New York, New York; Weill Cornell Medical College (J.E.N.), New York, New York.
Tara LauriaSupportive Care Service (A.S.E., T.L., K.Q., N.K.H., D.J.K., J.E.N.), Memorial Sloan Kettering Cancer Center, New York, New York; Advanced Practice Provider Division (T.L., K.Q., N.K.H.), Memorial Sloan Kettering Cancer Center, New York, New York.
Kelley QualtersSupportive Care Service (A.S.E., T.L., K.Q., N.K.H., D.J.K., J.E.N.), Memorial Sloan Kettering Cancer Center, New York, New York; Advanced Practice Provider Division (T.L., K.Q., N.K.H.), Memorial Sloan Kettering Cancer Center, New York, New York.
Neena Kapoor-HintzenSupportive Care Service (A.S.E., T.L., K.Q., N.K.H., D.J.K., J.E.N.), Memorial Sloan Kettering Cancer Center, New York, New York; Advanced Practice Provider Division (T.L., K.Q., N.K.H.), Memorial Sloan Kettering Cancer Center, New York, New York.
Andrea KnezevicDepartment of Epidemiology and Biostatistics (A.K.), Memorial Sloan Kettering Cancer Center, New York, New York.
Barbara EganDepartment of Medicine (A.S.E., D.J.K., B.E., J.E.N.), Memorial Sloan Kettering Cancer Center, New York, New York.
Marcia LevineDepartment of Nursing (M.L., A.G.), Perioperative and Inpatient Services, Memorial Sloan Kettering Cancer Center, New York, New York.
Douglas Junwoo KooDepartment of Medicine (A.S.E., D.J.K., B.E., J.E.N.), Memorial Sloan Kettering Cancer Center, New York, New York; Supportive Care Service (A.S.E., T.L., K.Q., N.K.H., D.J.K., J.E.N.), Memorial Sloan Kettering Cancer Center, New York, New York.
Ashley GandhamDepartment of Nursing (M.L., A.G.), Perioperative and Inpatient Services, Memorial Sloan Kettering Cancer Center, New York, New York.
Judith E NelsonDepartment of Medicine (A.S.E., D.J.K., B.E., J.E.N.), Memorial Sloan Kettering Cancer Center, New York, New York; Supportive Care Service (A.S.E., T.L., K.Q., N.K.H., D.J.K., J.E.N.), Memorial Sloan Kettering Cancer Center, New York, New York; Weill Cornell Medical College (J.E.N.), New York, New York; Department of Anesthesia and Critical Care (J.E.N.), Memorial Sloan Kettering Cancer Center, New York, New York.

Funding

The Patient-Reported Outcomes, Community-Engagement and Language (PRO-CEL) CoreP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · 1985 to 2025
$88.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

contextPatients with advanced cancer discharged from the hospital with no plan for further disease-directed treatment (on 'best supportive care'; BSC) and without specialized palliative care at home are extremely vulnerable to end-of-life suffering and hospital readmission.

objectivesTo assess preliminary outcomes of PATHS (Post-Acute Transition to Home with Supportive Care), a nurse practitioner-led telehealth intervention delivering proactive, intensive, specialized palliative care in the immediate two-week post-discharge period.

methodsWe conducted a single-arm prospective quality improvement evaluation of PATHS with patients ≥21 years with advanced solid tumor malignancies discharged from the hospital on BSC having initially declined hospice. Sociodemographic and illness characteristics, index hospital admission (IHA) and discharge data, and PATHS outcomes were descriptively analyzed. Competing-risks analysis provided cumulative incidence of hospital readmission following IHA discharge (primary outcome).

resultsPatients (n = 30) had a median age of 67 years and were predominantly female (53%) and white (63%). Colorectal cancer was the most common diagnosis (30%) and pain the most common IHA reason (33%). The 30-day cumulative incidence of hospital readmission was 33% (95% CI: 16, 51) compared to a historical control rate of 43% (95% CI: 26, 59). No patient receiving timely hospice care at home was readmitted to the hospital. At PATHS completion, 11 patients (36%) had transitioned to hospice, nine of whom accepted a hospice referral during their first PATHS visit.

conclusionPATHS fills a substantive practice gap, potentially reducing end-of-life hospital readmissions while increasing home-based, specialized palliative care access for BSC patients with cancer approaching death after hospitalization.

Indexed as

Home Care ServicesNeoplasmsNurse PractitionersPalliative CareTelemedicineTerminal CareAgedAged, 80 and overFemaleHumansMaleMiddle AgedPatient ReadmissionProspective StudiesQuality Improvementbest supportive careEnd-of-life carehospicehospital readmissionnurse-led care modelnurse practitionersoncologypalliative caresupportive caretelehealthtransitional care

Identifiers

PMID39971213
PMCPMC12145492

What Socratic holds

Textmetadata
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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.