Quality Indicators in Surgical Palliative Care: A Systematic Review
Defining high quality palliative care in seriously ill surgical patients is essential to provide patient-centered surgical care. Quality indicators specifically for seriously ill surgical patients are necessary in order to integrate palliative care into existing surgical quality improvement programs...
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| Veröffentlicht in: | Journal of pain and symptom management 2021-09, Vol.62 (3), p.545-558 |
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| container_title | Journal of pain and symptom management |
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| creator | Lee, Katherine C. Sokas, Claire M. Streid, Jocelyn Senglaub, Steven S. Coogan, Kathleen Walling, Anne M. Cooper, Zara |
| description | Defining high quality palliative care in seriously ill surgical patients is essential to provide patient-centered surgical care. Quality indicators specifically for seriously ill surgical patients are necessary in order to integrate palliative care into existing surgical quality improvement programs.
To identify existing quality indicators that measure palliative care delivery in seriously ill surgical patients, characterize their development, and assess their methodological quality.
A PRISMA-guided systematic review included studies that reported on the development process and characteristics of palliative care quality indicators and guidelines in adult surgical patients. Relevant measures were categorized into the previously defined National Consensus Project domains of palliative care and the Donabedian quality framework, and assessed for methodological quality.
There were 263 unique measures identified from 26 studies, of which 70% were process measures. Indicators addressing Care of the Patient Near the End of Life (31.5%) and Physical Aspects of Care (20.8%) were the most common. Indicators addressing Spiritual (2.6%) and Cultural Aspects of Care (1.2%) were the least common. Methodological quality varied widely across studies. Although most studies defined a purpose for the indicators and used scientific evidence, many studies lacked input from target populations and few had discussed the practical application of indicators.
This review was a key step that informed efforts to develop quality indicators for seriously ill surgical patients. Few indicators addressed non-physical aspects of suffering and no indicators were identified addressing palliative surgery. Future attention is needed toward the development and practical application of palliative care quality indicators in surgical patients. |
| doi_str_mv | 10.1016/j.jpainsymman.2021.01.122 |
| format | Article |
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To identify existing quality indicators that measure palliative care delivery in seriously ill surgical patients, characterize their development, and assess their methodological quality.
A PRISMA-guided systematic review included studies that reported on the development process and characteristics of palliative care quality indicators and guidelines in adult surgical patients. Relevant measures were categorized into the previously defined National Consensus Project domains of palliative care and the Donabedian quality framework, and assessed for methodological quality.
There were 263 unique measures identified from 26 studies, of which 70% were process measures. Indicators addressing Care of the Patient Near the End of Life (31.5%) and Physical Aspects of Care (20.8%) were the most common. Indicators addressing Spiritual (2.6%) and Cultural Aspects of Care (1.2%) were the least common. Methodological quality varied widely across studies. Although most studies defined a purpose for the indicators and used scientific evidence, many studies lacked input from target populations and few had discussed the practical application of indicators.
This review was a key step that informed efforts to develop quality indicators for seriously ill surgical patients. Few indicators addressed non-physical aspects of suffering and no indicators were identified addressing palliative surgery. Future attention is needed toward the development and practical application of palliative care quality indicators in surgical patients.</description><identifier>ISSN: 0885-3924</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/j.jpainsymman.2021.01.122</identifier><identifier>PMID: 33524478</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cultural factors ; End of life decisions ; Palliative care ; palliative care research ; Patient-centered care ; Patients ; Quality control ; quality improvement ; Quality management ; Quality of care ; Research methodology ; Scientific evidence ; serious illness care ; Surgery ; Surgical palliative care ; surgical quality ; Systematic review</subject><ispartof>Journal of pain and symptom management, 2021-09, Vol.62 (3), p.545-558</ispartof><rights>2021 American Academy of Hospice and Palliative Medicine</rights><rights>Copyright © 2021 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Sep 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-41b0f4a26536e773deedf9e144fb8b306f7f9e6e91c9d5fb6dd04862220582e13</citedby><cites>FETCH-LOGICAL-c405t-41b0f4a26536e773deedf9e144fb8b306f7f9e6e91c9d5fb6dd04862220582e13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpainsymman.2021.01.122$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33524478$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Katherine C.</creatorcontrib><creatorcontrib>Sokas, Claire M.</creatorcontrib><creatorcontrib>Streid, Jocelyn</creatorcontrib><creatorcontrib>Senglaub, Steven S.</creatorcontrib><creatorcontrib>Coogan, Kathleen</creatorcontrib><creatorcontrib>Walling, Anne M.</creatorcontrib><creatorcontrib>Cooper, Zara</creatorcontrib><title>Quality Indicators in Surgical Palliative Care: A Systematic Review</title><title>Journal of pain and symptom management</title><addtitle>J Pain Symptom Manage</addtitle><description>Defining high quality palliative care in seriously ill surgical patients is essential to provide patient-centered surgical care. Quality indicators specifically for seriously ill surgical patients are necessary in order to integrate palliative care into existing surgical quality improvement programs.
To identify existing quality indicators that measure palliative care delivery in seriously ill surgical patients, characterize their development, and assess their methodological quality.
A PRISMA-guided systematic review included studies that reported on the development process and characteristics of palliative care quality indicators and guidelines in adult surgical patients. Relevant measures were categorized into the previously defined National Consensus Project domains of palliative care and the Donabedian quality framework, and assessed for methodological quality.
There were 263 unique measures identified from 26 studies, of which 70% were process measures. Indicators addressing Care of the Patient Near the End of Life (31.5%) and Physical Aspects of Care (20.8%) were the most common. Indicators addressing Spiritual (2.6%) and Cultural Aspects of Care (1.2%) were the least common. Methodological quality varied widely across studies. Although most studies defined a purpose for the indicators and used scientific evidence, many studies lacked input from target populations and few had discussed the practical application of indicators.
This review was a key step that informed efforts to develop quality indicators for seriously ill surgical patients. Few indicators addressed non-physical aspects of suffering and no indicators were identified addressing palliative surgery. Future attention is needed toward the development and practical application of palliative care quality indicators in surgical patients.</description><subject>Cultural factors</subject><subject>End of life decisions</subject><subject>Palliative care</subject><subject>palliative care research</subject><subject>Patient-centered care</subject><subject>Patients</subject><subject>Quality control</subject><subject>quality improvement</subject><subject>Quality management</subject><subject>Quality of care</subject><subject>Research methodology</subject><subject>Scientific evidence</subject><subject>serious illness care</subject><subject>Surgery</subject><subject>Surgical palliative care</subject><subject>surgical quality</subject><subject>Systematic review</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNkE1P3DAQhi0EYhfoX0BBXHpJ6s_E4Yaitqy0UoGlZ8uxJ8hRPhY7odp_X692W6GeehrN6Jl5Rw9CNwRnBJP8S5u1W-2GsOt7PWQUU5JhkhFKT9CSyIKluSDsFC2xlCJlJeULdBFCizEWLGfnaMGYoJwXcomqp1l3btolq8E6o6fRh8QNyWb2r7HtkkfddU5P7h2SSnu4S-6TzS5M0MeZSZ7h3cGvK3TW6C7Ap2O9RD-_fX2pHtL1j--r6n6dGo7FlHJS44ZrmscnoCiYBbBNCYTzppY1w3lTxDaHkpjSiqbOrcVc5pRSLCQFwi7R58PdrR_fZgiT6l0w0HV6gHEOinIpRLRQ0Ije_oO24-yH-J2ioigLKTAXkSoPlPFjCB4atfWu136nCFZ706pVH0yrvWmFiYoZcff6mDDXPdi_m3_URqA6ABCVRE1eBeNgMGCdBzMpO7r_iPkN58CUDQ</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Lee, Katherine C.</creator><creator>Sokas, Claire M.</creator><creator>Streid, Jocelyn</creator><creator>Senglaub, Steven S.</creator><creator>Coogan, Kathleen</creator><creator>Walling, Anne M.</creator><creator>Cooper, Zara</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20210901</creationdate><title>Quality Indicators in Surgical Palliative Care: A Systematic Review</title><author>Lee, Katherine C. ; Sokas, Claire M. ; Streid, Jocelyn ; Senglaub, Steven S. ; Coogan, Kathleen ; Walling, Anne M. ; Cooper, Zara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-41b0f4a26536e773deedf9e144fb8b306f7f9e6e91c9d5fb6dd04862220582e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cultural factors</topic><topic>End of life decisions</topic><topic>Palliative care</topic><topic>palliative care research</topic><topic>Patient-centered care</topic><topic>Patients</topic><topic>Quality control</topic><topic>quality improvement</topic><topic>Quality management</topic><topic>Quality of care</topic><topic>Research methodology</topic><topic>Scientific evidence</topic><topic>serious illness care</topic><topic>Surgery</topic><topic>Surgical palliative care</topic><topic>surgical quality</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Katherine C.</creatorcontrib><creatorcontrib>Sokas, Claire M.</creatorcontrib><creatorcontrib>Streid, Jocelyn</creatorcontrib><creatorcontrib>Senglaub, Steven S.</creatorcontrib><creatorcontrib>Coogan, Kathleen</creatorcontrib><creatorcontrib>Walling, Anne M.</creatorcontrib><creatorcontrib>Cooper, Zara</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pain and symptom management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Katherine C.</au><au>Sokas, Claire M.</au><au>Streid, Jocelyn</au><au>Senglaub, Steven S.</au><au>Coogan, Kathleen</au><au>Walling, Anne M.</au><au>Cooper, Zara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality Indicators in Surgical Palliative Care: A Systematic Review</atitle><jtitle>Journal of pain and symptom management</jtitle><addtitle>J Pain Symptom Manage</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>62</volume><issue>3</issue><spage>545</spage><epage>558</epage><pages>545-558</pages><issn>0885-3924</issn><eissn>1873-6513</eissn><abstract>Defining high quality palliative care in seriously ill surgical patients is essential to provide patient-centered surgical care. Quality indicators specifically for seriously ill surgical patients are necessary in order to integrate palliative care into existing surgical quality improvement programs.
To identify existing quality indicators that measure palliative care delivery in seriously ill surgical patients, characterize their development, and assess their methodological quality.
A PRISMA-guided systematic review included studies that reported on the development process and characteristics of palliative care quality indicators and guidelines in adult surgical patients. Relevant measures were categorized into the previously defined National Consensus Project domains of palliative care and the Donabedian quality framework, and assessed for methodological quality.
There were 263 unique measures identified from 26 studies, of which 70% were process measures. Indicators addressing Care of the Patient Near the End of Life (31.5%) and Physical Aspects of Care (20.8%) were the most common. Indicators addressing Spiritual (2.6%) and Cultural Aspects of Care (1.2%) were the least common. Methodological quality varied widely across studies. Although most studies defined a purpose for the indicators and used scientific evidence, many studies lacked input from target populations and few had discussed the practical application of indicators.
This review was a key step that informed efforts to develop quality indicators for seriously ill surgical patients. Few indicators addressed non-physical aspects of suffering and no indicators were identified addressing palliative surgery. Future attention is needed toward the development and practical application of palliative care quality indicators in surgical patients.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33524478</pmid><doi>10.1016/j.jpainsymman.2021.01.122</doi><tpages>14</tpages></addata></record> |
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| ispartof | Journal of pain and symptom management, 2021-09, Vol.62 (3), p.545-558 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Access via ScienceDirect (Elsevier) |
| subjects | Cultural factors End of life decisions Palliative care palliative care research Patient-centered care Patients Quality control quality improvement Quality management Quality of care Research methodology Scientific evidence serious illness care Surgery Surgical palliative care surgical quality Systematic review |
| title | Quality Indicators in Surgical Palliative Care: A Systematic Review |
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