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Palliative care screening tools and patient outcomes: a systematic review
Meiying Zhang1, Yuxia Zhao1, Mengyun Peng2
1Cancer Hospital Chinese Academy of Medical Sciences, Beijing, China.
BMJ Supportive & Palliative Care
|August 24, 2024
Summary
Implementing palliative care screening tools (PCST) can enhance patient outcomes, particularly in reducing hospitalizations and readmissions. However, more high-quality research is needed to validate their effectiveness.
Area of Science:
- Palliative Care Research
- Health Services Research
- Clinical Outcomes Assessment
Background:
- Palliative care (PC) offers comprehensive services to patients and families facing serious illness.
- Palliative Care Screening Tools (PCST) are utilized to identify patients who could benefit from PC services.
- PCST are widely believed to improve patient outcomes.
Purpose of the Study:
- To identify specific Palliative Care Screening Tools (PCST) used in clinical practice.
- To analyze and summarize the impact of PCST on patient outcomes.
Main Methods:
- A systematic review of PCST literature was conducted across major databases (PubMed, Web of Science, CINAHL, MEDLINE) in January 2024.
- Included studies focused on the utilization and evaluation of PCST, reporting at least one patient outcome.
- A total of 22 original research articles met the eligibility criteria.
Main Results:
- The review included studies with diverse methodologies: 12 prospective, 4 non-RCT, and 6 RCTs.
- Twenty-four different patient outcomes were assessed across the studies.
- Sixteen of these outcomes showed significant improvement in 12 studies, indicating positive effects of PCST.
Conclusions:
- The majority of studies suggest that PCST implementation positively impacts patient outcomes.
- PCST are particularly effective in reducing hospitalisation time and patient readmission rates.
- There is a recognized need for higher-quality research to further validate the efficacy of widely used PCST.
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