• J Pain Symptom Manage · Jun 2012

    Meta Analysis

    Key characteristics of palliative care studies reported in the specialized literature.

    • Jane L Wheeler, Aine Greene, Jennifer J Tieman, Amy P Abernethy, and David C Currow.
    • Division of Medical Oncology, Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA. jane.wheeler@gmx.com
    • J Pain Symptom Manage. 2012 Jun 1;43(6):987-92.

    ContextAlthough research activity in palliative care is rapidly increasing, the composition of published studies--in terms of significant research characteristics--has not yet been well described.ObjectivesTo describe the topics of and funding for palliative care studies reported in the three hospice and palliative care journals with the highest impact factors (Journal of Pain and Symptom Management, Palliative Medicine, and Journal of Palliative Medicine).MethodsThis was a substudy of a larger bibliographic study. The targeted journals were searched for 2007 using a previously validated Ovid MEDLINE filter for palliative care. All empirical palliative care studies were included. Articles were classified according to topics (palliative care patient, caregiver/family, health professional, service provision, tool development, healthy volunteer, medication compatibility, community), study type (intervention, nonintervention), country of origin, and funding source (pharmaceutical company, other funder, unfunded).ResultsOf 409 citations identified, the search yielded 189 eligible articles. Most articles were descriptive/observational. Approximately half were unfunded. Caregivers, healthy volunteers, and health service research were the least frequent topics for research. Only five randomized controlled trials were reported.ConclusionAlthough there is a broad range of research undertaken in palliative care, few studies generate high-level evidence, with data showing a relative lack of funding for hospice and palliative care studies.Copyright © 2012 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

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