About: Measuring the Quality of Palliative Care for Patients with End-Stage Liver Disease

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Measuring the Quality of Palliative Care for Patients with End-Stage Liver Disease
Creator	Lee, Martin Asch, Steven Kanwal, Fasiha Antonio, Anna Dickey, Anna Larkin, Jennifer Lorenz, Karl Patel, Arpan Riopelle, Deborah Walling, Anne
Source	PMC
abstract	BACKGROUND/AIMS: We examined the quality of palliative care received by patients with decompensated cirrhosis using an explicit set of palliative care quality indicators (QIs) for patients with end-stage liver disease (PC-ESLD). METHODS: We identified patients newly diagnosed with decompensated cirrhosis at a single veterans health center and followed up them for 2 years or until death. We piloted measurement of PC-ESLD QIs in all patients confirmed to have ESLD using a chart abstraction tool. RESULTS: Out of 167 patients identified using at least one sampling strategy, 62 were confirmed to meet ESLD criteria with chart abstraction. Ninety-eight percent of veterans in the cohort were male, mean age at diagnosis was 61 years, and 74% were White. The overall QI pass rate was 68% (64% for information care planning QIs and 76% for supportive care QIs). Patients receiving specialty palliative care consultation were more likely to receive information care planning QIs (67% vs. 37%, p = 0.02). The best performing sampling strategy had a sensitivity of 62% and specificity of 60%. CONCLUSION: Measuring the quality of palliative care for patients with ESLD is feasible in the veteran population. Our single-center data suggest that the quality of palliative care is inadequate in the veteran population with ESLD, though patients offered specialty palliative care consultation and those affected by homelessness, drug, and alcohol abuse may receive better care. Our combination of ICD-9 codes can be used to identify a cohort of patients with ESLD, though better sensitivity and specificity may be needed.
has issue date	2020-01-11(xsd:dateTime)
bibo:doi	10.1007/s10620-019-05983-y
bibo:pmid	31927765
has license	no-cc
sha1sum (hex)	6975b2cc191922488db9b43559a1394463c62ac7
schema:url	https://doi.org/10.1007/s10620-019-05983-y
resource representing a document's title	Measuring the Quality of Palliative Care for Patients with End-Stage Liver Disease
has PubMed Central identifier	PMC7223418
has PubMed identifier	31927765
schema:publication	Dig Dis Sci
resource representing a document's body	covid:6975b2cc191922488db9b43559a1394463c62ac7#body_text
is schema:about of	named entity 'indicators' named entity 'health center' named entity 'White' named entity 'strategy' named entity 'abstraction' named entity 'care' named entity 'receive' named entity 'specificity' named entity 'Palliative Care' named entity 'QIS' named entity '167' named entity '60%' named entity 'SENSITIVITY' named entity 'age' named entity 'supportive care' named entity 'identified' named entity 'patients' named entity 'care' named entity 'Liver Disease' named entity 'veterans health' named entity 'QIs' named entity 'end-stage liver disease' named entity 'ESLD' named entity 'Palliative Care' named entity 'ESLD' named entity 'hemorrhage' named entity 'DNR' named entity 'spontaneous bacterial peritonitis' named entity 'end-of-life care' named entity 'ESLD' named entity 'palliative care' named entity 'ascites' named entity 'symptom' named entity 'statistical analysis' named entity 'liver transplants' named entity 'hepatic encephalopathy' named entity 'variceal' named entity 'heart failure' named entity 'hospice' named entity 'ESLD' named entity 'cirrhosis' named entity 'decompensation' named entity 'outpatient' named entity 'ESLD' named entity 'hepatitis' named entity 'sensitivity and specificity' named entity 'variceal' named entity 'ICD-9' named entity 'ACP' named entity 'ACP' named entity 'ESLD' named entity 'ESLD' named entity 'liver' named entity 'liver transplant' named entity 'ascites' named entity 'ESLD' named entity 'liver disease' named entity 'supportive care' named entity 'liver' named entity 'hemodialysis' named entity 'QIs' named entity 'ICU' named entity 'liver transplant' named entity 'decompensation' named entity 'mechanical ventilation' named entity 'viral hepatitis' named entity 'liver cancer' named entity 'advance directive' named entity 'drug and alcohol abuse' named entity 'palliative care' named entity 'ICD-9' named entity 'supportive care'

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