Measuring Outcomes in Randomized Prospective Trials in Palliative Care

Richard A. Mularski, Kenneth Rosenfeld, Stephen Joel Coons, Amylou Dueck, David Cella, David J. Feuer, Joseph Lipscomb, Martin S. Karpeh, Tom Mosich, Jeff A. Sloan, Robert S Krouse

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Palliative care aims to improve the quality of life of patients and their families and reduce suffering from life-threatening illness. In assessing palliative care efficacy, researchers must consider a broad range of potential outcomes, including those experienced by the patient's family/caregivers, clinicians, and the health care system. The purpose of this article is to summarize the discussions and recommendations of an Outcomes Working Group convened to advance the palliative care research agenda, particularly in the context of randomized controlled trials. These recommendations address the conceptualization of palliative care outcomes, sources of outcomes data, application of outcome measures in clinical trials, and the methodological challenges to outcome measurement in palliative care populations. As other fields have developed and refined methodological approaches that address their particular research needs, palliative care researchers must do the same to answer important clinical questions in rigorous and credible ways.

Original languageEnglish (US)
JournalJournal of Pain and Symptom Management
Volume34
Issue number1 SUPPL.
DOIs
StatePublished - Jul 2007
Externally publishedYes

Fingerprint

Palliative Care
Research Personnel
Information Storage and Retrieval
Research
Caregivers
Randomized Controlled Trials
Quality of Life
Outcome Assessment (Health Care)
Clinical Trials
Delivery of Health Care
Population

Keywords

  • attitude to death
  • Death
  • end-of-life care
  • family
  • health care
  • outcome assessment
  • proxy
  • quality indicators
  • quality of dying
  • quality of health care
  • terminal care

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Neurology
  • Nursing(all)

Cite this

Measuring Outcomes in Randomized Prospective Trials in Palliative Care. / Mularski, Richard A.; Rosenfeld, Kenneth; Coons, Stephen Joel; Dueck, Amylou; Cella, David; Feuer, David J.; Lipscomb, Joseph; Karpeh, Martin S.; Mosich, Tom; Sloan, Jeff A.; Krouse, Robert S.

In: Journal of Pain and Symptom Management, Vol. 34, No. 1 SUPPL., 07.2007.

Research output: Contribution to journalArticle

Mularski, RA, Rosenfeld, K, Coons, SJ, Dueck, A, Cella, D, Feuer, DJ, Lipscomb, J, Karpeh, MS, Mosich, T, Sloan, JA & Krouse, RS 2007, 'Measuring Outcomes in Randomized Prospective Trials in Palliative Care', Journal of Pain and Symptom Management, vol. 34, no. 1 SUPPL.. https://doi.org/10.1016/j.jpainsymman.2007.04.004
Mularski, Richard A. ; Rosenfeld, Kenneth ; Coons, Stephen Joel ; Dueck, Amylou ; Cella, David ; Feuer, David J. ; Lipscomb, Joseph ; Karpeh, Martin S. ; Mosich, Tom ; Sloan, Jeff A. ; Krouse, Robert S. / Measuring Outcomes in Randomized Prospective Trials in Palliative Care. In: Journal of Pain and Symptom Management. 2007 ; Vol. 34, No. 1 SUPPL.
@article{ff96f5167e7b4375bcb0b37bb8584a33,
title = "Measuring Outcomes in Randomized Prospective Trials in Palliative Care",
abstract = "Palliative care aims to improve the quality of life of patients and their families and reduce suffering from life-threatening illness. In assessing palliative care efficacy, researchers must consider a broad range of potential outcomes, including those experienced by the patient's family/caregivers, clinicians, and the health care system. The purpose of this article is to summarize the discussions and recommendations of an Outcomes Working Group convened to advance the palliative care research agenda, particularly in the context of randomized controlled trials. These recommendations address the conceptualization of palliative care outcomes, sources of outcomes data, application of outcome measures in clinical trials, and the methodological challenges to outcome measurement in palliative care populations. As other fields have developed and refined methodological approaches that address their particular research needs, palliative care researchers must do the same to answer important clinical questions in rigorous and credible ways.",
keywords = "attitude to death, Death, end-of-life care, family, health care, outcome assessment, proxy, quality indicators, quality of dying, quality of health care, terminal care",
author = "Mularski, {Richard A.} and Kenneth Rosenfeld and Coons, {Stephen Joel} and Amylou Dueck and David Cella and Feuer, {David J.} and Joseph Lipscomb and Karpeh, {Martin S.} and Tom Mosich and Sloan, {Jeff A.} and Krouse, {Robert S}",
year = "2007",
month = "7",
doi = "10.1016/j.jpainsymman.2007.04.004",
language = "English (US)",
volume = "34",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",
number = "1 SUPPL.",

}

TY - JOUR

T1 - Measuring Outcomes in Randomized Prospective Trials in Palliative Care

AU - Mularski, Richard A.

AU - Rosenfeld, Kenneth

AU - Coons, Stephen Joel

AU - Dueck, Amylou

AU - Cella, David

AU - Feuer, David J.

AU - Lipscomb, Joseph

AU - Karpeh, Martin S.

AU - Mosich, Tom

AU - Sloan, Jeff A.

AU - Krouse, Robert S

PY - 2007/7

Y1 - 2007/7

N2 - Palliative care aims to improve the quality of life of patients and their families and reduce suffering from life-threatening illness. In assessing palliative care efficacy, researchers must consider a broad range of potential outcomes, including those experienced by the patient's family/caregivers, clinicians, and the health care system. The purpose of this article is to summarize the discussions and recommendations of an Outcomes Working Group convened to advance the palliative care research agenda, particularly in the context of randomized controlled trials. These recommendations address the conceptualization of palliative care outcomes, sources of outcomes data, application of outcome measures in clinical trials, and the methodological challenges to outcome measurement in palliative care populations. As other fields have developed and refined methodological approaches that address their particular research needs, palliative care researchers must do the same to answer important clinical questions in rigorous and credible ways.

AB - Palliative care aims to improve the quality of life of patients and their families and reduce suffering from life-threatening illness. In assessing palliative care efficacy, researchers must consider a broad range of potential outcomes, including those experienced by the patient's family/caregivers, clinicians, and the health care system. The purpose of this article is to summarize the discussions and recommendations of an Outcomes Working Group convened to advance the palliative care research agenda, particularly in the context of randomized controlled trials. These recommendations address the conceptualization of palliative care outcomes, sources of outcomes data, application of outcome measures in clinical trials, and the methodological challenges to outcome measurement in palliative care populations. As other fields have developed and refined methodological approaches that address their particular research needs, palliative care researchers must do the same to answer important clinical questions in rigorous and credible ways.

KW - attitude to death

KW - Death

KW - end-of-life care

KW - family

KW - health care

KW - outcome assessment

KW - proxy

KW - quality indicators

KW - quality of dying

KW - quality of health care

KW - terminal care

UR - http://www.scopus.com/inward/record.url?scp=34250836378&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34250836378&partnerID=8YFLogxK

U2 - 10.1016/j.jpainsymman.2007.04.004

DO - 10.1016/j.jpainsymman.2007.04.004

M3 - Article

VL - 34

JO - Journal of Pain and Symptom Management

JF - Journal of Pain and Symptom Management

SN - 0885-3924

IS - 1 SUPPL.

ER -