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Communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesis
INTRODUCTION: People dying in Britain spend, on average, 3 weeks of their last year of life in hospital. Hospital discharge presents an opportunity for secondary care clinicians to communicate to general practitioners (GPs) which patients may have a poor prognosis. This would allow GPs to prioritise...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9066345/ https://www.ncbi.nlm.nih.gov/pubmed/34949630 http://dx.doi.org/10.1136/bmjopen-2021-055731 |
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author | Pocock, Lucy V Purdy, Sarah Barclay, Stephen Murtagh, Fliss E M Selman, Lucy E |
author_facet | Pocock, Lucy V Purdy, Sarah Barclay, Stephen Murtagh, Fliss E M Selman, Lucy E |
author_sort | Pocock, Lucy V |
collection | PubMed |
description | INTRODUCTION: People dying in Britain spend, on average, 3 weeks of their last year of life in hospital. Hospital discharge presents an opportunity for secondary care clinicians to communicate to general practitioners (GPs) which patients may have a poor prognosis. This would allow GPs to prioritise these patients for Advance Care Planning. The objective of this study is to produce a critical overview of research on the communication of poor prognosis between secondary and primary care through a systematic review and narrative synthesis. METHODS AND ANALYSIS: We will search Medline, EMBASE, CINAHL and the Social Sciences Citation Index for all study types, published since 1 January 2000, and conduct reference-mining of systematic reviews and publications. Study quality will be assessed using the Mixed-Methods Appraisal Tool; a narrative synthesis will be undertaken to integrate and summarise findings. ETHICS AND DISSEMINATION: Approval by research ethics committee is not required since the review only includes published and publicly accessible data. Review findings will inform a qualitative study of the sharing of poor prognosis at hospital discharge. We will publish our findings in a peer-reviewed journal as per Preferred Reporting for Systematic review and Meta-analysis (PRISMA) 2020 guidance. PROSPERO REGISTRATION: CRD42021236087 |
format | Online Article Text |
id | pubmed-9066345 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-90663452022-05-12 Communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesis Pocock, Lucy V Purdy, Sarah Barclay, Stephen Murtagh, Fliss E M Selman, Lucy E BMJ Open Communication INTRODUCTION: People dying in Britain spend, on average, 3 weeks of their last year of life in hospital. Hospital discharge presents an opportunity for secondary care clinicians to communicate to general practitioners (GPs) which patients may have a poor prognosis. This would allow GPs to prioritise these patients for Advance Care Planning. The objective of this study is to produce a critical overview of research on the communication of poor prognosis between secondary and primary care through a systematic review and narrative synthesis. METHODS AND ANALYSIS: We will search Medline, EMBASE, CINAHL and the Social Sciences Citation Index for all study types, published since 1 January 2000, and conduct reference-mining of systematic reviews and publications. Study quality will be assessed using the Mixed-Methods Appraisal Tool; a narrative synthesis will be undertaken to integrate and summarise findings. ETHICS AND DISSEMINATION: Approval by research ethics committee is not required since the review only includes published and publicly accessible data. Review findings will inform a qualitative study of the sharing of poor prognosis at hospital discharge. We will publish our findings in a peer-reviewed journal as per Preferred Reporting for Systematic review and Meta-analysis (PRISMA) 2020 guidance. PROSPERO REGISTRATION: CRD42021236087 BMJ Publishing Group 2021-12-22 /pmc/articles/PMC9066345/ /pubmed/34949630 http://dx.doi.org/10.1136/bmjopen-2021-055731 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Communication Pocock, Lucy V Purdy, Sarah Barclay, Stephen Murtagh, Fliss E M Selman, Lucy E Communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesis |
title | Communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesis |
title_full | Communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesis |
title_fullStr | Communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesis |
title_full_unstemmed | Communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesis |
title_short | Communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesis |
title_sort | communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesis |
topic | Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9066345/ https://www.ncbi.nlm.nih.gov/pubmed/34949630 http://dx.doi.org/10.1136/bmjopen-2021-055731 |
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