Development and evaluation of the Supportive and Palliative Care Indicators Tool (SPICT): a mixed-methods study

Highet, Gill; Crawford, Debbie; Murray, Scott A; Boyd, Kirsty

doi:10.1136/bmjspcare-2013-000488

Cited by 361 publications

(343 citation statements)

References 27 publications

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“…Of these studies, 7 did not include outcomes data for patients who were SQ- [14][15][16][17][18][19]36 that were confirmed in the publication [15][16][17][18]36 or after contact with study authors. 14,19 In 3 studies, the SQ was used only to predict 7-and/or 30-day mortality.…”

Section: Resultsmentioning

confidence: 99%

“…20 Conversely, 1 study in our review reported that the SQ no longer predicted death when included in a multivariable model with the Clinical Frailty Scale. 32 The Gold Standards Framework 5 and NECPAL 6 both use the SQ serially with general and disease-specific indicators to identify those with hospice and palliative care needs, but the Supportive and Palliative Care Indicators Tool (SPICT) 15 uses these indicators without the SQ, which was removed. Further studies will be needed to determine whether the SQ combined with other clinical indicators improves the identification of patients with hospice and palliative care needs.…”

Section: Discussionmentioning

confidence: 99%

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The “surprise question” for predicting death in seriously ill patients: a systematic review and meta-analysis

Downar

Goldman

Pinto

et al. 2017

CMAJ

321

263

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T he surprise question (SQ) was developed more than a decade ago and has been suggested as a simple test to identify patients who might benefit from hospice and palliative care (HPC).1 It involves a clinician reflecting on the question, "Would I be surprised if this patient died in the next 12 months?". It was thought that the SQ would correct for a physician's tendency to overestimate prognosis 2 by asking the physician to consider whether death in the coming year is possible rather than probable. The surprise question has been widely promoted 3,4 and adopted into frameworks for assessing hospice and palliative care needs. 5,6 In the past few years, several studies have reported on the accuracy of the SQ for a different purpose: as a prognostic test of intermediate-term death in different patient populations. These studies sought to determine whether an answer of "no" (hereafter SQ+) predicts intermediate-term death. We conducted a systematic review of the literature to determine the performance characteristics of the SQ in predicting death and the methodologic characteristics of these studies. Methods Search strategyWe searched MEDLINE (from 1946 to week 2 of October 2016), MEDLINE in process (to Oct. 19, 2016), Embase (1947 to Oct. 19, 2016 The surprise question -"Would I be surprised if this patient died in the next 12 months?" -has been used to identify patients at high risk of death who might benefit from palliative care services. Our objective was to systematically review the performance characteristics of the surprise question in predicting death.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The “surprise question” for predicting death in seriously ill patients: a systematic review and meta-analysis

Downar

Goldman

Pinto

et al. 2017

CMAJ

321

263

View full text Add to dashboard Cite

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“…The GSF Prognostic Indicator Guidance (PIG) [11,12] and the Supportive and Palliative Care Indicators Tool (SPICT) [13,14] are documents that are used internationally to assist the clinician to implement palliative care principles of pain and symptom management with psychosocial and spiritual support. At GSH and Victoria Hospital a simplified and modified 1-page tick-sheet based on the GSF-PIG is used to assist with the identification of palliative care patients (including HIV patients).…”

Section: Identifying Patients Who Require Palliative Carementioning

confidence: 99%

“…[13] The NGO sector, traditional provider of palliative care, cannot meet the total need for palliative care in SA; the government should also not expect NGOs to substitute for governmental obligations. [14] It is therefore essential that all healthcare professionals in SA are able to identify people needing palliative care, initiate basic palliative care to ensure better care in the last year of a patient's life and link such patients with community services to continue provision of palliative care in the patient's home.…”

Section: Linking With Community Resourcesmentioning

confidence: 99%

The development of hospital-based palliative care services in public hospitals in the Western Cape, South Africa

et al. 2018

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Author contributions. RK, LG and PR conceived the article. LG wrote the introduction and development sections. RK, PR and TC composed the section on GSH.LG, HG and JS were responsible for the partnership section.RK, LG, PR and CC wrote on identifying patients. LG and RK compiled the community resources section. All co-authors reviewed the article, added comments and made editorial changes, which were included by LG.Funding. None. Conflicts of interest.None.

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“…The Supportive and Palliative Care Indicators Tool (SPICT TM ), developed in Scotland, provides a useful approach to identifying people who may be at risk of deteriorating and therefore could benefi t from proactive palliative and supportive care. 21,22 Personalising care and decision making…”

Section: Tackling Some Of the Challenges Identifi Cationmentioning

confidence: 99%

End of Life Care: How Do We Move Forward?

Wee

2017

Journal of the Royal College of Physicians of Edinburgh

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End of life care: how do we move forward? B Wee 1Death and dying are inevitable. High quality and accessible palliative and end of life care can help people who are facing progressive life-threatening and life-limiting illness, and those dear to them, by focusing on their quality of life and addressing the problems associated with their situation. This paper draws attention to the scale of the challenge, some of the key areas we could address and the shifts in culture, mindset and leadership approach that are needed.

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Development and evaluation of the Supportive and Palliative Care Indicators Tool (SPICT): a mixed-methods study

Cited by 361 publications

References 27 publications

The “surprise question” for predicting death in seriously ill patients: a systematic review and meta-analysis

The “surprise question” for predicting death in seriously ill patients: a systematic review and meta-analysis

The development of hospital-based palliative care services in public hospitals in the Western Cape, South Africa

End of Life Care: How Do We Move Forward?

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