Validation of the Supportive and Palliative Care Indicators Tool in a Geriatric Population

Bock, Reine De; Noortgate, Nele Van Den; Piers, Ruth

doi:10.1089/jpm.2017.0205

Cited by 64 publications

(46 citation statements)

References 20 publications

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“…48% of identified patients had died at 12 months, reasonably similar to our data here [16]. De Bock et al [24] found a sensitivity of 84.1% and a specificity of 57.9% for SPICT in a retrospective cohort study in a geriatric population general and clinical indicators performed equally in that study. The predictive value of the NECPAL CCOMS_ICO© tool was evaluated in a prospective, longitudinal study in primary care centres and a hospital in Spain in 1057 patients, with a mean age of 81 years and a 12-month mortality of 27.0%.…”

Section: Strengths and Limitations Of This Studysupporting

confidence: 89%

The utility of a shortened palliative care screening tool to predict death within 12 months – a prospective observational study in two South African hospitals with a high HIV burden

Raubenheimer

Day

Abdullah

et al. 2019

Preprint

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Background: Timely identification of people who are at risk of dying is an important first component of end-of-life care. Clinicians often fail to identify such patients, thus trigger tools have been developed to assist in this process. We aimed to evaluate the performance of a identification tool (based on the Gold Standards Framework Prognostic Indicator Guidance) to predict death at 12 months in a population of hospitalised patients in South Africa.Methods: Patients admitted to the acute medical services in two public hospitals in Cape Town, South Africa were enrolled in a prospective observational study. Demographic data were collected from patients and patient notes. Patients were assessed within two days of admission by two trained clinicians who were not the primary care givers, using the identification tool. Outcome mortality data were obtained from patient folders, the hospital electronic patient management system and the Western Cape Provincial death registry which links a unique patient identification number with national death certificate records and system wide electronic records.Results: 822 patients (median age of 52 years), admitted with a variety of medical conditions were assessed during their admission. 22% of the cohort were HIV-infected. 218 patients were identified using the screening tool as being in the last year of their lives. Mortality in this group was 56% at 12 months, compared with 7% for those not meeting any criteria. The specific indicator component of the tool performed best in predicting death in both HIVinfected and HIV-uninfected patients, with a sensitivity of 74% (68-81%), specificity of 85% (83-88%), a positive predictive value of 56% (49-63%) and a negative predictive value of 93% (91-95%). The hazard ratio of 12-month mortality for those identified vs not was 11.52 (7.87-16.9, p < 0.001). Conclusions:The identification tool is suitable for use in hospitals in low-middle income country setting that have both a high communicable and non-communicable disease burden amongst young patients, the majority under age 60.

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Section: Strengths and Limitations Of This Studysupporting

confidence: 89%

The utility of a shortened palliative care screening tool to predict death within 12 months – a prospective observational study in two South African hospitals with a high HIV burden

Raubenheimer

Day

Abdullah

et al. 2019

Preprint

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“…The SPICT was chosen due to it is the only tool which is evidential of its ability to identify patients with palliative care needs early (6). Furthermore, the SPICT can be used in both inpatient and outpatient care (3).The SPICT is easily available through a web-based platform, is not restricted to specific diseases and has been translated and validated in different countries and healthcare settings in Europe (9)(10)(11). This study describes the process of translation, cross-cultural adaptation and content validation of the SPICT-SE.…”

Section: Introductionmentioning

confidence: 99%

Early integration of palliative care: translation, cross‐cultural adaptation and content validity of the Supportive and Palliative Care Indicators Tool in a Swedish healthcare context

Pham

Arnby

Benkel

et al. 2019

Scandinavian Caring Sciences

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Background Timely identification of patients with palliative care needs is a prerequisite for being able to carry out effective and equal palliative care. The Supportive and Palliative Care Indicators Tool (SPICT) identifies patients likely to benefit from a palliative approach. Aim The main objective was to describe the translation, cross‐cultural adaptation and content validation process of the SPICT‐SE. In this process, the prefinal SPICT‐SE was tested in focus group interviews to explore how the tool was perceived and interpreted by healthcare professionals in a Swedish healthcare context. Methods In this qualitative descriptive study, the translation, cross‐cultural adaptation and content validation process of the SPICT‐SE was based on a recommended method for cross‐cultural adaptation of self‐report measures. The process included two independent forward translations, a synthesis, and one independent back‐translation. An expert committee consolidated all the versions and developed the prefinal version of the SPICT‐SE. The prefinal version of the SPICT‐SE was tested in four focus group interviews with physicians and nurses engaged in inpatient or outpatient care in south‐west Sweden. A thematic analysis of the transcribed interviews was performed. The SPICT‐SE was then revised to the final version. Results In the thematic analysis, four themes were constructed that together described how the SPICT‐SE was perceived and interpreted by healthcare professionals: The mindset is familiar and relevant; the tool needs to be adjusted in order to be clearer; the purpose and consequences of the tool are ambiguous; and the tool supports a palliative approach. Conclusion The SPICT‐SE has now been successfully translated, culturally adapted and content validated in a Swedish healthcare context.

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“…SPICT is not restricted to specific diseases and has been tested in different settings (e.g. primary care, home care, and hospitals) 12,[16][17][18] .…”

Section: Mmentioning

confidence: 99%

“…The development, structure, and evaluation of the original English version of the SPICT™ have been described elsewhere 12 , as well as its use as a guide to help physicians recognize people at risk of deteriorating and dying 17,18 .…”

Section: Mmentioning

confidence: 99%

Prevalence and Characteristics of Patients Being at Risk of Deteriorating and Dying in Primary Care

Hamano

Oishi

Kizawa

2019

Journal of Pain and Symptom Management

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Understanding the prevalence and characteristics of primary care outpatients being at risk of deteriorating and dying may allow general practitioners (GPs) to identify them, and initiate end-of-life discussions. Objectives This study aimed to investigate the prevalence and characteristics of primary care outpatients being at risk of deteriorating and dying, as determined by the Supportive and Palliative Care Indicators Tool (SPICT™). Methods A multicenter cross-sectional observational study was conducted at 17 clinics with 22 GPs. We enrolled all patients aged ≥65 years who visited the GPs in March 2017. We used the Japanese version of the SPICT™ to identify patients being at risk of deteriorating and dying. We assessed the demographic and clinical characteristics of enrolled patients. Results In total, 382 patients with a mean age of 77.4 ± 7.9 years were investigated. Sixty-six patients (17.3%) had ≥2 positive general indicators or ≥1 positive disease-specific indicator in the SPICT-JP. Patients with dementia/frailty, neurological disease, cancer, and kidney disease showed a significantly elevated risk of deteriorating and dying, while patients with other

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Validation of the Supportive and Palliative Care Indicators Tool in a Geriatric Population

Abstract: SPICT seems to be valuable for identifying geriatric patients in need of palliative care as it demonstrates significant association with one-year mortality and with clinical survival predictions of experienced geriatricians, as reflected by TLDs given.

Cited by 64 publications

References 20 publications

The utility of a shortened palliative care screening tool to predict death within 12 months – a prospective observational study in two South African hospitals with a high HIV burden

The utility of a shortened palliative care screening tool to predict death within 12 months – a prospective observational study in two South African hospitals with a high HIV burden

Early integration of palliative care: translation, cross‐cultural adaptation and content validity of the Supportive and Palliative Care Indicators Tool in a Swedish healthcare context

Prevalence and Characteristics of Patients Being at Risk of Deteriorating and Dying in Primary Care

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