Evaluating a New Palliative Care Service for Patients with Multiple Sclerosis
Author Information
Author(s): Irene J Higginson, Sam Hart, Rachel Burman, Eli Silber, Tariq Saleem, Polly Edmonds
Primary Institution: King's College London
Hypothesis
Does a new palliative care service improve outcomes for patients severely affected by multiple sclerosis?
Conclusion
The fast track randomised trial design is feasible and can achieve good recruitment and low attrition in palliative care.
Supporting Evidence
- 69 patients were referred, and 52 entered the trial.
- 96% of possible interviews were completed.
- Home interviews were conducted for the majority of participants.
Takeaway
This study tested a new palliative care service for people with multiple sclerosis and found that it worked well, helping many patients.
Methodology
A randomised controlled trial comparing immediate referral to a new palliative care service versus a 12-week wait.
Potential Biases
Potential selection bias due to broad referral criteria.
Limitations
The study was underpowered for detailed comparisons and may have included patients less likely to benefit from the service.
Participant Demographics
Over 90% were white, aged 33-75, with a mean disease duration of 18 years and a high degree of disability.
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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