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...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2021-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/12/e055731.full |
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| author | Sarah Purdy Stephen Barclay Fliss E M Murtagh Lucy V Pocock Lucy E Selman |
| author_facet | Sarah Purdy Stephen Barclay Fliss E M Murtagh Lucy V Pocock Lucy E Selman |
| author_sort | Sarah Purdy |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-7ff3f93f5f6b4f718bcc5ecad7e956da |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-7ff3f93f5f6b4f718bcc5ecad7e956da2025-08-20T02:39:25ZengBMJ Publishing GroupBMJ Open2044-60552021-12-01111210.1136/bmjopen-2021-055731Communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesisSarah Purdy0Stephen Barclay1Fliss E M Murtagh2Lucy V Pocock3Lucy E Selman4Centre for Academic Primary Care, Population Health Sciences, University of Bristol, Bristol, UKPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UKWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UKCentre for Academic Primary Care, University of Bristol, Bristol, UKCentre for Ethics in Medicine, University of Bristol; Institute of Hospice and Palliative Care in Africa, Hospice Africa Uganda; All Ireland Institute of Hospice and Palliative Care; Institute of Hospice and Palliative Care in Africa, Hospice Africa Uganda; Centre for Ethics in Medicine, University of Bristol; Population Health Sciences, University of BristolIntroduction 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 CRD42021236087https://bmjopen.bmj.com/content/11/12/e055731.full |
| spellingShingle | Sarah Purdy Stephen Barclay Fliss E M Murtagh Lucy V Pocock Lucy E Selman Communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesis BMJ Open |
| 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 |
| url | https://bmjopen.bmj.com/content/11/12/e055731.full |
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