A strategy to advance the evidence base in palliative medicine: Formation of a palliative care research cooperative group

Amy P. Abernethy, Noreen M. Aziz, Ethan Basch, Janet Bull, Charles S. Cleeland, David C. Currow, Diane Fairclough, Laura Hanson, Joshua Hauser, Danielle Ko, Linda Lloyd, R. Sean Morrison, Shirley Otis-Green, Steve Pantilat, Russell K. Portenoy, Christine Ritchie, Graeme Rocker, Jane L. Wheeler, S. Yousuf Zafar, Jean S. Kutner

Research output: Contribution to journalArticlepeer-review

66 Scopus citations

Abstract

Background: Palliative medicine has made rapid progress in establishing its scientific and clinical legitimacy, yet the evidence base to support clinical practice remains deficient in both the quantity and quality of published studies. Historically, the conduct of research in palliative care populations has been impeded by multiple barriers including health care system fragmentation, small number and size of potential sites for recruitment, vulnerability of the population, perceptions of inappropriateness, ethical concerns, and gate-keeping. Methods: A group of experienced investigators with backgrounds in palliative care research convened to consider developing a research cooperative group as a mechanism for generating high-quality evidence on prioritized, clinically relevant topics in palliative care. Results: The resulting Palliative Care Research Cooperative (PCRC) agreed on a set of core principles: active, interdisciplinary membership; commitment to shared research purposes; heterogeneity of participating sites; development of research capacity in participating sites; standardization of methodologies, such as consenting and data collection/management; agile response to research requests from government, industry, and investigators; focus on translation; education and training of future palliative care researchers; actionable results that can inform clinical practice and policy. Consensus was achieved on a first collaborative study, a randomized clinical trial of statin discontinuation versus continuation in patients with a prognosis of less than 6 months who are taking statins for primary or secondary prevention. This article describes the formation of the PCRC, highlighting processes and decisions taken to optimize the cooperative group's success.

Original languageEnglish (US)
Pages (from-to)1407-1413
Number of pages7
JournalJournal of palliative medicine
Volume13
Issue number12
DOIs
StatePublished - Dec 1 2010

ASJC Scopus subject areas

  • Nursing(all)
  • Anesthesiology and Pain Medicine

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