Nurse-led Telephonic Case Management versus Outpatient Palliative Care in Older Adults with Serious Illness (SAPLEN 101)

Outcomes.1. Learners will understand the impacts of two different methods of palliative care delivery among patients with serious, life-limiting illness.2. Learners will be able to identify and deploy methods of palliative care specialty based on the resources available within their health systems.Key Message.An 18-site randomized, pragmatic clinical trial was conducted to compare two established palliative care models, nurse-led telephonic case management and specialty outpatient palliative care, on patient-centered outcomes, including quality of life, loneliness and symptom burden.In this study, neither model was more effective with respect to these outcomes.Importance.Community-based palliative care is a limited resource that improves patient-centered outcomes, yet the comparative effectiveness of two predominant palliative care models is unknown.Objective(s).To compare the effectiveness of nurseled telephonic case management and facilitated, outpatient specialty palliative care on patient-centered outcomes, including quality of life (QOL), symptom burden, loneliness, and healthcare utilization.Scientific Methods Utilized.Emergency Medicine Palliative Care Access (EMPallA) is a patient-level randomized trial comprising persons 50+ years with advanced cancer or end-stage organ failure recruited