SPICT Publications

Tools

  • Highet G, Crawford D, Murray SA, Boyd K. Development and evaluation of the Supportive and Palliative Care Indicators Tool (SPICT): a mixed-methods study. (Development & evaluation of SPICT)
    BMJ Support Palliat Care Published Online First: 25 July 2013 doi:10.1136/bmjspcare-2013-000488.
  • Fachado AA, Martínez NS, Roselló MM, Rial JJV, Oliver EB, García RG,García JMF. Spanish adaptation and validation of the Supportive & Palliative Care Indicators Tool – SPICT-ESTM. Rev Saude Publica. 2018; 52: 3. Published online 2018 Jan 16. doi:  10.11606/S1518-8787.2018052000398 
  • Afshar K, Feichtner A, Boyd K, Murray S, Jünger S, Wiese B, Schneider N, Müller-Mundt G. Systematic development and adjustment of the German version of the Supportive and Palliative Care Indicators Tool (SPICT-DE). BMC Palliative Care 2018;17:27.
    https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-018-0283-7
  • Boyd K, Murray SA. Recognising and managing key transitions in end of life care. BMJ 2010;341:c4863
    (Original version of the SPICT tool)
  • Maas E, Murray SA, Engels Y, Campbell C. What tools are available to identify people with palliative care needs in primary care: a systematic review and survey of European practice. BMJ Supportive & Palliative Care 2013;3:444–451.
  • Walsh RI, Mitchell G, Francis L, Van Driel ML. What diagnostic tools exist for the early identification of palliative care patients in primary care: a systematic review. Journal of Palliative Care 2015;31(2):118-123.
  • Downar J, Goldman R, Pinto R, Englesakis M, Adhikari NK. The “surprise question” for predicting death in seriously ill patients: a systematic review and meta-analysis. Canadian Medical Journal. 2017 Apr 3;189(13):E484-E493. doi: 10.1503/cmaj.160775.
  • Gomez-Batiste X et al. Identifying patients with chronic conditions in need of palliative care in the general population: development of the NECPAL tool and preliminary prevalence rates in Catalonia. BMJ Supportive & Palliative Care 2012; doi:10.1136/bmjspcare-2102-000211.
  • Lynn J. Serving patients who may die soon: the role of hospice and other services. JAMA 2001; 285:925-932.
  • Weissman D E, Meier DE. Identifying patients in need of a palliative care assessment in the hospital setting. J Palliat Med 2011; 14(1): 17-23.
  • Clifford C, Thomas K, Armstrong-Wilson J. Going for Gold: the Gold Standards Framework programme and accreditation in primary care. End Life J 2016; 6:e000028. doi:10.1136/eoljnl-2016-000028
  • Supportive and Palliative Care Indicators Tool (SPICT) improves renal nurses’ confidence in recognising patients approaching end of life.
    Lunardi and colleagues from Adelade found that: The use of SPICT for hospital admissions and the application of education in topics related to end-of-life care resulted in a significant improvement in nurses’ confidence in recognising deteriorating and frail patients approaching their end of life. The use of this tool also increased the number of deteriorating patients approaching end of life with goals of care documented.
    https://spcare.bmj.com/content/early/2020/11/03/bmjspcare-2020-002496

  • Talking about death and dying in a hospital setting – a qualitative study of the wishes for end-of-life conversations from the perspective of patients and spouses.
    Bergenholtz and colleagues from Denmark used SPICT-DK to identify people for a study exploring the wishes of patients and their relatives with regard to talking about the end of life in an acute hospital setting when living with a life-threatening disease.
    https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-020-00675-1

Other references

  • Woolfield A, Mitchell G,  Kondalsamy-Chennakesavan S, Senior H. Predicting Those Who Are at Risk of Dying within Six to Twelve Months in Primary Care: A Retrospective Case–Control General Practice Chart Analysis. Journal of Palliative Medicine. DOI:10.1089/jpm.2018.0562 (A predictive model of mortality risk based on SPICT indicators – overall predictive accuracy of 78%)
    Nomogram
  • De Bock, R, Van Den Noortgate, N, Piers, R.Validation of the Supportive and Palliative Care Indicators Tool in a Geriatric Population. J Palliat Med 2018;21(2):220-224. DOI: 10.1089/jpm.2017.0205. (Validation study of elderly patients admitted to hospital geriatric unit with uncertain prognosis – overall one-year mortality 32.2%, 48.7% in SPICT-positive patients, and 11.5% in SPICT-negative patients (p < 0.001). SPICT predicted one-year mortality with a sensitivity of 0.841 and a specificity of 0.579.)
  • Liyanage T, Mitchell G, Senior H. Identifying palliative care needs in residential care. Australian Journal of Primary Health Research. 2018 24(6) 524-529 https://doi.org/10.1071/PY17168  (Cohort study of 187 cases using the Surprise Question combined with SPICT indicators to screen residents and predict risk of dying within 12 months – sensitivity 71.4% (95%CI, 55.4–84.3%), specificity 66.2% (95%CI, 57.9–73.4%); positive predictive value is 38.0% (95%CI, 27.3–49.6%), negative predictive value 88.79% (95%CI, 81.4–94.1%))
  • Mitchell GK, Senior HE, Rhee JJ, Ware RS, Young S, Teo PC, Murray S, Boyd K, Clayton JM. Using intuition or a formal palliative care needs assessment screening process in general practice to predict death within 12 months: A randomised controlled trial. Palliat Med. 2017 Mar 1:269216317698621. doi: 10.1177/0269216317698621. [Epub ahead of print]
  • Sulistio M, Franco M, Vo A, Poon P, Leeroy W. Hospital rapid response team and patients with life-limiting illness: a multicentre, retrospective cohort study. Palliat Med 2015;29(4):302-309.
  • Thoosen B, Groot M, Engles Y, Prins J, Verhagen S, Galesloot C et al. Early identification and proactive palliative care for patients in general practice, incentive and methods of a randomised controlled trial. BMC Family Practice 2011; 12:123
  • Harrison N, Cavers D, Campbell C, Murray SA. Are UK primary care teams formally identifying patients for palliative care before they die? Br J Gen Pract 2012; DOI:10.3399/bjgp12X64146.
  • Glare PA, Sinclair CT. Palliative medicine review: prognostication. J Palliat Med 2008; 11:84-103.
  • Gott M, Ingleton C, Bennett M, Gardiner C. Transitions to palliative care in acute hospitals in England: qualitative study. BMJ 2011; 342:d1773.
  • Lau F, Downing M, Lesperance M, Karlson N, Kuziemsky C, Yang J. Using the Palliative Performance Scale to provide meaningful survival estimates. J Pain Symptom Management 2009; 38:134-144.
  • Coventry PA, Grande GE, Richards DA, Todd CJ. Prediction of appropriate timing of palliative care for older adults with non-malignant life-threatening disease: a systematic review. Age and Ageing 2005; 34:218-227.
  • Clark D, Armstrong M, Allan A et al. Imminence of death among hospital inpatients; a prevalence cohort study. Palliative Medicine 2014; doi: 10.1177/0269216314526443
  • Smith C, Hough L, Cheung C-C et al. Coordinate My Care: a clinical service that coordinates care, giving patients choice and improving quality of life.BMJ Supportive & Palliative Care 2012; 2:301-307.