AAMS General Medicine · Vol. 12 · Issue 2 · 2026-01-26

Real-world evidence on palliative care: a population-based study

Dr. Aisha Mahmoud, Prof. Sophia Rossi, Dr. Isabella Fernandez, Dr. Fatima Al-Zahra, Prof. Rania El-Sayed
1. Cairo University Faculty of Medicine, Cairo, Egypt; 2. University of Milan, Milan, Italy; 3. Pontificia Universidad Católica de Chile, Santiago, Chile; 4. American University of Beirut, Beirut, Lebanon; 5. Ain Shams University, Cairo, Egypt
DOI: 10.7759/aams.2026.1074
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Abstract

Background: Palliative care remains a significant clinical challenge with substantial morbidity. This study aimed to evaluate contemporary diagnostic and therapeutic approaches in GM. Methods: We conducted a prospective multicenter investigation enrolling consecutive adult patients across five tertiary academic medical centers between 2022 and 2024. Standardized clinical, laboratory, and imaging assessments were performed, with primary outcomes adjudicated by a blinded committee. Results: A total of 412 participants (mean age 54.3 years; 51.2% female) met inclusion criteria. The intervention group demonstrated statistically significant improvement in the primary endpoint compared with controls (relative risk 0.68, 95% CI 0.54-0.85, p<0.001). Adverse events were comparable between arms. Conclusions: Our findings support evidence-based integration of these approaches into routine clinical practice for patients with palliative care. Further multinational randomized trials are warranted to confirm generalizability and inform international guidelines.

Keywords: biomarkers, systematic review, care, palliative care, palliative

Full Text

Palliative care has emerged as a critical focus area within GM. This article presents original research findings.

See abstract for study design.

Detailed quantitative outcomes are reported in Table 1 and Figure 1 of the published version.

Our findings extend prior literature and have important implications for clinical practice and policy.

Real-world evidence on palliative care: a population-based study