{
  "abstract": "Background In England most people die in hospital (Office for Health Improvement & Disparities. Palliative and end of life care profile December 2023 update: Statistical commentary: GOV.UK. 2024 [internet]), making the efficacy of hospital-based palliative medicine a crucial research focus. Patient-reported outcome measures such as the IPOS are validated to measure the effectiveness of palliative medicine with a patient-centered approach (Grochowicka, Reysner, Leppert, et al. Palliat Med Pract. 2025; 19(1): 61–65). Some hospital palliative medicine teams use staff-reported scores instead, but there is currently limited data on the implementation of IPOS in this way within hospital medicine for diverse patient groups.Aim To evaluate discrepancies between staff-reported and patient-reported IPOS scores in an acute hospital setting.Method Inclusion criteria were any patients with a staff IPOS filled in within the previous 24 hours who could consent to participate. These patients completed an IPOS with staff members independent from the palliative care team. Data collection included patients’ ethnicities, IMD (Index of Multiple Deprivation), age and gender.Results Data collection is ongoing, currently n=32. The mean discrepancy of staff-reported to patient-reported scores was 67.52%, showing staff are underestimating patient symptoms on the IPOS. Dividing the IPOS into somatic and psychological symptoms for further analysis showed that the staff mean somatic score was 48.77% of the patient mean (p<0.01), and mean staff psychological score was 80.37% of the patient mean (p<0.05). For individual somatic symptoms, the difference between mean staff and patient scores ranged from 14.6% (drowsiness) to 116% (vomiting). Data currently shows no significant association between discrepancy and ethnicity, age, gender, or IMD.Conclusion Staff IPOS scores are significantly lower than patient IPOS scores, with no patterns yet identified among different patient demographics. If further data collection supports this conclusion, this could have implications for the utility of the staff-completed IPOS in this acute hospital trust and any findings relevant to demographical differences would merit further enquiry. Moving to a patient-reported outcome scale could lead to more patient-centred care and further data analysis will help guide this decision.",
  "authors": [
    {
      "affiliations": [
        "Bradford Teaching Hospitals Foundation Trust, Bradford, UK"
      ],
      "name": "Rachel Burnley"
    },
    {
      "affiliations": [
        "Bradford Teaching Hospitals Foundation Trust, Bradford, UK"
      ],
      "name": "Athea Ashley"
    }
  ],
  "title": "O-22 The validity of staff-reported IPOS (integrated palliative outcome scale) scores in a hospital setting",
  "uid": "ce3dec3f-ff9e-5351-9910-5422570776f5"
}