Integrated Palliative Care Outcome Scale is a robust measure

24th July 2019

Few measures capture the complex symptoms and concerns of people receiving palliative care.  Researchers at the Cicely Saunders Institute developed a measure to capture this information.  The measure is based on the POS (Palliative care Outcome Scale) and is called the Integrated Palliative Care Outcome Scale (IPOS).  Latest research published in Palliative Medicine, has evaluated the measure, by testing its validity, reliability and responsiveness to change.

The research looked at 376 adults receiving palliative care in a variety of clinical settings, in the United Kingdom and in Germany.   The researchers found that IPOS shows a strong ability to distinguish between clinical relevant groups.  So IPOS can pinpoint accurately patients with unstable or deteriorating status, versus stable patients.  The measure shows good internal consistency and reliability.  Also the measure accurately records response to change over time.

Therefore researchers concluded that the Integrated Palliative care Outcome Scale is a valid and reliable outcome measure. They found this with both versions – the patient self-report staff proxy-report versions. It can assess and monitor symptoms and concerns in advanced illness, determine the impact of healthcare interventions, and demonstrate quality of care. This represents a major step forward internationally for palliative care outcome measurement.

For more information about IPOS, please visit the POS-PAL website


Publication details:

Murtagh FE, Ramsenthaler C, Firth A, Groeneveld EI, Lovell N, Simon ST, Denzel J, Guo P, Bernhardt F, Schildmann E, van Oorschot B, Hodiamont F, Streitwieser S, Higginson IJ, Bausewein C. A brief, patient- and proxy-reported outcome measure in advanced illness: Validity, reliability and responsiveness of the Integrated Palliative care Outcome Scale     (IPOS). Palliat Med. 2019:269216319854264. 10.1177/0269216319854264.