ArticleMedical care2008
A population-based study of age inequalities in access to palliative care among cancer patients.
Article in Medical care, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
52 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Age- and gender-based social inequalities in palliative care for cancer patients: a systematic literature review.Frontiers in public health · 2024Pooled it
- Hospice care access inequalities: a systematic review and narrative synthesis.BMJ supportive & palliative care · 2022Pooled it
- End-of-Life Cancer Care Resource Utilisation in Rural Versus Urban Settings: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Socioeconomic position and use of healthcare in the last year of life: A systematic review and meta-analysis.PLoS medicine · 2019Pooled it
- Factors associated with older people's emergency department attendance towards the end of life: a systematic review.European journal of public health · 2019Pooled it
- Identifying inequitable healthcare in older people: systematic review of current research practice.International journal for equity in health · 2017Pooled it
- Impact of Palliative Care Consultation on Clinical Interventions and Outcomes in a Medical-Surgical Community-Based Intensive Care Unit.HCA healthcare journal of medicine · 2026Article
- Distance to primary care and its association with health care use and quality of care in Ontario: a cross-sectional study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025Article
- Exploring palliative care access among older adults in Saudi Arabia: implications for nursing practice.BMC nursing · 2025Article
- Loneliness and Social Isolation in the Care of the Seriously Ill Older Adult.Clinics in geriatric medicine · 2025Review
- Development and initial validation of a palliative care readiness (PALCARE) tool for older adults with cancer: Study protocol.PloS one · 2025Article
- Does Geography Play a Role in the Receipt of End-of-Life Care for Advanced Cancer Patients? Evidence from an Australian Local Health District Population-Based Study.Journal of palliative medicine · 2023Article
- Factors Affecting Hospice Use Among Adolescents and Young Adult Cancer Patients.Journal of adolescent and young adult oncology · 2023Article
- Use of Palliative Interventions at End of Life for Advanced Gastrointestinal Cancer.Annals of surgical oncology · 2022Article
- Time to End-of-Life of Patients Starting Specialised Palliative Care in Denmark: A Descriptive Register-Based Cohort Study.International journal of environmental research and public health · 2022Article
- Home-Based Care for Children with Serious Illness: Ecological Framework and Research Implications.Children (Basel, Switzerland) · 2022Article
- Palliative care and interventional radiology for older adults during the COVID-19 pandemic.Journal of medical imaging and radiation sciences · 2022Article
- Race and birth country are associated with discharge location from hospital: A retrospective cohort study of demographic differences for patients receiving inpatient palliative care.EClinicalMedicine · 2022Article
- Predicting death in home care users: derivation and validation of the Risk Evaluation for Support: Predictions for Elder-Life in the Community Tool (RESPECT).CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021Article
- Geographic impact on access to care and survival for non-curative esophagogastric cancer: a population-based study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundInequalities in access to palliative care programs (PCP) by age have been shown to exist in Canada and elsewhere. Few studies have been able to provide greater insight by simultaneously adjusting for multiple demographic, health service, and socio-cultural indicators.
objectiveTo re-examine the relationship between age and registration to specialized community-based PCP programs among cancer patients and identify the multiple indicators contributing to these inequalities.
methodsThis retrospective, population-based study was a secondary data analysis of linked individual level information extracted from 6 administrative health databases and contextual (neighborhood level) data from provincial and census information. Subjects included all adults who died due to cancer between 1998 and 2003 living within 2 District Health Authorities in the province of Nova Scotia, Canada. The relationship between registration in a PCP and age was examined using hierarchical nonlinear regression modeling techniques. Identification of potential patient and ecologic contributing indicators was guided by Andersen's conceptual model of health service utilization.
resultsOverall, 66% of 7511 subjects were registered with a PCP. Older subjects were significantly less likely than those <65 years of age to be registered with a PCP, in particular those aged 85 years and older (adjusted odds ratio: 0.4; 95% confidence interval: 0.3-0.5). Distance to the closest cancer center had a major impact on registration.
conclusionsAge continues to be a significant predictor of PCP registration in Nova Scotia even after controlling for the confounding effects of many new demographic, health service, and ecologic indicators.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.