SynthesisThe Cochrane database of systematic reviews2010
End-of-life care pathways for improving outcomes in caring for the dying.
Synthesis in The Cochrane database of systematic reviews, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 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
27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Pooled it
- The Liverpool Care Pathway: discarded in cancer patients but good enough for dying nursing home patients? A systematic review.BMC medical ethics · 2017Pooled it
- End-of-life care pathways for improving outcomes in caring for the dying.The Cochrane database of systematic reviews · 2016Pooled it
- Hospital at home: home-based end of life care.The Cochrane database of systematic reviews · 2011Pooled it
- Improving end-of-life care in acute geriatric hospital wards using the Care Programme for the Last Days of Life: study protocol for a phase 3 cluster randomized controlled trial.BMC geriatrics · 2015Trial
- Intervention to improve care at life's end in inpatient settings: the BEACON trial.Journal of general internal medicine · 2014Trial
- The effectiveness of the Liverpool care pathway in improving end of life care for dying cancer patients in hospital. A cluster randomised trial.BMC health services research · 2011Trial
- Consultations' demand for a hospital palliative care unit: how to increase appropriateness? Implementing and evaluating a multicomponent educational intervention aimed at increase palliative care complexity perception skill.BMC palliative care · 2022Article
- Are there opportunities to improve care as patients transition through the cancer care continuum? A scoping review protocol.BMJ open · 2021Article
- International transfer and translation of an end of life care intervention: the case of the Liverpool Care Pathway for the dying patient.Wellcome open research · 2020Article
- Patterns of comorbidities in hospitalised cancer survivors for palliative care and associated in-hospital mortality risk: A latent class analysis of a statewide all-inclusive inpatient data.Palliative medicine · 2019Article
- Keep the cat, change the care pathway: A transformational approach to managing Fel d 1, the major cat allergen.Allergy · 2019Article
- The Development of Pathways in Palliative Medicine: Definition, Models, Cost and Quality Impact.Healthcare (Basel, Switzerland) · 2019Review
- The Liverpool Care Pathway for the Dying Patient: a critical analysis of its rise, demise and legacy in England.Wellcome open research · 2018Article
- Multimorbidity in chronic disease: impact on health care resources and costs.Risk management and healthcare policy · 2016Review
- Evaluating the Liverpool Care Pathway for care of the terminally ill in rural Australia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015Article
- Communicating with patients and their families about palliative and end-of-life care: comfort and educational needs of nurses.International journal of palliative nursing · 2015Article
- End-of-life care policy: An integrated care plan for the dying: A Joint Position Statement of the Indian Society of Critical Care Medicine (ISCCM) and the Indian Association of Palliative Care (IAPC).Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2014Article
- End of life care policy for the dying: consensus position statement of Indian association of palliative care.Indian journal of palliative care · 2014Article
- The importance of a comprehensive, patient-centered approach to end-of-life care.Journal of general internal medicine · 2014Article
Corrections and comments
- Updated by
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn many clinical areas, integrated care pathways are utilised as structured multidisciplinary care plans which detail essential steps in caring for patients with specific clinical problems. Particularly, care pathways for the dying have been developed as a model to improve the end-of-life care of all patients. They aim to ensure that the most appropriate management occurs at the most appropriate time and that it is provided by the most appropriate health professional. Clinical pathways for end-of-life care management are used widely around the world and have been regarded as the gold standard. Therefore, there is a significant need for clinicians to be informed about the utilisation of end-of-life care pathways with a systematic review.
objectivesTo assess the effects of end-of-life care pathways, compared with usual care (no pathway) or with care guided by another end-of-life care pathway across all healthcare settings (e.g. hospitals, residential aged care facilities, community). SEARCH STRATEGY: The Cochrane Register of controlled Trials (CENTRAL), the Pain, Palliative and Supportive Care Review group specialised register, MEDLINE, EMBASE, review articles and reference lists of relevant articles were searched. The search was carried out in September 2009. SELECTION CRITERIA: All randomised controlled trials (RCTs), quasi-randomised trial or high quality controlled before and after studies comparing use versus non-use of an end-of-life care pathway in caring for the dying. DATA COLLECTION AND ANALYSIS: Results of searches were reviewed against the pre-determined criteria for inclusion by two review authors. MAIN
resultsThe search identified 920 potentially relevant titles, but no studies met criteria for inclusion in the review. AUTHORS'
conclusionsWithout further available evidence, recommendations for the use of end-of-life pathways in caring for the dying cannot be made. RCTs or other well designed controlled studies are needed for evaluating the use of end-of-life care pathways in caring for dying people.
Indexed as
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What OpenQuestion holds
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.