Evidence map›Paper›PMID 20353663›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010

Place of death for the 'oldest old': > or =85-year-olds in the CC75C population-based cohort.

Jane Fleming, Jun Zhao, Morag Farquhar, Carol Brayne, Stephen Barclay, Cambridge City Over-75s Cohort (CC75C) Study Collaboration

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Place of death among older people in Finland and Norway.Scandinavian journal of public health · 2020
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Caring for older people: is home care always best?The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
    Article
  11. Article
  12. Article
  13. Living in uncertain times: trajectories to death in residential care homes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014
    Article
  14. Observational
  15. Challenges to advocacy in primary health care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Jane FlemingInstitute of Public Health, University of Cambridge, Cambridge. jane.fleming@phpc.cam.ac.uk
Jun Zhao
Morag Farquhar
Carol Brayne
Stephen Barclay
Cambridge City Over-75s Cohort (CC75C) Study Collaboration
Institute of Public Health · INUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeaths are rising fastest among the oldest old but data on their transitions in place of care at the end of life are scarce.

aimTo examine the place of residence or care of > or =85 year-olds less than a year before death, and their place of death, and to map individual changes between the two. DESIGN OF STUDY: Population-based cohort study.

settingCambridge City over-75s Cohort (CC75C) study, UK.

methodRetrospective analysis of prospective data from males and females aged > or =85 years at death who died within a year of taking part in any CC75C survey (n = 320); death certificate linkage.

resultsOnly 7% changed their address in their last year of life, yet 52% died somewhere other than their usual address at the time of death. Over two-thirds were living in the community when interviewed <1 year before death, but less than one-third who had lived at home died there (less than one-fifth in sheltered housing). Care homes were the usual address of most people dying there (77% in residential homes, 87% in nursing homes) but 15% of deaths in acute hospital came from care homes.

conclusionMore than half the study sample of individuals of advanced old age had a change in their place of residence or care in their last year of life. These findings add weight to calls for improved end-of-life care in all settings, regardless of age, to avoid unnecessary transfers. The study data provide a baseline that can help plan and monitor initiatives to promote choice in location of care at the end of life for the very old.

Indexed as

Attitude to DeathAged, 80 and overAge DistributionEnglandFemaleHomes for the AgedHumansMaleNursing HomesPatient TransferResidence CharacteristicsRetrospective StudiesTerminal Care

Identifiers

PMID20353663
PMCPMC2845508
OpenAlexW2061108855

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.