ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2011
Recognising patients who will die in the near future: a nationwide study via the Dutch Sentinel Network of GPs.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04010136 (Identification of Elderly Patients in Need of Palliative Care by Family Physicians - the Role of Palliative Care Training and the Use of a Standardized Tool), which is not on this map. Cited by 21 papers.
What it found
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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.
Identification of Elderly Patients in Need of Palliative Care by Family Physicians - the Role of Palliative Care Training and the Use of a Standardized Tool (GerPal_ID). A Two-phase Protocol: Randomized Trial and Prevalence Study
Who cites it
21 citing papers in PubMed, 40 citations in OpenAlex.
- Comparison of Two Methods for Implementing Comfort Care Order Sets in the Inpatient Setting: a Cluster Randomized Trial.Journal of general internal medicine · 2021Trial
- Adding a second surprise question triggers general practitioners to increase the thoroughness of palliative care planning: results of a pilot RCT with cage vignettes.BMC palliative care · 2018Trial
- Intervention to improve care at life's end in inpatient settings: the BEACON trial.Journal of general internal medicine · 2014Trial
- Drivers of avoidable emergency department visits in older adults with multiple long-term conditions and palliative care needs: a qualitative survey across six care providers.Scandinavian journal of primary health care · 2026Article
- Utilising Palliative Care Expertise in Critically Ill Patients: Opportunities to Improve Outcomes and Experiences.Journal of clinical medicine · 2025Article
- Exploring perceptions of online calculators for identifying community-dwelling older people at risk of dying: A qualitative study.PEC innovation · 2024Article
- Article
- Dying in times of the coronavirus: An online survey among healthcare professionals about end-of-life care for patients dying with and without COVID-19 (the CO-LIVE study).Palliative medicine · 2021Article
- Timely identification of patients in need of palliative care using the Double Surprise Question: A prospective study on outpatients with cancer.Palliative medicine · 2021Article
- General practitioners' provision of end-of-life care and associations with dying at home: a registry-based longitudinal study.Family practice · 2020Article
- Patient and caregiver perspectives on early identification for advance care planning in primary healthcare settings.BMC family practice · 2020Article
- Hospitalisation at the end of life among cancer and non-cancer patients in Denmark: a nationwide register-based cohort study.BMJ open · 2020Article
- Screening with the double surprise question to predict deterioration and death: an explorative study.BMC palliative care · 2019Article
- How do hospital-based nurses and physicians identify the palliative phase in their patients and what difficulties exist? A qualitative interview study.BMC palliative care · 2019Article
- Stakeholders' views on identifying patients in primary care at risk of dying: a qualitative descriptive study using focus groups and interviews.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Development, modelling, and pilot testing of a complex intervention to support end-of-life care provided by Danish general practitioners.BMC family practice · 2018Article
- Dying well with reduced agency: a scoping review and thematic synthesis of the decision-making process in dementia, traumatic brain injury and frailty.BMC medical ethics · 2016Article
- Place and cause of death in centenarians: a population-based observational study in England, 2001 to 2010.PLoS medicine · 2014Observational
- Reasons for hospitalisation at the end of life: differences between cancer and non-cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014Article
- The Liverpool Care Pathway for the dying: what went wrong?The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecognising patients who will die in the near future is important for adequate planning and provision of end-of-life care. GPs can play a key role in this.
aimTo explore the following questions: How long before death do GPs recognise patients likely to die in the near future? Which patient, illness, and care-related characteristics are related to such recognition? How does recognising death in the near future, before the last week of life, relate to care in during this period? DESIGN AND
settingOne-year follow-back study via a surveillance GP network in the Netherlands.
methodRegistration of demographic and care-related characteristics.
resultsOf 252 non-sudden deaths, 70% occurred in the home or care home and 30% in hospital. GP recognition of death in the near future was absent in 30%, and occurred prior to the last month in 15%, within the last month in 19%, and in the last week in 34%. Logistic regression analyses showed cancer and low functional status were positively associated with death in the near future; cancer and discussing palliative care options were positively associated with recognising death in the near future before the last week of life. Recognising death in the near future before patients' last week of life was associated with fewer hospital deaths, more GP-patient contacts in the last week, more deaths in a preferred place, and more-frequent GP-patient discussions about specific topics in the last 7 days of life.
conclusionRecognising death in the near future precedes several aspects of end-of-life care. The proportion in whom death in the near future is never recognised is large, suggesting GPs could be assisted in this process through training and implementation of care protocols that promote timely recognition of the dying phase.
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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.