ArticleBritish journal of cancer2013
Does referral to specialist paediatric palliative care services reduce hospital admissions in oncology patients at the end of life?
Article in British journal of cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 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
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- The Impact of Specialty Palliative Care in Pediatric Oncology: A Systematic Review.Journal of pain and symptom management · 2021Pooled it
- Specialist paediatric palliative care for children and young people with cancer: A mixed-methods systematic review.Palliative medicine · 2020Pooled it
- Impact of Specialized Pediatric Palliative Care: A Systematic Review.Journal of pain and symptom management · 2020Pooled it
- High-intensity treatment is common at the end of life among children and young people who died of cancer: a retrospective cohort study.BMJ paediatrics open · 2026Article
- A novel child-centred core palliative care outcome measure for use in clinical practice and research: findings from a multinational validation study.Health and quality of life outcomes · 2025Article
- Sub specialization and centralization of pediatric neuro-oncology services: a strategy to improve outcomes in low-resource settings.Frontiers in oncology · 2025Review
- Barriers and facilitators influencing referral and access to palliative care for children and young people with life-limiting and life-threatening conditions: a scoping review of the evidence.Palliative medicine · 2024Article
- Measuring Pediatric Palliative Care Quality: Challenges and Opportunities.Journal of pain and symptom management · 2023Article
- Presuppositions, cost-benefit, collaboration, and competency impacts palliative care referral in paediatric oncology: a qualitative study.BMC palliative care · 2022Article
- End-of-life care quality for children with cancer who receive palliative care.Pediatric blood & cancer · 2022Article
- Palliative Care in Paediatric Oncology: an Update.Current oncology reports · 2022Review
- Defining and timing of palliative opportunities in children with central nervous system tumors.Neuro-oncology practice · 2021Article
- Factor structure of the Quality of Children's Palliative Care Instrument (QCPCI) when complete by parents of children with cancer.BMC palliative care · 2019Article
- Using routine data to improve palliative and end of life care.BMJ supportive & palliative care · 2016Article
- Multidisciplinary pediatric brain tumor clinics: the key to successful treatment?CNS oncology · 2015Review
- Managing the advanced cancer patient in the Australian emergency department environment: findings from a national survey of emergency department clinicians.International journal of emergency medicine · 2015Article
- Integration of palliative care into the neuro-oncology practice: patterns in the United States.Neuro-oncology practice · 2014Review
- Pediatric palliative care: a reflection on terminology.Palliative care · 2013Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite advances in the treatment of childhood cancer, some children continue to die from their disease. This study aimed to assess the impact of specialist paediatric palliative care services (SPPCSs) on the number of hospital admissions in children who subsequently died from cancer in Yorkshire, UK.
methodsAn extract of patients aged 0-19 years from the Yorkshire Specialist Register of Cancer in Children and Young People (YSRCCYP) diagnosed from 1990 to 2009 were linked to inpatient hospital episodes data and a SPPCS database. Deaths were included if they occurred before 31 August 2011. Differences in hospital admission patterns were assessed using negative binomial regression and presented as incidence rate ratios (IRRs).
resultsOf 2508 children on the YSRCCYP, 657 (26%) had died by the censoring date. A total of 211 children had been referred to the local SPPCS, of whom 182 (86%) had subsequently died. Referral to SPPCS was associated with a significant reduction in the rate of planned hospital admissions (IRR=0.60, 95% CI 0.43-0.85). Central nervous system tumours showed significant decreases for all planned and emergency admissions compared with all other diagnostic groups.
conclusionReferral to SPPCS significantly reduced the number of planned hospital admissions for children and young people with cancer before their death, which are often integral to paediatric oncology treatment regimens. Overall, our findings show that SPPCS have a role in reducing hospital admissions during end of life care of paediatric cancer patients with potential personal, social and economic benefits.
Indexed as
Identifiers
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.