ArticleJournal of the American Geriatrics Society2013
Quality of hospice care for individuals with dementia.
Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- ACG Clinical Guideline: Nutrition Therapy in the Adult Hospitalized Patient.The American journal of gastroenterology · 2016Guideline
- Antibiotic use and associated factors in patients with dementia: a systematic review.Drugs & aging · 2015Pooled it
- Findings of Sequential Pilot Trials of Aliviado Dementia Care to Inform an Embedded Pragmatic Clinical Trial.The Gerontologist · 2022Trial
- Variation in Hospice Experiences by Care Setting for Patients With Dementia.Journal of the American Medical Directors Association · 2022Article
- Hospice Improves Care Quality For Older Adults With Dementia In Their Last Month Of Life.Health affairs (Project Hope) · 2022Article
- Chronic wounds in persons living with dementia: An integrative review.International journal of older people nursing · 2022Review
- Building a National Program for Pilot Studies of Embedded Pragmatic Clinical Trials in Dementia Care.Journal of the American Geriatrics Society · 2020Article
- Hospice Care for Patients With Dementia in the United States: A Longitudinal Cohort Study.Journal of the American Medical Directors Association · 2018Article
- Pain in Hospice Patients With Dementia: The Informal Caregiver Experience.American journal of Alzheimer's disease and other dementias · 2016Article
- Evaluation and management of the elderly patient presenting with cognitive complaints.The Medical clinics of North America · 2015Review
- Symptoms and treatment when death is expected in dementia patients in long-term care facilities.BMC geriatrics · 2014Observational
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundPatients with dementia constitute an increasing proportion of hospice enrollees, yet little is known about the quality of hospice care for this population. The aim of this study was to quantify differences in quality of care measures between hospice patients with and without dementia.
designCross-sectional analysis of data.
setting2007 National Home and Hospice Care Survey.
participantsFour thousand seven hundred eleven discharges from hospice care. MEASUREMENTS: A primary diagnosis of dementia at discharge was defined according to International Classification of Diseases, Ninth Revision, codes (290.0-290.4x, 294.0, 294.1, 294.8, 331.0-331.2, 331.7, and 331.8). Quality-of-care measures included enrollment in hospice in the last 3 days of life, receiving tube feeding, depression, receiving antibiotics, lack of advanced directive or do not resuscitate order, Stage II or greater pressure ulcers, emergency care, lack of continuity of residence, and a report of pain at last assessment.
resultsFour hundred fifty (9.5%) individuals were discharged with a primary diagnosis of dementia. In multivariable analysis, individuals with dementia were more likely to receive tube feeding (odds ratio (OR) = 2.6, 95% confidence interval (CI) = 1.4-4.5) and to have greater continuity of residence (OR = 1.8, 95% CI = 1.1-3.0) than other individuals in hospice and less likely to have a report of pain at last assessment (OR = 0.6, 95% CI = 0.3-0.9).
conclusionsThe majority of quality-of-care measures examined did not differ between individuals in hospice with and without dementia. Use of tube feeding in hospice care and methods of pain assessment and treatment in individuals with dementia should be considered as potential quality-of-care measures.
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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.