Evidence map›Paper›PMID 23772891›Full record

ArticleJournal of the American Geriatrics Society2013

Quality of end-of-life care of long-term nursing home residents with and without dementia.

Qinghua Li, Nan Tracy Zheng, Helena Temkin-Greener

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

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 35 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

35 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Article
  8. Article
  9. Article
  10. Associations between dementia diagnosis and end-of-life care utilization.Journal of the American Geriatrics Society · 2022
    Article
  11. Review
  12. Site of death among individuals with and without dementia in 2016-2018.Journal of the American Geriatrics Society · 2022
    Article
  13. Article
  14. Nursing Home Alzheimer's Special Care Units: Geographic Location Matters.Journal of the American Medical Directors Association · 2022
    Article
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  16. Article
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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

3 authors.

Qinghua LiDepartment of Public Health Sciences, School of Medicine and Dentistry, University of Rochester, Rochester, New York 14642, USA.
Nan Tracy Zheng
Helena Temkin-Greener

Funding

End-of-Life Quality of Care in Nursing HomesR01NR010727 · NINR · UNIVERSITY OF ROCHESTER · PI TEMKIN-GREENER, HELENA · 2008 to 2011
$1.8M
NINR NIH HHS NR010727NINR NIH HHS R01 NR010727
6 · The paper itself

Abstract

objectivesTo describe the longitudinal patterns and the within- and between-facility differences in hospice use and in-hospital deaths between long-term nursing home (NH) residents with and without dementia.

designRetrospective analyses of secondary data sets from 2003 to 2007.

settingNHs in the United States.

participantsA total of 1,261,726 decedents in 16,347 NHs were included in 2003 to 2007 trend analysis and 236,619 decedents in 15,098 NHs in 2007 were included in the within- and between-facility analyses. MEASUREMENTS: Hospice use in the last 100 days of life and in-hospital deaths were outcome measures. Dementia was defined as having a diagnosis of Alzheimer's disease or other dementia based on Minimum Data Set (MDS) health assessments.

resultsOverall hospice use increased from 25.6% in 2003 to 35.7% in 2007. During this time, hospice use for decedents with dementia increased from 25.1% to 36.5%, compared with an increase from 26.5% to 34.4% for decedents without dementia. The rate of in-hospital deaths remained virtually unchanged. Within the same facility, decedents with dementia were significantly more likely to use hospice (odds ratio (OR) = 1.07, 95% confidence interval (CI) = 1.04-1.11) and less likely to die in a hospital (OR = 0.76, 95% CI = 0.74-0.78). Decedents in NHs with higher dementia prevalence, regardless of individual dementia status, were more likely to use hospice (OR = 1.67, 95% CI = 1.22-2.27).

conclusionNHs appear to provide less-aggressive end-of-life care to decedents with dementia than to those without. Although significantly more residents with dementia now receive hospice care at the end of life, the quality evaluation and monitoring of hospice programs have not been systematically conducted, and additional research in this area is warranted.

Indexed as

Geriatric AssessmentQuality Indicators, Health CareQuality of Health CareAgedAged, 80 and overDementiaFemaleHospicesHumansLength of StayLong-Term CareMaleModels, StatisticalNursing HomesRetrospective StudiesRisk Factorsdementiahospicehospitalizationin-hospital deathsplace of death

Identifiers

PMID23772891
PMCPMC4122312

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Registered trials

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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.