Evidence map›Paper›PMID 25191002›Full record

ArticleIndian journal of palliative care2014

End of life care policy for the dying: consensus position statement of Indian association of palliative care.

Stanley C Macaden, Naveen Salins, Maryann Muckaden, Priyadarshini Kulkarni, Anjum Joad, Vivek Nirabhawane, Srinagesh Simha

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of palliative care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.9field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Article
  3. Palliative Care in India: Past, Present, and Future.Indian journal of surgical oncology · 2022
    Review
  4. Article
  5. Organ Donation after Circulatory Determination of Death in India: A Joint Position Paper.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  6. Withdrawal from Dialysis: Why and When?Indian journal of palliative care · 2021
    Review
  7. End-of-Life Issues in the Era of the COVID-19 Pandemic.Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care · 2020
    Article
  8. Article
  9. Knowledge and Awareness of End-of-life Care among Doctors Working in Intensive Care Units at a Tertiary Care Center: A Questionnaire-based Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2019
    Article
  10. Definition of Terms Used in Limitation of Treatment and Providing Palliative Care at the End of Life: The Indian Council of Medical Research Commission Report.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2018
    Article
  11. Coming together to care for the dying in India.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2014
    Article
  12. Article
  13. Challenges in the implementation of "end-of-life care" guidelines in India: How to open the "Gordian Knot"?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2014
    Article
  14. Review
  15. The changing nature of end of life care.Indian journal of medical and paediatric oncology : official journal of Indian Society of Medical & Paediatric Oncology
    Review
  16. Article
  17. 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

7 authors at 3 institutions in 1 country.

Stanley C MacadenPalliative Medicine Consultant, National Coordinator, Palliative Care Program of Christian Medical Association of India, India.
Naveen SalinsAssociate Editor, Consultant, Department of Palliative Medicine, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Maryann MuckadenAssociate Editor, Consultant, Department of Palliative Medicine, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Priyadarshini KulkarniMedical Director, Cipla Palliative Care and Training Centre, Pune, Maharashtra, India.
Anjum JoadDepartment of Palliative Medicine, Bhagwan Mahaveer Cancer Hospital and Research Centre, Jaipur, Rajasthan, India.
Vivek NirabhawanePalliative Medicine Specialist, Cipla Palliative Care and Training Centre, Pune, Maharashtra, India.
Srinagesh SimhaMedical Director, Karunashraya Hospice, Bangalore, Karnataka, India.
Cipla (India) · INTata Memorial Hospital · INBhagwan Mahaveer Cancer Hospital and Research Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo develop an End of Life Care (EOLC) Policy for patients who are dying with an advanced life limiting illness. To improve the quality of care of the dying by limiting unnecessary therapeutic medical interventions, providing access to trained palliative care providers, ensuring availability of essential medications for pain and symptom control and improving awareness of EOLC issues through education initiatives. EVIDENCE: A review of Country reports, observational studies and key surveys demonstrates that EOLC in India is delivered ineffectively, with a majority of the Indian population dying with no access to palliative care at end of life and essential medications for pain and symptom control. Limited awareness of EOLC among public and health care providers, lack of EOLC education, absent EOLC policy and ambiguous legal standpoint are some of the major barriers in effective EOLC delivery. RECOMMENDATIONS: Access to receive good palliative and EOLC is a human right. All patients are entitled to a dignified death. Government of India (GOI) to take urgent steps towards a legislation supporting good EOLC, and all hospitals and health care institutions to have a working EOLC policyProviding a comprehensive care process that minimizes physical and non physical symptoms in the end of life phase and ensuring access to essential medications for pain and symptom controlPalliative care and EOLC to be part of all hospital and community/home based programsStandards of palliative and EOLC as established by appropriate authorities and Indian Association of Palliative Care (IAPC) met and standards accredited and monitored by national and international accreditation bodiesAll health care providers with direct patient contact are urged to undergo EOLC certification, and EOLC training should be incorporated into the curriculum of health care education.

Indexed as

End of life careIndian association of palliative carePosition statement

Identifiers

PMID25191002
PMCPMC4154162
OpenAlexW2095425539

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.