Evidence map›Paper›PMID 25363144›Full record

ArticleScandinavian journal of primary health care2014

Drug treatment at the end of life: an epidemiologic study in nursing homes.

Kristian Jansen, Margrethe Aase Schaufel, Sabine Ruths

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 33 citations in OpenAlex.

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  7. Polypharmacy patterns in the last year of life in patients with dementia.European journal of clinical pharmacology · 2019
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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 at 2 institutions in 1 country.

Kristian JansenResearch Unit for General Practice, Uni Research Health , Bergen , Norway.
Margrethe Aase Schaufel
Sabine Ruths
Haukeland University Hospital · NOUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine drug treatment in nursing home patients at the end of life, and identify predictors of palliative drug therapy.

designA historical cohort study.

settingThree urban nursing homes in Norway. SUBJECTS: All patients admitted from January 2008 and deceased before February 2013.

main outcome measuresDrug prescriptions, diagnoses, and demographic data were collected from electronic patient records. Palliative end-of-life drug treatment was defined on the basis of indication, drug, and formulation.

results524 patients were included, median (range) age at death 86 (19-104) years, 59% women. On the day of death, 99.4% of the study population had active prescriptions; 74.2% had palliative drugs either alone (26.9%) or concomitantly with curative/preventive drugs (47.3%). Palliative drugs were associated with nursing home, length of stay > 16 months (AOR 2.10, 95% CI 1.12-3.94), age (1.03, 1.005-1.05), and a diagnosis of cancer (2.12, 1.19-3.76). Most initiations of palliative drugs and withdrawals of curative/preventive drugs took place on the day of death.

conclusionPalliative drug therapy and drug therapy changes are common for nursing home patients on the last day of life. Improvements in end-of-life care in nursing homes imply addressing prognostication and earlier response to palliative needs.

Indexed as

AdultAgedAged, 80 and overCohort StudiesDrug TherapyEpidemiologic StudiesFemaleHumansMaleMiddle AgedNeoplasmsNorwayNursing HomesPalliative CareRetrospective StudiesTerminal CareDrug therapyend of life caregeneral practiceNorwaynursing homespalliation

Identifiers

PMID25363144
PMCPMC4278400
OpenAlexW2023148009

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.