Evidence map›Paper›PMID 25873716›Full record

ArticleCanadian family physician Medecin de famille canadien2015

Dying at home: experience of the Verdun local community service centre.

Brigitte Gagnon Kiyanda, Geneviève Dechêne, Robert Marchand

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Home care and end-of-life hospital admissions: a retrospective interview study in English primary and secondary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    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

3 authors.

Brigitte Gagnon KiyandaNurse clinician specializing in palliative home care at the centre local de services communautaires in Verdun, Que, and a teacher in the Nursing Program of the University of Montreal in Quebec.
Geneviève DechêneFamily physician practising in Verdun and clinical instructor at the University of Montreal. gdechene2@videotron.ca.
Robert MarchandFamily physician practising in Verdun and clinical instructor at the University of Montreal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo demonstrate that it is possible for a team of palliative care nurses in an urban centre to care for more than 50% of their terminally ill patients at home until they die, and that medical care delivered in the home is a determining factor in death at home versus death in a hospital.

designAnalysis of place of death of terminally ill patients who died in 2012 and 2013 (N = 212) and who had been cared for by palliative care nurses, by type of medical care.

settingThe centre local de services communautaires (CLSC) in Verdun, Que, an urban neighbourhood in southwest Montreal.

participantsA total of 212 terminally ill patients.

main outcome measuresRate of deaths at home.

resultsOf the 212 patients cared for at home by palliative care nurses, 56.6% died at home; 62.6% received medical home care from CLSC physicians, compared with 5.0% who did not receive medical home care from any physician.

conclusionCombined with a straightforward restructuring of the nursing care delivered by CLSCs, development of medical services delivered in the home would enable the more than 50% of terminally ill patients in Quebec who are cared for by CLSCs to die at home--something that most of them wish for.

Indexed as

Home Care ServicesPalliative CareProfessional RoleSocial WelfareTerminal CareUrban Health ServicesAgedAged, 80 and overFemaleHumansMaleNursesPhysiciansQuebec

Identifiers

PMID25873716
PMCPMC4396781

What OpenQuestion holds

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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.