Evidence map›Paper›PMID 25956135›Full record

ArticleBMC palliative care2015

Emergency visits among end-of-life cancer patients in Taiwan: a nationwide population-based study.

Yi-Hui Lee, Dachen Chu, Nan-Ping Yang, Chien-Lung Chan, Shun-Ping Cheng, Jih-Tung Pai, Nien-Tzu Chang

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Effects of early palliative care intervention on medical resource use among end-of-life patients.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
    Article
  3. Article
  4. Article
  5. Mapping the future for research in emergency medicine palliative care: A research roadmap.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Article
  6. Article
  7. Article
  8. Factors affecting use of unscheduled care for people with advanced cancer: a retrospective cohort study in Scotland.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Article
  9. Article
  10. Article
  11. 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.

Yi-Hui LeeSchool of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan. yhlee@mail.cgu.edu.tw.
Dachen ChuInstitute of Public Health, College of Medicine, National Yang-Ming University, Taipei, Taiwan. dad57@tpech.gov.tw.
Nan-Ping YangInstitute of Public Health, College of Medicine, National Yang-Ming University, Taipei, Taiwan. yang.nanping@gmail.com.
Chien-Lung ChanDepartment of Information Management, Yuan-Ze University, Taoyuan, Taiwan. clchan@saturn.yzu.edu.tw.
Shun-Ping ChengInstitute of Public Health, College of Medicine, National Yang-Ming University, Taipei, Taiwan. cspcij@mail.tygh.gov.tw.
Jih-Tung PaiInstitute of Public Health, College of Medicine, National Yang-Ming University, Taipei, Taiwan. jihtungpai@gmail.com.
Nien-Tzu ChangSchool of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan. ntchang@ntu.edu.tw.
National Yang Ming Chiao Tung University · TWNational Taiwan University · TWYuan Ze University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn increased number of emergency visits at the end of life may indicate poor-quality cancer care. The study aimed to investigate the prevalence and utilization of emergency visits and to explore the reasons for emergency department (ED) visits among cancer patients at the end of life.

methodsA retrospective cohort study was performed by tracking one year of ambulatory medical service records before death. Data were collected from the cancer dataset of Taiwan's National Health Insurance Research Database (NHIRD).

resultsA total of 32,772 (19.2%) patients with malignant cancer visited EDs, and 23,883 patients died during the study period. Of these, the prevalence of emergency visits in the mortality group was 81.5%, and their ED utilization was significantly increased monthly to the end of life. The most frequent types of cancer were digestive and peritoneum cancers (34.8%), followed by breast cancer (17.7%) and head and neck cancers (13.3%). Older patients, males, and those diagnosed with metastases, respiratory or digestive cancer were more likely to use ED services at the end of life. Use of an ED service in the nearest community hospital to replace medical centers for dying cancer patients would be more acceptable in emergency situations.

conclusionsOur study provided population-based evidence related to ED utilization. An understanding of the reasons for such visits could be useful in preventing overuse of ED visits to improve the quality of end-of-life care.

Indexed as

AdultAgedAged, 80 and overEmergency Service, HospitalFemaleHumansLength of StayMaleMiddle AgedNeoplasmsRetrospective StudiesSeverity of Illness IndexTaiwan

Identifiers

PMID25956135
PMCPMC4436097
OpenAlexW1524466786

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.