ArticlePalliative medicine2016
The changing demographics of inpatient hospice death: Population-based cross-sectional study in England, 1993-2012.
Article in Palliative medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Hospice care access inequalities: a systematic review and narrative synthesis.BMJ supportive & palliative care · 2022Pooled it
- Socioeconomic position and use of healthcare in the last year of life: A systematic review and meta-analysis.PLoS medicine · 2019Pooled it
- How effective are volunteers at supporting people in their last year of life? A pragmatic randomised wait-list trial in palliative care (ELSA).BMC medicine · 2016Trial
- Associations between hospital characteristics and the delivery of non-cancer palliative care: a nationwide retrospective study in Taiwan.BMC palliative care · 2026Article
- Temporal trends in hospice deaths and causes of death in Italy, 2011-2022: A nationwide population-based study.Palliative & supportive care · 2026Article
- Social determinants of where people die: A study of moderators and mediators using linked UK Census and mortality data.SSM - population health · 2025Article
- The impact of area deprivation on access to and utilization of health services in the last year of life: A retrospective population-based cohort study.Palliative care and social practice · 2025Article
- The ideal and the real: Patient and bereaved family caregiver perspectives on the significance of place of death.Death studies · 2024Article
- Unrepresented, unheard and discriminated against: A qualitative exploration of relatives' and professionals' views of palliative care experiences of people of African and Caribbean descent during the COVID-19 pandemic.Palliative medicine · 2023Article
- Why patients in specialist palliative care in-patient settings are at high risk of falls and falls-related harm: A realist synthesis.Palliative medicine · 2022Article
- The end of life experiences of people living with socio-economic deprivation in the developed world: an integrative review.BMC palliative care · 2022Review
- Editorial: Palliative care for people living with heart and lung disease.Frontiers in cardiovascular medicine · 2022Article
- Socioeconomic Disparity Trends in End-of-Life Care for Cancer and Non-Cancer Patients: Are We Closing the Gap?Clinical epidemiology · 2022Article
- Hospice at Home services in England: a national survey.BMJ supportive & palliative care · 2021Article
- Differences of Quality in End-of-Life Care across Settings: Results from the U.S. National Health and Aging Trends Study of Medicare Beneficiaries.Journal of palliative medicine · 2020Article
- Gender and palliative care: a call to arms.Palliative care and social practice · 2020Article
- Hospice Use Among Patients with Heart Failure.Cardiac failure review · 2019Review
- Is end-of-life care a priority for policymakers? Qualitative documentary analysis of health care strategies.Palliative medicine · 2018Article
- Optimum hospice at home services for end-of-life care: protocol of a mixed-methods study employing realist evaluation.BMJ open · 2018Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundStudies in the United Kingdom and elsewhere have suggested inequality of hospice provision with respect to factors such as age, diagnosis and socio-economic position. How this has changed over time is unknown.
aimTo describe the factors associated with inpatient hospice death in England and examine how these have changed over time.
designPopulation-based study. Multivariable Poisson regression compared 1998-2002, 2003-2007 and 2008-2012, with 1993-1997. Explanatory variables included individual factors (age, gender, marital status, underlying cause of death) and area-based measures of deprivation.
settingAdults aged 25 years and over who died in inpatient hospice units in England between 1993 and 2002 (n = 446,615).
resultsThe annual number of hospice deaths increased from 17,440 in 1993 to 26,032 in 2012, accounting for 3.4% of all deaths in 1993 and 6.0% in 2012. A total of 50.6% of hospice decedents were men; the mean age was 69.9 (standard deviation: 12.4) years. The likelihood of hospice decedents being in the oldest age group (>85 years) increased over time (proportion ratio: 1.43, 95% confidence interval: 1.39 to 1.48 for 2008-2012 compared to 1993-1997). Just 5.2% of all hospice decedents had non-cancer diagnoses, though the likelihood of non-cancer conditions increased over time (proportion ratio: 1.41, 95% confidence interval: 1.37 to 1.46 for 2008-2012 compared to 1993-1997). The likelihood of hospice decedents being resident in the least deprived quintile increased over time (proportion ratio: 1.25, 95% confidence interval: 1.22 to 1.29 for 2008-2012 compared to 1993-1997).
conclusionThe increase in non-cancer conditions among hospice decedents is encouraging although absolute numbers remain very small. Deprivation trends are concerning and require further exploration.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.