ArticlePalliative medicine2016
Home care by general practitioners for cancer patients in the last 3 months of life: An epidemiological study of quality and associated factors.
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 20 papers.
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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.
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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.
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Who cites it
20 citing papers in PubMed, 44 citations in OpenAlex.
- Research on the impact of family doctor contract services on the willingness of residents' first choice of medical institutions for treatment-empirical analysis based on PSM.BMC health services research · 2025Article
- Article
- End of life decisions and preference of place of death among geriatric and chronic disease patients: A scoping review.International journal of nursing studies advances · 2022Article
- Measuring relatives' perceptions of end-of-life communication with physicians in five countries: a psychometric analysis.European journal of ageing · 2022Article
- The quality of end-of-life care for Danish cancer patients who have received non-specialized palliative care: a national survey using the Danish version of VOICES-SF.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Home Cancer Care Research: A Bibliometric and Visualization Analysis (1990-2021).International journal of environmental research and public health · 2022Article
- Family caregivers' experiences of end-of-life care in the acute hospital setting. A qualitative study.Scandinavian journal of caring sciences · 2022Article
- Provision of end-of-life care in primary care: a survey of issues and outcomes in the Australian context.BMJ open · 2022Article
- The effect of positive psychotherapy on happiness and character strength in cancer patients.Journal of education and health promotion · 2021Article
- Poor physical and mental health predicts prolonged grief disorder: A prospective, population-based cohort study on caregivers of patients at the end of life.Palliative medicine · 2020Article
- General practitioners' provision of end-of-life care and associations with dying at home: a registry-based longitudinal study.Family practice · 2020Article
- Dying in long-term care facilities in Europe: the PACE epidemiological study of deceased residents in six countries.BMC public health · 2019Article
- Do family health clinics provide primary-level palliative care in Ontario and the eastern regions of Quebec?Canadian family physician Medecin de famille canadien · 2019Article
- Quality of dying and quality of end-of-life care of nursing home residents in six countries: An epidemiological study.Palliative medicine · 2018Article
- Teamwork in primary palliative care: general practitioners' and specialised oncology nurses' complementary competencies.BMC health services research · 2018Article
- The contributions of family care-givers at end of life: A national post-bereavement census survey of cancer carers' hours of care and expenditures.Palliative medicine · 2017Article
- Primary care physicians' educational needs and learning preferences in end of life care: A focus group study in the UK.BMC palliative care · 2017Article
- Factors Associated with Transition from Community Settings to Hospital as Place of Death for Adults Aged 75 and Older: A Population-Based Mortality Follow-Back Survey.Journal of the American Geriatrics Society · 2016Article
- Providing end-of-life care in general practice: findings of a national GP questionnaire survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
- Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStronger generalist end-of-life care at home for people with cancer is called for but the quality of end-of-life care delivered by general practitioners has been questioned.
aimTo determine the degree of and factors associated with bereaved relatives' satisfaction with home end-of-life care delivered by general practitioners to cancer patients.
designPopulation-based mortality followback survey. SETTING/
participantsBereaved relatives of people who died of cancer in London, United Kingdom (identified from death registrations in 2009-2010), were invited to complete a postal questionnaire surveying the deceased's final 3 months of life.
resultsQuestionnaires were completed for 596 decedents of whom 548 spent at least 1 day at home in the last 3 months of life. Of the respondents, 55% (95% confidence interval: 51%-59%) reported excellent/very good home care by general practitioners, compared with 78% (95% confidence interval: 74%-82%) for specialist palliative care providers and 68% (95% confidence interval: 64%-73%) for district/community/private nurses. The odds of high satisfaction (excellent/very good) with end-of-life care by general practitioners doubled if general practitioners made three or more compared with one or no home visits in the patient's last 3 months of life (adjusted odds ratio: 2.54 (95% confidence interval: 1.52-4.24)) and halved if the patient died at hospital rather than at home (adjusted odds ratio: 0.55 (95% confidence interval: 0.31-0.998)).
conclusionThere is considerable room for improvement in the satisfaction with home care provided by general practitioners to terminally ill cancer patients. Ensuring an adequate offer of home visits by general practitioners may help to achieve this goal.
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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.