Evidence map›Paper›PMID 26330454›Full record

SynthesisPalliative medicine2016

Does the use of specialist palliative care services modify the effect of socioeconomic status on place of death? A systematic review.

Hong Chen, Donald J Nicolson, Una Macleod, Victoria Allgar, Christopher Dalgliesh, Miriam Johnson

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Palliative medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

6 authors.

Hong ChenHull York Medical School, University of Hull, Hull, UK hong.chen@hyms.ac.uk.
Donald J NicolsonFreelance Writer, Angus, UK.
Una MacleodHull York Medical School, University of Hull, Hull, UK.
Victoria AllgarDepartment of Health Sciences, Hull York Medical School, University of York, York, UK.
Christopher DalglieshHull York Medical School, University of Hull, Hull, UK.
Miriam JohnsonHull York Medical School, University of Hull, Hull, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer patients in lower socioeconomic groups are significantly less likely to die at home and experience more barriers to access to palliative care. It is unclear whether receiving palliative care may mediate the effect of socioeconomic status on place of death.

aimThis review examines whether and how use of specialist palliative care may modify the effect of socioeconomic status on place of death.

designA systematic review was conducted. Eligible papers were selected and the quality appraised by two independent reviewers. Data were synthesised using a narrative approach. DATA SOURCES: MEDLINE, Embase, CINAHL, PsycINFO and Web of Knowledge were searched (1997-2013). Bibliographies were scanned and experts contacted. Papers were included if they reported the effect of both socioeconomic status and use of specialist palliative care on place of death for adult cancer patients.

resultsNine studies were included. All study subjects had received specialist palliative care. With regard to place of death, socioeconomic status was found to have (1) no effect in seven studies and (2) an effect in one study. Furthermore, one study found that the effect of socioeconomic status on place of death was only significant when patients received standard specialist palliative care. When patients received more intense care adapted to their needs, the effect of socioeconomic status on place of death was no longer seen.

conclusionThere is some evidence to suggest that use of specialist palliative care may modify the effect of socioeconomic status on place of death.

Indexed as

Palliative CareSocial ClassTerminally IllAdvance Care PlanningAgedCost SavingsFemaleHealth Care CostsHumansMaleneoplasmspalliative careplace of deathreviewSocioeconomic factors

Identifiers

PMID26330454
PMCPMC4838174

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.