Evidence map›Paper›PMID 26857358›Full record

ArticlePalliative medicine2016

Predictors of place of death in South West Scotland 2000-2010: Retrospective cohort study.

Heather Black, Craig Waugh, Rosalia Munoz-Arroyo, Andrew Carnon, Ananda Allan, David Clark, Fiona Graham, Christopher Isles

Open access · bronzeAbstract read
In one paragraph

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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Article
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  6. Article
  7. Article
  8. Family Members' Experience of Discussions on End-of-Life Care in Nursing Homes in Japan: A Qualitative Descriptive Study of Family Members' Narratives.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2020
    Article
  9. Persistent inequalities in Hospice at Home provision.BMJ supportive & palliative care · 2020
    Article
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  11. Observational
  12. Observational
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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

8 authors at 5 institutions in 1 country.

Heather BlackDumfries and Galloway Royal Infirmary, NHS Dumfries & Galloway, Dumfries, UK.
Craig WaughNHS National Services Scotland, Edinburgh, UK.
Rosalia Munoz-ArroyoNHS National Services Scotland, Edinburgh, UK.
Andrew CarnonDepartment of Public Health, NHS Dumfries & Galloway, Dumfries, UK.
Ananda AllanDepartment of Public Health, NHS Dumfries & Galloway, Dumfries, UK.
David ClarkSchool of Interdisciplinary Studies, Dumfries Campus, University of Glasgow, Dumfries, UK.
Fiona GrahamGlenkens Medical Practice, New Galloway, UK.
Christopher IslesDumfries and Galloway Royal Infirmary, NHS Dumfries & Galloway, Dumfries, UK chris.isles@nhs.net.
NHS Dumfries and Galloway · GBNational Health Service Scotland · GBDumfries and Galloway Royal Infirmary · GBGalloway Community Hospital · GBUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurveys suggest most people would prefer to die in their own home.

aimTo examine predictors of place of death over an 11-year period between 2000 and 2010 in Dumfries and Galloway, south west Scotland.

designRetrospective cohort study. SETTING/

participants19,697 Dumfries and Galloway residents who died in the region or elsewhere in Scotland. We explored the relation between age, gender, cause of death (cancer, respiratory, ischaemic heart disease, stroke and dementia) and place of death (acute hospital, cottage hospital, residential care and home) using regression models to show differences and trends. The main acute hospital in the region had a specialist palliative care unit.

resultsFewer people died in their own homes (23.2% vs 29.6%) in 2010 than in 2000. Between 2007 and 2010, men were more likely to die at home than women (p < 0.001), while both sexes were less likely to die at home as they became older (p < 0.001) and in successive calendar years (p < 0.003). Older people with dementia as the cause of death were particularly unlikely to die in an acute hospital and very likely to die in a residential home (p < 0.001). Between 2007 and 2010, an increasing proportion of acute hospital deaths occurred in the specialist palliative care unit (6% vs 11% of all deaths in the study).

conclusionThe proportion of people dying at home fell during our survey. Place of death was strongly associated with age, calendar year and cause of death. A mismatch remains between stated preference for place of death and where death occurs.

Indexed as

Attitude to DeathPatient PreferenceAgedAged, 80 and overAge FactorsCause of DeathFemaleHospitalsHumansMaleMiddle AgedRegression AnalysisResidential FacilitiesRetrospective StudiesScotlandSex Factorsacute hospitaladvance care planningcause of deathcottage hospitaldeathdementiahomehospicehospice carepalliative carepatient preferencePlace of deathresidential care

Identifiers

PMID26857358
PMCPMC4994701
OpenAlexW2335900176

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.