ArticleBMJ supportive & palliative care2019
Advance care planning in England: Is there an association with place of death? Secondary analysis of data from the National Survey of Bereaved People.
Article in BMJ supportive & palliative care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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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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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluating outcomes of advance care planning interventions for adults living with advanced illness and people close to them: A systematic meta-review.Palliative medicine · 2025Pooled it
- Relationship Between the Preferred Place of Death in Patients' Health Records and the Actual Location of Death in Home Palliative Care: A Retrospective Cohort Study.Healthcare (Basel, Switzerland) · 2026Article
- Attitudes to earlier advance care planning: a qualitative interview study in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Death literacy: Tensions between theory and practice.Palliative care and social practice · 2026Article
- Cancer patients have a reduced likelihood of dying in hospital with advance care planning in primary health care and a summarizing palliative plan: a prospective controlled non-randomized intervention trial.Scandinavian journal of primary health care · 2024Article
- Attitudes towards advance care planning amongst community-based older people in England.PloS one · 2024Article
- Perceptions, Attitudes, and Knowledge toward Advance Directives: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Trends in advance care planning and end-of-life care among persons living with dementia requiring surrogate decision-making.Journal of the American Geriatrics Society · 2022Article
- Palliative and End-of-Life Care Service Models: To What Extent Are Consumer Perspectives Considered?Healthcare (Basel, Switzerland) · 2021Review
- Timing of GP end-of-life recognition in people aged ≥75 years: retrospective cohort study using data from primary healthcare records in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Patient and caregiver perspectives on early identification for advance care planning in primary healthcare settings.BMC family practice · 2020Article
- Advance care planning in patients referred to hospital for acute medical care: Results of a national day of care survey.EClinicalMedicine · 2020Article
- Associations between home deaths and end-of-life nursing care trajectories for community-dwelling people: a population-based registry study.BMC health services research · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore whether advance care planning is associated with place of death in England, as well as with sufficiency of support to care for a dying person at home, overall quality of care and pain management.
methodsWe undertook secondary analysis of data from the National Survey of Bereaved People, 2013, based on a stratified random sample of 49 607 people selected from 150 111 eligible registered deaths (n=22 661, 46% response rate). The indicator of advance care planning used was having expressed a preference for place of death and this being recorded by healthcare staff. Analysis was conducted using logistic regression models.
resultsDecedents with a recorded preference for place of death had significantly greater odds of dying at home rather than in hospital (OR 6.25; 99% CI 5.56 to 7.14) and in a care home rather than in hospital (OR 2.70; 99% CI 2.33 to 3.13). They also had significantly greater odds of receiving sufficient support to be cared for and to die at home, of receiving 'outstanding' or 'excellent' care, and of having pain relieved 'completely, all the time' while being cared for at home.
conclusionsAdvance care planning was found to be strongly associated with lower rates of hospital death and a range of quality outcomes. These findings provide support for the emphasis on advance care planning in end of life care policy in England, while also suggesting the need for further research to better understand the mechanisms underlying these relationships.
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