Evidence map›Paper›PMID 27317412›Full record

ArticlePalliative medicine2017

Palliative care delivery across health sectors: A population-level observational study.

Peter Tanuseputro, Suman Budhwani, Yu Qing Bai, Walter P Wodchis

Open access · hybridAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Palliative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 4 pooled it
13.3field-weighted citation impact, top 1% 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

91 citing papers in PubMed, 4 syntheses or guidelines pooled it, 172 citations in OpenAlex.

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  18. Association between opioid use disorder and palliative care: a cohort study using linked health administrative data in Ontario, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
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31 more citing papers are in PubMed but not listed here.

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

4 authors at 3 institutions in 1 country.

Peter Tanuseputro1 Bruyère Centre for Learning, Research and Innovation in Long-Term Care, Bruyère Research Institute, Ottawa, ON, Canada.
Suman Budhwani3 Institute for Health Policy, Management and Evaluation, University of Toronto, ON, Canada.
Yu Qing Bai3 Institute for Health Policy, Management and Evaluation, University of Toronto, ON, Canada.
Walter P Wodchis3 Institute for Health Policy, Management and Evaluation, University of Toronto, ON, Canada.
University of Toronto · CABruyère · CAInstitute for Clinical Evaluative Sciences · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle population-level information exists about the delivery of palliative care across multiple health sectors, important in providing a complete picture of current care and gaps in care.

aimProvide a population perspective on end-of-life palliative care delivery across health sectors.

designRetrospective population-level cohort study, describing palliative care in the last year of life using linked health administrative databases. SETTING/

participantsAll decedents in Ontario, Canada, from 1 April 2010 to 31 March 2012 ( n = 177,817).

resultsAcross all health sectors, about half (51.9%) of all decedents received at least one record of palliative care in the last year of life. Being female, middle-aged, living in wealthier and urban neighborhoods, having cancer, and less multi-morbidity were all associated with higher odds of palliative care receipt. Among 92,276 decedents receiving palliative care, 84.9% received care in acute care hospitals. Among recipients, 35 mean days of palliative care were delivered. About half (49.1%) of all palliative care days were delivered in the last 2 months of life, and half (50.1%) had palliative care initiated in this period. Only about one-fifth of all decedents (19.3%) received end-of-life care through publicly funded home care. Less than 10% of decedents had a record of a palliative care home visit from a physician.

conclusionWe describe methods to capture palliative care using administrative data. Despite an estimate of overall reach (51.9%) that is higher than previous estimates, we have shown that palliative care is infrequently delivered particularly in community settings and to non-cancer patients and occurs close to death.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsChildChild, PreschoolCohort StudiesDelivery of Health CareFemaleHumansInfantMaleMiddle AgedNeoplasmsObservational Studies as Topiccancerend-of-life carehome care serviceshouse callsPalliative carepalliative medicine

Identifiers

PMID27317412
PMCPMC5347353
OpenAlexW2431589543

What OpenQuestion holds

Textmetadata
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.