Evidence map›Paper›PMID 28935129›Full record

ReviewJournal of pain and symptom management2018

Environmental Design for End-of-Life Care: An Integrative Review on Improving the Quality of Life and Managing Symptoms for Patients in Institutional Settings.

Rana Sagha Zadeh, Paul Eshelman, Judith Setla, Laura Kennedy, Emily Hon, Aleksa Basara

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of pain and symptom management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

31 citing papers in PubMed, 91 citations in OpenAlex.

  1. Article
  2. "Life still has meaning for me!" Exploring sources of meaningful life among palliative care patients: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Recommendations from the Spanish Society of Medical Oncology to advance the humanization in cancer care.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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  5. Article
  6. Article
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  11. Article
  12. End of life care in paediatric settings: UK national survey.BMJ supportive & palliative care · 2025
    Article
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  14. Article
  15. Article
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  17. Review
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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 at 3 institutions in 1 country.

Rana Sagha ZadehDesign and Environmental Analysis, Cornell University, Ithaca, New York, USA. Electronic address: rzadeh@cornell.edu.
Paul EshelmanDesign and Environmental Analysis, Cornell University, Ithaca, New York, USA.
Judith SetlaDepartment of Medicine Voluntary Faculty, SUNY Upstate Medical University, Syracuse, New York, USA; The Hospice of Central New York, Liverpool, New York, USA.
Laura KennedyDesign & Environmental Analysis, Cornell University, Portland, Oregon, USA.
Emily HonNew York Medical College, Valhalla, New York, USA.
Aleksa BasaraDepartment of Economics, Cornell University, Ithaca, New York, USA.
Cornell University · USNew York Medical College · USSUNY Upstate Medical University · US

Funding

Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
NIA NIH HHS P30 AG022845
6 · The paper itself

Abstract

contextThe environment in which end-of-life (EOL) care is delivered can support or detract from the physical, psychological, social, and spiritual needs of patients, their families, and their caretakers.

objectivesThis review aims to organize and analyze the existing evidence related to environmental design factors that improve the quality of life and total well-being of people involved in EOL care and to clarify directions for future research.

methodsThis integrated literature review synthesized and summarized research evidence from the fields of medicine, environmental psychology, nursing, palliative care, architecture, interior design, and evidence-based design.

resultsThis synthesis analyzed 225 documents, including nine systematic literature reviews, 40 integrative reviews, three randomized controlled trials, 118 empirical research studies, and 55 anecdotal evidence. Of the documents, 192 were peer-reviewed, whereas 33 were not. The key environmental factors shown to affect EOL care were those that improved 1) social interaction, 2) positive distractions, 3) privacy, 4) personalization and creation of a home-like environment, and 5) the ambient environment. Possible design interventions relating to these topics are discussed. Examples include improvement of visibility and line of sight, view of nature, hidden medical equipment, and optimization of light and temperature.

conclusionStudies indicate several critical components of the physical environment that can reduce total suffering and improve quality of life for EOL patients, their families, and their caregivers. These factors should be considered when making design decisions for care facilities to improve physical, psychological, social, and spiritual needs at EOL.

Indexed as

Environment, ControlledDisease ManagementFacility Design and ConstructionHumansQuality of LifeTerminal CarearchitectureEnd-of-life careenvironmental designhospiceinterior designpalliative careterminal illness

Identifiers

PMID28935129
PMCPMC5856462
OpenAlexW2755742473

What OpenQuestion holds

Textmetadata
LicenceTDM
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.