Evidence map›Paper›PMID 29427519›Full record

ArticleJournal of the American Geriatrics Society2018

Quality of Hospice Care at Home Versus in an Assisted Living Facility or Nursing Home.

Kathleen T Unroe, Timothy E Stump, Shannon Effler, Wanzhu Tu, Christopher M Callahan

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.5field-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

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Hospice Care Experiences Among Decedents With Huntington's Disease.Journal of pain and symptom management · 2022
    Article
  6. Article
  7. Article
  8. Article
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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

5 authors at 2 institutions in 1 country.

Kathleen T UnroeCenter for Aging Research, Indiana University, Indianapolis, Indiana.
Timothy E StumpDepartment of Biostatistics, School of Medicine, Indiana University, Indianapolis, Indiana.
Shannon EfflerCenter for Aging Research, Indiana University, Indianapolis, Indiana.
Wanzhu TuCenter for Aging Research, Indiana University, Indianapolis, Indiana.
Christopher M CallahanCenter for Aging Research, Indiana University, Indianapolis, Indiana.
Indiana University IndianapolisIndiana University – Purdue University Indianapolis · US

Funding

Delivering Hospice and Palliative Care Services to Nursing Home PatientsK23AG048323 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI UNROE, KATHLEEN T · 2014 to 2018
$812k
NIA NIH HHS K23 AG048323
6 · The paper itself

Abstract

objectivesTo describe differences in perceived quality of hospice care for individuals living at home or in a nursing home (NH) or assisted living facility (ALF) through analysis of after-death surveys of family members.

designRetrospective cohort study using hospice medical record data and Family Evaluation of Hospice Care (FEHC) survey data.

settingLarge, national hospice provider.

participantsIndividuals who died while receiving routine hospice care and family caregivers who completed after-death quality-of-care surveys. MEASUREMENTS: Survey results for 7,510 individuals were analyzed using analysis of variance and chi-square tests. Logistic regression was used to assess relationship between location of care and overall service quality.

resultsThe overall survey response rate was 27%; 34.5% of families of individuals in ALFs in hospice, 27.4% of those at home, and 22.9% of those in NHs returned the survey (P < .001). Differences in return rate according to primary diagnosis were significant, although differences were not large. Most (84.3%) respondents reported that hospice referral had occurred at the right time, and 63.4% rated service quality as excellent. Hospice care in the NH was less likely to be perceived as excellent.

conclusionThere were significant differences in characteristics of individuals whose family members did and did not return surveys, which has implications for use of after-death surveys to evaluate hospice quality. Lower perceived quality of hospice care in NHs may be related to general dissatisfaction with receiving care in this setting. Survey results have the potential to set priorities for quality improvement, choice of provider, and potentially reimbursement. Underlying causes of differences of perceived quality in different settings of care should be examined.

Indexed as

Quality of Health CareAged, 80 and overAssisted Living FacilitiesCaregiversFemaleHome Care ServicesHospice CareHumansMaleNursing HomesRetrospective StudiesSurveys and Questionnairesassisted living facilityhospicenursing homequality

Identifiers

PMID29427519
PMCPMC6034702
OpenAlexW2789626868

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.