ArticlePloS one2018
Associations between physician home visits for the dying and place of death: A population-based retrospective cohort study.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05806255 (Remote Self-Reporting of Symptoms by Patients With Palliative Care Needs), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled 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.
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.
Remote Self-Reporting of Symptoms by Patients With Palliative Care Needs (RELIEF): A Mixed-Methods Implementation Study
Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Cumulative multidisciplinary team messages and home death after palliative care unit discharge in advanced cancer: a prospective regional implementation cohort study.International journal of clinical oncology · 2026Article
- Association Between Team-Based Continuity of Care Measures and End-of-Life Health Care Outcomes: A Retrospective Cohort Study in Ontario, Canada.Medical care · 2026Article
- Measuring the relationship between outpatient family physician visit regularity and acute care utilization during the end of life: a population-level retrospective cohort study.Family practice · 2026Article
- Association of Palliative Care Initiation With Acute Healthcare Utilization Among Community-Dwelling Adults Living With Dementia.Journal of the American Geriatrics Society · 2026Article
- Relationship Between Palliative Care and Location of Death Among People With Opioid Use Disorder: A Retrospective Cohort Study.Journal of palliative care · 2026Article
- End-of-life healthcare utilization and costs according to cause of death: a retrospective study.BMC geriatrics · 2025Article
- Use of virtual care near the end of life before and during the COVID-19 pandemic: A population-based cohort study.PloS one · 2025Article
- Article
- Article
- Association of virtual end-of-life care with healthcare outcomes before and during the COVID-19 pandemic: A population-based study.PLOS digital health · 2024Article
- End-of-Life Care Among Patients With Kidney Failure on Maintenance Dialysis: A Retrospective Population-Based Study.Canadian journal of kidney health and disease · 2024Article
- Article
- Differences in trends in discharge location in a cohort of hospitalized patients with cancer and non-cancer diagnoses receiving specialist palliative care: A retrospective cohort study.Palliative medicine · 2023Article
- The specialist palliative care team as a local resource.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2023Article
- Experiences and Lessons Learned from Implementing the RELIEF Digital Symptom Self-Reporting App in a Palliative Home Care Setting.Current oncology (Toronto, Ont.) · 2022Article
- Regional collaborative home-based palliative care and health care outcomes among adults with heart failure.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
- Anticoagulant use and associated outcomes in older patients receiving home palliative care: a retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
- Physicians' perceptions of patient participation and the involvement of family caregivers in the palliative care pathway.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Quality of End-of-Life Cancer Care in Canada: A 12-Year Retrospective Analysis of Three Provinces' Administrative Health Care Data Evaluating Changes over Time.Current oncology (Toronto, Ont.) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile most individuals wish to die at home, the reality is that most will die in hospital.
aimTo determine whether receiving a physician home visit near the end-of-life is associated with lower odds of death in a hospital.
designObservational retrospective cohort study, examining location of death and health care in the last year of life. SETTING/
participantsPopulation-level study of Ontarians, a Canadian province with over 13 million residents. All decedents from April 1, 2010 to March 31, 2013 (n = 264,754).
resultsMore than half of 264,754 decedents died in hospital: 45.7% died in an acute care hospital and 7.7% in complex continuing care. After adjustment for multiple factors-including patient illness, home care services, and days of being at home-receiving at least one physician home visit from a non-palliative care physician was associated with a 47% decreased odds (odds-ratio, 0.53; 95%CI: 0.51-0.55) of dying in a hospital. When a palliative care physician specialist was involved, the overall odds declined by 59% (odds ratio, 0.41; 95%CI: 0.39-0.43). The same model, adjusting for physician home visits, showed that receiving palliative home care was associated with a similar reduction (odds ratio, 0.49; 95%CI: 0.47-0.51).
conclusionLocation of death is strongly associated with end-of-life health care in the home. Less than one-third of the population, however, received end-of-life home care or a physician visit in their last year of life, revealing large room for improvement.
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Registered trials
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