ArticleBMJ open2018
Access to palliative care by disease trajectory: a population-based cohort of Ontario decedents.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 3 of them syntheses that pooled it.
What it found
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Who cites it
62 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A Systematic Review of the Development and Implementation of Needs-Based Palliative Care Tools in Heart Failure and Chronic Respiratory Disease.Frontiers in cardiovascular medicine · 2022Pooled it
- Pooled it
- Factors associated with older people's emergency department attendance towards the end of life: a systematic review.European journal of public health · 2019Pooled it
- Palliative Care Involvement in Hospitalized Amyotrophic Lateral Sclerosis Patients.International journal of environmental research and public health · 2026Article
- Identifying individuals who could benefit from a palliative approach to their care using a multi-phase, consultative, iterative approach.BMC palliative care · 2026Article
- Emerging roles of POLR2L of RNA polymerase II dynamics and disease mechanisms (Review).Molecular medicine reports · 2026Review
- Cultural adaptation of Educate, Nurture, Advise, Before Life Ends (ENABLE) for patients with heart failure and their caregivers in South-East Asia - a qualitative formative evaluation study.BMC palliative care · 2026Article
- Evaluating the impact of a home palliative programme for terminally ill non-cancer patients with end-stage organ failure and severe frailty in Singapore.BMC palliative care · 2026Article
- Place of Death for People with Life-Limiting Illnesses in Malaysia: Trends (2005-2019) and Projections to 2030.Journal of epidemiology and global health · 2026Article
- Relationship Between Palliative Care and Location of Death Among People With Opioid Use Disorder: A Retrospective Cohort Study.Journal of palliative care · 2026Article
- Association of Palliative Care Initiation With Acute Healthcare Utilization Among Community-Dwelling Adults Living With Dementia.Journal of the American Geriatrics Society · 2026Article
- Evaluating Palliative Care Needs in Patients with Advanced Non-Malignant Chronic Conditions: An Umbrella Review of Needs Assessment Tools.Healthcare (Basel, Switzerland) · 2025Review
- Patterns of Health Care Delivery Among Adults With Heart Failure in the Last Year of Life: A Retrospective Population-Based Study.Journal of the American Heart Association · 2025Article
- Article
- Reverse Time-to-Death as Time-Scale in Time-to-Event Analysis for Studies of Advanced Illness and Palliative Care.Statistics in medicine · 2025Article
- Healthcare trajectories of aging individuals during their last year of life: application of process mining methods to administrative health databases.BMC medical informatics and decision making · 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
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2 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine access to palliative care between different disease trajectories and compare to other geographic areas.
designA retrospective population-based decedent cohort study using linked administrative data.
settingOntario, Canada.
participantsOntario decedents between 1 April 2010 and 31 December 2012. Patients were categorised into disease trajectories: terminal illness (eg, cancer), organ failure (eg, chronic heart failure), frailty (eg, dementia), sudden death or other.
interventionsReceipt of palliative care services from institutional and community settings, derived from a validated list of palliative care codes from multiple administrate databases. OUTCOME MEASURES: Receiving any palliative care services in the last year of life (yes/no), intensity (total days) and time of initiation of palliative care, in hospital and community sectors. Multivariable analysis examined the association between disease trajectory and the receipt of palliative care in the last year of life.
resultsWe identified 235 159 decedents in Ontario. In the last year of life, 88% of terminal illness, 44% of organ failure and 32% of frailty decedents accessed at least one palliative care service. Most care was provided during an inpatient hospitalisation. Terminal illness decedents received twice as many palliative care days (mean of 49 days) compared with organ failure and frailty decedents. Patients with terminal illness initiated palliative care median of 107 days before death compared with median of 19 days among those using the US Medicare hospice benefit.
conclusionsTerminal illness decedents are more likely to receive any palliative care, with increased intensity and earlier before death than organ failure or frailty decedents. These data serve as a useful comparison for other countries with similar and different healthcare systems and eligibility criteria.
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