Evidence map›Paper›PMID 29764435›Full record

Observational studyBMC palliative care2018

Use of hospital palliative care according to the place of death and disease one year before death in 2013: a French national observational study.

Claire Poulalhon, Laureen Rotelli-Bihet, Sébastien Moine, Anne Fagot-Campagna, Régis Aubry, Philippe Tuppin

Abstract readObservational Study
In one paragraph

Observational study in BMC palliative care, 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
–field-weighted citation impact
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.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Cancer and end of life: the management provided during the year and the month preceding death in 2015 and causes of death in France.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  8. Observational
  9. Article
  10. Article
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.

Claire PoulalhonNational sickness insurance fund, 26-50, avenue du Professeur André Lemierre, 75986, Paris cedex 20, France.
Laureen Rotelli-BihetNational Palliative care and end of life center, 75020 Paris, France.
Sébastien MoineHealth Education and Practices Laboratory, Paris XIII University EA 3412, 93017, Bobigny cedex, France.
Anne Fagot-CampagnaNational sickness insurance fund, 26-50, avenue du Professeur André Lemierre, 75986, Paris cedex 20, France.
Régis AubryPain and palliative Care Department, Teaching Hospital, 25030, Besançon, France.
Philippe TuppinNational sickness insurance fund, 26-50, avenue du Professeur André Lemierre, 75986, Paris cedex 20, France. philippe.tuppin@cnamts.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOnly limited data are available concerning the diseases managed before death and hospital palliative care (HPC) use according to place of death in France. We therefore conducted an observational study based on administrative health data in a large population to identify the diseases treated one year before death in 2013, the place of stay with or without hospital palliative care, and the place of death.

methodsFrench health insurance general scheme beneficiaries were identified in the National Health data Information System (Snds) with a selection of information. Diseases were identified by algorithms from reimbursement data recorded in the Snds database.

results347,253 people were included in this study (61% of all people who died in France). Place of death was short stay hospital for 51%, Rehab (7%), hospital at home (3%), skilled nursing home (13%) and other (26%). Chronic diseases managed in 2013 before death were cardiovascular/neurovascular diseases (56%), cancers (42%), and neurological and degenerative diseases (25%). During the year before death, 84% of people were hospitalized at least once, and 29% had received HPC. HPC was used by 52% of cancer patients (lung cancer: 62%; prostate cancer: 41%). In the absence of cancer, the use of HPC varied according to the disease: acute stroke: 24%, heart failure: 17%, dementia: 17%, multiple sclerosis: 23%.

conclusionsHealth administrative data can refine the knowledge of the care pathway prior to death and the HPC utilisation and can be useful to evaluate heath policies and improve monitoring and assessment of HPC use.

Indexed as

Geographic MappingAdolescentAdultAgedAged, 80 and overFemaleFranceHIV InfectionsHospitalizationHumansMaleMiddle AgedNational Health ProgramsNeoplasmsPalliative CareRegistriesAdministrative health dataCancerDeathEnd-of-life careHealth statusHospitalPalliative carePlace of death

Identifiers

PMID29764435
PMCPMC5954461

What OpenQuestion holds

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Registered trials

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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.