ArticleJournal of palliative medicine2018
Place of Care Trajectories in the Last Two Weeks of Life: A Population-Based Cohort Study of Ontario Decedents.
Article in Journal of palliative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Palliative and End-of-Life Care Utilization in Cardiogenic Shock Complicating Acute Myocardial Infarction: A Population-Based Study.JACC. Advances · 2026Article
- Temporal trends in hospice deaths and causes of death in Italy, 2011-2022: A nationwide population-based study.Palliative & supportive care · 2026Article
- Novel Systemic Anticancer Therapy and Healthcare Utilization at the End of Life: A Retrospective Cohort Study.Cancer medicine · 2024Article
- Community Preferences for the Care of Older People at the End of Life: How Important is the Disease Context?The patient · 2024Article
- Study protocol for the development and validation of a clinical prediction tool to estimate the risk of 1-year mortality among hospitalized patients with dementia.Diagnostic and prognostic research · 2024Article
- Variation in End-of-Life Trajectories in Persons Aged 70 Years and Older, Sweden, 2018‒2020.American journal of public health · 2023Article
- Postsurgery paths and outcomes for hip fracture patients (POST-OP HIP PATHS): a population-based retrospective cohort study protocol.BMJ open · 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
- Hospitalizations and emergency department visits trends among elderly individuals in proximity to death: a retrospective population-based study.Scientific reports · 2021Article
- Association between palliative care and healthcare outcomes among adults with terminal non-cancer illness: population based matched cohort study.BMJ (Clinical research ed.) · 2020Article
- Association Between Palliative Care and Death at Home in Adults With Heart Failure.Journal of the American Heart Association · 2020Article
- Palliative care needs of advanced cancer patients in the emergency department at the end of life: an observational cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Observational
- Hospitalization and Intensive Therapy at the End of Life.Deutsches Arzteblatt international · 2019Observational
- Early initiation of palliative care is associated with reduced late-life acute-hospital use: A population-based retrospective cohort study.Palliative medicine · 2019Article
- Association of patient sex with use of palliative care in Ontario, Canada: a population-based study.CMAJ openArticle
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- Community-Based Palliative Care: A Bibliometric and Visual Analysis of Scientific Publications (2015-2025).SAGE open nursingReview
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesPlace of death is a commonly reported indicator of palliative care quality, but does not provide details of service utilization near end of life. This study aims to explore place of care trajectories in the last two weeks of life in a general population and by disease cohorts. DESIGN/
settingA retrospective population-based cohort study using linked administrative-health data to examine Ontario decedents between April 1, 2010 and December 31, 2012. MEASUREMENTS: Place of care trajectories in the last two weeks of life.
resultsWe identified 235,159 decedents. Of which, 215,533 represented the major cohorts of our analysis-cancer (32%), frailty (29%), and organ failure (31%). Sixty-one percent of all decedents died in hospital-based settings. Place of care utilization trends show us a marked increase in use of palliative-acute hospital care (13%-26%) and acute hospital care (12%-25%) and a small decrease in community care use (15%-12%) in the last two weeks of life. Those with cancer were the largest users of palliative-acute hospital care, while those with organ failure were the largest users of acute-hospital care.
conclusionsPlace of care trajectories show a marked rise in care in hospital-based settings from 29% to 61% in the last two weeks of life. Nearly half of all hospital deaths had palliative care as the main service provided. Place of care trajectories differ greatly by disease cohort. Exploring place of care trajectories in the last two weeks of life can illuminate end-of-life utilization patterns not evident when reporting solely place of death.
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