Evidence map›Paper›PMID 30229696›Full record

ArticlePalliative medicine2018

Quality of care for the dying across different levels of palliative care development: A population-based cohort study.

Maria Ec Schelin, Bengt Sallerfors, Birgit H Rasmussen, Carl Johan Fürst

Abstract read
In one paragraph

Article in Palliative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

4 authors.

Maria Ec Schelin1 Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.
Bengt Sallerfors1 Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.
Birgit H Rasmussen1 Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.
Carl Johan Fürst1 Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.ORCID 0000-0002-2406-6907

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a lack of knowledge about how the provision and availability of specialized palliative care relates to the quality of dying in hospital and community-based settings.

aimWe aimed to explore the quality of care during last week of life in relation to different levels of palliative care development.

designWe investigated access to palliative care in Southern Sweden, where one region offers palliative care in accordance with European Association for Palliative Care guidelines for capacity, and the other region offers less developed palliative care. Data on approximately 12,000 deaths during 2015 were collected from the Swedish Register of Palliative Care. The quality of care was investigated by region, and was measured in terms of assessment of oral health and of pain, and end-of-life conversation, companionship at death and artificial nutrition/fluid in the last 24 h.

resultsThe overall quality of care during last week of life was not consistently better in the region with fully developed palliative care compared with the less developed region. In fact, for patients dying in hospitals and community-based settings, the quality was statistically significantly better in the less developed region. The small proportion of patients who had access to specialized palliative care had superior quality of care during the last week of life as compared to patients in other care settings.

conclusionThe capacity of specialized palliative care does not per se influence the quality of care during the last week of life for patients in other settings.

Indexed as

CommunicationHumansOral HealthPain ManagementPain MeasurementPalliative CareProfessional-Patient RelationsQuality Indicators, Health CareQuality of Health CareSwedenPalliative carepopulationquality of care

Identifiers

PMID30229696
PMCPMC6238183

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.