Evidence map›Paper›PMID 30614161›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2019

End-of-life priorities of older adults with terminal illness and caregivers: A qualitative consultation.

Ebony T Lewis, Reema Harrison, Laura Hanly, Alex Psirides, Alexandra Zammit, Kathryn McFarland, Angela Dawson, Ken Hillman, Margo Barr, Magnolia Cardona

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
17.8field-weighted citation impact, top 1% of its field
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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Pooled it
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  4. Trial
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  9. Observational
  10. Important End-of-Life Topics among Latino Patients and Caregivers Coping with Advanced Cancer.International journal of environmental research and public health · 2022
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  12. Review
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  15. End-of-life priorities of older adults with terminal illness and caregivers: A qualitative consultation.Health expectations : an international journal of public participation in health care and health policy · 2019
    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

10 authors at 7 institutions in 2 countries.

Ebony T LewisFaculty of Medicine, School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0002-9260-3727
Reema HarrisonFaculty of Medicine, School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Laura HanlySWS Clinical School, The Simpson Centre for Health Services Research, University of New South Wales, Sydney, New South Wales, Australia.
Alex PsiridesDepartment of Intensive Care Medicine, Wellington Regional Hospital, Wellington, New Zealand.
Alexandra ZammitThomas Holt Aged Care, Sydney, New South Wales, Australia.
Kathryn McFarlandCunningham Centre for Palliative Care, Sacred Heart Health Service, St Vincent's Health Network, Sydney, New South Wales, Australia.
Angela DawsonFaculty of Health, The Australian Centre for Public and Population Health Research, University of Technology Sydney, Sydney, New South Wales, Australia.
Ken HillmanSWS Clinical School, The Simpson Centre for Health Services Research, University of New South Wales, Sydney, New South Wales, Australia.
Margo BarrCentre for Primary Health Care and Equity, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Magnolia CardonaCentre for Research in Evidence-Based Practice, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.ORCID 0000-0001-6499-2705
UNSW Sydney · AUAustralian Federation of Graduate Women New South Wales · AUBond University · AULiverpool Hospital · AUSt Vincent's Health · AUUniversity of Technology Sydney · AUWellington Hospital · NZ

Funding

National Health and Medical Research Council of Australia 1054146
6 · The paper itself

Abstract

backgroundAs older adults approach the end-of-life (EOL), many are faced with complex decisions including whether to use medical advances to prolong life. Limited information exists on the priorities of older adults at the EOL.

objectiveThis study aimed to explore patient and family experiences and identify factors deemed important to quality EOL care.

methodA descriptive qualitative study involving three focus group discussions (n = 18) and six in-depth interviews with older adults suffering from either a terminal condition and/or caregivers were conducted in NSW, Australia. Data were analysed thematically.

resultsSeven major themes were identified as follows: quality as a priority, sense of control, life on hold, need for health system support, being at home, talking about death and competent and caring health professionals. An underpinning priority throughout the seven themes was knowing and adhering to patient's wishes.

conclusionOur study highlights that to better adhere to EOL patient's wishes a reorganization of care needs is required. The readiness of the health system to cater for this expectation is questionable as real choices may not be available in acute hospital settings. With an ageing population, a reorganization of care which influences the way we manage terminal patients is required.

Indexed as

Attitude to DeathHealth PrioritiesTerminal CareAgedCaregiversFemaleFocus GroupsHumansMaleNew South WalesQualitative ResearchQuality of Lifecare prioritiesend-of-lifefamily caregiversolder adultsqualitative study

Identifiers

PMID30614161
PMCPMC6543262
OpenAlexW2903910350

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.