Evidence map›Paper›PMID 30696347›Full record

ArticlePalliative medicine2019

Perspectives of bereaved relatives of patients with haematological malignancies concerning preferred place of care and death: A qualitative study.

Dorothy McCaughan, Eve Roman, Alexandra G Smith, Anne C Garry, Miriam J Johnson, Russell D Patmore, Martin R Howard, Debra A Howell

Abstract read
In one paragraph

Article in Palliative medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Challenges in hospice and end-of-life care in the transfusion-dependent patient.Hematology. American Society of Hematology. Education Program · 2024
    Review
  6. Lived experiences of end-of-life care at home in the UK: a scoping review of qualitative research.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Palliative care in onco-hematology: a perspective.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  15. Review
  16. Timing of do-not-resuscitate orders and health care utilization near the end of life in cancer patients: a retrospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  17. Article
  18. Caregivers of Patients with Hematological Malignancies within Home Care: A Phenomenological Study.International journal of environmental research and public health · 2020
    Article
  19. Article
  20. Haematology nurses' perspectives of their patients' places of care and death: A UK qualitative interview study.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 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

8 authors.

Dorothy McCaughan1 Epidemiology and Cancer Statistics Group, University of York, York, UK.
Eve Roman1 Epidemiology and Cancer Statistics Group, University of York, York, UK.
Alexandra G Smith1 Epidemiology and Cancer Statistics Group, University of York, York, UK.
Anne C Garry2 Department of Palliative Care, York Hospital, York, UK.
Miriam J Johnson3 Wolfson Palliative Care Research Centre, University of Hull, Hull, UK.ORCID 0000-0001-6204-9158
Russell D Patmore4 Queen's Centre for Oncology and Haematology, Castle Hill Hospital, Hull, UK.
Martin R Howard5 Department of Haematology, York Hospital, York, UK.
Debra A Howell1 Epidemiology and Cancer Statistics Group, University of York, York, UK.ORCID 0000-0002-7521-7402

Funding

Marie Curie MCCC-RP-11-A12554
6 · The paper itself

Abstract

backgroundPeople with haematological malignancies have different end-of-life care patterns from those with other cancers and are more likely to die in hospital. Little is known about patient and relative preferences at this time and whether these are achieved.

aimTo explore the experiences and reflections of bereaved relatives of patients with leukaemia, lymphoma or myeloma, and examine (1) preferred place of care and death; (2) perceptions of factors influencing attainment of preferences; and (3) changes that could promote achievement of preferences.

designQualitative interview study incorporating 'Framework' analysis. SETTING/

participantsA total of 10 in-depth interviews with bereaved relatives.

resultsAlthough most people expressed a preference for home death, not all attained this. The influencing factors include disease characteristics (potential for sudden deterioration and death), the occurrence and timing of discussions (treatment cessation, prognosis, place of care/death), family networks (willingness/ability of relatives to provide care, knowledge about services, confidence to advocate) and resource availability (clinical care, hospice beds/policies). Preferences were described as changing over time and some family members retrospectively came to consider hospital as the 'right' place for the patient to have died. Others shared strong preferences with patients for home death and acted to ensure this was achieved. No patients died in a hospice, and relatives identified barriers to death in this setting.

conclusionPreferences were not always achieved due to a series of complex, interrelated factors, some amenable to change and others less so. Death in hospital may be preferred and appropriate, or considered the best option in hindsight.

Indexed as

Attitude to DeathBereavementResidence CharacteristicsTerminal CareAdultAgedFamilyFemaleHematologic NeoplasmsHumansInterviews as TopicMaleMiddle AgedQualitative ResearchLeukaemialymphomamultiple myelomapreferred place of carepreferred place of deathqualitative research

Identifiers

PMID30696347
PMCPMC6507303

What OpenQuestion holds

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LicenceCC BY
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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.