ArticleClinical Medicine Insights. Oncology2019
Access to Palliative Care for Cancer Patients Living in a Northern and Rural Environment in Ontario, Canada: The Effects of Geographic Region and Rurality on End-of-Life Care in a Population-Based Decedent Cancer Cohort.
Article in Clinical Medicine Insights. Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- End-of-Life Cancer Care Resource Utilisation in Rural Versus Urban Settings: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Access to palliative care by home care clients with severe and persistent mental illness: a retrospective study of health administrative data.BMC palliative care · 2026Article
- Palliative care in rural, remote, and northern communities: a scoping review.BMC palliative care · 2026Article
- Advances in End-of-Life Care in Canada: Implications for Oncology Nursing.Current oncology (Toronto, Ont.) · 2026Review
- Towards equitable cancer outcomes for rural and remote communities: reflections, lessons and recommendations.The Lancet regional health. Western Pacific · 2026Review
- End-of-life care in glioblastoma: A population-based study.Neuro-oncology · 2025Article
- Lived experiences of palliative care physicians on the impacts of language and cultural discordance on end-of-life care across Ontario, Canada: a qualitative study using the intersectionality-based policy framework.International journal for equity in health · 2024Article
- Variation in Access to Palliative Radiotherapy in Prostate Cancer: A Population-Based Study in Canada.Cureus · 2024Article
- Factors affecting need and utilization of palliative care services among Ethiopian women in an oncology department: A hospital-based cross-sectional study.Palliative care and social practice · 2024Article
- Increasing access to palliative care for patients with advanced cancer of African and Latin American descent: a patient-oriented community-based study protocol.BMC palliative care · 2023Article
- Does Geography Play a Role in the Receipt of End-of-Life Care for Advanced Cancer Patients? Evidence from an Australian Local Health District Population-Based Study.Journal of palliative medicine · 2023Article
- Integrating Palliative Care into Oncology Care Worldwide: The Right Care in the Right Place at the Right Time.Current treatment options in oncology · 2023Review
- Pain and Interventions in Stage IV Non-Small Cell Lung Cancer: A Province-Wide Analysis.Current oncology (Toronto, Ont.) · 2023Article
- Medical Assistance in Dying in Oncology Patients: A Canadian Academic Hospital's Experience.Current oncology (Toronto, Ont.) · 2022Article
- Province-Wide Analysis of Patient-Reported Outcomes for Stage IV Non-Small Cell Lung Cancer.The oncologist · 2021Article
- Symptom Burden and Palliative Care Needs of Patients with Incurable Cancer at Diagnosis and During the Disease Course.The oncologist · 2021Article
- Comparing two models of outpatient specialised palliative care.BMC palliative care · 2021Article
- Association of patient sex with use of palliative care in Ontario, Canada: a population-based study.CMAJ openArticle
- A Comparison Between the Rates of Radiation Oncologist and Urologist Consultations in Men Diagnosed With Prostate Cancer in Northern Ontario, Canada.Advances in radiation oncologyArticle
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccess to palliative care has been associated with improving quality of life and reducing the use of potentially aggressive end-of-life care. However, many challenges and barriers exist in providing palliative care to residents in northern and rural settings in Ontario, Canada.
aimThe purpose of this study was to examine access to palliative care and associations with the use of end-of-life care in a decedent cohort of northern and southern, rural and urban, residents.
designUsing linked administrative databases, residents were classified into geographic and rural categories. Regression methods were used to define use and associations of palliative and end-of-life care and death in acute care hospital. SETTING/
participantsA decedent cancer cohort of Ontario residents (2007-2012).
resultsNorthern rural residents were less likely to receive palliative care (adjusted odds ratio [OR] = 0.90, 95% confidence interval [CI]: 0.83-0.97). Those not receiving palliative care were more likely to receive potentially aggressive end-of-life care and die in an acute care hospital (adjusted OR = 1.20, 95% CI: 1.02-1.41).
conclusionsPalliative care was significantly associated with reduced use of aggressive end-of-life care; however, disparities exist in rural locations, especially those in the north. Higher usage of emergency department (ED) and hospital resources at end of life in rural locations also reflects differing roles of rural community hospitals compared with urban hospitals. Improving access to palliative care in rural and northern locations is an important care issue and may reduce use of potentially aggressive end-of-life care.
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Registered trials
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.