ArticleJournal of pain and symptom management2020
Mapping Levels of Palliative Care Development in 198 Countries: The Situation in 2017.
Article in Journal of pain and symptom management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07069010 (Evaluation of Burnout Syndrome Among Healthcare Professionals in Intensive Care Units Within the EPIC), which is not on this map. Cited by 174 papers, 8 of them syntheses 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.
Evaluation of Burnout Syndrome Among Healthcare Professionals in Intensive Care Units Within the EPIC (Enhancing Palliative Care in ICU) Research
Who cites it
174 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Economic evaluations in the palliative and end-of-life care settings: A systematic review of existing evidence, methods and quality.Palliative medicine · 2026Pooled it
- Telehealth in palliative care settings: A systematic review of argument-based ethics literature.Palliative medicine · 2026Pooled it
- Family members' experiences of palliative sedation -a systematic integrative review.BMC palliative care · 2026Pooled it
- Needs and health-related quality of life domains relevant to people in Europe with advanced cancer in need of palliative care: a systematic review of qualitative research.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Pooled it
- Barriers and facilitators to palliative care service utilization in Ethiopia: A qualitative systematic review, 2025.PloS one · 2025Pooled it
- Primary palliative care in low- and middle-income countries: A systematic review and thematic synthesis of the evidence for models and outcomes.Palliative medicine · 2024Pooled it
- Pooled it
- Palliative Care Utilization Among Non-Western Migrants in Europe: A Systematic Review.Journal of immigrant and minority health · 2022Pooled it
- Comparison of Survival Prognostic Tools in Terminal-Stage Tumor Patients: A Multicenter Prospective Cohort Study.Cancer medicine · 2026Article
- Implementation of primary palliative care interventions across six sub-Saharan African countries: understanding contextual determinants and lessons learnt.Family medicine and community health · 2026Article
- Assessing patient and caregiver satisfaction with outpatient palliative care telemedicine service at a tertiary care hospital in Karachi, Pakistan.Pakistan journal of medical sciences · 2026Article
- Nurses' Perspectives on the Integration of Telehealth in Palliative Care: A Qualitative Descriptive Study.Nursing open · 2026Article
- Multi-level determinants of comprehensive palliative care delivery for breast and cervical cancer patients in Ethiopia: using the socio-ecological model as an analytical framework.BMC palliative care · 2026Article
- Translation and cross-cultural adaptation of thePalliative & supportive care · 2026Article
- Translation, Cultural Adaptation, and Validation of the Swedish Thanatophobia Scale.Journal of palliative care · 2026Article
- Healthcare professionals' conceptualizations of palliative care and readiness for early integration: a cross‑sectional mixed‑methods survey in Finland.BMC palliative care · 2026Article
- Indicators for palliative care integration in primary health care: how expert profile shapes consensus in a modified Delphi study.BMC health services research · 2026Article
- Provision of palliative and end-of-life care by community health nurses: A scoping review on the challenges and potential solutions.International journal of nursing studies advances · 2026Review
- Addressing the critical palliative care gaps in ethnic minority regions of low- and middle-income countries: a focus group study.BMC medicine · 2026Article
- Regional cancer care leads´ and patient representatives´ perspectives on national governance and organisation of palliative cancer care.BMC health services research · 2026Article
114 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
contextPalliative care is gaining ground globally and is endorsed in high-level policy commitments, but service provision, supporting policies, education, and funding are incommensurate with rapidly growing needs.
objectivesThe objective of this study was to describe current levels of global palliative care development and report on changes since 2006.
methodsAn online survey of experts in 198 countries generated 2017 data on 10 indicators of palliative care provision, fitted to six categories of development. Factor analysis and discriminant analysis showed the validity of the categorization. Spearman correlation analyses assessed the relationship with World Bank Income Level (WBIL), Human Development Index (HDI), and Universal Health Coverage (UHC).
resultsNumbers (percentages) of countries in each development category were as follows: 1) no known palliative care activity, 47 (24%); 2) capacity-building, 13 (7%); 3a) isolated provision, 65 (33%); 3b) generalized provision, 22 (11%); 4a) preliminary integration into mainstream provision, 21 (11%); 4b) advanced integration, 30 (15%). Development levels were significantly associated with WBIL (r
conclusionPalliative care at the highest level of provision is available for only 14% of the global population and is concentrated in European countries. An 87% global increase in serious health-related suffering amenable to palliative care interventions is predicted by 2060. With an increasing need, palliative care is not reaching the levels required by at least half of the global population.
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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.