SynthesisJournal of the American Medical Directors Association2020
A Systematic Review of Nursing Home Palliative Care Interventions: Characteristics and Outcomes.
Synthesis in Journal of the American Medical Directors Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled 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.
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
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Better palliative care for residents of inpatient nursing homes through qualification of nursing staff - a cluster randomised study.BMC palliative care · 2026Trial
- Results of a Feasibility Pilot Pragmatic Trial Implementing Palliative Care in Skilled Nursing Facilities.Journal of palliative medicine · 2025Trial
- "You close the door, wipe your sadness and put on a smiling face": a qualitative study of the emotional labour of healthcare professionals providing palliative care in nursing homes in France.BMC health services research · 2024Trial
- Effects of web-based palliative wound care education using the clinical judgment model: A quasi-experimental study with facilitylevel random allocation.Journal of Korean gerontological nursing · 2026Article
- Assessing and Listening to Individual Goals and Needs (ALIGN) versus enhanced usual care for hospitalized older patients with cancer discharged to skilled nursing facilities: Protocol for a pilot randomized controlled trial.Journal of geriatric oncology · 2026Article
- What's behind delirium: is there a specific role for medications?European geriatric medicine · 2025Review
- Telehealth Use at the End-of-Life Among US Nursing Home Residents.Journal of the American Medical Directors Association · 2025Article
- Online Occupational Therapy as a Rehabilitation Intervention for Parkinson's Disease: A Systematized Review.Clinics and practice · 2025Review
- Article
- Identification of unmet palliative care needs of nursing home residents: A scoping review protocol.PloS one · 2024Article
- Understanding the Utility of Less Than Six-Month Prognosis Using Administrative Data Among U.S. Nursing Home Residents With Cancer.Palliative medicine reports · 2024Article
- Emergency physicians' and nurses' perception on the adequacy of emergency calls for nursing home residents: a non-interventional prospective study.Frontiers in medicine · 2024Article
- Telehealth Palliative Care in Nursing Homes: A Scoping Review.Journal of the American Medical Directors Association · 2023Article
- Prevalence and Predictors of Symptoms in Persons with Advanced Dementia Living in the Community.Journal of palliative medicine · 2022Article
- High-Quality Nursing Home and Palliative Care-One and the Same.Journal of the American Medical Directors Association · 2022Review
- Nursing Home Palliative Care During the Pandemic: Directions for the Future.Innovation in aging · 2022Article
- Implementing Primary Palliative Care in Post-acute nursing home care: Protocol for an embedded pilot pragmatic trial.Contemporary clinical trials communications · 2021Article
- NUrsing Homes End of Life care Program (NUHELP): developing a complex intervention.BMC palliative care · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundDespite recommendations to integrate palliative care into nursing home care, little is known about the most effective ways to meet this goal.
objectiveTo examine the characteristics and effectiveness of nursing home interventions that incorporated multiple palliative care domains (eg, physical aspects of care-symptom management, and ethical aspects-advance care planning).
designSystematic review.
methodsWe searched MEDLINE via PubMed, Embase, CINAHL, and Cochrane Library's CENTRAL from inception through January 2019. We included all randomized and nonrandomized trials that compared palliative care to usual care and an active comparator. We assessed the type of intervention, outcomes, and the risk of bias.
resultsWe screened 1167 records for eligibility and included 13 articles. Most interventions focused on staff education and training strategies and on implementing a palliative care team. Many interventions integrated advance care planning initiatives into the intervention. We found that palliative care interventions in nursing homes may enhance palliative care practices, including processes to assess and manage pain and symptoms. However, inconsistent outcomes and high or unclear risk of bias among most studies requires results to be interpreted with caution. CONCLUSIONS AND IMPLICATIONS: Heterogeneity in methodology, findings, and study bias within the existing literature revealed limited evidence for nursing home palliative care interventions. Findings from a small group of diverse clinical trials suggest that interventions enhanced nursing home palliative care and improved symptom assessment and management processes.
Indexed as
Identifiers
What OpenQuestion holds
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.