Evidence map›Paper›PMID 32551966›Full record

SynthesisThe American journal of hospice & palliative care2021

Improving Care Experiences for Patients and Caregivers at End of Life: A Systematic Review.

Denise D Quigley, Sara G McCleskey

Abstract readSystematic Review
In one paragraph

Synthesis in The American journal of hospice & palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Private Equity Ownership in Hospice Care: A Systematic Review (2012-2026).The American journal of hospice & palliative care · 2026
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  16. Palliative Oncological Patients with Insomnia: Concerns of the Patients and Their Relatives' Perception.International journal of environmental research and public health · 2021
    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

2 authors.

Denise D QuigleyRAND Corporation, Santa Monica, CA, USA.ORCID https://orcid.org/0000-0002-3815-908X
Sara G McCleskey8783UCLA Fielding School of Public Health, 650 Charles E. Young Dr. South, Los Angeles, CA, USA.

Funding

Consumer Assessment of Healthcare Providers and Systems V (CAHPS V)U18HS025920 · AHRQ · RAND CORPORATION · PI HAYS, RONALD DALE · 2017 to 2021
$5.6M
AHRQ HHS U18 HS025920
6 · The paper itself

Abstract

backgroundEnd-of-life care is increasing as the US population ages. Approaches to providing high-quality end-of-life care vary across setting, diseases, and populations. Several data collection tools measure patient and/or caregiver care experiences at end of life and can be used for quality improvement. Previous reviews examined palliative care improvements or available measures but none explicitly on improving care experiences. We reviewed literature on improving patient and/or caregiver end-of-life care experiences.

designWe searched U.S. English-language peer-reviewed and grey literature after 2000 on adult end-of-life care experiences. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for quantitative studies, Enhancing Transparency in Reporting the Synthesis of Qualitative Research approach for qualitative studies, and Assessment of Multiple Systematic Reviews tool for the literature reviews.

settingPalliative and hospice care. POPULATION: Full-text abstraction of 84 articles, identifying 16 articles. MEASURES: Patient and/or caregiver end-of-life care experiences (captured through administrative data or direct report).

resultsArticles examined palliative care experiences across settings; none studied hospice care experiences. Patients and/or caregivers assessed overall care experiences, clinician-staff interactions, provider communication, respect and trust, timeliness of care, spiritual support, caregiver knowledge of care plans, or bereavement support. Efforts aimed at improving end-of-life care experiences are limited and show mixed results.

conclusionsLiterature on improving patient and/or caregiver end-of-life care experiences is emerging and focused on palliative care experiences. Evidence on improving hospice care experiences is lacking. Research on strategies for improving end-of-life care experiences should go beyond overall care experiences to include specific aspects of palliative and hospice care experiences.

Indexed as

Hospice CareTerminal CareAdultCaregiversDeathHumansPalliative CareQuality Improvementend of lifehospice careimproving qualitypalliative carepatient experiencepatient satisfaction

Identifiers

PMID32551966
PMCPMC8526304

What OpenQuestion holds

Textmetadata
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.