SynthesisPalliative medicine2020
The role and response of primary healthcare services in the delivery of palliative care in epidemics and pandemics: A rapid review to inform practice and service delivery during the COVID-19 pandemic.
Synthesis in Palliative medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses 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
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- The Evolving Roles and Expectations of Inpatient Palliative Care Through COVID-19: a Systematic Review and Meta-synthesis.Journal of general internal medicine · 2024Pooled it
- Health outcomes in primary care: a 20-year evidence map of randomized controlled trials.Family practice · 2023Pooled it
- Work-related stress of nurses in Poland and Lithuania: countries under the influence of war circumstances in Ukraine.BMC nursing · 2025Article
- Asymmetric U-shaped association between hypertension and wearable-derived sleep duration.Frontiers in public health · 2025Article
- Association between ethnicity and emergency department visits in the last three months of life in England: a retrospective population-based study using electronic health records.BMJ public health · 2024Article
- Understanding the benefits and limitations of mixing virtual and face-to-face consultations to outpatient palliative care services; a mixed-methods study.BMC palliative care · 2024Article
- Challenges of using body bags for COVID-19 deaths from the healthcare provider perspective - a qualitative study.BMJ open quality · 2024Article
- 'Not a panacea' - Expert perspectives on the concept of resilience and its potential for palliative care.Palliative care and social practice · 2024Article
- Review
- Early Impacts of COVID-19 on Select Hospices: Operations, Care Delivery, and Service Utilization.Journal of palliative care · 2023Article
- Causes of deaths in long-term care and hospice care facilities during the first year of COVID-19 pandemic: a snapshot of Italy during 2020.Aging clinical and experimental research · 2023Article
- "I can't make all this work." End of life care provision in natural disasters: a qualitative study.BMC palliative care · 2023Article
- Health system adaptions to improve care for people living with non-communicable diseases during COVID-19 in low-middle income countries: A scoping review.Journal of global health · 2023Article
- Public health palliative care interventions that enable communities to support people who are dying and their carers: a scoping review of studies that assess person-centered outcomes.Frontiers in public health · 2023Article
- Quality of Telehealth-Delivered Inpatient Palliative Care During the Early COVID-19 Pandemic.Journal of pain and symptom management · 2023Article
- Scientific Publications on Nursing for COVID-19 in Patients With Cancer: Scoping Review.JMIR cancer · 2022Article
- Admission Code Status and End-of-life Care for Hospitalized Patients With COVID-19.Journal of pain and symptom management · 2022Article
- The impact of covid-19 on out-of-hours adult hospice care: an online survey.BMC palliative care · 2022Article
- Harnessing New and Existing Virtual Platforms to Meet the Demand for Increased Inpatient Palliative Care Services During the COVID-19 Pandemic: A 5 Key Themes Literature Review of the Characteristics and Barriers of These Evolving Technologies.The American journal of hospice & palliative care · 2022Review
- [Strategies, guidelines and recommendations for coping with the COVID-19 pandemic in palliative and hospice care facilities. Results of a scoping review].Zeitschrift fur Gerontologie und Geriatrie · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe increased number of deaths in the community happening as a result of COVID-19 has caused primary healthcare services to change their traditional service delivery in a short timeframe. Services are quickly adapting to new challenges in the practical delivery of end-of-life care to patients in the community including through virtual consultations and in the provision of timely symptom control.
aimTo synthesise existing evidence related to the delivery of palliative and end-of-life care by primary healthcare professionals in epidemics and pandemics.
designRapid systematic review using modified systematic review methods, with narrative synthesis of the evidence. DATA SOURCES: Searches were carried out in Medline, Embase, PsychINFO, CINAHL and Web of Science on 7th March 2020.
resultsOnly five studies met the inclusion criteria, highlighting a striking lack of evidence base for the response of primary healthcare services in palliative care during epidemics and pandemics. All were observational studies. Findings were synthesised using a pandemic response framework according to 'systems' (community providers feeling disadvantaged in terms of receiving timely information and protocols), 'space' (recognised need for more care in the community), 'staff' (training needs and resilience) and 'stuff' (other aspects of managing care in pandemics including personal protective equipment, cleaning care settings and access to investigations).
conclusionsAs the COVID-19 pandemic progresses, there is an urgent need for research to provide increased understanding of the role of primary care and community nursing services in palliative care, alongside hospices and community specialist palliative care providers.
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.