ArticleScientific reports2020
Better continuity of care improves the quality of end-of-life care among elderly patients with end-stage renal disease.
Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Quality indicators for palliative care for older people: An umbrella review.Palliative medicine · 2026Pooled it
- Psychosocial functioning in individuals with advanced oesophago-gastric cancer: a mixed methods systematic review.BMC palliative care · 2023Pooled it
- Facilitators of and barriers to high-quality care at end-of-life: experiences of terminally ill patients and their relatives.BMC palliative care · 2026Article
- Care Continuity, Nephrologists' Dialysis Facility Preferences, and Outcomes.JAMA health forum · 2025Article
- End-of-Life Care Among Patients With Kidney Failure on Maintenance Dialysis: A Retrospective Population-Based Study.Canadian journal of kidney health and disease · 2024Article
- Continuity of care and treatment intensity at the end of life in Swiss cancer patients.European journal of public health · 2023Article
- Fragmentation of care in the last year of life: Does dementia status matter?Journal of the American Geriatrics Society · 2022Article
- Association between continuity of care (COC), healthcare use and costs: what can we learn from claims data? A rapid review.BMC health services research · 2022Review
- Article
- Discordance and concordance on perception of quality care at end of life between older patients, caregivers and clinicians: a scoping review.European geriatric medicine · 2022Article
- Review
- Age-Related Disease Burden in China, 1997-2017: Findings From the Global Burden of Disease Study.Frontiers in public health · 2021Article
- Dying with end stage kidney disease: factors associated with place of death on a palliative care program.Jornal brasileiro de nefrologiaObservational
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Continuity of care (COC) has been emphasized in research on terminal cancer patients to increase the quality of end-of-life care; however, limited research has been conducted on end-stage renal disease patients. We applied a retrospective cohort design on 29,095 elderly patients with end-stage renal disease who died between 2005 and 2013. These patients were identified from the National Health Insurance Research Database of Taiwan. The provider Continuity of Care Index (COCI) and site COCI were calculated on the basis of outpatient visits during the 6-12 months before death. We discovered that increases in the provider COCI were significantly associated with reductions in health expenditures after adjusting for confounders, especially in inpatient and emergency departments, where the treatment intensity is high. Higher provider and site COC were also associated with lower utilization of acute care and invasive treatments in the last month before death. Provider COC had a greater effect on end-of-life care expenditures than site COC did, which indicated significant care coordination gaps within the same facility. Our findings support the recommendation of prioritizing the continuity of end-of-life care, especially provider continuity, for patients with end-stage renal disease.
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