Evidence map›Paper›PMID 33336701›Full record

ReviewAge and ageing2021

Rapid review of decision-making for place of care and death in older people: lessons for COVID-19.

Emily West, Kirsten Moore, Nuriye Kupeli, Elizabeth L Sampson, Pushpa Nair, Narin Aker, Nathan Davies

Abstract readReview
In one paragraph

Review in Age and ageing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Acceptability of Using a Decision Aid to Support Family Carers of People With Dementia Towards the End of Life: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Rapid development of a COVID-19 care planning decision-aid for family carers of people living with dementia.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. 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

7 authors.

Emily WestMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
Kirsten MooreMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
Nuriye KupeliMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
Elizabeth L SampsonMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.
Pushpa NairCentre for ageing population Studies, Research Department of Primary Care and Population Health, University College London, London, UK.
Narin AkerCentre for ageing population Studies, Research Department of Primary Care and Population Health, University College London, London, UK.
Nathan DaviesMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.

Funding

Marie Curie MCCC-FCO-11-U
6 · The paper itself

Abstract

introductionThe coronavirus pandemic (COVID-19) has affected the functioning and capacity of healthcare systems worldwide. COVID-19 has also disproportionately affected older adults. In the context of COVID-19, decision-making surrounding place of care (PoC) and place of death (PoD) in older adults involves significant new challenges.

aimsTo explore key factors that influence PoC and PoD decisions in older adults. A secondary aim was to investigate key factors that influence the process and outcome of these decisions in older adults. To apply findings from current evidence to the context of COVID-19.

methodsRapid review of reviews, undertaken using WHO guidance for rapid reviews for the production of actionable evidence. Data extracted was synthesised using narrative synthesis, with thematic analysis and tabulation.

results10 papers were included for full data extraction. These papers were published between 2005 and 2020. Papers included discussed actual PoD, as well as preferred. Results were divided into papers that explored the process of decision-making, and those that explored decision-making outcomes.

conclusionsThe process and outcomes of decision-making for older people are affected by many factors-all of which have the potential to influence both patients and caregivers experience of illness and dying. Within the context of COVID-19, such decisions may have to be made rapidly and be reflexive to changing needs of systems and of families and patients.

Indexed as

COVID-19Decision Making, SharedPalliative CareTerminal CareAdaptation, PsychologicalAgedFrail ElderlyHumansadvance care planningCOVID-19decision-makingolder peoplepalliative careplace of care/place of death

Identifiers

PMID33336701
PMCPMC7799338

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.