Observational studyBMJ supportive & palliative care2022
Inappropriate end-of-life cancer care in a generalist and specialist palliative care model: a nationwide retrospective population-based observational study.
Observational study in BMJ supportive & palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 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
47 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Potentially inappropriate end-of-life care and its association with relatives' well-being: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Pooled it
- National palliative care laws in Europe: do they enable access and effectively promote the development of palliative care within health systems? A comparative multimethod analysis.European journal of public health · 2026Article
- Elective admissions and treatments in the final three months of life: a nationwide retrospective study of older adults.European geriatric medicine · 2026Article
- Early palliative care decision is associated with reduced end-of-life healthcare utilization in patients with esophageal and gastric cancer.Journal of gastrointestinal oncology · 2026Article
- The Impact of Specialist Palliative Care on the Utilization of Health Care Services at the End of Life Among Patients With Prostate Cancer: A Nationwide Register-based Study.European urology open science · 2026Article
- Assessing the Impact of Specialist Palliative Care on Healthcare Utilisation at the End of Life Among Patients With Pancreatic Cancer: A Nationwide Register-Based Cohort Study.Cancer medicine · 2026Article
- Access to specialist palliative care and health care service utilization during the final year of life among patients with kidney disease.Clinical kidney journal · 2026Article
- Timing of specialist palliative care and acute healthcare utilization at the end of life among adults who died of cancer: a nationwide cohort study.BMC cancer · 2026Article
- Palliative care in general practice for patients with cancer, organ failure and dementia or old-age: a cross-sectional study among general practitioners.BMC primary care · 2026Article
- Wishes, conflicts, and support needs of informal caregivers of patients in the palliative phase: A qualitative study.Journal of health psychology · 2026Article
- Identification of Dutch hospital inpatients with possible palliative care needs: a nation-wide flash mob study.BMC palliative care · 2026Article
- What is the appropriate timing for advance care planning according to patients and their relatives? A scoping review.PloS one · 2026Article
- Patients' and relatives' perspectives on the quality of end-of-Life care in advanced cancer: From the final months to bereavement.PloS one · 2026Article
- The Association of Palliative Care Decision on Secondary Health Care Utilization and Cancer Treatment at the End of Life Among Patients with Head and Neck Cancer: A Single-Center Retrospective Study.Health services insights · 2026Article
- Reasons why palliative and terminally ill patients do not die at home with end-of-life home care or in a hospice, but in the hospital: a single-centre study.BMC palliative care · 2025Article
- Article
- The impact of specialist palliative care on healthcare utilization among patients with breast cancer: a nationwide register-based cohort study.Breast cancer (Tokyo, Japan) · 2025Article
- The role and position of palliative care nurses within the Dutch healthcare system: a mixed-methods study.BMC nursing · 2025Article
- Geographic variations in end-of-life hospitalisations for patients with mental illness: a population-based observational study in England, UK.Discover mental health · 2025Article
- Impact of specialist palliative care on utilization of healthcare and social services at the end-of-life: a nationwide register-based cohort study.European journal of public health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the impact of provision and timing of palliative care (PC) on potentially inappropriate end-of-life care to patients with cancer in a mixed generalist-specialist PC model.
methodA retrospective population-based observational study using a national administrative health insurance database. All 43 067 adults in the Netherlands, who were diagnosed with or treated for cancer during the year preceding their death in 2017, were included. Main exposure was either generalist or specialist PC initiated >30 days before death (n=16 967). Outcomes were measured over the last 30 days of life, using quality indicators for potentially inappropriate end-of-life care.
resultsIn total, 14 504 patients (34%) experienced potentially inappropriate end-of-life care; 2732 were provided with PC >30 days before death (exposure group) and 11 772 received no PC or ≤30 days before death (non-exposure group) (16% vs 45%, p<0.001). Most patients received generalist PC (88%). Patients provided with PC >30 days before death were 5 times less likely to experience potentially inappropriate end-of-life care (adjusted OR (AOR) 0.20; (95% CI 0.15 to 0.26)) than those with no PC or PC in the last 30 days. Both early (>90 days) and late (>30 and≤90 days) PC initiation had lower odds for potentially inappropriate end-of-life care (AOR 0.23 and 0.19, respectively).
conclusionTimely access to PC in a mixed generalist-specialist PC model significantly decreases the likelihood of potentially inappropriate end-of-life care for patients with cancer. Generalist PC can play a substantial role.
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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.