ArticleBMJ open2021
End-of-life outcomes with or without early palliative care: a propensity score matched, population-based cancer cohort study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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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
22 citing papers in PubMed, 37 citations in OpenAlex.
- Response shift as a common mechanism linking quality of life gains and reduced aggressive care in early palliative care trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Review
- Cultivating Compassion in Students for End-Of-Life Processes: A Mixed-Methods Participatory Research Protocol.Journal of advanced nursing · 2026Article
- Readiness for home-based palliative care among primary caregivers: an explanatory sequential mixed methods study.BMC palliative care · 2026Article
- An analysis of palliative care in adolescents and young adults with soft tissue and bone sarcomas.Palliative care and social practice · 2026Article
- Patient Characteristics and Different Decision Paths for Establishing Palliative Care for Patients Admitted via the Emergency Department.Journal of clinical medicine · 2025Article
- Factors influencing self-efficacy of healthcare professionals towards end-of-life care in acute care settings in Palestine: a cross-sectional study.BMC nursing · 2025Article
- Defining "early palliative care" for adults diagnosed with a life-limiting illness: a scoping review.BMC palliative care · 2025Article
- How to define and quantify a bad death in palliative home care? Across-sectional and exploratory study using Canadian interRAI data.BMC palliative care · 2025Article
- Best Practices for Managing Patients with Unresectable Metastatic Gastric and Gastroesophageal Junction Cancer in Canada.Current oncology (Toronto, Ont.) · 2024Review
- Misconception between palliative care and euthanasia among Thai general practitioners: a cross-sectional study.BMC palliative care · 2024Observational
- Article
- Primary data on symptom burden and quality of life among elderly patients at risk of dying during unplanned admissions to an NHS hospital: a cohort study using EuroQoL and the integrated palliative care outcome scale.BMC palliative care · 2024Article
- Hospitalizations and re-hospitalizations at the end-of-life among cancer patients; a retrospective register data study.BMC palliative care · 2024Article
- Article
- Enhancing hospice care with psychological support and a nomogram to predict delirium in patients with advanced solid tumors.American journal of cancer research · 2024Article
- Specialist Palliative Care and Health Care Costs at the End of Life.PharmacoEconomics - open · 2024Article
- Palliative care knowledge and attitudes toward end-of-life care among intensive care unit nurses in Jordan.Acute and critical care · 2023Article
- Sociodemographic and Geographic Disparities in End-of-Life Health Care Intensity Among Medicare Beneficiaries With Parkinson Disease.Neurology. Clinical practice · 2023Article
- Integrating Palliative Care into Oncology Care Worldwide: The Right Care in the Right Place at the Right Time.Current treatment options in oncology · 2023Review
- Association between Consultation by a Comprehensive Integrated Palliative Care Program and Quality of End-of-Life Care in Patients with Advanced Cancer in Edmonton, Canada.Current oncology (Toronto, Ont.) · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate whether cancer decedents who received palliative care early (ie, >6 months before death) and not-early had different risk of using hospital care and supportive home care in the last month of life. DESIGN/
settingWe identified a population-based cohort of cancer decedents between 2004 and 2014 in Ontario, Canada using linked administrative data. Analysis occurred between August 2017 to March 2019.
participantsWe propensity-score matched decedents on receiving early or not-early palliative care using billing claims. We created two groups of matched pairs: one that had Resident Assessment Instrument (RAI) home care assessments in the exposure period (Yes-RAI group) and one that did not (No-RAI group) to control for confounders uniquely available in the assessment, such as health instability and pain. The outcomes were the absolute risk difference between matched pairs in receiving hospital care, supportive home care or hospital death.
resultsIn the No-RAI group, we identified 36 238 pairs who received early and not-early palliative care. Those in the early palliative care group versus not-early group had a lower absolute risk difference of dying in hospital (-10.0%) and receiving hospital care (-10.4%) and a higher absolute risk difference of receiving supportive home care (23.3%). In the Yes-RAI group, we identified 3586 pairs, where results were similar in magnitude and direction.
conclusionsCancer decedents who received palliative care earlier than 6 months before death compared with those who did not had a lower absolute risk difference of receiving hospital care and dying in hospital, and an increased absolute risk difference of receiving supportive home care in the last month of life.
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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.