SynthesisJournal of the American Geriatrics Society2021
Referral criteria to specialist palliative care for patients with dementia: A systematic review.
Synthesis in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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.
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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
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Needs-based triggers for timely referral to palliative care for older adults severely affected by noncancer conditions: a systematic review and narrative synthesis.BMC palliative care · 2023Pooled it
- Family Caregivers' Perspectives on Challenges and Support Needs in Hospital-Based Palliative Care for Persons Living With Dementia.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- End-of-life dementia: demographic, clinical as well as direct health care cost differences in nursing homes vs. ordinary housing.BMC health services research · 2026Article
- "Triggering the palliative intent"?: A qualitative implementation evaluation of a prognostication model for advanced dementia (PRO-MADE) in a geriatric tertiary care setting for the integration of early palliative care.BMC palliative care · 2026Article
- Ecological Momentary Assessment in Palliative Care: A Qualitative Study of Patient and Clinician Perspectives.The American journal of hospice & palliative care · 2025Article
- Referral Criteria for Specialist Palliative Care for Patients With Dementia.JAMA network open · 2025Article
- Physician-Related Gaps in Hospice Referral for Patients with Advanced Dementia.Clinical interventions in aging · 2025Article
- Palliative care screening tools in Japan: cross-sectional utility study.BMJ supportive & palliative care · 2024Article
- The reliability and validity of a novel clinical tool for distributing rehabilitation patients: a multicenter cross-sectional study in China.Scientific reports · 2024Article
- Dementia patients in palliative care according to data from the German National Hospice and Palliative Care Register (2009-2021).BMC palliative care · 2024Article
- Study protocol for the development and validation of a clinical prediction tool to estimate the risk of 1-year mortality among hospitalized patients with dementia.Diagnostic and prognostic research · 2024Article
- Palliative Care Psychiatry: Building Synergy Across the Spectrum.Current psychiatry reports · 2024Review
- What are the triggers for palliative care referral in burn intensive care units? Results from a qualitative study based on healthcare professionals' views, clinical experiences and practices.Palliative medicine · 2024Article
- What care do people with dementia receive at the end of life? Lessons from a retrospective clinical audit of deaths in hospital and other settings.BMC geriatrics · 2024Article
- Using Functional Status at the Time of Palliative Care Consult to Identify Opportunities for Earlier Referral.Journal of palliative medicine · 2023Article
- Dying with behavioral and psychological symptoms of dementia in Australian nursing homes: a retrospective case-control study.Frontiers in psychiatry · 2023Article
- Cross-cultural conceptualization of a good end of life with dementia: a qualitative study.BMC palliative care · 2022Article
- Predicting Hospice Transitions in Dementia Caregiving Dyads: An Exploratory Machine Learning Approach.Innovation in aging · 2022Article
- Reply to comment on: Referral criteria to specialist palliative care for patients with dementia-A systematic review.Journal of the American Geriatrics Society · 2021Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundPatients with dementia often have significant symptom burden and a progressive course of functional deterioration. Specialist palliative care referral may be helpful, but it is unclear who and when patients should be referred. We conducted a systematic review of the literature to examine referral criteria for palliative care among patients with dementia.
methodsWe searched Ovid MEDLINE, Ovid Embase, Ovid PsycInfo, Cochrane Library, PubMed, and CINAHL databases for articles from inception to December 3, 2019, related to specialist palliative care referral for dementia. Two investigators independently reviewed the citations for inclusion, extracted the referral criteria, and categorized them thematically.
resultsOf the 1788 citations, 59 articles were included in the final sample. We identified 13 categories of referral criteria, including 6 disease-based and 7 needs-based criteria. The most commonly discussed criterion was "dementia stage" (n = 43, 73%), followed by "new diagnosis of dementia" (n = 17, 29%), "medical complications of dementia" (n = 12, 20%), "prognosis" (n = 11, 19%), and "physical symptoms" (n = 11, 19%). Under dementia stage, 37/44 (84%) articles recommended a palliative care referral for advanced dementia. Pneumonia (n = 6, 10%), fall/fracture (n = 4, 7%), and decubitus ulcers (n = 4, 7%) were most commonly discussed complications to trigger a referral. Under prognosis, the time frame for referral varied from <2 years of life expectancy to <6 months. 3 (5%) of articles recommended "surprise question" as a potential trigger.
conclusionsThis systematic review highlighted the lack of consensus regarding referral criteria for palliative care in patients with dementia and the need to identify timely triggers to standardize referral.
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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.