Evidence map›Paper›PMID 33855886›Full record

ArticlePalliative medicine2021

Disparities in access to palliative care facilities for patients with and without cancer: A retrospective review.

Christine Lau, Christopher Meaney, Matthew Morgan, Rose Cook, Camilla Zimmermann, Kirsten Wentlandt

Abstract read
In one paragraph

Article in Palliative medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
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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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

6 authors.

Christine LauDivision of Palliative Care, Sunnybrook Health Sciences, Toronto, ON, Canada.
Christopher MeaneyDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Matthew MorganDivision of General Internal Medicine, Mount Sinai Hospital and University Health Network, Toronto, ON, Canada.
Rose CookOntario Health - Toronto Region, Toronto, ON, Canada.
Camilla ZimmermannDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Kirsten WentlandtDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-1873-7794

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo date, little is known about the characteristics of patients who are admitted to a palliative care bed for end-of-life care. Previous data suggest that there are disparities in access to palliative care services based on age, sex, diagnosis, and socioeconomic status, but it is unclear whether these differences impact access to a palliative care bed.

aimTo better identify patient factors associated with the likelihood/rate of admission to a palliative care bed.

designA retrospective chart review of all initiated palliative care bed applications through an electronic referral program was conducted over a 24-month period. SETTING/

participantsPatients who apply and are admitted to a palliative care bed in a Canadian metropolitan city.

resultsA total of 2743 patients made a total of 5202 bed applications to 9 hospice/palliative care units in 2015-2016. Referred and admitted cancer patients were younger, male, and more functional than compared to non-cancer patients (all

conclusionPatients without cancer have reduced access to palliative care facilities at end-of-life compared to patients with cancer; at the time of their application and admission, they are "sicker" with very low performance status and poorer prognoses. Further studies investigating disease-specific clinical variables and support requirements may provide more insights into these observed disparities.

Indexed as

Hospice CareNeoplasmsTerminal CareCanadaHumansMalePalliative CareRetrospective Studiesaccess to carecancerhealth services researchPalliative care

Identifiers

PMID33855886
PMCPMC8189004

What OpenQuestion holds

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Registered trials

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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.