ArticlePalliative medicine2021
Effectiveness of two types of palliative home care in cancer and non-cancer patients: A retrospective population-based study using claims data.
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 12 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.
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Who cites it
12 citing papers in PubMed, 40 citations in OpenAlex.
- Evaluating palliative care case conferences in primary care for patients with advanced non-malignant chronic conditions: a cluster-randomised controlled trial (KOPAL).Age and ageing · 2024Trial
- Palliative care pathways in Amyotrophic Lateral Sclerosis (ALS): a sequence analysis of health claims data.BMC palliative care · 2025Article
- Utilization and quality of primary and specialized palliative homecare in nursing home residents vs. community dwellers: a claims data analysis.BMC palliative care · 2025Article
- Psychological stress of general practitioners in the care of patients with palliative care needs: an exploratory study.BMC palliative care · 2024Article
- Article
- Utilization and quality of palliative care in patients with hematological and solid cancers: a population-based study.Journal of cancer research and clinical oncology · 2024Article
- Symptom and problem clusters in German specialist palliative home care - a factor analysis of non-oncological and oncological patients' symptom burden.BMC palliative care · 2023Article
- Structural characteristics and contractual terms of specialist palliative homecare in Germany.BMC palliative care · 2023Article
- [A regional comparison of outcomes quality and costs of general and specialized palliative care in Germany: a claims data analysis].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Observational
- [Utilization of palliative care at the end of life in Germany: temporal trend (2016-2019) and regional variability].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Article
- Association of a home-based nursing service during chemotherapy with the transfer to home care immediately after the last chemotherapy treatment in patients with advanced cancer.Japanese journal of clinical oncology · 2022Article
- Specialized Outpatient Palliative Care-an Interim Assessment.Deutsches Arzteblatt international · 2022Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComparative effectiveness of different types of palliative homecare is sparsely researched internationally-despite its potential to inform necessary decisions in palliative care infrastructure development. In Germany, specialized palliative homecare delivered by multi-professional teams has increased in recent years and factors beyond medical need seem to drive its involvement and affect the application of primary palliative care, delivered by general practitioners who are supported by nursing services.
aimTo compare effectiveness of primary palliative care and specialized palliative homecare in reducing potentially aggressive interventions at the end-of-life in cancer and non-cancer.
designRetrospective population-based study with claims data from 95,962 deceased adults in Germany in 2016 using multivariable regression analyses. SETTINGS/
participantsPatients having received primary palliative care or specialized palliative homecare (alone or in addition to primary palliative care), for at least 14 days before death, differentiating between cancer and non-cancer patients.
resultsRates of potentially aggressive interventions in most indicators were higher in primary palliative care than in specialized palliative homecare (
conclusionSpecialized palliative homecare is more strongly associated with reduction of potentially aggressive interventions than primary palliative care in the last days of life. Future research should identify elements of specialized palliative homecare applicable for more effective primary palliative care, too. German Clinical Trials Register (DRKS00014730).
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