Evidence map›Paper›PMID 34455856›Full record

ArticlePalliative medicine2021

Trends in quality of care and dying perceived by family caregivers of nursing home residents with dementia 2005-2019.

Maartje S Klapwijk, Sascha R Bolt, Jannie A Boogaard, Maud Ten Koppel, Marie-José He Gijsberts, Carolien van Leussen, B Anne-Mei The, Judith Mm Meijers, Jos Mga Schols, H Roeline W Pasman and 8 more

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Trial
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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

18 authors.

Maartje S KlapwijkDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-4961-2978
Sascha R BoltDepartment of Health Services Research, Faculty of Health Medicine and Lifesciences, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0003-1570-0432
Jannie A BoogaardDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Maud Ten KoppelZorginstituut Nederland, Diemen, North Holland, The Netherlands.
Marie-José He GijsbertsEnd-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium.
Carolien van LeussenTao of Care, Amsterdam, The Netherlands.
B Anne-Mei TheTao of Care, Amsterdam, The Netherlands.
Judith Mm MeijersDepartment of Health Services Research, Faculty of Health Medicine and Lifesciences, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Jos Mga ScholsDepartment of Health Services Research, Faculty of Health Medicine and Lifesciences, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
H Roeline W PasmanZorginstituut Nederland, Diemen, North Holland, The Netherlands.
Bregje D Onwuteaka-PhilipsenDepartment of Public and Occupational Health, Amsterdam UMC, Locatie VUmc, Amsterdam, The Netherlands.
Luc DeliensEnd-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium.
Lieve Van den BlockEnd-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium.
Bart MertensDepartment of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands.
Henrica Cw de VetDepartment of Epidemiology and Data Science, Amsterdam UMC, Location VU University Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Monique Aa CaljouwDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Wilco P AchterbergDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Jenny T van der SteenDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDementia palliative care is increasingly subject of research and practice improvement initiatives.

aimTo assess any changes over time in the evaluation of quality of care and quality of dying with dementia by family caregivers.

designCombined analysis of eight studies with bereaved family caregivers' evaluations 2005-2019. SETTING/

participantsFamily caregivers of nursing home residents with dementia in the Netherlands (

resultsThe mean total EOLD-SWC score was 33.40 (SD 5.08) and increased by 0.148 points per year (95% CI, 0.052-0.244; adjusted 0.170 points 95% CI, 0.055-0.258). The mean total EOLD-CAD score was 30.80 (SD 5.76) and, unadjusted, there was a trend of decreasing quality of dying over time of -0.175 points (95% CI, -0.291 to -0.058) per year increment. With adjustment, the trend was not significant (-0.070 EOLD-CAD total score points, 95% CI, -0.205 to 0.065) and only the EOLD-CAD subscale 'Well being' decreased.

conclusionWe identified divergent trends over 14 years of increased quality of care, while quality of dying did not increase and well-being in dying decreased. Further research is needed on what well-being in dying means to family. Quality improvement requires continued efforts to treat symptoms in dying with dementia.

Indexed as

DementiaTerminal CareCaregiversHumansNursing HomesPalliative CareProspective StudiesQuality of Health CareDementiaend-of-life caregeriatricsnursing homespalliative carequality of health care

Identifiers

PMID34455856
PMCPMC8637361

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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.