Evidence map›Paper›PMID 34697850›Full record

ArticleEuropean journal of cancer care2022

Quality of hospital discharge letters for patients at the end of life: A retrospective medical record review.

Marijanne Engel, Annemieke van der Padt-Pruijsten, Auke M T Huijben, T Martijn Kuijper, Maria B L Leys, Annemieke Talsma, Agnes van der Heide

Abstract read
In one paragraph

Article in European journal of cancer care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

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

  1. What helps or hinders the communication of poor prognosis between secondary and primary care? A systematic review with narrative synthesis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
  2. Article
  3. Differences in discharge letter content: oncologists' vs. home care physicians' needs.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  4. Article
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

7 authors.

Marijanne EngelDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0003-3625-7839
Annemieke van der Padt-PruijstenDepartment of Internal Medicine, Maasstad Hospital, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5186-865X
Auke M T HuijbenDepartment of Internal Medicine, Maasstad Hospital, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-5021-2074
T Martijn KuijperMaasstad Academy, Maasstad Hospital, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-2834-5727
Maria B L LeysDepartment of Internal Medicine, Maasstad Hospital, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-2862-1349
Annemieke TalsmaGeneral Practitioner, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-2856-4591
Agnes van der HeideDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5584-4305

Funding

Maasstad Hospital Research Centre 2019.1 (19-02-2019)
6 · The paper itself

Abstract

objectiveFor patients who are discharged to go home after a hospitalisation, timely and adequately informing their general practitioner is important for continuity of care, especially at the end of life. We studied the quality of the hospital discharge letter for patients who were hospitalised in their last year of life.

methodsA retrospective medical record review was performed. Included patients had been admitted to the hospital during the period 1 January to 1 July 2017 and had died within a year after discharge.

resultsData were collected from records of 108 patients with cancer or other diseases. For 57 patients (53%), the discharge letter included information that related to their limited life expectancy (e.g., agreements about treatment limitations), whereas the patient's limited life expectancy was addressed in the medical record in 76 cases (70%). We found related information in discharge letters for 36 patients (66%) who died <3 months compared to 21 patients (40%) who died 3-12 months after hospitalisation (p < 0.01).

conclusionFor patients with a limited life expectancy going home after a hospitalisation, one out of two hospital discharge letters lacked any information addressing their limited life expectancy. Specific guidelines for medical information exchange between care settings are needed.

Indexed as

HospitalsPatient DischargeDeathHumansMedical RecordsRetrospective Studiescancercontinuity of patient careend-of-life caregeneral practitionershospitalhospital discharge letter

Identifiers

PMID34697850
PMCPMC9285046

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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.