Evidence map›Paper›PMID 34793947›Full record

ArticleJournal of pain and symptom management2022

What is a Good Death? A Choice Experiment on Care Indicators for Patients at End of Life.

Juan Marcos Gonzalez Sepulveda, Drishti Baid, F Reed Johnson, Eric A Finkelstein

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. What Is a Good Death in South Asia? A Systematic Review and Narrative Synthesis.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Juan Marcos Gonzalez SepulvedaDepartment of Population Health Sciences (J.M.G.S., F.R.J.), Duke University School of Medicine, Durham, North Carolina, USA; Program in Health Services and Systems Research (D.B., E.A.F.), Duke-NUS Medical School, Singapore; Program in Health Services and Systems Research (E.A.F.), Duke University Global Health Institute, Durham, North Carolina, USA.. Electronic address: jm.gonzalez@duke.edu.
Drishti BaidDepartment of Population Health Sciences (J.M.G.S., F.R.J.), Duke University School of Medicine, Durham, North Carolina, USA; Program in Health Services and Systems Research (D.B., E.A.F.), Duke-NUS Medical School, Singapore; Program in Health Services and Systems Research (E.A.F.), Duke University Global Health Institute, Durham, North Carolina, USA.
F Reed JohnsonDepartment of Population Health Sciences (J.M.G.S., F.R.J.), Duke University School of Medicine, Durham, North Carolina, USA; Program in Health Services and Systems Research (D.B., E.A.F.), Duke-NUS Medical School, Singapore; Program in Health Services and Systems Research (E.A.F.), Duke University Global Health Institute, Durham, North Carolina, USA.
Eric A FinkelsteinDepartment of Population Health Sciences (J.M.G.S., F.R.J.), Duke University School of Medicine, Durham, North Carolina, USA; Program in Health Services and Systems Research (D.B., E.A.F.), Duke-NUS Medical School, Singapore; Program in Health Services and Systems Research (E.A.F.), Duke University Global Health Institute, Durham, North Carolina, USA.

Funding

Addressing barriers to anti-hypertensive medication adherence among persons living who have achieved viral suppressionK01HL159052 · NHLBI · DUKE UNIVERSITY · PI MUIRURI, CHARLES · 2021 to 2025
$736k
NHLBI NIH HHS K01 HL159052
6 · The paper itself

Abstract

contextHealth systems should aim to deliver on what matters most to patients. With respect to end of life (EOL) care, knowledge on patient preferences for care is currently lacking.

objectivesTo quantify preference weights for key EOL care indicators.

methodsWe developed a discrete choice experiment survey with 13 key indicators related to patients' experience in the last six weeks of life. We fielded the survey to a web-panel of caregiver proxies for recently deceased care recipients. We obtained 250 responses in each of five countries: India, Singapore, Kenya, the UK and the US. Latent-class analysis was used to evaluate preference weights for each indicator within and across countries.

resultsA 2-class latent-class model was the best fit. Class 1 (average class probability = 64.7%) preference weights were logically ordered and highly significant, while Class 2 estimates were generally disordered, suggesting poor data quality. Class 1 results indicated health care providers' ability to control patients' pain to desired levels was most important (11.5%, 95% CI: 10.3%-12.6%), followed by clean, safe, and comfortable facilities (10.0%, 95% CI: 9.0%-11.0%); and kind and sympathetic health care providers (9.8%, 95% CI: 8.8%-10.9%). Providers' support for nonmedical concerns had the lowest preference weight (4.4%, 95% CI: 3.6%-5.3%). Differences in preference weights across countries were not statistically significant.

conclusionResults reveal that not all aspects of EOL care are equally valued. Not accounting for these differences would lead to inappropriate conclusions on how best to improve EOL care.

Indexed as

Hospice CareTerminal CareCaregiversDeathHumansPatient Preferencediscrete choice experimentEnd of lifepalliativepreference weightsrelative importanceterminal illness

Identifiers

PMID34793947
PMCPMC9341237

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.