ArticleBMJ open2022
Association of primary and community care services with emergency visits and hospital admissions at the end of life in people with cancer: a retrospective cohort study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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.
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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
8 citing papers in PubMed.
- Socioeconomic differences in the intensity of end-of-life care among patients with cancer: a population-based study in the Lazio region, Italy.European journal of public health · 2026Observational
- Article
- Provision of palliative and end-of-life care by community health nurses: A scoping review on the challenges and potential solutions.International journal of nursing studies advances · 2026Review
- Continuity of primary care and end-of-life care costs in dementia: a retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Primary care must be prioritised to achieve universal palliative care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Integration of primary care and palliative care services to improve equality and equity at the end-of-life: Findings from realist stakeholder workshops.Palliative medicine · 2024Article
- Primary care usage at the end of life: a retrospective cohort study of cancer patients using linked primary and hospital care data.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- GP assessment of unmet need in a complex multimorbid population using a data-driven and clinical triage system: a prospective cohort study.BJGP open · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo examine the association between primary and community care use and measures of acute hospital use in people with cancer at the end of life.
designRetrospective cohort study.
settingWe used Discover, a linked administrative and clinical data set from general practices, community and hospital records in North West London (UK).
participantsPeople registered in general practices, with a diagnosis of cancer who died between 2016 and 2019. PRIMARY AND SECONDARY OUTCOME MEASURES: ≥3 hospital admissions during the last 90 days, ≥1 admissions in the last 30 days and ≥1 emergency department (ED) visit in the last 2 weeks of life.
resultsOf 3581 people, 490 (13.7%) had ≥3 admissions in last 90 days, 1640 (45.8%) had ≥1 admission in the last 30 days, 1042 (28.6%) had ≥1 ED visits in the last 2 weeks; 1069 (29.9%) had more than one of these indicators. Contacts with community nurses in the last 3 months (≥13 vs <4) were associated with fewer admissions in the last 30 days (risk ratio (RR) 0.88, 95% CI 0.90 to 0.98) and ED visits in the last 2 weeks of life (RR 0.79, 95% CI 0.68 to 0.92). Contacts with general practitioners in the last 3 months (≥11 vs <4) was associated with higher risk of ≥3 admissions in the last 90 days (RR 1.63, 95% CI 1.33 to 1.99) and ED visits in the last 2 weeks of life (RR 1.27, 95% CI 1.10 to 1.47).
conclusionsExpanding community nursing could reduce acute hospital use at the end of life and improve quality of care.
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