Evidence map›Paper›PMID 35944883›Full record

ArticleJournal of pain and symptom management2022

Symptom Management Experience of End-of-Life Family Caregivers: A Population-Based Study.

Harriet Mather, Hannah Kleijwegt, Evan Bollens-Lund, Amy S Kelley, Katherine A Ornstein

Open access · greenAbstract 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
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

5 citing papers in PubMed, 13 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Harriet MatherIcahn School of Medicine at Mount Sinai (H.M., H.K., E.B.L.), Brookdale Department of Geriatrics and Palliative Medicine, New York, New York, USA. Electronic address: harriet.mather@mssm.edu.
Hannah KleijwegtIcahn School of Medicine at Mount Sinai (H.M., H.K., E.B.L.), Brookdale Department of Geriatrics and Palliative Medicine, New York, New York, USA.
Evan Bollens-LundIcahn School of Medicine at Mount Sinai (H.M., H.K., E.B.L.), Brookdale Department of Geriatrics and Palliative Medicine, New York, New York, USA.
Amy S KelleyIcahn School of Medicine at Mount Sinai (A.S.K), Brookdale Department of Geriatrics and Palliative Medicine, James J Peters VA Medical Center, Bronx, New York, USA.
Katherine A OrnsteinIcahn School of Medicine at Mount Sinai (K.A.O), Brookdale Department of Geriatrics and Palliative Medicine and Department of General Internal Medicine, New York, New York, USA.
Icahn School of Medicine at Mount Sinai · USJames J. Peters VA Medical Center · US

Funding

Residing in the Community with Dementia at the End of Life: Understanding Hospice Use and Residential SettingP30AG028741 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ORNA INTRATOR · 2010 to 2026
$21.9M
Unnecessary and Harmful Medication Use in Older Adults with DementiaP01AG066605 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI R. Sean Morrison · 2020 to 2026
$17.7M
Caregiving for Alzheimer's Disease and Related Dementias: Enhancing the National Study of Caregiving (NSOC)R01AG054004 · NIA · JOHNS HOPKINS UNIVERSITY · PI FREEDMAN, VICKI A., WOLFF, JENNIFER L. · 2016 to 2020
$4.5M
Home, but homebound: The impact of caregiving, financial, and community resources on the lives of individuals with dementiaR01AG060967 · NIA · JOHNS HOPKINS UNIVERSITY · PI ORNSTEIN, KATHERINE A · 2019 to 2023
$2.5M
Midcareer Investigator Award for Patient-Oriented Research in Dementia and Serious IllnessK24AG062785 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KELLEY, AMY STEVES · 2019 to 2022
$581k
NIA NIH HHS K24 AG062785NIA NIH HHS P01 AG066605NIA NIH HHS P30 AG028741NIA NIH HHS R01 AG054004NIA NIH HHS R01 AG060967
6 · The paper itself

Abstract

contextIn the United States, 30% of all deaths occur at home. Effective symptom management is integral to quality end-of-life (EOL) care. Family caregivers play a major role in EOL symptom management. Recent federal policies emphasize the need to improve training and support for family caregivers.

objectivesIn a nationally representative sample: 1) Characterize the population of caregivers assisting with and reporting difficulty in symptom management at the end of life; and 2) Assess caregiver and care recipient characteristics associated with caregiver report of difficulty.

methodsCross-sectional analysis of data from the National Health and Aging Trends Study and National Study of Caregiving. Multivariable logistic regression to assess association between care recipient and caregiver characteristics and caregiver report of difficulty.

resultsCaregivers (n = 214) were mean age 57.1 years, 74% female, and 86% white non-Hispanic. Over 2 million family caregivers provided assistance with symptom management in the last month of life in 2017; 78% reported difficulty. Non-Hispanic Black caregivers (aOR 0.24, 95% CI 0.08-0.75), Hispanic caregivers (0.13, 0.03-0.56), and caregivers with lower than high school education (0.26, 0.11-0.63) were less likely to report difficulty. Caregivers of care recipients who received paid care (3.37, 1.30-8.69) were more likely to report difficulty. Receipt of training and support services (1.80, 0.83-3.93) and hospice (1.83, 0.82-4.07) were not associated with caregiver report of difficulty.

conclusionThese findings underscore the need to improve training and support for family caregivers in EOL symptom management.

Indexed as

CaregiversTerminal CareCross-Sectional StudiesDeathFemaleHumansMaleMiddle AgedPalliative CareUnited Statesend-of-life carefamily caregivershospicepalliative caresymptom management

Identifiers

PMID35944883
PMCPMC10212333
OpenAlexW4293198919

What OpenQuestion holds

Textmetadata
LicenceTDM
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.