Evidence map›Paper›PMID 35971254›Full record

ArticleDeutsches Arzteblatt international2022

Specialized Outpatient Palliative Care—Clinical Course and Predictors for Living at Home Until Death

Johannes Just, Marie-Therese Schmitz, Ulrich Grabenhorst, Thomas Joist, Kirsten Horn, Klaus Weckbecker

Abstract read
In one paragraph

Article in Deutsches Arzteblatt international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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  12. Specialized Outpatient Palliative Care-an Interim Assessment.Deutsches Arzteblatt international · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Johannes JustInstitute of General Practice and Interprofessional Care, Witten/Herdecke University, Witten, Germany; Institute of Medical Biometry, Informatics and Epidemiology (IMBIE), University of Bonn, Bonn, Germany; Verbund der SAPV-Teams in Nordrhein e. V., Viersen, Germany.
Marie-Therese Schmitz
Ulrich Grabenhorst
Thomas Joist
Kirsten Horn
Klaus Weckbecker

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpecialized outpatient palliative care (SOPC) is an important component of the palliative medicine care concept in Germany. Its purpose is to improve the out-of-hospital care of patients who cannot be adequately cared for by their primary care physicians and in the setting of general outpatient palliative care (GOPC).

methodsIn this retrospective analysis of anonymized routine treatment data, we analyzed the characteristics of SOPC patients overall and with specific diseases, and depicted them both numerically and graphically. We also carried out a regression analysis of the factors affecting whether or not patients will be able to die in a home environment.

resultsThe analysis included data from 14 460 patients who were treated by 14 different SOPC teams in the North Rhine area of Germany in 2017 and 2018. The majority of patients who died were able to live at home until death (85.9%); only a small percentage died as inpatients (7.7%). The symptom burden shortly before death was less than at the beginning of treatment. The factors displaying a statistically significant association with dying at home were: more advanced age (aOR 0.96; 95% CI: [0.95; 0.96]), female sex (aOR 0.85; 95% CI: [0.74; 0.98]), and house calls at night (aOR 0.60; 95% CI: [0.51; 0.71]).

conclusionSOPC met its declared objectives of limiting distressing symptoms and enabling patients to live at home until death.

Indexed as

Palliative CareTerminal CareAmbulatory CareFemaleGermanyHumansOutpatientsRetrospective Studies

Identifiers

PMID35971254
PMCPMC9453219

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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.