Evidence map›Paper›PMID 36335335›Full record

ReviewBMC palliative care2022

The end of life experiences of people living with socio-economic deprivation in the developed world: an integrative review.

Sarah P Bowers, Ming Chin, Maire O'Riordan, Emma Carduff

Abstract readReview
In one paragraph

Review in BMC palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

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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

4 authors.

Sarah P BowersNHS Tayside and University of Dundee, Ninewells Hospital, Dundee, DD1 9SY, UK. Sarah.Bowers3@nhs.scot.
Ming ChinUniversity Hospital Wishaw, 50 Netherton Street, Lanarkshire, ML2 0DP, UK.
Maire O'RiordanMarie Curie Hospice, 133 Balornock Road, Glasgow, G21 3US, UK.
Emma CarduffMarie Curie Hospice, 133 Balornock Road, Glasgow, G21 3US, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThose experiencing socioeconomic deprivation have poorer quality of health throughout their life course which can result in poorer quality of death - with decreased access to palliative care services, greater use of acute care, and reduced access to preferred place of care compared with patients from less deprived populations.

aimTo summarise the current global evidence from developed countries on end-of-life experience for those living with socio-economic deprivation.

designIntegrative review in accordance with PRISMA. A thorough search of major databases from 2010-2020, using clear definitions of end-of-life care and well-established proxy indicators of socio-economic deprivation. Empirical research describing experience of adult patients in the last year of life care were included.

resultsForty studies were included from a total of 3508 after screening and selection. These were deemed to be of high quality; from a wide range of countries with varying healthcare systems; and encompassed all palliative care settings for patients with malignant and non-malignant diagnoses. Three global themes were identified: 1) multi-dimensional symptom burden, 2) preferences and planning and 3) health and social care interactions at the end of life.

conclusionsCurrent models of healthcare services are not meeting the needs of those experiencing socioeconomic deprivation at the end-of-life. Further work is needed to understand the disparity in care, particularly around ensuring patients voices are heard and can influence service development and delivery.

Indexed as

Hospice CareTerminal CareAdultDeathHumansPalliative CareSocioeconomic FactorsDelivery of Health CareIntegrative reviewPalliative CareSocial ClassSocioeconomic FactorsTerminal Care

Identifiers

PMID36335335
PMCPMC9636719

What OpenQuestion holds

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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.