Evidence map›Paper›PMID 37088955›Full record

ArticlePalliative medicine2023

Deaths at home, area-based deprivation and the effect of the Covid-19 pandemic: An analysis of mortality data across four nations.

Javiera Leniz, Joanna M Davies, Anna E Bone, Mevhibe Hocaoglu, Julia Verne, Stephen Barclay, Fliss E M Murtagh, Lorna K Fraser, Irene J Higginson, Katherine E Sleeman

Abstract read
In one paragraph

Article in Palliative medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Observational
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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

10 authors.

Javiera LenizCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID 0000-0002-9315-4871
Joanna M DaviesCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID 0000-0002-6375-0023
Anna E BoneCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID 0000-0002-8800-9581
Mevhibe HocaogluCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Julia VerneOffice for Health Improvement and Disparities, Department of Health and Social Care, London, UK.
Stephen BarclayMartin House Research Centre, Department of Health Sciences, University of York, Heslington, York, UK.
Fliss E M MurtaghCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID 0000-0003-1289-3726
Lorna K FraserCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID 0000-0002-1360-4191
Irene J HigginsonCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID 0000-0002-3687-1313
Katherine E SleemanCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.ORCID 0000-0002-9777-4373

Funding

MRF_ MRF-145-0019-DG-HIGG-C0951
6 · The paper itself

Abstract

backgroundThe number and proportion of home deaths in the UK increased during the Covid-19 pandemic. It is not known whether these changes were experienced disproportionately by people from different socioeconomic groups.

aimTo examine the association between home death and socioeconomic position during the Covid-19 pandemic, and how this changed between 2019 and 2020.

designRetrospective cohort study using population-based individual-level mortality data. SETTING/

participantsAll registered deaths in England, Wales, Scotland and Northern Ireland. The proportion of home deaths between 28th March and 31st December 2020 was compared with the same period in 2019. We used Poisson regression models to evaluate the association between decedent's area-based level of deprivation and risk of home death, as well as the interaction between deprivation and year of death, for each nation separately.

resultsBetween the 28th March and 31st December 2020, 409,718 deaths were recorded in England, 46,372 in Scotland, 26,410 in Wales and 13,404 in Northern Ireland. All four nations showed an increase in the adjusted proportion of home deaths between 2019 and 2020, ranging from 21 to 28%. This increase was lowest for people living in the most deprived areas in all nations, with evidence of a deprivation gradient in England.

conclusionsThe Covid-19 pandemic exacerbated a previously described socioeconomic inequality in place of death in the UK. Further research to understand the reasons for this change and if this inequality has been sustained is needed.

Indexed as

COVID-19EnglandHumansPandemicsRetrospective StudiesWalesCovid-19deprivationinequalitiesmortalityPalliative carepandemicsplace of deathsocio-economic positionterminal care

Identifiers

PMID37088955
PMCPMC10125882

What OpenQuestion holds

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Registered trials

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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.