Evidence map›Paper›PMID 38031054›Full record

ArticleBMC palliative care2023

Discharge to home from a palliative care unit: impact on survival and factors associated with home death after the discharge: a cohort study.

Nozomu Murakami, Shinya Kajiura, Kouichi Tanabe, Kenichiro Tsukada, Kazuhiko Shibata, Yoshio Minabe, Tatsuya Morita, Ryuji Hayashi

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

8 authors at 4 institutions in 1 country.

Nozomu MurakamiDepartment of Palliative Care Center, Kouseiren Takaoka Hospital, Toyama, Japan.
Shinya KajiuraDepartment of Clinical Oncology, Toyama University Hospital, 2630 Sugitani, Toyama, Toyama Prefecture, 930-0194, Japan. shin-ya@nsknet.or.jp.
Kouichi TanabeDrug Informatics, Faculty of Pharmacy, Meijo University, Nagoya, Japan.
Kenichiro TsukadaDepartment of Palliative Care Center, Kouseiren Takaoka Hospital, Toyama, Japan.
Kazuhiko ShibataDepartment of Palliative Care Center, Kouseiren Takaoka Hospital, Toyama, Japan.
Yoshio MinabeDepartment of Palliative Care Center, Kouseiren Takaoka Hospital, Toyama, Japan.
Tatsuya MoritaDepartment of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Ryuji HayashiDepartment of Clinical Oncology, Toyama University Hospital, 2630 Sugitani, Toyama, Toyama Prefecture, 930-0194, Japan.
Kouseiren Takaoka Hospital · JPToyama University Hospital · JPMeijo University · JPSeirei Mikatabara General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStaying at home during the dying process is important for many patients; and palliative care units (PCUs) can help facilitate home death. This study compared patient survival between those who were discharged to home from a palliative care unit and those who were not, and aimed to identify the factors associated with home death after the discharge.

methodsThis retrospective cohort study used a database of patients admitted to a palliative care unit at Kouseiren Takaoka Hospital in Japan. All consecutive patients admitted to the hospital's PCU between October 2016 and March 2020 were enrolled. Patient survival and factors potentially associated with survival and place of death were obtained. A total of 443 patients with cancer were analyzed, and 167 patients were discharged to home and 276 were not.

resultsPropensity score matching analyses revealed that median survival time was significantly longer in patients who were discharged to home than those who were not (57 vs. 27 days, P < 0.001). Multiple logistic regression analysis identified that worse Palliative Prognostic Index (odds ratio [OR] = 1.21, 95% confidence interval [CI] = 1.03-1.44, p = 0.025) and family members' desire for home death (OR = 6.30, 95% CI = 2.32-17.1, p < 0.001) were significantly associated with home death after their discharge.

conclusionsDischarge to home from palliative care units might have some positive impacts on patient survival.

Indexed as

NeoplasmsPalliative CareCohort StudiesHospitalizationHumansPatient DischargeRetrospective StudiesCohort studyPalliative care unitsPalliative prognostic index

Identifiers

PMID38031054
PMCPMC10688074
OpenAlexW4389180538

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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.