Evidence map›Paper›PMID 38693716›Full record

SynthesisPalliative medicine2024

Primary palliative care in low- and middle-income countries: A systematic review and thematic synthesis of the evidence for models and outcomes.

Anna Peeler, Oladayo Afolabi, Michael Adcock, Catherine Evans, Kennedy Nkhoma, Dorothee van Breevoort, Lindsay Farrant, Richard Harding

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Palliative medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
26.1field-weighted citation impact, top 1% 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

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  12. Palliative Treatment and Traditional Medicine Among Patients with Cancer in Kumasi, Ghana: Needs for Patient Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
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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

8 authors at 3 institutions in 3 countries.

Anna PeelerKing's College London, Florence Nightingale Faculty of Nursing, Midwifery & Palliative care, Cicely Saunders Institute, London, UK.ORCID 0000-0003-4113-9714
Oladayo AfolabiKing's College London, Florence Nightingale Faculty of Nursing, Midwifery & Palliative care, Cicely Saunders Institute, London, UK.ORCID 0000-0001-7420-2957
Michael AdcockKing's College London, Florence Nightingale Faculty of Nursing, Midwifery & Palliative care, Cicely Saunders Institute, London, UK.
Catherine EvansKing's College London, Florence Nightingale Faculty of Nursing, Midwifery & Palliative care, Cicely Saunders Institute, London, UK.ORCID 0000-0003-0034-7402
Kennedy NkhomaKing's College London, Florence Nightingale Faculty of Nursing, Midwifery & Palliative care, Cicely Saunders Institute, London, UK.
Dorothee van BreevoortKamuzu University of Health Sciences, Department of Family Medicine, Blantyre, Malawi.ORCID 0000-0003-3122-0252
Lindsay FarrantUniversity of Cape Town, Cape Town, South Africa.ORCID 0000-0002-1997-429X
Richard HardingKing's College London, Florence Nightingale Faculty of Nursing, Midwifery & Palliative care, Cicely Saunders Institute, London, UK.ORCID 0000-0001-9653-8689
King's College London · GBKamuzu Central Hospital · MWUniversity of Cape Town · ZA

Funding

UK Medical Research Council MR/T037660/1
6 · The paper itself

Abstract

backgroundSerious health-related suffering is predicted to double in low- and middle-income countries by 2060. Primary care offers the best opportunity to meet Universal Health Coverage in an equitable way. Primary palliative care growth should be evidence-based to ensure provision is feasible, acceptable and culturally congruent.

aimTo identify the current evidence related to primary palliative care and to describe how primary palliative is defined in this setting, dominant typologies of care and meaningful outcome measures in LMICs.

designA systematic review and thematic synthesis was conducted. We described the nature, extent and distribution of published literature on primary palliative care in low- and middle-income countries, use thematic synthesis to characterize typologies of primary palliative care and design a process model for care delivery in low- and middle-income countries. DATA SOURCES: Medline, Psychinfo, Global Health, Embase and CINAHL.

resultsThirty-five publications were included. Nearly half took place in Asia (

conclusionEvidence supporting primary palliative care in low- and middle-income countries is limited, and much of the published literature comes from Asia and southern Africa. Health systems in low- and middle-income countries have unique strengths and needs that affect primary palliative care services that should guide how services evolve to meet future need.

Indexed as

Developing CountriesPalliative CarePrimary Health CareHumansdeveloping countriesPalliative careprimary health care

Identifiers

PMID38693716
PMCPMC11487876
OpenAlexW4396591075

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.