Evidence map›Paper›PMID 39218926›Full record

ArticleBMC medicine2024

Past trends and future projections of palliative care needs in Chile: analysis of routinely available death registry and population data.

Javiera Leniz, Angélica Domínguez, Anna E Bone, Simon Etkind, Pedro E Perez-Cruz, Katherine E Sleeman

Abstract read
In one paragraph

Article in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trends in place of death in Peru, 2017-2024: a nationwide analysis.Archives of public health = Archives belges de sante publique · 2026
    Article
  2. Article
  3. 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

6 authors.

Javiera LenizDepartamento de Salud Pública, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. jleniz@uc.cl.ORCID 0000-0002-9315-4871
Angélica DomínguezDepartamento de Salud Pública, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Anna E BoneCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Simon EtkindDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Pedro E Perez-CruzSección Medicina Paliativa, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Katherine E SleemanCicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of people with palliative care needs is projected to increase globally. Chile has recently introduced legislation for universal access to palliative care services for patients with severe and terminal illnesses, including non-cancer conditions. We aimed to estimate the number of people affected by serious health-related suffering and need for palliative care in Chile to 2050.

methodsWe used data on all deaths registered in Chile between 1997-2019 and population estimates for 1997-2050. We used Poisson regression to model past trends in causes of death adjusted by age, sex and population estimates, to project the number of deaths for each cause from 2021 to 2050. We applied the Lancet Commission on Palliative Care and Pain Relief weights to these projections to identify decedents and non-decedents with palliative care needs.

resultsPopulation palliative care needs in Chile are projected to increase from 117 (95% CI 114 to 120) thousand people in 2021 to 209 (95% CI 198 to 223) thousand people in 2050, a 79% increase (IRR 1.79; 95% CI 1.78-1.80). This increase will be driven by non-cancer conditions, particularly dementia (IRR 2.9, 95% CI 2.85-2.95) and cardiovascular conditions (IRR 1.86, 95% CI 1.83-1.89). By 2050, 50% of those estimated to need palliative care will be non-decedents (not expected to die within a year).

conclusionsChile will experience a large increase in palliative care needs, particularly for people with dementia and other non-cancer conditions. Improved availability of high-quality services, expanded clinician training and new sustainable models of care are urgently required to ensure universal access to palliative care.

Indexed as

Palliative CareRegistriesAdolescentAdultAgedAged, 80 and overCause of DeathChildChild, PreschoolChileFemaleForecastingHealth Services Needs and DemandHumansInfantMalePalliative care needsPopulation estimationsProjectionsSerious health-related suffering

Identifiers

PMID39218926
PMCPMC11367822

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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.