Evidence map›Paper›PMID 39724503›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Social factors affecting home-based end-of-life care for patients with cancer and primary caregivers.

Shuji Hiramoto, Ryu Hashimoto, Tatsuya Morita, Yoshiyuki Kizawa, Satoru Tsuneto, Yasuo Shima, Kento Masukawa, Mitsunori Miyashita, Masahito Hitosugi

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 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

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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.

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4 · The record

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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

9 authors.

Shuji HiramotoDepartment of Internal Medicine, Oncology and Palliative Care, Medical Corporation Heiwa-No-Mori, Peace Homecare Clinic, Otsu, Japan. otomari1rx.8@gmail.com.
Ryu HashimotoDepartment of Internal Medicine, Oncology and Palliative Care, Medical Corporation Heiwa-No-Mori, Peace Homecare Clinic, Otsu, Japan.
Tatsuya MoritaDepartment of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Yoshiyuki KizawaDepartment of Palliative and Supportive Care, College of Medical Sciences, University of Tsukuba, Tsukuba, Japan.
Satoru TsunetoKyoto University Graduate School of Medicine, Kyoto, Japan.
Yasuo ShimaTsukuba Medical Center, Public Interest Foundation, Tsukuba, Japan.
Kento MasukawaDepartment of Palliative Nursing, Health Sciences Major, Tohoku University Graduate School of Medicine, Sendai, Japan.
Mitsunori MiyashitaDepartment of Palliative Nursing, Health Sciences Major, Tohoku University Graduate School of Medicine, Sendai, Japan.
Masahito HitosugiDivision of Legal Medicine, Shiga University of Medical Science, Otsu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to explore the social factors of patients and caregivers, including those related to their wishes for home-based end-of-life care that influence its fulfillment.

methodsA secondary analysis was conducted using the dataset (home-based end-of-life care N = 625, hospital end-of-life care N = 7603) Comprehensive patient-based survey conducted by The Study on Quality Evaluation of Hospice and Palliative Care by Bereaved Caregivers (J-HOPE 4) and multivariate analysis (multiple logistic regression) to explore the impact of social factors of patients and caregivers on the fulfillment of home-based end-of-life care. The explanatory variables included 11 social factors of patients, such as age and sex, and 18 social factors of primary caregivers.

resultsFor patients with medical expenses less than 900 USD (OR, 2.05), annual income of fewer than 36,000 USD (OR 0.669), preferences for home care (OR 1.49), preferences to die at home (OR 1.58), wish to die at home (OR 1.52), and lack of patient's financial well-being (OR 0.72) were significant factors associated with home-based end-of-life care. Significant factors relating to caregivers included male caregivers (OR 0.66), poor mental state (OR 0.79), ability to provide daily care (OR 3.02), experience of caring for a deceased family member (OR 0.66), presence of alternative caregivers (OR 0.78), and cohabitation with caregivers (OR 1.47).

conclusionPatient preferences, social situations, primary caregivers' social situations, and mental states influenced home-based end-of-life care.

Indexed as

CaregiversHome Care ServicesPalliative CareTerminal CareTerminally IllAdultAgedAged, 80 and overFemaleHospice CareHumansMalePatient PreferenceSocial FactorsSurveys and QuestionnairesCancer patientsCaregiversEnd-of-lifeHome-based care

Identifiers

PMID39724503

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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.