Evidence map›Paper›PMID 39856715›Full record

ArticleBMC palliative care2025

Telehealth-facilitated palliative care enables more people to die at home: An analysis of clinical outcomes and service activity data.

Helen M Haydon, Mojtaba Lotfaliany, Andrew Broadbent, Centaine L Snoswell, Anthony C Smith, Julie-Ann Brydon, Liam J Caffery, Emma E Thomas

Abstract read
In one paragraph

Article in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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.

Helen M HaydonCentre for Online Health, The University of Queensland, Brisbane, Australia. h.haydon@uq.edu.au.ORCID http://orcid.org/0000-0001-9880-9358
Mojtaba LotfalianyCentre for Online Health, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0001-6594-9004
Andrew BroadbentGold Coast Specialist and Supportive Palliative Care service, Gold Coast Hospital, Robina, Australia.ORCID http://orcid.org/0000-0003-3987-4998
Centaine L SnoswellCentre for Online Health, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0002-4298-9369
Anthony C SmithCentre for Online Health, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0002-7756-5136
Julie-Ann BrydonGold Coast Specialist and Supportive Palliative Care service, Gold Coast Hospital, Robina, Australia.ORCID http://orcid.org/0000-0002-0401-0973
Liam J CafferyCentre for Online Health, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0003-1899-7534
Emma E ThomasCentre for Online Health, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0001-8415-0521

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelehealth-facilitated models of palliative care are a patient-focused way to deliver specialist care in or closer to home for people with a life-limiting illness. Telehealth can increase access to palliative care and support people experiencing symptoms of advanced disease in their own home, reducing the discomfort of travel. This retrospective cohort study examines the activity and outcomes of a regional telehealth-facilitated palliative care service to (i) describe which patients are most likely to use telehealth; and (ii) explore possible impacts of telehealth on patient outcomes including place of death, timely access to care, responsiveness to urgent needs and pain management.

methodsAnalysis of service activity data (patient demographics, care modality, consultation frequency) and Palliative Care Outcomes Collaborative data registry (place of death, timely access to palliative care, responsiveness to urgent needs as measured by time in unstable phase, pain management) were undertaken. Outcomes were compared between patients who had no videoconsultations (n = 683) and those who had one or more videoconsultations (n = 524).

resultsCompared to people who had no videoconsultations, those who had at least one appointment via video were: more than twice as likely to die at home and spent a shorter amount of time in the unstable phase of palliation. Mixed results were found regarding timely access to palliative care. There was no significant difference in pain management between consultation modes.

conclusionTelehealth-facilitated palliative care has multiple benefits, including the increased likelihood of fulfilling someone's wish to die at home, often their preferred place of death.

Indexed as

Home Care ServicesPalliative CareAdultAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesTelemedicinepalliative carepreferred place of deathtelehealthtelemedicinetelepalliative care

Identifiers

PMID39856715
PMCPMC11759443

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.