Evidence map›Paper›PMID 40624669›Full record

ArticleBMC palliative care2025

Mapping end-of-life care in India: a scoping review to identify gaps in policy, practice, and psychosocial support.

Babita P A Varkey, Arun Ghoshal, Naveen Salins, Catriona R Mayland

Abstract readScoping Review
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  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

4 authors.

Babita P A VarkeyKarunashraya - Bangalore Hospice Trust, Old Airport Varthur Main Road, Kundalahalli Gate, Marathahalli, Bangalore, 560037, Karnataka, India.
Arun GhoshalDepartment of Palliative Medicine and Supportive Care, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India.
Naveen SalinsDepartment of Palliative Medicine and Supportive Care, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India. naveen.salins@manipal.edu.
Catriona R MaylandSchool of Medicine and Population Health, University of Sheffield, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2RX, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle about access to palliative and end-of-life care in India is known.

aimTo map various facets of end-of-life care in India, from perceptions of stakeholders to capacity and quality of care, training, and education, and to identify the current gaps in end-of-life care delivery.

designA scoping literature review was conducted, with the protocol registered on the Open Science Framework, on November 29, 2023 ( https://osf.io/twc9j ). DATA SOURCES: Between January 1, 1990, and May 31, 2024, an electronic literature search was conducted using the MEDLINE, SCOPUS, CINAHL, EMBASE, and PSYCHINFO databases, as well as citations and grey literature.

resultsThe availability and accessibility of end-of-life care are limited to a few geographical regions, primarily urban areas. While some states have community-based programs, most end-of-life care practices are concentrated in hospitals, especially intensive care units. Patients frequently lack access to essential medications, such as morphine, as well as appropriately trained medical professionals and adequate infrastructure. Financial difficulties, limited knowledge, social stigma toward the terminally ill and dying, and the psychological and physical burdens of care add to the challenges faced by stakeholders.

conclusionThe availability and accessibility of end-of-life care in India are fragmented. A comprehensive strategy that includes policy and legislative reforms, education, and expanded palliative services is crucial for improving the quality of end-of-life care across the country.

Indexed as

Health PolicyPsychosocial Support SystemsTerminal CareHumansIndiaPalliative CareCaregiversHospice careIndiaPalliative careTerminal care

Identifiers

PMID40624669
PMCPMC12235897

What OpenQuestion holds

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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.