Evidence map›Paper›PMID 40908745›Full record

SynthesisPalliative medicine2025

Models, components and outcomes of palliative and end-of-life care provided to adults living at home: A systematic umbrella review of reviews.

Sophie Pask, Chukwuebuka Okwuosa, Ahmed Mohamed, Rebecca Price, Jennifer Young, Thomas Curtis, Stuart Henderson, Ishbel Winter-Luke, Anisha Sunny, Rachel L Chambers and 7 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Palliative medicine, 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.

  1. Article
  2. Article
  3. Review
  4. Palliative care: what's the evidence?Clinical medicine (London, England) · 2025
    Review
  5. 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

17 authors.

Sophie PaskWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.ORCID 0000-0001-6152-1940
Chukwuebuka OkwuosaWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.ORCID 0009-0003-6138-7966
Ahmed MohamedWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Rebecca PriceWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Jennifer YoungWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Thomas CurtisCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.
Stuart HendersonCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.
Ishbel Winter-LukeWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Anisha SunnyWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Rachel L ChambersCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.ORCID 0000-0001-6945-5028
Sarah GreenleyHull York Medical School, University of Hull, Hull, UK.ORCID 0000-0002-3788-6437
Therese JohanssonCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.ORCID 0000-0001-6101-5925
Anna E BoneCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.ORCID 0000-0002-8800-9581
Stephen BarclayDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Irene J HigginsonCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.ORCID 0000-0002-3687-1313
Katherine E SleemanCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.ORCID 0000-0002-9777-4373
Fliss Em MurtaghWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.ORCID 0000-0003-1289-3726

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is growing demand for home-based palliative care because of patient preference, and increased number of deaths. Optimal models for community-based palliative and end-of-life care are unknown.

aimTo identify, synthesise and describe review-level evidence to better understand models of palliative and end-of-life care for adults living at home, and examine components of these models and their association with outcomes.

designSystematic umbrella review, using key concepts established a priori from Firth et al. and Brereton et al.''s model descriptions. Quality assessment used AMSTAR-2 or equivalent. DATA SOURCES: MEDLINE, EMBASE, CINAHL, Cochrane Database, Epistemonikos (inception - 2024), supplemented by CareSearch, PROSPERO and citation searches.

resultsFrom 6683 initial papers,

conclusionThis meta-level evidence supports provision of in-home palliative care, with most review level evidence showing positive effect on patient outcomes. There was also evidence to support specialist palliative care and integration of primary palliative care with specialist support.

Indexed as

Home Care ServicesPalliative CareTerminal CareAdultAgedFemaleHumansMaleReview Literature as Topicadvance care planningafter-hours carecaregiverscommunity health servicescost-benefit analysishome care servicesoutpatient carePalliative caretelemedicineterminal care

Identifiers

PMID40908745
PMCPMC12640366

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.