SynthesisJournal of palliative medicine2026
What Do We Know About Hospice Enrollment for Nursing Home Residents with Cognitive Disabilities? A Systematic Review.
Synthesis in Journal of palliative medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundAt least 42% of nursing home (NH) residents live with cognitive disability, commonly associated with neurocognitive disorders (e.g., dementia), defined as difficulty concentrating, learning new things, remembering, or making decisions. The population of individuals with cognitive disabilities who qualify for hospice (end-of-life [EOL] care that reduces symptoms and promotes quality of life) in NHs is increasing. However, little is known about hospice enrollment for this population. This information is essential to clarify disparities in hospice access and guide efforts to improve EOL care for this population.
objectiveTo systematically review available evidence on hospice enrollment among US NH residents with cognitive disabilities.
methodsThis review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive search of PubMed, CINHAL, Web of Science, and Google Scholar was conducted to identify studies. Peer-reviewed, English-language articles published before February 28, 2025, were included. The Joanna Briggs Institute Analytical Cross-Sectional Studies Appraisal Tool was used to assess study quality.
resultsWe screened 479 titles and abstracts and reviewed 36 full-text articles. Twelve studies met the inclusion criteria. In seven of the 12 studies, a substantial proportion of NH decedents with cognitive disabilities were not enrolled in hospice. Factors associated with increased likelihood of hospice enrollment at the time of death included female sex ( DISCUSSION: This review is the first to systematically examine hospice enrollment among NH residents with cognitive disabilities. Hospice enrollment varied across studies but was consistently lower for NH decedents with cognitive disabilities compared to those without. Future research should include the broader cognitive disability community to assess hospice enrollment and other EOL outcomes, clarify targets for intervention, and address barriers to care.
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