Evidence map›Paper›PMID 41652311›Full record

ArticlePalliative medicine2026

Defining and measuring unmet palliative care needs among people with life-limiting illness: A scoping review of international evidence.

Therese Johansson, Melanie F J Diggle, Anne Finucane, Joanna M Davies, Irene J Higginson, Katherine E Sleeman, Lorna K Fraser, Fliss E M Murtagh, Anna E Bone

Abstract readScoping Review
In one paragraph

Article in Palliative medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

9 authors.

Therese JohanssonCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.ORCID 0000-0001-6101-5925
Melanie F J DiggleCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.ORCID 0000-0002-4137-1946
Anne FinucaneClinical Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-3056-059X
Joanna M DaviesCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.ORCID 0000-0002-6375-0023
Irene J HigginsonCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.ORCID 0000-0002-3687-1313
Katherine E SleemanCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.ORCID 0000-0002-9777-4373
Lorna K FraserCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.ORCID 0000-0002-1360-4191
Fliss E M MurtaghWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.ORCID 0000-0003-1289-3726
Anna E BoneCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.ORCID 0000-0002-8800-9581

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuantifying palliative care needs and whether they are met is essential for effective service planning and provision. Estimates of palliative care needs are widely reported but less is known about

aimTo investigate how unmet palliative care needs for adults with advanced life-limiting illness have been defined, measured, and reported in the evidence.

designScoping review following the Joanna Briggs Institute guidelines: protocol registered on Open Science Framework (10.17605/OSF.IO/M8DHA). DATA SOURCES: In October 2024, we searched MEDLINE, EMBASE, CINAHL, and PsycINFO for quantitative and mixed-methods studies published after 2000, with backward and forward citation and manual searching of grey literature. Data on definitions, measurement and reporting of unmet needs were extracted, charted, and summarised narratively using inductive content analysis and framework synthesis.

resultsSeventy studies were included: 9 reviews and 61 primary evidence studies from 16 countries. Only 11 (16%) studies explicitly defined unmet palliative care needs. We identified three approaches to measurement of unmet palliative care needs: (1) prevalence of

conclusionsThis novel review identifies a lack of consensus in defining, measuring and reporting unmet palliative care needs. We propose three distinct approaches to conceptualising unmet palliative care needs and outline their strengths and limitations. Practical guidance on their use is provided to support researchers, clinicians, and policymakers in selecting appropriate approaches for assessment and reporting.

Indexed as

Health Services Needs and DemandNeeds AssessmentPalliative CareHumanshealth services needs and demandhospice careneeds assessmentscoping reviewterminal care

Identifiers

PMID41652311
PMCPMC13061314

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.