Evidence map›Paper›PMID 41969842›Full record

ArticleFuture healthcare journal2026

Good care for older people at the end of life: Shared responsibilities, flexible boundaries.

Felicity Dewhurst, Polly M Edmonds, Rowan H Harwood, Daniel S Furmedge

Abstract read
In one paragraph

Article in Future healthcare journal, 2026. 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.

Felicity DewhurstPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Polly M EdmondsDepartment of Palliative Care, King's College Hospital, London, UK.
Rowan H HarwoodSchool of Health Sciences, University of Nottingham, Nottingham, UK.
Daniel S FurmedgeCentre for Ageing Resilience in a Changing Environment (CARICE), King's College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The majority of deaths occur among older adults, many living with frailty, multimorbidity, disability and/or cognitive impairment. When care is organised around single diseases and episodic crises, people can experience fragmented, reactive care and burdensome interventions. We argue that good end-of-life care is a shared responsibility across settings, requiring flexible boundaries between geriatric medicine, palliative care, primary care, social care and the voluntary sector. Clinical vignettes illustrate challenges including prognostic uncertainty, treatment burden, transitions between services, and achieving preferred place of care and death. We propose neighbourhood-based, person-centred care that anticipates deterioration: shared decision-making and parallel planning; minimising treatment burden (including deprescribing); coordinated anticipatory care plans with accessible records; and timely care in the last months focused on comfort, dignity and family support. Delivery depends on appropriate funding and workforce capacity.

Indexed as

End of life careFrailtyMultimorbidityOlder peoplePalliative care

Identifiers

PMID41969842
PMCPMC13063255

What OpenQuestion holds

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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.