Evidence map›Paper›PMID 32631907›Full record

ArticleBMJ (Clinical research ed.)2020

Association between palliative care and healthcare outcomes among adults with terminal non-cancer illness: population based matched cohort study.

Kieran L Quinn, Therese Stukel, Nathan M Stall, Anjie Huang, Sarina Isenberg, Peter Tanuseputro, Russell Goldman, Peter Cram, Dio Kavalieratos, Allan S Detsky and 1 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ (Clinical research ed.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 4 pooled it
11.4field-weighted citation impact, top 1% of its field
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

61 citing papers in PubMed, 4 syntheses or guidelines pooled it, 114 citations in OpenAlex.

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  6. Trends in place of death in Peru, 2017-2024: a nationwide analysis.Archives of public health = Archives belges de sante publique · 2026
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Kieran L QuinnDepartment of Medicine, University of Toronto, Toronto, ON, Canada kieran.quinn@sinaihealth.ca.ORCID 0000-0002-1681-5170
Therese StukelInstitute for Clinical Evaluative Sciences (ICES), Toronto and Ottawa, ON, Canada.
Nathan M StallInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Anjie HuangInstitute for Clinical Evaluative Sciences (ICES), Toronto and Ottawa, ON, Canada.
Sarina IsenbergLunenfeld-Tanenbaum Research Institute, Toronto, ON, Canada.
Peter TanuseputroInstitute for Clinical Evaluative Sciences (ICES), Toronto and Ottawa, ON, Canada.
Russell GoldmanTemmy Latner Centre for Palliative Care, Toronto, ON, Canada.
Peter CramDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Dio KavalieratosDepartment of Medicine, Emory University, Atlanta, GA, USA.
Allan S DetskyDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Chaim M BellDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
University of Toronto · CAEmory University · USInstitute for Clinical Evaluative Sciences · CASinai Health System · CAUniversity of Ottawa · CA

Funding

INTEGRATING PALLIATIVE CARE WITH DISEASE MANAGEMENT TO IMPROVE OUTCOMES AMONG PATIENTS WITH ADVANCED HEART FAILURE: INTERVENTIONAL RESEARCH CAREER DEVELOPMENTK01HL133466 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAVALIERATOS, DIONYSIOS · 2016 to 2019
$527k
6 · The paper itself

Abstract

objectiveTo measure the associations between newly initiated palliative care in the last six months of life, healthcare use, and location of death in adults dying from non-cancer illness, and to compare these associations with those in adults who die from cancer at a population level.

designPopulation based matched cohort study.

settingOntario, Canada between 2010 and 2015.

participants113 540 adults dying from cancer and non-cancer illness who were given newly initiated physician delivered palliative care in the last six months of life administered across all healthcare settings. Linked health administrative data were used to directly match patients on cause of death, hospital frailty risk score, presence of metastatic cancer, residential location (according to 1 of 14 local health integration networks that organise all healthcare services in Ontario), and a propensity score to receive palliative care that was derived by using age and sex.

main outcome measuresRates of emergency department visits, admissions to hospital, and admissions to the intensive care unit, and odds of death at home versus in hospital after first palliative care visit, adjusted for patient characteristics (such as age, sex, and comorbidities).

resultsIn patients dying from non-cancer illness related to chronic organ failure (such as heart failure, cirrhosis, and stroke), palliative care was associated with reduced rates of emergency department visits (crude rate 1.9 (standard deviation 6.2)

conclusionsThese findings highlight the potential benefits of palliative care in some non-cancer illnesses. Increasing access to palliative care through sustained investment in physician training and current models of collaborative palliative care could improve end-of-life care, which might have important implications for health policy.

Indexed as

AgedAged, 80 and overCase-Control StudiesChronic DiseaseCohort StudiesEmergency Service, HospitalFemaleHospitalizationHumansIntensive Care UnitsMaleNeoplasmsOntarioPalliative CareTerminally Ill

Identifiers

PMID32631907
PMCPMC7336238
OpenAlexW3039949814

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.