Evidence mapPaperPMID 39616320Full record

ArticleBMC palliative care2024

Supportive and palliative care needs among older adults in India: an estimation using a nationally representative survey.

Terrymize Immanuel, Naveen Salins, Benson Thomas M, Jenifer Jeba Sundararaj, Roop Gursahani

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Article in BMC palliative care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
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4citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Terrymize ImmanuelSRMIST (Deemed to be University), School of Public Health, Kattankulathur, Chennai, Tamil Nadu, 603203, India. iterrymize@gmail.com.
Naveen SalinsDepartment of Palliative Medicine and Supportive Care, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, 576104, India.
Benson Thomas MSRMIST (Deemed to be University), School of Public Health, Kattankulathur, Chennai, Tamil Nadu, 603203, India. bensontm@srmist.edu.in.
Jenifer Jeba SundararajDepartment of Palliative Medicine, Christian Medical College, Vellore, Tamil Nadu, India.
Roop GursahaniDepartment of Neurology, PD Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim Mumbai, Maharashtra, 400016, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne in five people will be older than 60 by the year 2050 in India. This demographic transition demands integration of geriatric and palliative care. The national level burden of palliative and supportive care needs of the older population is largely unknown in India. This study estimates the burden of palliative care needs among the older population in India from a nationally representative survey - Longitudinal Ageing Study of India (LASI).

methodsThe general indicators of poor or deteriorating health from the Supportive and Palliative Care Indicator Tool for Low Income Setting were used to identify older adults with palliative care needs. These indicators were compared with the LASI data and matched with the appropriate variables. Descriptive statistical analysis, chi-square tests and multivariate logistic regression were done to estimate palliative care needs and its association with other characteristics.

results12.2% of Indian older adults have supportive and palliative care needs. Among Indian states, highest for West Bengal (17%), Madhya Pradesh (16.9%), and Bihar (16.3%) while lowest in Arunachal Pradesh (2.2%), Nagaland (2.4%), and Mizoram (3%). High needs were found among those aged 70 years and above (AOR-1.86), females (AOR-1.33), Muslim religion (AOR-1.24), rural residents (AOR-1.72), those who experienced ill-treatment (OR-1.75), with cancer (AOR-2.84), respiratory disease (AOR-3.14), and stroke (AOR-2.58). Lower needs were observed with higher education (AOR-0.43) and health insurance (AOR-0.83).

conclusionThis is the first study in India that estimates the need for supportive and palliative care using a nationally representative sample. One among eight older adults in India has supportive and palliative care needs. The needs are higher among female older adults, rural residents, older adults with chronic diseases, and in poorer States. Screening and early integration of palliative care with routine healthcare care is essential to meet these needs.

Indexed as

Palliative CareAgedAged, 80 and overFemaleHealth Services Needs and DemandHumansIndiaLogistic ModelsLongitudinal StudiesMaleMiddle AgedNeeds AssessmentSurveys and QuestionnairesLASINeed estimationOlder adultsPalliative careSPICT-LISSupportive care

Identifiers

PMID39616320
PMCPMC11608499

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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.