Evidence map›Paper›PMID 40287652›Full record

SynthesisBMC palliative care2025

Ethnic inequalities in palliative care prescribing in high income countries - a rapid systematic review.

Tafadzwa Patience Kunonga, Eugenie Evelynne Johnson, Usvah Din, Elizabeth Westhead, Felicity Dewhurst, Barbara Hanratty

Abstract readSystematic Review
In one paragraph

Synthesis in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
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

6 authors.

Tafadzwa Patience Kunonga *National Institute for Health and Care Research (NIHR) Policy Research Unit in Older People and Frailty/Healthy Ageing, Population Health Sciences Institute, Newcastle University, Newcastle-Upon-Tyne, NE4 5PL, UK. patience.kunonga@newcastle.ac.uk.ORCID https://orcid.org/0000-0002-6193-1365
Eugenie Evelynne Johnson *Biomedical Research Building, Population Health Sciences Institute, Newcastle University, Newcastle , Newcastle Upon Tyne, NE4 5PL, UK.ORCID https://orcid.org/0000-0003-3324-7141
Usvah DinBiomedical Research Building, Population Health Sciences Institute, Newcastle University, Newcastle , Newcastle Upon Tyne, NE4 5PL, UK.ORCID https://orcid.org/0009-0002-4229-7124
Elizabeth WestheadBiomedical Research Building, Population Health Sciences Institute, Newcastle University, Newcastle , Newcastle Upon Tyne, NE4 5PL, UK.ORCID https://orcid.org/0009-0003-3233-5155
Felicity DewhurstBiomedical Research Building, Population Health Sciences Institute, Newcastle University, Newcastle , Newcastle Upon Tyne, NE4 5PL, UK.ORCID https://orcid.org/0000-0001-9648-5329
Barbara HanrattyNational Institute for Health and Care Research (NIHR) Policy Research Unit in Older People and Frailty/Healthy Ageing, Population Health Sciences Institute, Newcastle University, Newcastle-Upon-Tyne, NE4 5PL, UK.ORCID https://orcid.org/0000-0002-3122-7190

Funding

National Institute for Health and Care Research (NIHR) Policy Research Unit in Older People and Frailty PR-PRU-1217-2150NIHR Policy Research Unit in Healthy Ageing NIHR206119
6 · The paper itself

Abstract

backgroundEffective palliative care involves managing the many symptoms commonly experienced towards the end-of-life. Appropriate prescribing is key to this care, and ethnic inequalities may lead to unequal treatment and poorer outcomes for minority groups. Understanding these disparities is critical to ensuring equitable care. This rapid systematic review investigates ethnic inequalities in palliative care prescribing amongst adults residing in high-income countries.

methodsThe review was registered with the International Prospective Register of Systematic Reviews (PROSPERO) under registration number CRD42023476977. We conducted searches across three electronic databases (MEDLINE, Embase, and CINAHL) from January 2000 to November 2023. Screening, data extraction and quality assessment were conducted independently by two reviewers. Quality was assessed using various JBI Critical Appraisal tools. Due to the heterogeneity of included studies, a narrative review was undertaken without a meta-analysis.

resultsOut of 7880 studies identified, 10 studies met the inclusion criteria, all conducted in the United States. Overall, five studies were deemed to be high quality and five were fair quality. The studies highlighted ethnic disparities in palliative care prescribing. Minority populations were less likely to receive pain management medications, particularly opioids, compared to non-Hispanic whites. Increased age, female gender, lower socioeconomic status, and place of residence were also related to differences in prescribing practices.

conclusionsThis rapid systematic review suggests that there are ethnic inequalities in palliative care symptom management prescribing, highlighting a possible gap in care for ethnic minority patients. Research beyond the USA is needed to understand if there are international disparities in palliative care prescribing.

Indexed as

EthnicityHealthcare DisparitiesPalliative CareDeveloped CountriesHumansEthnic inequalitiesHigh-income countriesPalliative carePrescribingRapid systematic reviewSymptom management

Identifiers

PMID40287652
PMCPMC12034175

What Socratic 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 Socratic graph.