Evidence map›Paper›PMID 40645632›Full record

ArticleBMJ open2025

Palliative care and its association with the quality of death in patients with advanced cancer in China: a cross-sectional study with a family caregivers' perspective.

Binbin Wen, Fang Xie, Jun Ma, Jiarui Chen, Li Liang, Qian Zeng, Jinfeng Ding, Siyuan Tang

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Binbin WenXiangya School of Nursing, Central South University, Changsha, Hunan, China.
Fang XieXiangya School of Nursing, Central South University, Changsha, Hunan, China.
Jun MaXiangya School of Nursing, Central South University, Changsha, Hunan, China.
Jiarui ChenXiangya School of Nursing, Central South University, Changsha, Hunan, China.
Li LiangXiangya School of Nursing, Central South University, Changsha, Hunan, China.
Qian ZengXiangya School of Nursing, Central South University, Changsha, Hunan, China.
Jinfeng Ding *Xiangya School of Nursing, Central South University, Changsha, Hunan, China.ORCID 0000-0002-8783-8919
Siyuan Tang *Xiangya School of Nursing, Central South University, Changsha, Hunan, China tsycongcong@126.com.ORCID 0000-0001-9940-5072

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the factors influencing palliative care utilisation in patients with advanced cancer and to assess its association with the quality of death (QOD).

designA cross-sectional study.

settingThis study was conducted in tumour hospitals in the Hunan and Sichuan provinces of China. In 2021, the country launched a 'palliative care standard wards' project, identifying 16 medical institutions as the first pilot sites.

participantsDeceased patients who met the admission criteria for a standard palliative care unit were the study subjects, and their caregivers were recruited for questionnaires.

interventionsNo interventions were applied in this study. PRIMARY AND SECONDARY OUTCOME MEASURES: A self-reported questionnaire survey was administered to caregivers of deceased patients with advanced cancer in mainland China. Binary logistic regression was used to identify factors influencing palliative care utilisation. The association between utilisation of palliative care and the QOD was tested using an independent samples t-test.

resultsOf 947 patients, 342 (36.1%) received palliwiative care. Data were collected from 400 caregivers (42.2%). Palliative care utilisation was associate with intrusion operation (adjusted OR (aOR): 1.7, 95% CI: 1.05 to 2.92, p=0.032) and relationship with patients caregiver age (aOR=6.5, 95% CI: 3.6 to 12.7, p<0.001). Additionally, longer caregiving duration, high school or junioreducational level (aOR:=0.5, p=0.024), and caregiver retirement status were associated with palliative care utilisation. Patients receiving palliative care scored higher on the Good Death Inventory (96.2 (13.0) vs 107.22 (9.6), t = -9.8, p<0.000). The most significant differences were observed in the dimensions of 'passing away in a place that meets the patient's wishes,' 'unawareness of death' and 'remaining hopeful and happy.'

conclusionsPatient and caregiver characteristics influence palliative care utilisation, and use of palliative care contributes positively to most dimensions of the QOD. Future research should further explore multiple factors influencing palliative care utilisation and examine whether they contribute to the QOD.

Indexed as

CaregiversNeoplasmsPalliative CareAdultAgedAged, 80 and overChinaCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMiddle AgedSurveys and QuestionnairesAgingHealth Services AccessibilityPALLIATIVE CAREQuality in health care

Identifiers

PMID40645632
PMCPMC12248196

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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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.