Where the Dying Live: A Systematic Review of Determinants of Place of End-of-Life Cancer Care

2009 ◽  
Vol 36 (1) ◽  
pp. 69-77 ◽  
Author(s):  
Mary Ann Murray ◽  
Valerie Fiset ◽  
Sandra Young ◽  
Jennifer Kryworuchko
Keyword(s):  
Systematic Review ◽  
End Of Life ◽  
Cancer Care

scholarly journals OP35 A systematic review of population-based quality indicators for end of life cancer care

2019 ◽  
Author(s):  
LA Henson ◽  
P Edmonds ◽  
H Johnson ◽  
A Johnston ◽  
CNY Ling ◽  
...  
Keyword(s):  
Systematic Review ◽  
End Of Life ◽  
Quality Indicators ◽  
Cancer Care ◽  
Population Based

scholarly journals End-of-Life Cancer Care Resource Utilisation in Rural Versus Urban Settings: A Systematic Review

2020 ◽  
Vol 17 (14) ◽  
pp. 4955
Author(s):  
Jessica Cerni ◽  
Joel Rhee ◽  
Hassan Hosseinzadeh
Keyword(s):  
Systematic Review ◽  
End Of Life ◽  
Cancer Care ◽  
Service Use ◽  
Care Service ◽  
Resource Utilisation ◽  
Original Research ◽  
Service Utilisation ◽  
Inclusion Criteria ◽  
Urban Rural

Background: Despite the advances in End-of-life (EOL) cancer care, disparities remain in the accessibility and utilisation of EOL cancer care resources. Often explained by socio-demographic factors, geographic variation exists in the availability and provision of EOL cancer care services among EOL cancer decedents across urban versus rural settings. This systematic review aims to synthesise mortality follow-back studies on the patterns of EOL cancer care resource use for adults (>18 years) during end-of-life cancer care. Methods: Five databases were searched and data analysed using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Inclusion criteria involved; a) original research; b) quantitative studies; c) English language; d) palliative care related service use in adults (>18 years) with any malignancy excluding non-melanoma skin cancers; e) exclusive end of life focus; f) urban-rural focus. Narrative reviews and discussions were excluded. Results: 24 studies met the inclusion criteria. End-of-life cancer care service utilisation patterns varied by rurality and treatment intent. Rurality was strongly associated with higher rates of Emergency Department (ED) visits and hospitalisations and lower rates of hospice care. The largest inequities between urban and rural health service utilisation patterns were explained by individual level factors including age, gender, proximity to service and survival time from cancer diagnosis. Conclusions: Rurality is an important predictor for poorer outcomes in end-of-life cancer care. Findings suggest that addressing the disparities in the urban-rural continuum is critical for efficient and equitable palliative cancer care. Further research is needed to understand barriers to service access and usage to achieve optimal EOL care for all cancer patient populations.

Retrospective studies of end-of-life resource utilization and costs in cancer care using health administrative data: A systematic review

2014 ◽  
Vol 28 (10) ◽  
pp. 1167-1196 ◽  
Author(s):  
Julia M Langton ◽  
Bianca Blanch ◽  
Anna K Drew ◽  
Marion Haas ◽  
Jane M Ingham ◽  
...  
Keyword(s):  
Systematic Review ◽  
End Of Life ◽  
Resource Utilization ◽  
Administrative Data ◽  
Cancer Care ◽  
Retrospective Studies ◽  
Health Administrative Data

Resource utilization, costs, and quality of end-of-life cancer care: A systematic review of retrospective cohort studies based on routinely collected data (1990-2011).

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 111-111
Author(s):  
Julia M. Langton ◽  
Bianca Blanch ◽  
Annabelle Drew ◽  
Marion Haas ◽  
Jane M. Ingham ◽  
...  
Keyword(s):  
Systematic Review ◽  
Quality Of Care ◽  
End Of Life ◽  
Resource Utilization ◽  
Administrative Data ◽  
Cancer Care ◽  
Observational Studies ◽  
Cost Driver ◽  
Health Administrative Data

111 Background: The last year of life is one of the most resource intensive periods in cancer care. The aim of this systematic review is to synthesize retrospective observational studies examining resource utilization and costs at the end-of-life period in adult cancer patients. The purpose is to examine study methodology and outcomes, with a particular focus on studies using quality indicators. Methods: We searched Medline, Embase, CINAHL, and York Centre for Research and Dissemination (1990-2011). Two reviewers screened titles and abstracts of 14,424 articles and 835 full-text, potentially relevant articles. Inclusion criteria were: English-language; at least one resource utilization or cost outcome in adult cancer decedents with solid tumors; outcomes derived from health administrative data; and an exclusive end-of-life or palliative focus. Results: We reviewed 78 studies examining end-of-life care in over 3.7 million cancer decedents; 55 were from the North America; and 33 published since 2008. We observed exponential increases in service use and costs as death approached. Hospital services were the main cost driver. Palliative services were relatively underutilized, and associated with lower expenditures than hospital-based care. The 15 studies using quality of care indicators demonstrated significant proportions of up to 33% of patients receive chemotherapy or life sustaining treatments in the last month of life; up to 66% do not receive hospice/palliative services. Conclusions: Observational studies using routinely collected health administrative data have the potential to drive evidence-based palliative care practice and policy. Further refinement of quality of care markers will enhance benchmarking activities across health care jurisdictions, providers, and patient populations.

scholarly journals Effects of dignity therapy on palliative patients’ family members: A systematic review

2021 ◽  
pp. 1-10
Author(s):  
Leonor Grijó ◽  
Carolina Tojal ◽  
Francisca Rego
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
End Of Life ◽  
Meaning In Life ◽  
Family Members ◽  
Cochrane Library ◽  
Publication Date ◽  
Dignity Therapy ◽  
Bibliographic Search ◽  
Palliative Patients

Abstract Objective Dignity therapy (DT) is a kind of psychotherapy that identifies the main concerns of end-of-life patients that affect their perception of dignity and helps them to find a new meaning in life. Most prior studies on DT analyze outcomes for palliative care patients. The aim of this systematic review is to explore the outcomes of DT in palliative care patients’ family members. Method In June 2020, a bibliographic search was performed using the terms “Dignity Therapy” and “Palliative Care” in the following databases: Cochrane library, TRIP database, PUBMED, Scopus, and Web of Knowledge. Of the 294 articles found, 8 met the selection criteria and were considered in the present study. No articles were excluded based on their publication date. Results Family members generally believe that DT helps them to better prepare the patient's end-of-life and overcome the bereavement phase. The legacy document was considered a source of comfort, and most would recommend DT to other people in their situation. DT is generally considered as important as any other aspect of the patient's treatment. Significance of results There is evidence of the benefits of DT for palliative patients’ family members. However, there are still few studies that evaluate these outcomes. The existing evidence is poorly generalized, and thus, further studies are needed to deeply explore the benefits of this therapy both for patients and their families.

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