Cochrane · systematic review · CD009231

Hospital at home: home‐based end‐of‐life care

Shepperd, S, Gonçalves-Bradley, DC, Straus, SE, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Effective Practice and Organisation of Care3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 4 · 57.1%Low 2 · 28.6%Moderate 0 · 0%High 1 · 14.3%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

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Participant outcomes for home‐based end‐of‐life care

Population: people referred for end‐of‐life care
7 questions
OutcomeEffectEvidenceStatus / GRADE
Place of death (home)
RR 1.31 [1.12, 1.52]2 studies · 539 participantsHigh
Unplanned admission to hospital
no estimate extracted3 studies · 710 participantsLow
Downgraded: risk of bias, inconsistency
Participant health outcomes, including control of symptoms
no estimate extracted1 study · 168 participantsVery low
Downgraded: imprecision, indirectness
Patient satisfaction
no estimate extracted2 studies · 199 participantsLow
Downgraded: imprecision, inconsistency
Caregiver outcomes
no estimate extracted2 studies · 400 participantsVery low
Downgraded: imprecision, indirectness
Staff views on the provision of services
no estimate extracted1 study · 176 participantsVery low
Downgraded: imprecision, indirectness
Health service resource use and cost
no estimate extracted2 studies · 199 participantsVery low
Downgraded: imprecision, inconsistency, indirectness