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
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
Current version onlyParticipant outcomes for home‐based end‐of‐life care
Population: people referred for end‐of‐life care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Place of death (home) | RR 1.31 [1.12, 1.52] | 2 studies · 539 participants | High |
Unplanned admission to hospital | no estimate extracted | 3 studies · 710 participants | Low Downgraded: risk of bias, inconsistency |
Participant health outcomes, including control of symptoms | no estimate extracted | 1 study · 168 participants | Very low Downgraded: imprecision, indirectness |
Patient satisfaction | no estimate extracted | 2 studies · 199 participants | Low Downgraded: imprecision, inconsistency |
Caregiver outcomes | no estimate extracted | 2 studies · 400 participants | Very low Downgraded: imprecision, indirectness |
Staff views on the provision of services | no estimate extracted | 1 study · 176 participants | Very low Downgraded: imprecision, indirectness |
Health service resource use and cost | no estimate extracted | 2 studies · 199 participants | Very low Downgraded: imprecision, inconsistency, indirectness |
Summary of findings table for main outcomes
Population: terminally ill people
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Place of death (home) | RR 1.33 [1.14, 1.55] | 3 studies · 652 participants | High |
Admission to hospital | no estimate extracted | 4 studies · 823 participants | Moderate Downgraded: inconsistency |
Patient satisfaction | no estimate extracted | 2 studies · 199 participants | Low Downgraded: inconsistency |
Caregiver burden | no estimate extracted | 2 studies · 155 participants | Low Downgraded: inconsistency |
Health service cost | no estimate extracted | 2 studies · 2 participants | Low Downgraded: inconsistency |
Patient outcomes for home‐based end of life care
Population: patients with a terminal illness
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dying at home | RR 1.33 [1.14, 1.55] | 3 studies · 652 participants | High |
Admission to hospital | no estimate extracted | 4 studies · 823 participants | Moderate |
Patient satisfaction | no estimate extracted | 2 studies · 199 participants | Low |
Carer burden | no estimate extracted | 2 studies · 155 participants | Low |