Cochrane · systematic review · CD012780
The effectiveness and cost‐effectiveness of hospital‐based specialist palliative care for adults with advanced illness and their caregivers
Bajwah, S, Oluyase, AO, Yi, D, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Pain, Palliative and Supportive CareAMSTAR 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 3 · 42.9%Moderate 0 · 0%High 0 · 0%
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
Hospital‐based specialist palliative care compared to usual care for adults with advanced illness and their caregivers/families
Population: adults with advanced illness and their unpaid caregivers/families
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Patient health‐related quality of life (HRQoL)i, SD units(higher scores indicate better quality of life) Hospital‐based specialist palliative care vs usual care | no estimate extracted | 10 studies · 1344 participants | Low Downgraded: risk of bias |
Patient symptom burden Hospital‐based specialist palliative care vs usual care | no estimate extracted | 6 studies · 761 participants | Very low Downgraded: risk of bias |
Patient satisfaction with careiii, SD units(higher scores indicate better patient satisfaction) Hospital‐based specialist palliative care vs usual care | no estimate extracted | 2 studies · 337 participants | Low Downgraded: risk of bias |
Achieving patient preferred place of death (measured by number of patients with home death) Hospital‐based specialist palliative care vs usual care | OR 1.63 | 7 studies · 861 participants | Low Downgraded: risk of bias |
Painiv, SD units(lower scores indicate less pain) Hospital‐based specialist palliative care vs usual care | no estimate extracted | 4 studies · 525 participants | Very low Downgraded: risk of bias |
Unpaid caregiver burdenv Hospital‐based specialist palliative care vs usual care | no estimate extracted | 2 studies · 170 participants | Very low Downgraded: risk of bias |
Cost and cost‐effectiveness Hospital‐based specialist palliative care vs usual care | no estimate extracted | 13 studies · 2103 participants | Very low Downgraded: risk of bias |