Colorado Palliative Care and Hospice Crisis Standards: Moving Beyond Critical Care Planning

Abbott, Jean; Ferraro, Kelly; Johnson, D.; Statland, Barbara; Massone, John; Fowler, Carol; Budai, Peggy; Cantrill, Stephen V.

doi:10.1016/j.jpainsymman.2020.12.009

Cited by 3 publications

(5 citation statements)

References 34 publications

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“…Bradford's law is a useful tool for analyzing the distribution of information, as well as to better understand its structure and how the different aspects of a topic are related to one another. Taking this into account, the present analysis established that, of the 71 journals reported, the Journal of Pain and Symptom Management (Q1) with 11 publications [57,62,65,70,77,81,87,99,103,109,124], the Journal of Palliative Medicine (Q2) with 10 [59,71,89,91,93,96,98,131,148], the Journal of Religion and Health (not JCR) with 7 [58,63,67,78,107,112,118], Nursing Ethics (Q1) with 6 [39,56,69,73,75,104], Journal of Medical Ethics (Q1) with 4 [53,100,102,106] and BMJ Supportive and Palliative Care (not JCR) with 3 publications [68,85,97] were the central sources, with accounting for only 8.5% of the total. See Figure 1.…”

Section: Journals Analysismentioning

confidence: 73%

“…A total of 119 [ 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 8...…”

Section: Resultsunclassified

“…The following supporting information can be downloaded at: , File S1: Excel spreadsheet containing complete metadata of references retrieved for description and Analysis of Research on Death and Dying during the COVID-19 Pandemic, Published in Nursing Journals Indexed in SCOPUS. (References [ 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 …”

mentioning

confidence: 99%

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Description and Analysis of Research on Death and Dying during the COVID-19 Pandemic, Published in Nursing Journals Indexed in SCOPUS

Cuellar-Pompa,

Rodríguez-Gómez,

Novo-Muñoz

et al. 2024

Nursing Reports

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Aim: To offer an overall picture of the research published regarding the different aspects of death and dying during the COVID-19 pandemic in journals covering the field of nursing in the Scopus database. Design: bibliometric analysis. Methods: The metadata obtained were exported from Scopus for subsequent analysis through Bibliometrix. Using the VOSviewer co-word analysis function, the conceptual and thematic structure of the publications was identified. Results: A total of 119 papers were retrieved, with the participation of 527 authors. The publications were found in 71 journals covering the nursing area. The main lines of research revolved around the keywords “palliative care” and “end-of-life care” in regard to the ethical, psychological, and organizational challenges faced by the health professionals who cared for these patients. Conclusion: The results obtained offer a range of data and images that characterize the scientific production published on this topic, coming to the conclusion that, due to the multifaceted and multidisciplinary approach to the experience of death, care, and accompaniment in the dying process, bibliometric maps improve the comprehensive understanding of the semantic and conceptual structure of this field of research. This study was retrospectively registered with the OSF Registries on the 14 March 2024.

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Section: Journals Analysismentioning

confidence: 73%

Section: Resultsunclassified

mentioning

confidence: 99%

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Description and Analysis of Research on Death and Dying during the COVID-19 Pandemic, Published in Nursing Journals Indexed in SCOPUS

Cuellar-Pompa,

Rodríguez-Gómez,

Novo-Muñoz

et al. 2024

Nursing Reports

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“…Similar to critical care, a plan for responding to future crises should be put into place for palliative care. This plan should include care for patients with cancer and other serious illnesses and should prioritize marginalized patients to avoid systemic inequity in times of health system strain …”

Section: Discussionmentioning

confidence: 99%

“…This plan should include care for patients with cancer and other serious illnesses and should prioritize marginalized patients to avoid systemic inequity in times of health system strain. 45 , 46 …”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Status, Palliative Care, and Death at Home Among Patients With Cancer Before and During COVID-19

Iqbal,

Moineddin,

Fowler

et al. 2024

JAMA Netw Open

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ImportanceThe COVID-19 pandemic had a profound impact on the delivery of cancer care, but less is known about its association with place of death and delivery of specialized palliative care (SPC) and potential disparities in these outcomes.ObjectiveTo evaluate the association of the COVID-19 pandemic with death at home and SPC delivery at the end of life and to examine whether disparities in socioeconomic status exist for these outcomes.Design, Setting, and ParticipantsIn this cohort study, an interrupted time series analysis was conducted using Ontario Cancer Registry data comprising adult patients aged 18 years or older who died with cancer between the pre–COVID-19 (March 16, 2015, to March 15, 2020) and COVID-19 (March 16, 2020, to March 15, 2021) periods. The data analysis was performed between March and November 2023.ExposureCOVID-19–related hospital restrictions starting March 16, 2020.Main Outcomes and MeasuresOutcomes were death at home and SPC delivery at the end of life (last 30 days before death). Socioeconomic status was measured using Ontario Marginalization Index area-based material deprivation quintiles, with quintile 1 (Q1) indicating the least deprivation; Q3, intermediate deprivation; and Q5, the most deprivation. Segmented linear regression was used to estimate monthly trends in outcomes before, at the start of, and in the first year of the COVID-19 pandemic.ResultsOf 173 915 patients in the study cohort (mean [SD] age, 72.1 [12.5] years; males, 54.1% [95% CI, 53.8%-54.3%]), 83.7% (95% CI, 83.6%-83.9%) died in the pre–COVID-19 period and 16.3% (95% CI, 16.1%-16.4%) died in the COVID-19 period, 54.5% (95% CI, 54.2%-54.7%) died at home during the entire study period, and 57.8% (95% CI, 57.5%-58.0%) received SPC at the end of life. In March 2020, home deaths increased by 8.3% (95% CI, 7.4%-9.1%); however, this increase was less marked in Q5 (6.1%; 95% CI, 4.4%-7.8%) than in Q1 (11.4%; 95% CI, 9.6%-13.2%) and Q3 (10.0%; 95% CI, 9.0%-11.1%). There was a simultaneous decrease of 5.3% (95% CI, −6.3% to –4.4%) in the rate of SPC at the end of life, with no significant difference among quintiles. Patients who received SPC at the end of life (vs no SPC) were more likely to die at home before and during the pandemic. However, there was a larger immediate increase in home deaths among those who received no SPC at the end of life vs those who received SPC (Q1, 17.5% [95% CI, 15.2%-19.8%] vs 7.6% [95% CI, 5.4%-9.7%]; Q3, 12.7% [95% CI, 10.8%-14.5%] vs 9.0% [95% CI, 7.2%-10.7%]). For Q5, the increase in home deaths was significant only for patients who did not receive SPC (13.9% [95% CI, 11.9%-15.8%] vs 1.2% [95% CI, −1.0% to 3.5%]).Conclusions and RelevanceThese findings suggest that the COVID-19 pandemic was associated with amplified socioeconomic disparities in death at home and SPC delivery at the end of life. Future research should focus on the mechanisms of these disparities and on developing interventions to ensure equitable and consistent SPC access.

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Palliative Care and Hospice in the Pandemic: A Review of State Planning and Lessons Not Yet Learned

Abbott

Kassner

2023

Journal of Pain and Symptom Management

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Colorado Palliative Care and Hospice Crisis Standards: Moving Beyond Critical Care Planning

Cited by 3 publications

References 34 publications

Description and Analysis of Research on Death and Dying during the COVID-19 Pandemic, Published in Nursing Journals Indexed in SCOPUS

Description and Analysis of Research on Death and Dying during the COVID-19 Pandemic, Published in Nursing Journals Indexed in SCOPUS

Socioeconomic Status, Palliative Care, and Death at Home Among Patients With Cancer Before and During COVID-19

Palliative Care and Hospice in the Pandemic: A Review of State Planning and Lessons Not Yet Learned

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