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Factors associated with the place of death of persons with advanced dementia: A systematic review of international literature with meta-analysis.

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Title: Factors associated with the place of death of persons with advanced dementia: A systematic review of international literature with meta-analysis.
Authors: Tay, RiYin, Tan, Joyce YS, Lim, BinYan, Hum, Allyn YM, Simpson, Jane, Preston, Nancy
Source: Palliative Medicine. Oct2024, Vol. 38 Issue 9, p896-922. 27p.
Subjects: Place of death, Research funding, Grey literature, CINAHL database, Long-term health care, Meta-analysis, Hospitals, Home environment, Systematic reviews, MEDLINE, Nursing care facilities, Dementia patients, Psychology information storage & retrieval systems, Patients' attitudes, Hospice care
Abstract: Background: Many individuals with advanced dementia die in hospital, despite preferring home death. Existing evidence of factors affecting their place of death is inconsistent. To inform policies/practices for meeting needs/preferences, systematically establishing the evidence is pertinent, particularly given the exponential rise in advanced dementia prevalence. Aim: To identify factors influencing where people with advanced dementia die. Design and data sources: This systematic review with meta-analysis was registered on PROSPERO (CRD42022366722). Medline, CINAHL, PsycINFO, SocINDEX and a grey literature database, Overton, were searched on 21/12/2022, supplemented by hand-searching/citation tracking. Papers reporting quantitative data on factors associated with place of death in advanced dementia were included and appraised using QualSyst. Data were analysed using random effects with the certainty of evidence determined using the GRADE criteria. Results: Thirty-three papers involving >5 million individuals (mean age = 89.2 years) were included. Long-term care setting deaths were relatively common but hospice deaths were rarer. Marriage's association with home death underscores social networks' importance, while younger age's and male gender's associations with hospital death demonstrate patients' and families' interdependency. Pneumonia/COPD's opposing effects on hospital deaths with cancer/functional impairment highlight the challenges of advanced dementia care. Unlike hospital/nursing home bed availability's lack of effect, capitated funding (fixed-amount-per-patient-per-period) decreased hospital death likelihood. Conclusion: This comprehensive review of place of death determinants highlight the profound challenges of advanced dementia end-of-life care. Given that bed capacity did not affect place of death, a capitation-based, integrated palliative care model would appear more likely to meet patients' needs in a resource-constrained environment. [ABSTRACT FROM AUTHOR]
Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Factors associated with the place of death of persons with advanced dementia: A systematic review of international literature with meta-analysis.
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  Data: <searchLink fieldCode="AR" term="%22Tay%2C+RiYin%22">Tay, RiYin</searchLink><br /><searchLink fieldCode="AR" term="%22Tan%2C+Joyce+YS%22">Tan, Joyce YS</searchLink><br /><searchLink fieldCode="AR" term="%22Lim%2C+BinYan%22">Lim, BinYan</searchLink><br /><searchLink fieldCode="AR" term="%22Hum%2C+Allyn+YM%22">Hum, Allyn YM</searchLink><br /><searchLink fieldCode="AR" term="%22Simpson%2C+Jane%22">Simpson, Jane</searchLink><br /><searchLink fieldCode="AR" term="%22Preston%2C+Nancy%22">Preston, Nancy</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Palliative+Medicine%22">Palliative Medicine</searchLink>. Oct2024, Vol. 38 Issue 9, p896-922. 27p.
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  Data: <searchLink fieldCode="DE" term="%22Place+of+death%22">Place of death</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Grey+literature%22">Grey literature</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Long-term+health+care%22">Long-term health care</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Hospitals%22">Hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Home+environment%22">Home environment</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+care+facilities%22">Nursing care facilities</searchLink><br /><searchLink fieldCode="DE" term="%22Dementia+patients%22">Dementia patients</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Hospice+care%22">Hospice care</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Many individuals with advanced dementia die in hospital, despite preferring home death. Existing evidence of factors affecting their place of death is inconsistent. To inform policies/practices for meeting needs/preferences, systematically establishing the evidence is pertinent, particularly given the exponential rise in advanced dementia prevalence. Aim: To identify factors influencing where people with advanced dementia die. Design and data sources: This systematic review with meta-analysis was registered on PROSPERO (CRD42022366722). Medline, CINAHL, PsycINFO, SocINDEX and a grey literature database, Overton, were searched on 21/12/2022, supplemented by hand-searching/citation tracking. Papers reporting quantitative data on factors associated with place of death in advanced dementia were included and appraised using QualSyst. Data were analysed using random effects with the certainty of evidence determined using the GRADE criteria. Results: Thirty-three papers involving >5 million individuals (mean age = 89.2 years) were included. Long-term care setting deaths were relatively common but hospice deaths were rarer. Marriage's association with home death underscores social networks' importance, while younger age's and male gender's associations with hospital death demonstrate patients' and families' interdependency. Pneumonia/COPD's opposing effects on hospital deaths with cancer/functional impairment highlight the challenges of advanced dementia care. Unlike hospital/nursing home bed availability's lack of effect, capitated funding (fixed-amount-per-patient-per-period) decreased hospital death likelihood. Conclusion: This comprehensive review of place of death determinants highlight the profound challenges of advanced dementia end-of-life care. Given that bed capacity did not affect place of death, a capitation-based, integrated palliative care model would appear more likely to meet patients' needs in a resource-constrained environment. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Palliative Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=180298311
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1177/02692163241265231
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 27
        StartPage: 896
    Subjects:
      – SubjectFull: Place of death
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Grey literature
        Type: general
      – SubjectFull: CINAHL database
        Type: general
      – SubjectFull: Long-term health care
        Type: general
      – SubjectFull: Meta-analysis
        Type: general
      – SubjectFull: Hospitals
        Type: general
      – SubjectFull: Home environment
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Nursing care facilities
        Type: general
      – SubjectFull: Dementia patients
        Type: general
      – SubjectFull: Psychology information storage & retrieval systems
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Hospice care
        Type: general
    Titles:
      – TitleFull: Factors associated with the place of death of persons with advanced dementia: A systematic review of international literature with meta-analysis.
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            NameFull: Tay, RiYin
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            NameFull: Lim, BinYan
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            NameFull: Hum, Allyn YM
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            NameFull: Simpson, Jane
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            – D: 01
              M: 10
              Text: Oct2024
              Type: published
              Y: 2024
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              Value: 38
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              Value: 9
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