Levels and Determinants of Place-Of-Death Congruence in Palliative Patients: A Systematic Review
Metadatos
Mostrar el registro completo del ítemEditorial
Frontiers
Materia
Palliative care Congruence Place of death Systematic review Patient preference Hospital End of life
Fecha
2022-01-13Referencia bibliográfica
García-Sanjuán S... [et al.] (2022) Levels and Determinants of Place-Of-Death Congruence in Palliative Patients: A Systematic Review. Front. Psychol. 12:807869. doi: [10.3389/fpsyg.2021.807869]
Patrocinador
Carlos III Health Research Institute (ISCIII) UGP-18-255 UGP-19-253 UGP-20-038 PI17/00328; FEDER (A way of making Europe)Resumen
Introduction: Congruence, understood as the agreement between the patient’s
preferred place of death and their actual place of death, is emerging as one of the
main variables indicating the quality of end-of-life care. The aim of this research was
to conduct a systematic literature review on levels and determinants of congruence in
palliative patients over the period 2010–2021.
Method: A systematic review of the literature in the databases of PubMed, Scopus,
Web of Science, PsycINFO, CINAHL, Cuiden, the Cochrane Library, CSIC Indexes,
and IBECS. Information was extracted on research characteristics, congruence, and
associated factors.
Results: A total of 30 studies were identified, mainly of retrospective observational
design. The congruence values varied substantially between the various studies, ranging
from 21 to 100%. The main predictors of congruence include illness-related factors
(functional status, treatments and diagnosis), individual factors (age, gender, marital
status, and end of life preferences), and environmental factors (place of residence,
availability of health, and palliative care services).
Conclusion: This review, in comparison with previous studies, shows that
treatment-related factors such as physical pain control, marital status, having a
non-working relative, age, discussing preferred place of death with a healthcare
professional, and caregiver’s preference have been associated with higher levels of
congruence. Depending on the study, other factors have been associated with either
higher or lower congruence, such as the patient’s diagnosis, gender, or place of
residence. This information is useful for designing interventions aimed towards greater
congruence at the end of life.