End-of-life care pathways for improving outcomes in caring for the dying

Chan, Raymond and Webster, Joan (2009) End-of-life care pathways for improving outcomes in caring for the dying. Cochrane Database of Systematic Reviews, 1: CD008006.1-CD008006.17.

Author Chan, Raymond
Webster, Joan
Title End-of-life care pathways for improving outcomes in caring for the dying
Journal name Cochrane Database of Systematic Reviews   Check publisher's open access policy
ISSN 1469-493X
Publication date 2009-10-07
Sub-type Article (original research)
DOI 10.1002/14651858.CD008006
Issue 1
Start page CD008006.1
End page CD008006.17
Total pages 17
Place of publication Oxford, England, United Kingdom
Publisher John Wiley and Sons
Collection year 2010
Language eng
Subject C1
920202 Carer Health
111001 Aged Care Nursing
Abstract The objectives are as follows: We aim to assess the effects of end-of-life care pathways, compared with usual care or with care guided by another end-of-life care pathway across all healthcare settings (hospitals, residential aged care facilities, community). In particular, we aim to assess the effects on symptom severity and quality of life of people who are dying and/or those related to the care such as families, caregivers and health professionals.
Formatted abstract Background
In many clinical areas, integrated care pathways are utilised as structured multidisciplinary care plans which detail essential steps in
caring for patients with specific clinical problems. Particularly, care pathways for the dying have been developed as a model to improve
the end-of-life care of all patients. They aim to ensure that the most appropriate management occurs at the most appropriate time
and that it is provided by the most appropriate health professional. Clinical pathways for end-of-life care management are used widely
around the world and have been regarded as the gold standard. Therefore, there is a significant need for clinicians to be informed about
the utilisation of end-of-life care pathways with a systematic review.
To assess the effects of end-of-life care pathways, compared with usual care (no pathway) or with care guided by another end-of-life
care pathway across all healthcare settings (e.g. hospitals, residential aged care facilities, community).
Search strategy
The Cochrane Register of controlled Trials (CENTRAL), the Pain, Palliative and Supportive Care Review group specialised register,
MEDLINE, EMBASE, review articles and reference lists of relevant articles were searched. The search was carried out in September
Selection criteria
All randomised controlled trials (RCTs), quasi-randomised trial or high quality controlled before and after studies comparing use versus
non-use of an end-of-life care pathway in caring for the dying.
Data collection and analysis
Results of searches were reviewed against the pre-determined criteria for inclusion by two review authors.
Main results
The search identified 920 potentially relevant titles, but no studies met criteria for inclusion in the review.
Keyword Clinical Pathway
Terminal Care
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Indicates the major publication for the study
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
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