Levels and Determinants of Place-Of-Death Congruence in Palliative Patients: A Systematic Review

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Title: Levels and Determinants of Place-Of-Death Congruence in Palliative Patients: A Systematic Review
Authors: Garcia-Sanjuan, Sofia | Fernández-Alcántara, Manuel | Clement, Violeta | Campos-Calderón, Concepción Petra | Orts-Beneito, Núria | Cabañero-Martínez, María José
Research Group/s: Person-centred Care and Health Outcomes Innovation / Atención centrada en la persona e innovación en resultados de salud (PCC-HOI) | Calidad de Vida, Bienestar Psicológico y Salud | Psicología Aplicada a la Salud y Comportamiento Humano (PSYBHE)
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería | Universidad de Alicante. Departamento de Psicología de la Salud
Keywords: Palliative care | Congruence | Place of death | Systematic review | Patient preference | Hospital | End of life
Knowledge Area: Enfermería | Personalidad, Evaluación y Tratamiento Psicológico | Psicología Básica
Issue Date: 13-Jan-2022
Publisher: Frontiers Media
Citation: García-Sanjuán S, Fernández-Alcántara M, Clement-Carbonell V, Campos-Calderón CP, Orts-Beneito N and Cabañero-Martínez MJ (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
Abstract: 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.
Sponsor: This work was supported by grants UGP-18-255, UGP-19-253, and UGP-20-038 from ISABIAL and PI17/00328 from the Carlos III Health Research Institute (ISCIII) belonging to the Spanish Ministry of Health, and by FEDER (A way of making Europe) project funds.
URI: http://hdl.handle.net/10045/121258
ISSN: 1664-1078
DOI: 10.3389/fpsyg.2021.807869
Language: eng
Type: info:eu-repo/semantics/article
Rights: © 2022 García-Sanjuán, Fernández-Alcántara, Clement-Carbonell, Campos-Calderón, Orts-Beneito and Cabañero-Martínez. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Peer Review: si
Publisher version: https://doi.org/10.3389/fpsyg.2021.807869
Appears in Collections:INV - CV, BP Y S - Artículos de Revistas
INV - PCC-HOI - Artículos de Revistas
INV - PSYBHE - Artículos de Revistas

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