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Table 2 Duration of palliative care in days prior to death, by country and other characteristics

From: Duration of palliative care before death in international routine practice: a systematic review and meta-analysis

 

Weighted median duration of palliative care in days (IQR)

p value

All studies

18.91 (0.09)

 

Country

Service type

  

Australia

6.00 (8.81)

 

Specialist palliative care

14.81 (0.00)

Community/home

-

General hospital ward

6.00 (0.00)

Combined

25.00 (0.00)

Austria

9.00 (0.00)

 

Specialist palliative care

16.00 (5.00)

Community/home

-

General hospital ward

-

Combined

9.00 (0.00)

Belgium

17.95 (*†)

 

Specialist palliative care

-

Community/home

-

General hospital ward

-

Combined

17.95 (0.00)

Brazil

34.00 (0)

 

Specialist palliative care

-

Community/home

115.02 (0.00)

General hospital ward

-

Combined

34.00 (0.00)

Canada

68.88 (0.00)

 

Specialist palliative care

25.60 (3.73)

Community/home

47.92 (0.00)

General hospital ward

6.00 (0.00)

Combined

68.88 (0.00)

China

19.00 (*†)

 

Specialist palliative care

19.00 (0.00)

Community/home

-

General hospital ward

-

Combined

-

Denmark

29.00 (*†)

 

Specialist palliative care

-

Community/home

-

General hospital ward

-

Combined

29.99 (0.00)

Egypt

66.00 (*†)

 

Specialist palliative care

66.00 (0.00)

Community/home

-

General hospital ward

-

Combined

-

Finland

25.37 (*†)

 

Specialist palliative care

25.37 (0.00)

Community/home

-

General hospital ward

-

Combined

-

France

22.00 (0.00)

 

Specialist palliative care

-

Community/home

-

General hospital ward

-

Combined

22.00 (0.00)

Germany

13.16 (0)

 

Specialist palliative care

13.16 (0.00)

Community/home

-

General hospital ward

-

Combined

-

Ireland

46.27 (0.00)

 

Specialist palliative care

-

Community/home

-

General hospital ward

10.30 (0.00)

Combined

46.27 (0.00)

Italy

21.00 (10.00)

 

Specialist palliative care

11.62 (6.26)

Community/home

92.00 (0.00)

General hospital ward

-

Combined

21.00 (0.00)

Japan

28.95 (0.95)

 

Specialist palliative care

28.95 (0.00)

Community/home

35.00 (0.00)

General hospital ward

-

Combined

28.00 (0.00)

Netherlands

36.00 (37†)

 

Specialist palliative care

36.00 (0.00)

Community/home

-

General hospital ward

-

Combined

-

Saudi Arabia

16.63 (*†)

 

Specialist palliative care

-

Community/home

-

General hospital ward

-

Combined

16.63 (0.00)

Singapore

8.00 (19†)

 

Specialist palliative care

-

Community/home

-

General hospital ward

-

Combined

8.00 (0.00)

South Korea

22.18 (0.00)

 

Specialist palliative care

22.18 (0.00)

Community/home

-

General hospital ward

-

Combined

32.63 (0.00)

Spain

43.52 (0.00)

 

Specialist palliative care

-

Community/home

43.52 (0.00)

General hospital ward

-

Combined

-

Taiwan

28.00 (0.00)

 

Specialist palliative care

13.50 (0.00)

Community/home

-

General hospital ward

33.71 (0.00)

Combined

28.00 (0.00)

Thailand

33.00 (*†)

 

Specialist palliative care

-

Community/home

-

General hospital ward

-

Combined

33.00 (0.00)

Turkey

24.88 (12.35)

 

Specialist palliative care

24.88 (12.35)

Community/home

-

General hospital ward

-

Combined

-

UK

48.00 (0.00)

 

Specialist palliative care

9.00 (2.40)

Community/home

41.41 (294.59)

General hospital ward

-

Combined

48.00 (0.00)

Multicentre – USA & Brazil

6.00 (5†)

 

Specialist palliative care

6.00 (0.00)

 

Community/home

-

General hospital ward

-

Combined

-

USA

18.91 (0.09)

 

Specialist palliative care

19.20 (17.72)

Community/home

20.00 (0.00)

General hospital ward

3.00 (12.01)

Combined

18.91 (0.09)

USA vs non-USA studies

USA

18.91 (0.09)

p < 0.001

All non-USA studies

29.00 (40.88)

UNDP Human Development Index (2015)

Very high

18.91 (0.09)

 

High

34.00 (0)

Medium

66.00 (*†)

No data

6.00 (5†)

Very high

18.91 (0.09)

p < 0.001

< Very high

34.00 (1.00)

WHPCA categorisation of palliative care development (2011)

4b

18.91 (0.09)

 

4a

28.00 (0)

3b

24.88 (12.35)

3a

22.18 (11.82)

No data

6.00 (5†)

4b

18.91 (0.09)

p < 0.001

< 4b

28.00 (0)

Type of disease

Malignant

15.00 (7.18)

p < 0.001

Non-malignant

6.00 (1.00)

Mixed

18.91 (0.09)

 

Unspecified

14.81 (0)

Type of palliative care service

Specialist palliative care unit

19.20 (17.72)

p < 0.001

Community/home

20.00 (0)

General hospital ward

6.00 (0)

Combined

18.91 (0.09)

 

Unspecified

21.70 (167.40)

  1. Median data weighted against the size of the study population of included studies
  2. IQR interquartile range, UK United Kingdom, USA United States of America
  3. *Data neither available nor possible to calculate
  4. †IQR from single study sample