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admissions" /></a></div><div class="bkr_bib"><h1 id="_NBK558770_"><span itemprop="name">Evidence review: Additional services and inappropriate admissions</span></h1><div class="subtitle">End of life care for adults: service delivery</div><p><b>Evidence review L</b></p><p><i>NICE Guideline, No. 142</i></p><p class="contrib-group"><h4>Authors</h4><span itemprop="author">National Guideline Centre (UK)</span>.</p><div class="half_rhythm">London: <a href="https://www.nice.org.uk" ref="pagearea=meta&targetsite=external&targetcat=link&targettype=publisher"><span itemprop="publisher">National Institute for Health and Care Excellence (NICE)</span></a>; <span itemprop="datePublished">2019 Oct</span>.<div class="small">ISBN-13: <span itemprop="isbn">978-1-4731-3560-4</span></div></div><div><a href="/books/about/copyright/">Copyright</a> © NICE 2019.</div></div><div class="bkr_clear"></div></div><div id="ch12.s1"><h2 id="_ch12_s1_">1. Additional community services to support people to stay in their usual place of residence</h2><div id="ch12.s1.1"><h3>1.1. Review question 1: What additional community services are needed to support people in their last year of life to stay in their usual place of residence?</h3></div><div id="ch12.s1.2"><h3>1.2. Introduction</h3><p>The guideline committee considered settings where additional services may be required. These included across community and third sector settings as well as other institutions. The additional services considered included those delivered at home, such as “hospice at home.” They considered groups of people who might require or benefit from additional services, these included, younger adults, frail elderly, people with dementia, those with hearing or sight loss, people in prison, those with learning difficulties or mental health problems, people from ethnic minorities and those in whom life-prolonging therapies are still an active option.</p><p>The social and economic circumstances of people were also considered, for example the homeless, those living in poverty, those living alone, people in employment and the retired. Also considered were differences between urban and rural areas. The committee reviewed the evidence regarding the effects of service provision on the outcomes for the person receiving the service, and for those caring for or close to the patient. Overall there were no research findings to support one service model over another in any one setting.</p></div><div id="ch12.s1.3"><h3>1.3. PICO table</h3><p>For full details see the review protocol in <a href="#ch12.appa">Appendix A</a>.</p><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab1"><a href="/books/NBK558770/table/ch12.tab1/?report=objectonly" target="object" title="Table 1" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab1" rid-ob="figobch12tab1"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab1/?report=thumb" src-large="/books/NBK558770/table/ch12.tab1/?report=previmg" alt="Table 1. PICO characteristics of review question." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab1"><a href="/books/NBK558770/table/ch12.tab1/?report=objectonly" target="object" rid-ob="figobch12tab1">Table 1</a></h4><p class="float-caption no_bottom_margin">PICO characteristics of review question. </p></div></div></div><div id="ch12.s1.4"><h3>1.4. Review question 2: What provision of additional community services should be available to reduce inappropriate/avoidable admissions in people in their last year of life?</h3></div><div id="ch12.s1.5"><h3>1.5. Introduction</h3><p>This chapter looks at the availability of and access to additional community services to prevent unnecessary hospital admissions for patients in the last year of life. This refers to urgent and unplanned access to services in the event of a crisis. “Routine,” or regular, access to additional community services to maintain the person in their preferred place is discussed separately in <a href="/books/n/niceng142er10/?report=reader" class="toc-item">evidence review J</a>.</p><p>Patients and their carers’ are often distressed and challenged when a crisis occurs in the health and care status of the patient. This is whether it has been discussed as a possibility in advance care planning or not, and particularly when it happens out of usual core working hours. Sometimes the only solution available to the patient and/or their carer(s) is to call emergency services, often leading to an ambulance journey and hospital admission. Extra community services to support the patient and carer(s) in such a crisis could both prevent the unnecessary hospital admission, and the use of unnecessary resources. This chapter reviews the evidence in this area.</p></div><div id="ch12.s1.6"><h3>1.6. PICO table</h3><p>For full details see review protocol in <a href="#ch12.appa">Appendix A</a>. Clinical evidence</p><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab2"><a href="/books/NBK558770/table/ch12.tab2/?report=objectonly" target="object" title="Table" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab2" rid-ob="figobch12tab2"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab2/?report=thumb" src-large="/books/NBK558770/table/ch12.tab2/?report=previmg" alt="Image " /></a><div class="icnblk_cntnt"><h4 id="ch12.tab2"><a href="/books/NBK558770/table/ch12.tab2/?report=objectonly" target="object" rid-ob="figobch12tab2">Table</a></h4><p class="float-caption no_bottom_margin">Availability of additional community services in an acute/emergency scenario (alone or in combination), for example
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○Social care○Community health services○Helplines○Equipment○Drugs○Hydration○Nutrition○Carer <a href="/books/NBK558770/table/ch12.tab2/?report=objectonly" target="object" rid-ob="figobch12tab2">(more...)</a></p></div></div></div><div id="ch12.s1.7"><h3>1.7. Clinical evidence</h3><div id="ch12.s1.7.1"><h4>1.7.1. Included studies</h4></div><div id="ch12.s1.7.2"><h4>1.7.2. Availability of additional community services on a regular/routine basis</h4><p>A search was conducted for randomised trials or non-randomised comparative studies comparing the availability of additional community services provided on a regular/routine basis to support people in their last year of life to stay in their usual place of residence to usual care, or different additional community services provided on a regular/routine basis to each other.</p><p>31 studies (reported in 36 papers) were included in the review;<a class="bibr" href="#ch12.ref1" rid="ch12.ref1"><sup>1</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref2" rid="ch12.ref2"><sup>2</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref4" rid="ch12.ref4"><sup>4</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref5" rid="ch12.ref5"><sup>5</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref8" rid="ch12.ref8"><sup>8</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref16" rid="ch12.ref16"><sup>16</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref17" rid="ch12.ref17"><sup>17</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref22" rid="ch12.ref22"><sup>22</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref29" rid="ch12.ref29"><sup>29</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref30" rid="ch12.ref30"><sup>30</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref32" rid="ch12.ref32"><sup>32</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref33" rid="ch12.ref33"><sup>33</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref46" rid="ch12.ref46"><sup>46</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref54" rid="ch12.ref54"><sup>54</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref94" rid="ch12.ref94"><sup>94</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref104" rid="ch12.ref104"><sup>104</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref106" rid="ch12.ref106"><sup>106</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref120" rid="ch12.ref120"><sup>120</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref130" rid="ch12.ref130"><sup>130</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref131" rid="ch12.ref131"><sup>131</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref137" rid="ch12.ref137"><sup>137</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref138" rid="ch12.ref138"><sup>138</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref152" rid="ch12.ref152"><sup>152</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref165" rid="ch12.ref165"><sup>165</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref168" rid="ch12.ref168"><sup>168</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref180" rid="ch12.ref180"><sup>180</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref187" rid="ch12.ref187"><sup>187</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref190" rid="ch12.ref190"><sup>190</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref192" rid="ch12.ref192"><sup>192</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref201" rid="ch12.ref201"><sup>201</sup></a><sup>–</sup><a class="bibr" href="#ch12.ref203" rid="ch12.ref203"><sup>203</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref207" rid="ch12.ref207"><sup>207</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref230" rid="ch12.ref230"><sup>230</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref232" rid="ch12.ref232"><sup>232</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref238" rid="ch12.ref238"><sup>238</sup></a> these are summarised in <a class="figpopup" href="/books/NBK558770/table/ch12.tab5/?report=objectonly" target="object" rid-figpopup="figch12tab5" rid-ob="figobch12tab5">Table 3</a> below. Evidence from these studies is summarised in the clinical evidence summary below (<a class="figpopup" href="/books/NBK558770/table/ch12.tab9/?report=objectonly" target="object" rid-figpopup="figch12tab9" rid-ob="figobch12tab9">Table 7</a>). See also the study selection flow chart in <a href="#ch12.appb">Appendix B</a>, forest plots in <a href="#ch12.appe">Appendix E</a>, study evidence tables in <a href="#ch12.appd">Appendix D</a>, GRADE tables in <a href="#ch12.appf">Appendix F</a> and excluded studies list in <a href="#ch12.appj">Appendix J</a>.</p><p>The studies were grouped based on the intensity of the resources used for service delivery, taking into consideration the level of care, staff and other aspects of the interventions.</p><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab3"><a href="/books/NBK558770/table/ch12.tab3/?report=objectonly" target="object" title="Table" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab3" rid-ob="figobch12tab3"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab3/?report=thumb" src-large="/books/NBK558770/table/ch12.tab3/?report=previmg" alt="Image " /></a><div class="icnblk_cntnt"><h4 id="ch12.tab3"><a href="/books/NBK558770/table/ch12.tab3/?report=objectonly" target="object" rid-ob="figobch12tab3">Table</a></h4><p class="float-caption no_bottom_margin">A single provider, no direct clinical care provided. For example: a co-ordinator</p></div></div></div><div id="ch12.s1.7.3"><h4>1.7.3. Excluded studies</h4><p>See the excluded studies list in <a href="#ch12.appi">Appendix I</a>.</p></div><div id="ch12.s1.7.4"><h4>1.7.4. Availability of additional community services in an acute/emergency scenario</h4><p>A search was conducted for randomised trials or non-randomised comparative studies comparing the availability of additional community services available in an acute/emergency scenario to reduce avoidable or inappropriate admissions versus usual care for people in their last year of life, or different additional community services available in an acute/emergency scenario to each other.</p><p>6 studies (reported in 7 papers) were included in the review; <a class="bibr" href="#ch12.ref9" rid="ch12.ref9"><sup>9</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref41" rid="ch12.ref41"><sup>41</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref81" rid="ch12.ref81"><sup>81</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref101" rid="ch12.ref101"><sup>101</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref146" rid="ch12.ref146"><sup>146</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref186" rid="ch12.ref186"><sup>186</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref201" rid="ch12.ref201"><sup>201</sup></a> these are summarised in <a class="figpopup" href="/books/NBK558770/table/ch12.tab6/?report=objectonly" target="object" rid-figpopup="figch12tab6" rid-ob="figobch12tab6">Table 4</a> below. Evidence from these studies is summarised in the clinical evidence summary below (<a class="figpopup" href="/books/NBK558770/table/ch12.tab29/?report=objectonly" target="object" rid-figpopup="figch12tab29" rid-ob="figobch12tab29">Table 27</a>). See also the study selection flow chart in <a href="#ch12.appc">Appendix C</a>, forest plots in <a href="#ch12.appe">Appendix E</a>, study evidence tables in <a href="#ch12.appd">Appendix D</a>, and GRADE tables in <a href="#ch12.appf">Appendix F</a>.</p></div><div id="ch12.s1.7.5"><h4>1.7.5. Excluded studies</h4><p>See the excluded studies list in <a href="#ch12.appj">Appendix J</a>.</p><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab4"><a href="/books/NBK558770/table/ch12.tab4/?report=objectonly" target="object" title="Table 2" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab4" rid-ob="figobch12tab4"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab4/?report=thumb" src-large="/books/NBK558770/table/ch12.tab4/?report=previmg" alt="Table 2. Summary of studies included in the evidence review." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab4"><a href="/books/NBK558770/table/ch12.tab4/?report=objectonly" target="object" rid-ob="figobch12tab4">Table 2</a></h4><p class="float-caption no_bottom_margin">Summary of studies included in the evidence review. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab5"><a href="/books/NBK558770/table/ch12.tab5/?report=objectonly" target="object" title="Table 3" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab5" rid-ob="figobch12tab5"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab5/?report=thumb" src-large="/books/NBK558770/table/ch12.tab5/?report=previmg" alt="Table 3. Summary of studies included in the review on additional community services available in an emergency/acute scenario." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab5"><a href="/books/NBK558770/table/ch12.tab5/?report=objectonly" target="object" rid-ob="figobch12tab5">Table 3</a></h4><p class="float-caption no_bottom_margin">Summary of studies included in the review on additional community services available in an emergency/acute scenario. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab6"><a href="/books/NBK558770/table/ch12.tab6/?report=objectonly" target="object" title="Table 4" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab6" rid-ob="figobch12tab6"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab6/?report=thumb" src-large="/books/NBK558770/table/ch12.tab6/?report=previmg" alt="Table 4. Additional community services available on a regular/routine basis – data unsuitable for GRADE due to inadequate reporting of outcome measure." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab6"><a href="/books/NBK558770/table/ch12.tab6/?report=objectonly" target="object" rid-ob="figobch12tab6">Table 4</a></h4><p class="float-caption no_bottom_margin">Additional community services available on a regular/routine basis – data unsuitable for GRADE due to inadequate reporting of outcome measure. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab7"><a href="/books/NBK558770/table/ch12.tab7/?report=objectonly" target="object" title="Table 5" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab7" rid-ob="figobch12tab7"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab7/?report=thumb" src-large="/books/NBK558770/table/ch12.tab7/?report=previmg" alt="Table 5. Additional community services available in an acute/emergency scenario- data unsuitable for GRADE due to inadequate reporting of outcome measure." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab7"><a href="/books/NBK558770/table/ch12.tab7/?report=objectonly" target="object" rid-ob="figobch12tab7">Table 5</a></h4><p class="float-caption no_bottom_margin">Additional community services available in an acute/emergency scenario- data unsuitable for GRADE due to inadequate reporting of outcome measure. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab8"><a href="/books/NBK558770/table/ch12.tab8/?report=objectonly" target="object" title="Table 6" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab8" rid-ob="figobch12tab8"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab8/?report=thumb" src-large="/books/NBK558770/table/ch12.tab8/?report=previmg" alt="Table 6. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab8"><a href="/books/NBK558770/table/ch12.tab8/?report=objectonly" target="object" rid-ob="figobch12tab8">Table 6</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab9"><a href="/books/NBK558770/table/ch12.tab9/?report=objectonly" target="object" title="Table 7" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab9" rid-ob="figobch12tab9"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab9/?report=thumb" src-large="/books/NBK558770/table/ch12.tab9/?report=previmg" alt="Table 7. Clinical evidence summary: Additional community services (a single provider, no direct clinical care provided) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab9"><a href="/books/NBK558770/table/ch12.tab9/?report=objectonly" target="object" rid-ob="figobch12tab9">Table 7</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (a single provider, no direct clinical care provided) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab10"><a href="/books/NBK558770/table/ch12.tab10/?report=objectonly" target="object" title="Table 8" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab10" rid-ob="figobch12tab10"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab10/?report=thumb" src-large="/books/NBK558770/table/ch12.tab10/?report=previmg" alt="Table 8. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab10"><a href="/books/NBK558770/table/ch12.tab10/?report=objectonly" target="object" rid-ob="figobch12tab10">Table 8</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab11"><a href="/books/NBK558770/table/ch12.tab11/?report=objectonly" target="object" title="Table 9" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab11" rid-ob="figobch12tab11"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab11/?report=thumb" src-large="/books/NBK558770/table/ch12.tab11/?report=previmg" alt="Table 9. Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab11"><a href="/books/NBK558770/table/ch12.tab11/?report=objectonly" target="object" rid-ob="figobch12tab11">Table 9</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab12"><a href="/books/NBK558770/table/ch12.tab12/?report=objectonly" target="object" title="Table 10" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab12" rid-ob="figobch12tab12"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab12/?report=thumb" src-large="/books/NBK558770/table/ch12.tab12/?report=previmg" alt="Table 10. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab12"><a href="/books/NBK558770/table/ch12.tab12/?report=objectonly" target="object" rid-ob="figobch12tab12">Table 10</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab13"><a href="/books/NBK558770/table/ch12.tab13/?report=objectonly" target="object" title="Table 11" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab13" rid-ob="figobch12tab13"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab13/?report=thumb" src-large="/books/NBK558770/table/ch12.tab13/?report=previmg" alt="Table 11. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab13"><a href="/books/NBK558770/table/ch12.tab13/?report=objectonly" target="object" rid-ob="figobch12tab13">Table 11</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab14"><a href="/books/NBK558770/table/ch12.tab14/?report=objectonly" target="object" title="Table 12" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab14" rid-ob="figobch12tab14"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab14/?report=thumb" src-large="/books/NBK558770/table/ch12.tab14/?report=previmg" alt="Table 12. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab14"><a href="/books/NBK558770/table/ch12.tab14/?report=objectonly" target="object" rid-ob="figobch12tab14">Table 12</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab15"><a href="/books/NBK558770/table/ch12.tab15/?report=objectonly" target="object" title="Table 13" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab15" rid-ob="figobch12tab15"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab15/?report=thumb" src-large="/books/NBK558770/table/ch12.tab15/?report=previmg" alt="Table 13. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab15"><a href="/books/NBK558770/table/ch12.tab15/?report=objectonly" target="object" rid-ob="figobch12tab15">Table 13</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab16"><a href="/books/NBK558770/table/ch12.tab16/?report=objectonly" target="object" title="Table 14" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab16" rid-ob="figobch12tab16"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab16/?report=thumb" src-large="/books/NBK558770/table/ch12.tab16/?report=previmg" alt="Table 14. Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab16"><a href="/books/NBK558770/table/ch12.tab16/?report=objectonly" target="object" rid-ob="figobch12tab16">Table 14</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab17"><a href="/books/NBK558770/table/ch12.tab17/?report=objectonly" target="object" title="Table 15" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab17" rid-ob="figobch12tab17"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab17/?report=thumb" src-large="/books/NBK558770/table/ch12.tab17/?report=previmg" alt="Table 15. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab17"><a href="/books/NBK558770/table/ch12.tab17/?report=objectonly" target="object" rid-ob="figobch12tab17">Table 15</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab18"><a href="/books/NBK558770/table/ch12.tab18/?report=objectonly" target="object" title="Table 16" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab18" rid-ob="figobch12tab18"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab18/?report=thumb" src-large="/books/NBK558770/table/ch12.tab18/?report=previmg" alt="Table 16. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care)." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab18"><a href="/books/NBK558770/table/ch12.tab18/?report=objectonly" target="object" rid-ob="figobch12tab18">Table 16</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care). </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab19"><a href="/books/NBK558770/table/ch12.tab19/?report=objectonly" target="object" title="Table 17" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab19" rid-ob="figobch12tab19"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab19/?report=thumb" src-large="/books/NBK558770/table/ch12.tab19/?report=previmg" alt="Table 17. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab19"><a href="/books/NBK558770/table/ch12.tab19/?report=objectonly" target="object" rid-ob="figobch12tab19">Table 17</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab20"><a href="/books/NBK558770/table/ch12.tab20/?report=objectonly" target="object" title="Table 18" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab20" rid-ob="figobch12tab20"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab20/?report=thumb" src-large="/books/NBK558770/table/ch12.tab20/?report=previmg" alt="Table 18. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care)." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab20"><a href="/books/NBK558770/table/ch12.tab20/?report=objectonly" target="object" rid-ob="figobch12tab20">Table 18</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care). </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab21"><a href="/books/NBK558770/table/ch12.tab21/?report=objectonly" target="object" title="Table 19" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab21" rid-ob="figobch12tab21"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab21/?report=thumb" src-large="/books/NBK558770/table/ch12.tab21/?report=previmg" alt="Table 19. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care)." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab21"><a href="/books/NBK558770/table/ch12.tab21/?report=objectonly" target="object" rid-ob="figobch12tab21">Table 19</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care). </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab22"><a href="/books/NBK558770/table/ch12.tab22/?report=objectonly" target="object" title="Table 20" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab22" rid-ob="figobch12tab22"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab22/?report=thumb" src-large="/books/NBK558770/table/ch12.tab22/?report=previmg" alt="Table 20. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care)." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab22"><a href="/books/NBK558770/table/ch12.tab22/?report=objectonly" target="object" rid-ob="figobch12tab22">Table 20</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care). </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab23"><a href="/books/NBK558770/table/ch12.tab23/?report=objectonly" target="object" title="Table 21" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab23" rid-ob="figobch12tab23"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab23/?report=thumb" src-large="/books/NBK558770/table/ch12.tab23/?report=previmg" alt="Table 21. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care)." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab23"><a href="/books/NBK558770/table/ch12.tab23/?report=objectonly" target="object" rid-ob="figobch12tab23">Table 21</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care). </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab24"><a href="/books/NBK558770/table/ch12.tab24/?report=objectonly" target="object" title="Table 22" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab24" rid-ob="figobch12tab24"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab24/?report=thumb" src-large="/books/NBK558770/table/ch12.tab24/?report=previmg" alt="Table 22. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab24"><a href="/books/NBK558770/table/ch12.tab24/?report=objectonly" target="object" rid-ob="figobch12tab24">Table 22</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab25"><a href="/books/NBK558770/table/ch12.tab25/?report=objectonly" target="object" title="Table 23" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab25" rid-ob="figobch12tab25"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab25/?report=thumb" src-large="/books/NBK558770/table/ch12.tab25/?report=previmg" alt="Table 23. Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab25"><a href="/books/NBK558770/table/ch12.tab25/?report=objectonly" target="object" rid-ob="figobch12tab25">Table 23</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab26"><a href="/books/NBK558770/table/ch12.tab26/?report=objectonly" target="object" title="Table 24" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab26" rid-ob="figobch12tab26"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab26/?report=thumb" src-large="/books/NBK558770/table/ch12.tab26/?report=previmg" alt="Table 24. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab26"><a href="/books/NBK558770/table/ch12.tab26/?report=objectonly" target="object" rid-ob="figobch12tab26">Table 24</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab27"><a href="/books/NBK558770/table/ch12.tab27/?report=objectonly" target="object" title="Table 25" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab27" rid-ob="figobch12tab27"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab27/?report=thumb" src-large="/books/NBK558770/table/ch12.tab27/?report=previmg" alt="Table 25. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab27"><a href="/books/NBK558770/table/ch12.tab27/?report=objectonly" target="object" rid-ob="figobch12tab27">Table 25</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab28"><a href="/books/NBK558770/table/ch12.tab28/?report=objectonly" target="object" title="Table 26" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab28" rid-ob="figobch12tab28"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab28/?report=thumb" src-large="/books/NBK558770/table/ch12.tab28/?report=previmg" alt="Table 26. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab28"><a href="/books/NBK558770/table/ch12.tab28/?report=objectonly" target="object" rid-ob="figobch12tab28">Table 26</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab29"><a href="/books/NBK558770/table/ch12.tab29/?report=objectonly" target="object" title="Table 27" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab29" rid-ob="figobch12tab29"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab29/?report=thumb" src-large="/books/NBK558770/table/ch12.tab29/?report=previmg" alt="Table 27. Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab29"><a href="/books/NBK558770/table/ch12.tab29/?report=objectonly" target="object" rid-ob="figobch12tab29">Table 27</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab30"><a href="/books/NBK558770/table/ch12.tab30/?report=objectonly" target="object" title="Table 28" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab30" rid-ob="figobch12tab30"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab30/?report=thumb" src-large="/books/NBK558770/table/ch12.tab30/?report=previmg" alt="Table 28. Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab30"><a href="/books/NBK558770/table/ch12.tab30/?report=objectonly" target="object" rid-ob="figobch12tab30">Table 28</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab31"><a href="/books/NBK558770/table/ch12.tab31/?report=objectonly" target="object" title="Table 29" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab31" rid-ob="figobch12tab31"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab31/?report=thumb" src-large="/books/NBK558770/table/ch12.tab31/?report=previmg" alt="Table 29. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab31"><a href="/books/NBK558770/table/ch12.tab31/?report=objectonly" target="object" rid-ob="figobch12tab31">Table 29</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab32"><a href="/books/NBK558770/table/ch12.tab32/?report=objectonly" target="object" title="Table 30" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab32" rid-ob="figobch12tab32"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab32/?report=thumb" src-large="/books/NBK558770/table/ch12.tab32/?report=previmg" alt="Table 30. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab32"><a href="/books/NBK558770/table/ch12.tab32/?report=objectonly" target="object" rid-ob="figobch12tab32">Table 30</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab33"><a href="/books/NBK558770/table/ch12.tab33/?report=objectonly" target="object" title="Table 31" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab33" rid-ob="figobch12tab33"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab33/?report=thumb" src-large="/books/NBK558770/table/ch12.tab33/?report=previmg" alt="Table 31. Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab33"><a href="/books/NBK558770/table/ch12.tab33/?report=objectonly" target="object" rid-ob="figobch12tab33">Table 31</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab34"><a href="/books/NBK558770/table/ch12.tab34/?report=objectonly" target="object" title="Table 32" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab34" rid-ob="figobch12tab34"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab34/?report=thumb" src-large="/books/NBK558770/table/ch12.tab34/?report=previmg" alt="Table 32. Clinical evidence summary: Additional community service (acute/emergency basis) – RRS available versus usual care – RRS not available." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab34"><a href="/books/NBK558770/table/ch12.tab34/?report=objectonly" target="object" rid-ob="figobch12tab34">Table 32</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community service (acute/emergency basis) – RRS available versus usual care – RRS not available. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab35"><a href="/books/NBK558770/table/ch12.tab35/?report=objectonly" target="object" title="Table 33" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab35" rid-ob="figobch12tab35"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab35/?report=thumb" src-large="/books/NBK558770/table/ch12.tab35/?report=previmg" alt="Table 33. Clinical evidence summary: Additional community service (acute/emergency basis) – RRS available versus usual care – RRS not available." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab35"><a href="/books/NBK558770/table/ch12.tab35/?report=objectonly" target="object" rid-ob="figobch12tab35">Table 33</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community service (acute/emergency basis) – RRS available versus usual care – RRS not available. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab36"><a href="/books/NBK558770/table/ch12.tab36/?report=objectonly" target="object" title="Table 34" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab36" rid-ob="figobch12tab36"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab36/?report=thumb" src-large="/books/NBK558770/table/ch12.tab36/?report=previmg" alt="Table 34. Clinical evidence summary: Additional community service (acute/emergency basis) – RRS users versus usual care – RRS non-users." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab36"><a href="/books/NBK558770/table/ch12.tab36/?report=objectonly" target="object" rid-ob="figobch12tab36">Table 34</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community service (acute/emergency basis) – RRS users versus usual care – RRS non-users. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab37"><a href="/books/NBK558770/table/ch12.tab37/?report=objectonly" target="object" title="Table 35" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab37" rid-ob="figobch12tab37"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab37/?report=thumb" src-large="/books/NBK558770/table/ch12.tab37/?report=previmg" alt="Table 35. Clinical evidence summary: Additional community service (acute/emergency basis) versus usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab37"><a href="/books/NBK558770/table/ch12.tab37/?report=objectonly" target="object" rid-ob="figobch12tab37">Table 35</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community service (acute/emergency basis) versus usual care. </p></div></div><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab38"><a href="/books/NBK558770/table/ch12.tab38/?report=objectonly" target="object" title="Table 36" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab38" rid-ob="figobch12tab38"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab38/?report=thumb" src-large="/books/NBK558770/table/ch12.tab38/?report=previmg" alt="Table 36. Clinical evidence summary: Additional community service (acute/emergency basis) versus usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab38"><a href="/books/NBK558770/table/ch12.tab38/?report=objectonly" target="object" rid-ob="figobch12tab38">Table 36</a></h4><p class="float-caption no_bottom_margin">Clinical evidence summary: Additional community service (acute/emergency basis) versus usual care. </p></div></div></div></div><div id="ch12.s1.8"><h3>1.8. Economic evidence</h3><div id="ch12.s1.8.1"><h4>1.8.1. Availability of additional community services on a regular/routine basis</h4><div id="ch12.s1.8.1.1"><h5>1.8.1.1. Included studies</h5><p>Seven health economic studies were identified with the relevant comparison and have been included in this review.<a class="bibr" href="#ch12.ref22" rid="ch12.ref22"><sup>22</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref46" rid="ch12.ref46"><sup>46</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref168" rid="ch12.ref168"><sup>168</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref180" rid="ch12.ref180"><sup>180</sup></a>
|
|
<a class="bibr" href="#ch12.ref1" rid="ch12.ref1"><sup>1</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref181" rid="ch12.ref181"><sup>181</sup></a><sup>,</sup><a class="bibr" href="#ch12.ref238" rid="ch12.ref238"><sup>238</sup></a></p><p>These are summarised in the health economic evidence profile below (<a class="figpopup" href="/books/NBK558770/table/ch12.tab39/?report=objectonly" target="object" rid-figpopup="figch12tab39" rid-ob="figobch12tab39">Table 37</a>) and the health economic evidence tables in <a href="#ch12.apph">Appendix H</a>.</p></div><div id="ch12.s1.8.1.2"><h5>1.8.1.2. Excluded studies</h5><p>No health economic studies that were relevant to this question were excluded due to assessment of limited applicability or methodological limitations.</p><p>See also the health economic study selection flow chart in <a href="#ch12.appc">Appendix C</a>.</p></div><div id="ch12.s1.8.1.3"><h5>1.8.1.3. Summary of studies included in the economic evidence review</h5><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab39"><a href="/books/NBK558770/table/ch12.tab39/?report=objectonly" target="object" title="Table 37" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab39" rid-ob="figobch12tab39"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab39/?report=thumb" src-large="/books/NBK558770/table/ch12.tab39/?report=previmg" alt="Table 37. Health economic evidence profile: Additional community services (routine/regular basis) versus no additional community services/usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab39"><a href="/books/NBK558770/table/ch12.tab39/?report=objectonly" target="object" rid-ob="figobch12tab39">Table 37</a></h4><p class="float-caption no_bottom_margin">Health economic evidence profile: Additional community services (routine/regular basis) versus no additional community services/usual care. </p></div></div></div></div><div id="ch12.s1.8.2"><h4>1.8.2. Availability of additional community services in an acute/emergency scenario</h4><div id="ch12.s1.8.2.1"><h5>1.8.2.1. Included studies</h5><p>One health economic studies was identified with the relevant comparison and have been included in this review. <a class="bibr" href="#ch12.ref146" rid="ch12.ref146"><sup>146</sup></a>. This is summarised in the health economic evidence profile below (<a class="figpopup" href="/books/NBK558770/table/ch12.tab39/?report=objectonly" target="object" rid-figpopup="figch12tab39" rid-ob="figobch12tab39">Table 37</a>) and the health economic evidence tables in <a href="#ch12.apph">Appendix H</a>.</p></div><div id="ch12.s1.8.2.2"><h5>1.8.2.2. Excluded studies</h5><p>No health economic studies that were relevant to this question were excluded due to assessment of limited applicability or methodological limitations.</p><p>See also the health economic study selection flow chart in Appendix</p></div><div id="ch12.s1.8.2.3"><h5>1.8.2.3. Summary of studies included in the economic evidence review</h5><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab40"><a href="/books/NBK558770/table/ch12.tab40/?report=objectonly" target="object" title="Table 38" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab40" rid-ob="figobch12tab40"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab40/?report=thumb" src-large="/books/NBK558770/table/ch12.tab40/?report=previmg" alt="Table 38. Health economic evidence profile: Additional community services to avoid emergency admissions versus no additional services/usual care." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab40"><a href="/books/NBK558770/table/ch12.tab40/?report=objectonly" target="object" rid-ob="figobch12tab40">Table 38</a></h4><p class="float-caption no_bottom_margin">Health economic evidence profile: Additional community services to avoid emergency admissions versus no additional services/usual care. </p></div></div></div></div><div id="ch12.s1.8.3"><h4>1.8.3. Health economic costing analysis</h4><p>End-of-life community services and out-of-hours end-of-life services were the areas of the guideline that were prioritised by the guideline committee for original economic analysis.</p><p>A costing analysis, with a threshold analysis, was conducted to estimate imprecisely the cost of a number of community services, available out-of-hours and investigate how plausible it is that they could break even. These should not be taken to be a prescription for such services which will vary considerably in order to meet local needs.</p><p>The services were assumed to serve 0.8% of a population of approximately 265,000, the average size of a CCG. The figure of 0.8% was used as an estimate for the number of people that should receive some level of end of life care services. <a class="figpopup" href="/books/NBK558770/table/ch12.tab41/?report=objectonly" target="object" rid-figpopup="figch12tab41" rid-ob="figobch12tab41">Table 39</a> provides estimates of the total costs of the services included in the costing analysis. For full details please see the End of Life Care costing analysis report, saved separately on the NICE website.</p><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab41"><a href="/books/NBK558770/table/ch12.tab41/?report=objectonly" target="object" title="Table 39" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab41" rid-ob="figobch12tab41"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab41/?report=thumb" src-large="/books/NBK558770/table/ch12.tab41/?report=previmg" alt="Table 39. Total costs of the out-of-hours community services included in the costing analysis." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab41"><a href="/books/NBK558770/table/ch12.tab41/?report=objectonly" target="object" rid-ob="figobch12tab41">Table 39</a></h4><p class="float-caption no_bottom_margin">Total costs of the out-of-hours community services included in the costing analysis. </p></div></div><p><a class="figpopup" href="/books/NBK558770/table/ch12.tab42/?report=objectonly" target="object" rid-figpopup="figch12tab42" rid-ob="figobch12tab42">Table 40</a> provides estimates of the potential cost savings, per unit reduction in outcome achieved, that might arise from implementing the additional out-of-hours, end-of-life services in the community.</p><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab42"><a href="/books/NBK558770/table/ch12.tab42/?report=objectonly" target="object" title="Table 40" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab42" rid-ob="figobch12tab42"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab42/?report=thumb" src-large="/books/NBK558770/table/ch12.tab42/?report=previmg" alt="Table 40. Potential cost savings resulting from implementing the additional end-of-life out-of-hours community services." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab42"><a href="/books/NBK558770/table/ch12.tab42/?report=objectonly" target="object" rid-ob="figobch12tab42">Table 40</a></h4><p class="float-caption no_bottom_margin">Potential cost savings resulting from implementing the additional end-of-life out-of-hours community services. </p></div></div><p><a class="figpopup" href="/books/NBK558770/table/ch12.tab43/?report=objectonly" target="object" rid-figpopup="figch12tab43" rid-ob="figobch12tab43">Table 41</a> reports the results of the threshold analysis. These results provide estimates of the outcomes the service components would need to achieve to make them cost neutral; assuming they were implemented to serve 0.8% of a population of approximately 265,000.</p><div class="iconblock whole_rhythm clearfix ten_col table-wrap" id="figch12tab43"><a href="/books/NBK558770/table/ch12.tab43/?report=objectonly" target="object" title="Table 41" class="img_link icnblk_img figpopup" rid-figpopup="figch12tab43" rid-ob="figobch12tab43"><img class="small-thumb" src="/books/NBK558770/table/ch12.tab43/?report=thumb" src-large="/books/NBK558770/table/ch12.tab43/?report=previmg" alt="Table 41. Threshold Analysis Results." /></a><div class="icnblk_cntnt"><h4 id="ch12.tab43"><a href="/books/NBK558770/table/ch12.tab43/?report=objectonly" target="object" rid-ob="figobch12tab43">Table 41</a></h4><p class="float-caption no_bottom_margin">Threshold Analysis Results. </p></div></div><p><i>Interpreting the results:</i>
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<a class="figpopup" href="/books/NBK558770/table/ch12.tab43/?report=objectonly" target="object" rid-figpopup="figch12tab43" rid-ob="figobch12tab43">Table 41</a> shows that for the care coordination service to be cost neutral, it would need to achieve a 63% reduction in deaths occurring in hospital, or a 6% reduction in inpatient days spent in emergency admissions for people in the last year of life, or a 6% reduction in emergency admissions of people in the last year of life. However, if reductions in the outcomes were to occur simultaneously, as would be likely to happen in reality, then the reduction required for each individual outcome would be lower.</p></div></div><div id="ch12.s1.9"><h3>1.9. Resource costs</h3><p>The recommendations made based on this review (see section <b>Error! Reference source not found.</b>) may have a substantial impact on resources.</p><p>Additional costs could be incurred for the following reasons: the costs of the implementation that adults in the last year of life, their carers and people important to them have access to health and social care professionals who have the skills to: meet their identified care needs, pre-empt and minimise crises and support them to stay in their preferred place of care, if possible. The magnitude of the resource impact depends on the scale to which the above is current practice for end of life care. This will depend on local circumstances. Savings could be made through hospital admissions and hospital deaths avoided and reduced length of stay of hospital spells for people in the last year of life, due to improvements in the needs being met for people in the last year of life through increased access to end of life care services. Further detail can be found in the resource impact tools that support the guideline which will be available after final publication.</p></div><div id="ch12.s1.10"><h3>1.10. Evidence statements</h3><div id="ch12.s1.10.1"><h4>1.10.1. Additional community services available on a routine/regular basis</h4></div><div id="ch12.s1.10.2"><h4>1.10.2. Clinical evidence statements</h4><div id="ch12.s1.10.2.1"><h5>Additional community services - category 1 (single provider, no direct clinical care provided) (2 studies) versus usual care</h5><p>A single study showed mixed evidence in terms of patients and carers satisfaction. There was between receiving additional community services compared to usual care in terms of carers and patient satisfaction with care from GP and coordination of care. However there was evidence of clinically important benefit in terms of patients and careers satisfaction with care received from district nurses and hospital. The study showed that a clinically important higher proportion of people in the intervention group died in hospital, but no difference between groups in the number of people dying at home, in hospice or elsewhere. The evidence was also mixed in terms of use of community services: the use of community services was clinically important lower in the intervention group, but there was no difference between groups in terms of contact with community services such as occupational therapists, social workers, district nurses, GP visits or Macmillan nurses. There was no difference between groups for the outcome of admissions to hospital, but for the people who were admitted, there was evidence of a clinically important benefit of the intervention in terms of shorter length of stay. People receiving the intervention however attended a clinically important higher number of outpatient hospital visits. (1 study; n=554; very low quality)</p></div><div id="ch12.s1.10.2.2"><h5>Additional community services - category 2 (multiple providers, no direct clinical care provided) versus usual care</h5><p>No study was included in this group.</p></div><div id="ch12.s1.10.2.3"><h5>Additional community services - category 3 (single provider, direct clinical care provided) (6 studies) versus usual care</h5><p>A single study reported no difference between groups in terms of mortality (1 study; n=332; low quality). A different study reported a clinically important benefit of the intervention of the intervention in terms of length of survival between in the short and long term, but a benefit of the comparator in the mid-term (1 study; n=89; very low quality). A third study reported clinically important benefit of the intervention in terms of hospitalisation (1 study; n=59076; very low to low quality). There was mixed evidence in terms of attendance to Accident and emergency department, with a study reporting clinically important benefit of the intervention resulting in fewer attendances (1 study; n=192; very low to low quality), and another single study reporting no difference between groups (1 study; n=59076; very low to low quality). There was also evidence of clinically important benefit of the intervention for deaths at home, and clinically important fewer people dying in hospital (1 study; n=59076; very low quality).</p></div><div id="ch12.s1.10.2.4"><h5>Additional community services - category 4 (multiple providers, direct clinical care provided) (22 studies) versus usual care</h5><p>Three studies reported the outcome length of survival. One study showed clinically important lower length of survival in the intervention group (1 study; n=297; moderate quality); one study reported no difference at 6 months or overall between groups (1 study; n=171; low quality); one study showed that length of survival was higher in the intervention group (1 study; n=62; very low quality). A single study reported on quality of life, showing no difference between the two groups (1 study; n=72; very low quality).</p><p>A number of studies reported on hospitalisation and related outcomes. For the outcome of avoidable admissions to ICU, one study reported a clinically important benefit of the intervention 30 days before death (1 study; n=1443; very low quality). For the outcome of unscheduled admissions to hospital, the same study reported a clinically important benefit of the intervention 30 days before death (1 study; n=1443; very low quality). A second study also showed a clinically important benefit of the intervention in terms of number of patients admitted, but no difference between groups in the mean number of admissions (1 study; n=197; very low quality). For the outcome of length of stay, two single studies reported no clinically important difference between groups (1 study; n=664; very low quality; and 1 study; n=59-138; very low quality). Three single studies however reported a clinically important benefit of the intervention in terms of shorter length of stay (1 study, n=171, low to very low quality; 1 study, n=402, very low quality; 1 study; N=116; very low quality). For the outcome of hospital visits, there was evidence of clinically important benefit of the intervention reported by two single studies (1 study; n=1443; very low quality; and 1 study; n=300; very low quality). For the outcome of visits to emergency department, there was mixed evidence with three single studies reporting no clinically important difference between groups (1 study, n=664-969, very low quality; 1 study, n=193, very low quality; and 1 study, n=6218, very low quality) and two single studies reporting a clinically important benefit of the intervention resulting in fewer ED visits (1 study; n=300; very low quality; and 1 study; n=297; very low quality). Finally, for the hospitalisation outcome, three single studies reported no clinically important difference between groups (1 study; n=664; very low quality; 1 study; n=193; very low quality; 1 study; n=6218; very low quality), while three single studies reported a clinically important benefit of the intervention (1 study; n=1443; very low quality; 1 study; n=297; moderate quality; 1 study; n=402; very low quality).</p><p>Several studies reported on place of death. Seven single studies reported a clinically important benefit of additional services in the number of people dying at home (1 study; n=280; very low quality; 1 study; n=193; very low quality evidence; 1 study; n=298; very low quality;1 study; n=195; very low quality;1 study; n=402; very low quality; 1 study; n=993; very low quality; 1 study; n=116; very low quality). Fiver single studies reported a clinically important difference in the number of people dying in hospital following addition of community services (1 study; n=280; very low quality; 1 study; n=1443; very low quality; 1 study; n=402; very low quality; 1 study; n=993; very low quality; 1 study; n=28561; low quality evidence). One study also found fewer deaths at hospital with additional services (n=not reported; very low quality). One study found no significant difference in the number of people dying at home between groups receiving additional services and those with usual care (1 study; n=971; very low quality). Another saw no clinically important difference in the number of deaths occurring at country hospital or nursing home (1 study; n=402; very low quality).</p><p>Two single studies reported on the use of community services. There was evidence of clinically important lower number of visits to GP and skilled nurses (1 study; n=300 low to very low quality). One of the studies reported a clinically important higher number of overall visits (1 study; n=300 low to very low quality), while the other study reported an overall lower number of visits (1 study; n=297 low to very low quality).</p></div></div><div id="ch12.s1.10.3"><h4>1.10.3. Economic evidence statements</h4><ul id="ch12.l14"><li id="ch12.lt73" class="half_rhythm"><div>One cost-consequence analysis found that having advanced care planning discussions take place in a hospice setting saved an average of £431 per person in the last year of life. This analysis was assessed as partially applicable with potentially serious limitations.</div></li><li id="ch12.lt74" class="half_rhythm"><div>One cost-consequence analysis found that having home hospice care in addition to regular community care saved £3,356 per person in hospital utilisation costs in the last 6 months of life. This study was assessed as partially applicable with very serious limitations.</div></li><li id="ch12.lt75" class="half_rhythm"><div>One cost-consequence analysis estimated that having a Marie-curie nursing service at home saved £1,113 per person in the hospital utilisation costs in last year of life. This study was assessed as partially applicable with very serious limitations.</div></li><li id="ch12.lt76" class="half_rhythm"><div>One cost-consequence analysis found that having a consultant-led specialist palliative care provided in the home saved £700 per person in hospital utilisation costs for people who had not had any hospital stays, saved £700 per person for people after one stay and for people after2+ stays the study found no difference in hospital utilisation costs. This study was assessed as partially applicable with very serious limitations.</div></li><li id="ch12.lt77" class="half_rhythm"><div>One cost-consequence analysis found that the “better together” intervention saved £1,187 per person in hospital utilisation costs in Bradford and £848 per person in hospital utilisation costs in Poole. This study was assessed as partially applicable with very serious limitations.</div></li><li id="ch12.lt78" class="half_rhythm"><div>One cost-utility analysis found that having a palliative care team in-home dominated usual care. This study was assessed as partially applicable with very serious limitations.</div></li><li id="ch12.lt79" class="half_rhythm"><div>One cost-consequence analysis found that an interdisciplinary service in the community saved £2,240 per person on hospitalisations and ED presentations in the last year of life. This study was assessed as partially applicable with very serious limitations.</div></li></ul></div><div id="ch12.s1.10.4"><h4>1.10.4. Additional community services available in an acute/emergency scenario</h4></div><div id="ch12.s1.10.5"><h4>1.10.5. Clinical evidence statements</h4><div id="ch12.s1.10.5.1"><h5>Additional community service (acute/emergency basis) versus usual care (Casarette 2015)</h5><p>There was evidence of clinically important benefit of the comparator for the outcome of place of death, with fewer people dying in inpatient hospice in the control group (1 study, n=24658, very low quality).</p></div><div id="ch12.s1.10.5.2"><h5>Additional community service (acute/emergency basis) (RRS available) versus usual care (RRS not available) (Holdsworth 2015)</h5><p>In carers there was a clinically important difference in favour of people who were not offered the service for carers quality of life (EQ-5D) and quality life (SF-36 mental). There was no clinically important difference for carers quality of life (SF-36 physical) or for the proportion of people achieving their preferred initial or final actual place of death. (1 study; n=64-953; very low quality)</p></div><div id="ch12.s1.10.5.3"><h5>Additional community service (acute/emergency basis) (RRS users) versus usual care (RRS non-users) (Gage 2015)</h5><p>There was a clinically important difference in favour of people who used the service for preferred (initial) and actual place of death. A clinically important higher proportion of users had more than one contacts with community services (GP/primary care or community care), one or more visits from a Marie Curie professional or one or more contacts with an out of hours service. There was no clinically important difference between the groups with respect to the proportion of people with one or more visits to accident and emergency, acute care, a hospice or with social services. (1 study; n=426-681; very low quality)</p></div><div id="ch12.s1.10.5.4"><h5>Additional community service (acute/emergency basis) versus usual care (Mccaffrey 2013)</h5><p>There was evidence of clinically important benefit of the comparator for the outcome of place of death, with more people dying at home in the control group (1 study, n=21, very low quality).</p></div><div id="ch12.s1.10.5.5"><h5>Additional community service (acute/emergency basis) versus usual care (Purdy 2015)</h5><p>For the outcome of actual place of death there was a clinically important difference between users compared to non-users with the former having a lower proportion of people dying in an acute hospital and elsewhere. There was a clinically importance difference between users compared to non-users with the former having a greater proportion of people dying in a community hospital, at home and in hospice. There was no clinically important difference between users compared to non-users for the proportion of people dying in a care home and ‘elsewhere’.</p><p>There was a clinically important difference between users compared to non-users with the former having a lower proportion of people with one or more emergency admissions and visits to the accident and emergency department within the last 30 and 7days.</p><p>There was no clinically important difference between users compared to non-users for the proportion of people for the mean number of patients with one more emergency admissions, visits to the accident and emergency department per patient at 30 and 7 days (1 study; n=2572; very low quality).</p></div></div><div id="ch12.s1.10.6"><h4>1.10.6. Economic evidence statements</h4><ul id="ch12.l15"><li id="ch12.lt80" class="half_rhythm"><div>One cost-effectiveness analysis found that having palliative care extended packages at home (PEACH) cost £2,073 per day at home gained. This analysis was assessed as partially applicable with very serious limitations.</div></li></ul><p>The threshold analysis conducted on different ‘out of hours’ community end of life services found that the services would be considered good value of money for the average CCG if they achieved:
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<ul id="ch12.l16"><li id="ch12.lt81" class="half_rhythm"><div>Care coordination service:
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<ul id="ch12.l17" class="circle"><li id="ch12.lt82" class="half_rhythm"><div>61% reduction in number of hospital deaths, or</div></li><li id="ch12.lt83" class="half_rhythm"><div>6% reduction in emergency inpatient days of people in the last year of life, or</div></li><li id="ch12.lt84" class="half_rhythm"><div>6% reduction in emergency admissions of people in the last year of life</div></li></ul></div></li><li id="ch12.lt85" class="half_rhythm"><div>Out-of-hours end-of-life advice line:
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<ul id="ch12.l18" class="circle"><li id="ch12.lt86" class="half_rhythm"><div>13% reduction in number of hospital deaths, or</div></li><li id="ch12.lt87" class="half_rhythm"><div>1% reduction in emergency inpatient days of people in the last year of life, or</div></li><li id="ch12.lt88" class="half_rhythm"><div>1% reduction in emergency admissions of people in the last year of life</div></li></ul></div></li><li id="ch12.lt89" class="half_rhythm"><div>Out-of-hours end-of-life Pharmacy service:
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<ul id="ch12.l19" class="circle"><li id="ch12.lt90" class="half_rhythm"><div>1% reduction in number of hospital deaths, or</div></li><li id="ch12.lt91" class="half_rhythm"><div>0.06% reduction in emergency inpatient days of people in the last year of life, or</div></li><li id="ch12.lt92" class="half_rhythm"><div>0.06% reduction in emergency admissions of people in the last year of life</div></li></ul></div></li><li id="ch12.lt93" class="half_rhythm"><div>End-of-life ambulance service
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<ul id="ch12.l20" class="circle"><li id="ch12.lt94" class="half_rhythm"><div>10% reduction in number of hospital deaths, or</div></li><li id="ch12.lt95" class="half_rhythm"><div>1% reduction in emergency inpatient days of people in the last year of life, or</div></li><li id="ch12.lt96" class="half_rhythm"><div>1% reduction in emergency admissions of people in the last year of life</div></li></ul></div></li><li id="ch12.lt97" class="half_rhythm"><div>Hospice at home
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<ul id="ch12.l21" class="circle"><li id="ch12.lt98" class="half_rhythm"><div>83% reduction in number of hospital deaths, or</div></li><li id="ch12.lt99" class="half_rhythm"><div>8% reduction in emergency inpatient days of people in the last year of life, or</div></li><li id="ch12.lt100" class="half_rhythm"><div>8% reduction in emergency admissions of people in the last year of life</div></li></ul></div></li></ul></p></div></div><div id="ch12.s1.11"><h3>1.11. The committee’s discussion of the evidence</h3><div id="ch12.s1.11.1"><h4>1.11.1. Interpreting the evidence</h4></div><div id="ch12.s1.11.2"><h4>1.11.2. The outcomes that matter most</h4><div id="ch12.s1.11.2.1"><h5>Additional community services on a regular/routine basis</h5><p>The committee identified quality of life, and preferred place of care and death as the critical outcomes for identifying people in their last year of life. The following outcomes were identified as important: length of survival, length of stay, length of survival hospitalisation, number of hospital visits, number of visits to accident and emergency, number of unscheduled admissions, use of community services, avoidable or inappropriate admissions to ICU, inappropriate attempts at cardiopulmonary resuscitation, staff satisfaction, patient or carer reported outcomes and carer health.</p><p>See <a class="figpopup" href="/books/NBK558770/table/ch12.tab9/?report=objectonly" target="object" rid-figpopup="figch12tab9" rid-ob="figobch12tab9">tables 7</a> and <a class="figpopup" href="/books/NBK558770/table/ch12.tab10/?report=objectonly" target="object" rid-figpopup="figch12tab10" rid-ob="figobch12tab10">8</a> in the Methods chapter for a detailed explanation of why the committee selected these outcomes.</p><p>For the critical outcomes, six studies reported quality of life of people in the last year of life. Ten studies reported actual place of death, which was an indirect outcome for actual place of death compared to preferred place of death. Seven studies reported the outcome length of survival. None of the studies reported actual and preferred place of care.</p><p>For the important outcomes, length of stay, hospitalisation, number of hospital visits, number of visits to accident and emergency, number of unscheduled admissions and avoidable/inappropriate admissions to ICU were overall reported by 17 studies. 3 studies reported use of community services and 1 study reported patient/carer reported outcomes (satisfaction). No studies reported inappropriate attempts at cardiopulmonary resuscitation or staff satisfaction.</p></div><div id="ch12.s1.11.2.2"><h5>Additional community services in an acute/emergency scenario</h5><p>For the critical outcomes, two studies reported quality of life of people in the last year of life or their carers’. Three studies reported actual place of death, which was an indirect outcome for actual place of death compared to preferred place of death. None of the studies reported length of survival and actual and preferred place of care.</p><p>For the important outcomes, one study reported on number of hospital visits, two studies reported on number of visits to accident and emergency. 1 study reported use of community services and 1 study reported patient/carer reported outcomes (satisfaction). No studies reported length of stay, hospitalisation, number of unscheduled admissions and avoidable/inappropriate admissions to ICU, inappropriate attempts at cardiopulmonary resuscitation or staff satisfaction.</p></div><div id="ch12.s1.11.2.3"><h5>1.11.2.1. The quality of the evidence</h5><div id="ch12.s1.11.2.3.1"><h5>Additional community services on a regular/routine basis</h5><p>The quality of the evidence ranged from very low to moderate. This was due to study design, selection and performance bias, resulting in a high risk of bias rating, and imprecision. Indirectness in some outcomes (for example: actual and final place of death; hospitalisation) further contributed to the final GRADE rating.</p><p>A number of outcomes (for example: length of survival; hospitalisation; quality of life) were reported as median only, or mean only, therefore conclusions on the efficacy based on these outcomes could not be made with any degree of certainty.</p></div><div id="ch12.s1.11.2.3.2"><h5>Additional community services in an acute/emergency scenario</h5><p>For the majority of evidence in this review, the quality received a GRADE rating of very low. This was mainly due to selection and performance bias, resulting in a high risk of bias rating, as well as the imprecise nature of the results extracted and analysed in this review. Indirectness in some outcomes (for example: actual and final place of death) further contributed to the final GRADE rating.</p><p>Some evidence was obtained from non-randomised studies, which scored a very low GRADE quality rating.</p><p>A number of outcomes (for example: quality of life; satisfaction) were reported as median only, therefore conclusions on the efficacy based on these outcomes could not be made with any degree of certainty.</p></div></div><div id="ch12.s1.11.2.4"><h5>1.11.2.2. Benefits and harms</h5><div id="ch12.s1.11.2.4.1"><h5>Additional community services on a regular/routine basis</h5><p>To ease the interpretation of the evidence included in this review, the Committee agreed to group the studies based on the intensity of the resources used for service delivery, taking into consideration the level of care, staff and other aspects of the interventions.</p><p>For the evidence regarding category 1 (additional community services delivered by a single provider, no direct clinical care provided), a clinically important benefit of the intervention was observed in terms of place of death and length of stay. Mixed evidence was available for patient and carer satisfaction and use of community services. A benefit of the comparator was observed in terms of hospital visits. The Committee noted that the evidence mainly came from a single UK-based study conducted in 1992. The Committee commented that the evidence from this study might be outdated and not directly applicable to the current provision of services.</p><p>For the evidence regarding category 3 (additional community services delivered by a single provider, direct clinical care provided), benefit of the intervention was observed in terms of hospitalisation and place of death, with more people in the intervention group dying at home. There was some evidence of benefit of the intervention in terms of emergency department attendance, and mixed evidence in terms of mortality. The Committee commented that some evidence for this category came from a UK-based large retrospective study, albeit of very low quality.</p><p>For the evidence regarding category 4 (additional community services delivered by multiple providers, direct clinical care provided), the Committee observed that most interventions were delivered by a core team composed of a doctor or specialist and/or a social worker with specific palliative training. The core service was in most cases provided to both the person dying and their family, and commonly included elements of planning and coordination, education (self-management), disease and symptom management, palliative care interventions, on call emergency care, and emotional, social, spiritual support. Other components of the team could include district nurses, specialist doctors, spiritual care advisors or counsellors, psychologists, volunteers, physiotherapists, occupational therapists or other healthcare assistants. The GP was often seen as key for the optimal delivery of the intervention, but was not part of the intervention itself. Overall, the Committee noted that there was mixed evidence in terms of length of survival, and no difference between groups in terms of quality of life. There was some evidence of benefit of the intervention in terms of hospitalisation and place of death, and evidence of benefit in the use of community services.</p><p>Considering the body of evidence overall, it was difficult for the Committee to interpret the meaning of the evidence for mortality, and there was evidence of no clinically important difference between the groups receiving additional community services and usual care in terms of quality of life. There was evidence of clinically important benefit in terms of place of death, and overall evidence of benefit in terms of hospitalisation and related outcomes (length of stay, number of hospital visits, number of visits to A&E, number of unscheduled admissions, avoidable/inappropriate admissions to ICU), while it was difficult for the Committee to interpret the meaning of the evidence for the use of community services.</p></div><div id="ch12.s1.11.2.4.2"><h5>Additional community services in an acute/emergency scenario</h5><p>Overall, the Committee noted that the evidence showed mixed results in terms of quality of life and place of death, with some evidence showing a benefit of usual care, and other studies showing no difference between groups. For the outcome of preferred and actual place of death, the Committee observed that the intervention resulted in no clinically important difference, and higher rate of achieving preferred place of death. In general, fewer people in the intervention group died at hospital, but inconsistent results were noted on deaths at home. There was mostly no difference between groups in terms of hospitalisation and number of hospital visits, with some benefit of the intervention. Number of visits to A&E was also generally lower in the intervention group. Overall no difference between groups was observed for patient satisfaction.</p></div></div></div><div id="ch12.s1.11.3"><h4>1.11.3. Other factors the committee took into account</h4><p>The Committee agreed there was not enough evidence to formulate an evidence-based recommendation making a clear recommendation on a model of community services. The Committee discussed that one model of care across the UK would be inappropriate and that different regions and populations would require a different service (for example, the services for rural and urban areas would look different). They agreed on a consensus recommendation stating people should have access to the appropriate community services they need to enable them to avoid admission to hospital.</p></div><div id="ch12.s1.11.4"><h4>1.11.4. Cost effectiveness and resource use</h4><p>The implementation or reorganisations of community services could produce potential cost savings to the NHS. These cost savings might arise, most notably, through reductions in avoidable hospital admissions, reductions in hospital length of stay and reductions in the proportion of deaths occurring in hospital. If costs saved from the improved outcomes listed above were to outweigh the cost of implementation and the on-going costs of providing the community services, then the services would be considered to be cost saving to the NHS. However, if the community services were to cost more to run than the cost that were being saved, then the implementation of such services might not be considered an efficient use of resources. It is clear that implementing additional services in the community would free up resources in hospitals and shift the need into the community, but the overall effect this would have on the cost to the system as a whole is highly uncertain.</p><p>Seven health economic studies were identified that compared implementing additional services in the community to usual care (no additional community services). The studies were all partially applicable and the quality of the studies ranged from having potentially serious limitations to very serious limitations. The main limitation of nearly all of the studies was that, although they demonstrated costs savings from the interventions in terms of hospital utilisation costs, they did not provide information on the upfront and on-going costs of the interventions themselves, making it not possible to determine whether overall, they would be cost neutral or saving to implement. One of the studies was a cost-utility analysis analysing a number of different end of life interventions, some of which were community based. However the study was not based on UK data therefore was not directly applicable to a UK service model.</p><p>One health economic study was identified comparing additional community services to avoid emergency admissions versus usual care (no additional services). This study was assessed as partially applicable with very serious limitations.</p><p>The committee felt that the quality of the health economic evidence was too low to be able to help them to determine whether any of the additional community interventions in the literature would be cost effective.</p><p>The committee discussed the issue that the current political focus on shifting end of life care from hospitals into the community might not lead to overall cost savings for the NHS, as the cost of providing care in the community can be as costly as hospital care. The other issue the committee discussed was that there are extremely limited resources available in the community, for example there has been a significant reduction in the number of district nurses over the last five years. Furthermore, the level of services regions are able to provide in the community will be largely constrained by the limited resources available and shortfalls in the number of community trained health care professionals.</p><p>The committee felt that community services and out-of-hours services were extremely important areas of the guideline where any potential recommendations would be likely to lead to a significant resource impact; therefore they were prioritised as areas for original economic analysis. Due to the low quality of the clinical evidence it was not possible to conduct an evidence based cost-effectiveness analysis. A cost analysis was conducted for different out-of-hours community interventions identified by the committee, from the literature or from the call for evidence (please see the details of the analysis in the separate report via the NICE website) The committee identified deaths occurring outside hospital, length of stay in end of life emergency admissions and emergency admissions as the outcomes for the analysis. The cost analysis also included a threshold analysis which determined the reductions required in outcomes listed above, for a hypothetical region representing an average size CCG, to make the services cost neutral.</p><p>The committee used the results of the threshold analysis to inform their recommendations regarding having an out-of-hours advice line dedicated to end of life, a dedicated ambulance services for end of life patients, and an out-of-hours end-of-life pharmacy service as the committee felt confident that the outcomes needed to recover the costs of these interventions could be achieved, and therefore felt the interventions were likely to be a good use of NHS resources. The committee felt more uncertain about whether the care coordination service and hospice at home components would be able to achieve the required outcomes needed to make them cost neutral.</p><p>It is important to note that the illustrative costs provided in the cost analysis that were presented to the committee to aid the decisions were highly subjective and do not reflect the estimated actual cost of implementing the services in reality. In reality the costs will vary significantly according to the specific region and are therefore extremely difficult to estimate.</p><p>The committee noted that geographical, societal, economic and epidemiological differences between regions mean that the optimal end-of-life service model will differ by locality and will be determined by a number of varying factors. The committee also noted that due to wide scale variation in the level of services currently available, the level of reorganisation required would need to be tailored to compliment what is currently already provided, and the resource impact of any recommendations will depend on this as well.</p></div></div></div><div id="ch12.rl.r1"><h2 id="_ch12_rl_r1_">References</h2><dl class="temp-labeled-list"><dl class="bkr_refwrap"><dt>1.</dt><dd><div class="bk_ref" id="ch12.ref1">Abel
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R, Landi
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F, Gambassi
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G, Sgadari
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K, Lamantia
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M, Shofer
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F, McCall
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B, Roberts
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P, Cartwright
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M, Hirani
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SP, Barlow
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J, Hendy
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KH, Hanlon
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AL, Glick
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MD, O’Connor
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M, Riegel
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JM, Kelley-Gillespie
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LH, Farley
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J, Kerr
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KM, McClish
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DK, Skoro
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N, Johnson
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S, Wanke
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|
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GA, Abrams
|
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TA, Meyerhardt
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JA, Enzinger
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PC, Sommer
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K, Dalby
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et al. Identification of potentially avoidable hospitalizations in patients with GI cancer. Journal of Clinical Oncology. 2014; 32(6):496–503 [<a href="/pmc/articles/PMC3918534/" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pmc">PMC free article<span class="bk_prnt">: PMC3918534</span></a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/24419123" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 24419123</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>32.</dt><dd><div class="bk_ref" id="ch12.ref32">Brumley
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R, Enguidanos
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S, Jamison
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P, Seitz
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R, Morgenstern
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RD, Enguidanos
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RE, Rooks
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SP, Levy
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C, Schwartz
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R, Ginde
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AA. Identifying potentially preventable emergency department visits by nursing home residents in the United States. Journal of the American Medical Directors Association. 2015; 16(5):395–9 [<a href="/pmc/articles/PMC4417032/" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pmc">PMC free article<span class="bk_prnt">: PMC4417032</span></a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/25703449" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 25703449</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>35.</dt><dd><div class="bk_ref" id="ch12.ref35">Butler
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C, Holdsworth
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LM, Coulton
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S, Gage
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H. Evaluation of a hospice rapid response community service: A controlled evaluation. BMC Palliative Care. 2012; 11:11 [<a href="/pmc/articles/PMC3441320/" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pmc">PMC free article<span class="bk_prnt">: PMC3441320</span></a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/22846107" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 22846107</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>36.</dt><dd><div class="bk_ref" id="ch12.ref36">Buurman
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BM, Parlevliet
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JL, Deelen
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BA, Haan
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RJ, Rooij
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SE. A randomised clinical trial on a comprehensive geriatric assessment and intensive home follow-up after hospital discharge: the Transitional Care Bridge. BMC Health Services Research. 2010; 10:296 [<a href="/pmc/articles/PMC2984496/" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pmc">PMC free article<span class="bk_prnt">: PMC2984496</span></a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/21034479" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 21034479</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>37.</dt><dd><div class="bk_ref" id="ch12.ref37">Byron
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S, Moriarty
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D, O’Hara
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A. Macmillan nurse facilitators: Establishing a palliative resource nurse network in primary care. International Journal of Palliative Nursing. 2007; 13(9):438–44 [<a href="https://pubmed.ncbi.nlm.nih.gov/18026062" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 18026062</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>38.</dt><dd><div class="bk_ref" id="ch12.ref38">Candy
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B, Holman
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A, Leurent
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B, Davis
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S, Jones
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L. Hospice care delivered at home, in nursing homes and in dedicated hospice facilities: A systematic review of quantitative and qualitative evidence. International Journal of Nursing Studies. 2011; 48(1):121–33 [<a href="https://pubmed.ncbi.nlm.nih.gov/20846650" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 20846650</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>39.</dt><dd><div class="bk_ref" id="ch12.ref39">Caplan
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GA, Williams
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AJ, Daly
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B, Abraham
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SM, Lhussier
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M, Wilcockson
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J. Transferring palliative care knowledge: evaluating the use of a telephone advice line. International Journal of Palliative Nursing. 2008; 14(6):303–8 [<a href="https://pubmed.ncbi.nlm.nih.gov/18928135" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 18928135</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>41.</dt><dd><div class="bk_ref" id="ch12.ref41">Casarett
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D, Harrold
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J, Harris
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PS, Bender
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L, Farrington
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S, Smither
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YM, Heon Lee
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J, Hee Ho
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S, Ja Kim
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H, Hong Jun
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K, Uk Won
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J. Patient satisfaction with telemedicine in home health services for the elderly. International Journal of Medical Informatics. 2001; 61(2–3):167–73 [<a href="https://pubmed.ncbi.nlm.nih.gov/11311671" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 11311671</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>43.</dt><dd><div class="bk_ref" id="ch12.ref43">Chen
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YM, Thompson
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EA. Understanding factors that influence success of home- and community-based services in keeping older adults in community settings. Journal of Aging and Health. 2010; 22(3):267–91 [<a href="https://pubmed.ncbi.nlm.nih.gov/20103687" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 20103687</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>44.</dt><dd><div class="bk_ref" id="ch12.ref44">Cherofsky
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N, Onua
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E, Sawo
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D, Slavin
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E, Levin
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R. Telehealth in adult patients with congestive heart failure in long term home health care: a systematic review. JBI Library of Systematic Reviewis. 2011; 9(30):1271–1296 [<a href="https://pubmed.ncbi.nlm.nih.gov/27819920" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 27819920</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>45.</dt><dd><div class="bk_ref" id="ch12.ref45">Chiang
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JK, Kao
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YH. Impact of home hospice care on patients with advanced lung cancer: A longitudinal population-based study in Taiwan. Journal of Palliative Medicine. 2016; 19(4):380–386 [<a href="https://pubmed.ncbi.nlm.nih.gov/26618516" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 26618516</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>46.</dt><dd><div class="bk_ref" id="ch12.ref46">Chitnis
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XA, Georghiou
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T, Steventon
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A, Bardsley
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|
|
NR, Chuang
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HC, Wu
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SS, Wang
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X, Kobb
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R, Haggstrom
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et al. Mortality risk for diabetes patients in a care coordination, home-telehealth programme. Journal of Telemedicine and Telecare. 2009; 15(2):98–101 [<a href="https://pubmed.ncbi.nlm.nih.gov/19246611" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 19246611</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>48.</dt><dd><div class="bk_ref" id="ch12.ref48">Chumbler
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NR, Neugaard
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JGF, Louis
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AA, Rigby
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AS, Janssens
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|
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EA, Smith
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JD, Frank
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JC, Min
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SJ, Parry
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C, Kramer
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AM. Preparing patients and caregivers to participate in care delivered across settings: The care transitions intervention. Journal of the American Geriatrics Society. 2004; 52(11):1817–1825 [<a href="https://pubmed.ncbi.nlm.nih.gov/15507057" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 15507057</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>52.</dt><dd><div class="bk_ref" id="ch12.ref52">Condelius
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A, Hallberg
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IR, Jakobsson
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|
PG, Moody
|
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AM, Armstrong
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G, Nolasco
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S, Lao-Sirieix
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SH, Bavister
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M, Higginson
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IJ, Boni
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L, Orengo
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MA, Garrone
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E, Henriquet
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N, Koop
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PM, King
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K, Duggleby
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W, Hunter
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KF. Chemotherapy at home: Keeping patients in their “natural habitat”. Canadian Oncology Nursing Journal. 2014; 24(2):89–94 [<a href="https://pubmed.ncbi.nlm.nih.gov/24902426" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 24902426</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>56.</dt><dd><div class="bk_ref" id="ch12.ref56">Cummings
|
|
GG, Reid
|
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RC, Estabrooks
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CA, Norton
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PG, Cummings
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GE, Rowe
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BH
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|
|
JE, Hughes
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|
SL, Weaver
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FM, Manheim
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LM, Conrad
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KJ, Nash
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|
|
G, Federico
|
|
B, Venditti
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A, Sicuro
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L, Rinaldi
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S, Cirio
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A, Kendall
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S, Edmonson
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E, Young
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M, Stressel
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|
J, Declercq
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A, Ces
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S, Van Durme
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T, Van Audenhove
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|
F, Caraceni
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A, Groff
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L, Brunelli
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C, Donati
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I, Tamburini
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M
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E, Zweers
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D, Valkenburg
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A, Uyttewaal
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R, Bramanti
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A, De Cola
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MC, Trifiletti
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A, Tomasello
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P, Jimenez
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S, del Pozo
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F, Roca
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J, Alonso
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A, Hernandez
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SR, Muckaden
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M, Harris
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PS, Teno
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J, Rodin
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D, Barua
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R, Lejnieks
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M, Lang
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PO, Novella
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JL, Narbey
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WC, Littenberg
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B, Ewald
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GA, Jones
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CA, Emery
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K, Wilhelmson
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K, Gustafsson
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H, Landahl
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S, Dahlin-Ivanoff
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C, Jones
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CD, Cene
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CW, Zheng
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ZJ, Sueta
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R, Braun
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KL, Ozawa
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SM, Speedie
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SM, Demiris
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IG, Higginson
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IJ, Goodwin
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DM, Cook
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AG, Hood
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A, Finlay
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I, Johnstone
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R, Minto
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JS, Brodie
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R, Tjan
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E, Wilton
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M, Zoberman
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MI. Effective reduction of stroke readmissions through nurse practitioner initiated follow -up calls in a comprehensive stroke center. Stroke. 2016; 47(Suppl 1)</div></dd></dl><dl class="bkr_refwrap"><dt>85.</dt><dd><div class="bk_ref" id="ch12.ref85">Golbeck
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AL, Hansen
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D, Lee
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J. Telemonitoring improves home health utilization outcomes in rural settings. Journal of Telemedicine and Telecare. 2011; 17(5):273–8 [<a href="https://pubmed.ncbi.nlm.nih.gov/21824969" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 21824969</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>86.</dt><dd><div class="bk_ref" id="ch12.ref86">Goldman
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LE, Sarkar
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U, Kessell
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E, Guzman
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D, Schneidermann
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M, Pierluissi
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B, Calanzani
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V, McCrone
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P, Higginson
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J, Guallar-Castillon
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P, Banegas
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JR, Rodriguez-Artalejo
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M, Gardiner
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E, Lynga
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F, Woodbridge
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D, Marshall
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SL, Cummings
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SL, Weaver
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FM, Giobbie-Hurder
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A, Manheim
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L, Henderson
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J, Dendukuri
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K, Rhatigan
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J, McGilloway
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S, Kellehear
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RJ, van Eijken
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PR, Stapleton
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EH, Nuno-Solinis
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GE, Flores
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P, Pitkala
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JD, Palshof
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DP, Demiris
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JG, Lamb
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SG, Oliver
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CS, Pratt
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DS, DiSorbo
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E, Grady
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A. Hospice at home 1: The development of a crisis intervention service. International Journal of Palliative Nursing. 2002; 8(4):162–8 [<a href="https://pubmed.ncbi.nlm.nih.gov/12048445" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 12048445</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>221.</dt><dd><div class="bk_ref" id="ch12.ref221">Treloar
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A, Crugel
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M, Adamis
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D. Palliative and end of life care of dementia at home is feasible and rewarding: results from the ‘Hope for Home’ study. Dementia. 2009; 8(3):335–347</div></dd></dl><dl class="bkr_refwrap"><dt>222.</dt><dd><div class="bk_ref" id="ch12.ref222">Tsamandouraki
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D. Relative survival of terminal cancer patients in home versus hospital care. Scandinavian Journal of Social Medicine. 1992; 20(1):51–4 [<a href="https://pubmed.ncbi.nlm.nih.gov/1585142" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 1585142</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>223.</dt><dd><div class="bk_ref" id="ch12.ref223">Venning
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M. Helping people to die at home. The Australian nurses’ journal. 1990; 20(2):17–19 [<a href="https://pubmed.ncbi.nlm.nih.gov/1702615" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 1702615</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>224.</dt><dd><div class="bk_ref" id="ch12.ref224">Ventura
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AD, Burney
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L. Home-based palliative care: A systematic literature review of the self-reported unmet needs of patients and carers. Palliative Medicine. 2014; 28(5):391–402 [<a href="https://pubmed.ncbi.nlm.nih.gov/24292156" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 24292156</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>225.</dt><dd><div class="bk_ref" id="ch12.ref225">Vuorinen
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AL, Leppänen
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J, Kaijanranta
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H, Kulju
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M, Heliö
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T, Gils
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et al. Use of home telemonitoring to support multidisciplinary care of heart failure patients in Finland: Randomized controlled trial. Journal of Medical Internet Research. 2014; 16(12):e282 [<a href="/pmc/articles/PMC4275484/" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pmc">PMC free article<span class="bk_prnt">: PMC4275484</span></a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/25498992" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 25498992</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>226.</dt><dd><div class="bk_ref" id="ch12.ref226">Wakefield
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BJ, Ward
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JE, Ray
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S, Bernstein
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L, Krasnow
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R. UCLA hospice evaluation study. Methodology and instrumentation. Medical Care. 1983; 21(7):734–44 [<a href="https://pubmed.ncbi.nlm.nih.gov/6350745" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 6350745</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>228.</dt><dd><div class="bk_ref" id="ch12.ref228">While
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A. Coordination in end-of-life care. British Journal of Community Nursing. 2013; 18(5):258 [<a href="https://pubmed.ncbi.nlm.nih.gov/23752327" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 23752327</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>229.</dt><dd><div class="bk_ref" id="ch12.ref229">Whitten
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P, Holtz
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B, Meyer
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S. Telehospice: reasons for slow adoption in home hospice care. Journal of Telemedicine and Telecare. 2009; 15(4):187–90 [<a href="https://pubmed.ncbi.nlm.nih.gov/19471030" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 19471030</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>230.</dt><dd><div class="bk_ref" id="ch12.ref230">Wong
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FKY, So
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C, Ng
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AYM, Lam
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PT, Ng
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JSC, Ng
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NHY
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et al. Cost-effectiveness of a transitional home-based palliative care program for patients with end-stage heart failure. Palliative Medicine. 2017; Epublication [<a href="https://pubmed.ncbi.nlm.nih.gov/28434275" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 28434275</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>231.</dt><dd><div class="bk_ref" id="ch12.ref231">Wong
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KW, Wong
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FK, Chan
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MF. Effects of nurse-initiated telephone follow-up on self-efficacy among patients with chronic obstructive pulmonary disease. Journal of Advanced Nursing. 2005; 49(2):210–22 [<a href="https://pubmed.ncbi.nlm.nih.gov/15641953" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 15641953</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>232.</dt><dd><div class="bk_ref" id="ch12.ref232">Wong
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RC, Tan
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PT, Seow
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YH, Aziz
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S, Oo
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N, Seow
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SC
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et al. Home-based advance care programme is effective in reducing hospitalisations of advanced heart failure patients: A clinical and healthcare cost study. Annals of the Academy of Medicine, Singapore. 2013; 42(9):466–71 [<a href="https://pubmed.ncbi.nlm.nih.gov/24162321" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 24162321</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>233.</dt><dd><div class="bk_ref" id="ch12.ref233">Wootton
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R, Gramotnev
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H, Hailey
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D. A randomized controlled trial of telephone-supported care coordination in patients with congestive heart failure. Journal of Telemedicine and Telecare. 2009; 15(4):182–6 [<a href="https://pubmed.ncbi.nlm.nih.gov/19471029" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 19471029</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>234.</dt><dd><div class="bk_ref" id="ch12.ref234">Wootton
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R, Gramotnev
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H, Hailey
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D. Telephone-supported care coordination in an Australian veterans population: A randomized controlled trial. Journal of Telemedicine and Telecare. 2010; 16(2):57–62 [<a href="https://pubmed.ncbi.nlm.nih.gov/20008055" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 20008055</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>235.</dt><dd><div class="bk_ref" id="ch12.ref235">Wray
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LO, Shulan
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MD, Toseland
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RW, Freeman
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KE, Vasquez
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BE, Gao
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J. The effect of telephone support groups on costs of care for veterans with dementia. Gerontologist. 2010; 50(5):623–631 [<a href="https://pubmed.ncbi.nlm.nih.gov/20507926" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 20507926</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>236.</dt><dd><div class="bk_ref" id="ch12.ref236">Wysocki
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A, Kane
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RL, Dowd
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B, Golberstein
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E, Lum
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T, Shippee
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T. Hospitalization of elderly Medicaid long-term care users who transition from nursing homes. Journal of the American Geriatrics Society. 2014; 62(1):71–8 [<a href="https://pubmed.ncbi.nlm.nih.gov/24383662" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 24383662</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>237.</dt><dd><div class="bk_ref" id="ch12.ref237">Yost
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LS. Cancer patients and home care. Extent to which required services are not received. Cancer Practice. 1995; 3(2):83–87 [<a href="https://pubmed.ncbi.nlm.nih.gov/7704074" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 7704074</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>238.</dt><dd><div class="bk_ref" id="ch12.ref238">Youens
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D, Moorin
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R. The impact of community-based palliative care on utilization and cost of acute care hospital services in the last year of life. Journal of Palliative Medicine. 2017; 20(7):736–744 [<a href="https://pubmed.ncbi.nlm.nih.gov/28437201" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 28437201</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>239.</dt><dd><div class="bk_ref" id="ch12.ref239">Young
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Y, Barhydt
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NR, Broderick
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S, Colello
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AD, Hannan
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EL. Factors associated with potentially preventable hospitalization in nursing home residents in New York State: A survey of directors of nursing. Journal of the American Geriatrics Society. 2010; 58(5):901–7 [<a href="https://pubmed.ncbi.nlm.nih.gov/20406315" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 20406315</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>240.</dt><dd><div class="bk_ref" id="ch12.ref240">Young
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Y, Inamdar
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S, Dichter
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BS, Kilburn
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H, Jr., Hannan
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EL. Clinical and nonclinical factors associated with potentially preventable hospitalizations among nursing home residents in New York State. Journal of the American Medical Directors Association. 2011; 12(5):364–71 [<a href="https://pubmed.ncbi.nlm.nih.gov/21450173" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 21450173</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>241.</dt><dd><div class="bk_ref" id="ch12.ref241">Zheng
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Y, Head
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TJ. A systematic review of telehealth in palliative care: caregiver outcomes. Telemedicine Journal and e-Health. 2016; 22(4):288–94 [<a href="https://pubmed.ncbi.nlm.nih.gov/26360181" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 26360181</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>242.</dt><dd><div class="bk_ref" id="ch12.ref242">Zhou
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M, Holden
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L, Bedard
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G, Zeng
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L, Lam
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H, Chu
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D
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et al. The utilization of telephone follow-up in the advanced cancer population: A review of the literature. Journal of Comparative Effectiveness Research. 2012; 1(6):509–17 [<a href="https://pubmed.ncbi.nlm.nih.gov/24236470" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 24236470</span></a>]</div></dd></dl><dl class="bkr_refwrap"><dt>243.</dt><dd><div class="bk_ref" id="ch12.ref243">Zimmer
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JG, Groth-Juncker
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A, McCusker
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J. A randomized controlled study of a home health care team. American Journal of Public Health. 1985; 75(2):134–41 [<a href="/pmc/articles/PMC1645992/" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pmc">PMC free article<span class="bk_prnt">: PMC1645992</span></a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/3966617" ref="pagearea=cite-ref&targetsite=entrez&targetcat=link&targettype=pubmed">PubMed<span class="bk_prnt">: 3966617</span></a>]</div></dd></dl></dl></div><div id="appendixesappgroup12"><h2 id="_appendixesappgroup12_">Appendices</h2><div id="ch12.appa"><h3>Appendix A. Review protocols</h3><p id="ch12.appa.tab1"><a href="/books/NBK558770/table/ch12.appa.tab1/?report=objectonly" target="object" rid-ob="figobch12appatab1" class="figpopup">Table 42. Review protocol for what additional community services are needed to support people in their last year of life to stay in their usual place of residence</a></p><p id="ch12.appa.tab2"><a href="/books/NBK558770/table/ch12.appa.tab2/?report=objectonly" target="object" rid-ob="figobch12appatab2" class="figpopup">Table 43. Review protocol: Reducing inappropriate or avoidable admissions</a></p><p id="ch12.appa.tab3"><a href="/books/NBK558770/table/ch12.appa.tab3/?report=objectonly" target="object" rid-ob="figobch12appatab3" class="figpopup">Table 44. Health economic review protocol</a></p><p>The search strategy will be added here after rerun searches have been conducted.</p></div><div id="ch12.appb"><h3>Appendix B. Search strategies</h3><p>The literature searches for this review are detailed below and complied with the methodology outlined in Developing NICE guidelines: the manual 2014, updated 2017 <a href="https://www.nice.org.uk/guidance/pmg20/resources/developing-nice-guidelines-the-manual-pdf-72286708700869" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">https://www.nice.org.uk/guidance/pmg20/resources/developing-nice-guidelines-the-manual-pdf-72286708700869</a></p><p><i>For more detailed information, please see the</i>
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<a href="/books/NBK558770/bin/bm1.pdf">Methodology</a>
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<i>Review</i>.</p><div id="ch12.appb.s1"><h4>B.1. Clinical search literature search strategy</h4><p>Searches for were constructed using a PICO framework where population (P) terms were combined with Intervention (I) and in some cases Comparison (C) terms. Outcomes (O) are rarely used in search strategies for interventions as these concepts may not be well described in title, abstract or indexes and therefore difficult to retrieve. Search filters were applied to the search where appropriate.</p><p id="ch12.appb.tab1"><a href="/books/NBK558770/table/ch12.appb.tab1/?report=objectonly" target="object" rid-ob="figobch12appbtab1" class="figpopup">Table 45. Database date parameters and filters used</a></p><p id="ch12.appb.tab2"><a href="/books/NBK558770/table/ch12.appb.tab2/?report=objectonly" target="object" rid-ob="figobch12appbtab2" class="figpopup">Medline (Ovid) search terms</a></p><p id="ch12.appb.tab3"><a href="/books/NBK558770/table/ch12.appb.tab3/?report=objectonly" target="object" rid-ob="figobch12appbtab3" class="figpopup">Embase (Ovid) search terms</a></p><p id="ch12.appb.tab4"><a href="/books/NBK558770/table/ch12.appb.tab4/?report=objectonly" target="object" rid-ob="figobch12appbtab4" class="figpopup">Cochrane Library (Wiley) search terms</a></p><p id="ch12.appb.tab5"><a href="/books/NBK558770/table/ch12.appb.tab5/?report=objectonly" target="object" rid-ob="figobch12appbtab5" class="figpopup">CINAHL (EBSCO) search terms</a></p><p id="ch12.appb.tab6"><a href="/books/NBK558770/table/ch12.appb.tab6/?report=objectonly" target="object" rid-ob="figobch12appbtab6" class="figpopup">PsycINFO (ProQuest) search terms</a></p><p id="ch12.appb.tab7"><a href="/books/NBK558770/table/ch12.appb.tab7/?report=objectonly" target="object" rid-ob="figobch12appbtab7" class="figpopup">HMIC (Ovid) search terms</a></p><p id="ch12.appb.tab8"><a href="/books/NBK558770/table/ch12.appb.tab8/?report=objectonly" target="object" rid-ob="figobch12appbtab8" class="figpopup">SPP (Ovid) search terms</a></p><p id="ch12.appb.tab9"><a href="/books/NBK558770/table/ch12.appb.tab9/?report=objectonly" target="object" rid-ob="figobch12appbtab9" class="figpopup">ASSIA (ProQuest) search terms</a></p></div><div id="ch12.appb.s2"><h4>B.2. Health Economics literature search strategy</h4><p>Health economic evidence was identified by conducting a broad search relating to end of life care in NHS Economic Evaluation Database (NHS EED – this ceased to be updated after March 2015) and the Health Technology Assessment database (HTA) with no date restrictions. NHS EED and HTA databases are hosted by the Centre for Research and Dissemination (CRD). Additional searches were run on Medline and Embase for health economics, economic modelling and quality of life studies.</p><p id="ch12.appb.tab10"><a href="/books/NBK558770/table/ch12.appb.tab10/?report=objectonly" target="object" rid-ob="figobch12appbtab10" class="figpopup">Table 46. Database date parameters and filters used</a></p><p id="ch12.appb.tab11"><a href="/books/NBK558770/table/ch12.appb.tab11/?report=objectonly" target="object" rid-ob="figobch12appbtab11" class="figpopup">Medline (Ovid) search terms</a></p><p id="ch12.appb.tab12"><a href="/books/NBK558770/table/ch12.appb.tab12/?report=objectonly" target="object" rid-ob="figobch12appbtab12" class="figpopup">Embase (Ovid) search terms</a></p><p id="ch12.appb.tab13"><a href="/books/NBK558770/table/ch12.appb.tab13/?report=objectonly" target="object" rid-ob="figobch12appbtab13" class="figpopup">NHS EED and HTA (CRD) search terms</a></p></div></div><div id="ch12.appc"><h3>Appendix C. Clinical evidence selection</h3><p id="ch12.appc.fig1"><a href="/books/NBK558770/figure/ch12.appc.fig1/?report=objectonly" target="object" rid-ob="figobch12appcfig1" class="figpopup">Figure 1. Flow chart of clinical study selection for the review of Additional services and inappropriate admissions</a></p></div><div id="ch12.appd"><h3>Appendix D. Clinical evidence tables</h3><div id="ch12.appd.s1"><h4>D.1. Availability of additional community services on a regular/routine basis</h4><p id="ch12.appd.et1"><a href="/books/NBK558770/bin/ch12-appd-et1.pdf" class="bk_dwnld_icn bk_dwnld_pdf">Download PDF</a><span class="small"> (1006K)</span></p></div><div id="ch12.appd.s2"><h4>D.2. Availability of additional community services in an acute/emergency scenario</h4><p id="ch12.appd.et2"><a href="/books/NBK558770/bin/ch12-appd-et2.pdf" class="bk_dwnld_icn bk_dwnld_pdf">Download PDF</a><span class="small"> (256K)</span></p></div></div><div id="ch12.appe"><h3>Appendix E. Forest plots</h3><div id="ch12.appe.s1"><h4>E.1. Availability of additional community services on a regular/routine basis</h4><div id="ch12.appe.s1.1"><h5>E.1.1. Additional community services available on a regular/routine basis versus usual care (Abel 2013)</h5><p id="ch12.appe.fig1"><a href="/books/NBK558770/figure/ch12.appe.fig1/?report=objectonly" target="object" rid-ob="figobch12appefig1" class="figpopup">Figure 2. Number of visits to accident and emergency (patients with ≥1 ED admission in the last year of life)</a></p><p id="ch12.appe.fig2"><a href="/books/NBK558770/figure/ch12.appe.fig2/?report=objectonly" target="object" rid-ob="figobch12appefig2" class="figpopup">Figure 3. Length of stay (mean stay for those with or without an admission)</a></p><p id="ch12.appe.fig3"><a href="/books/NBK558770/figure/ch12.appe.fig3/?report=objectonly" target="object" rid-ob="figobch12appefig3" class="figpopup">Figure 4. Hospitalisation (mean admissions)</a></p><p id="ch12.appe.fig4"><a href="/books/NBK558770/figure/ch12.appe.fig4/?report=objectonly" target="object" rid-ob="figobch12appefig4" class="figpopup">Figure 5. ED visit (mean ED admissions in the last year of life)</a></p></div><div id="ch12.appe.s1.2"><h5>E.1.2. Additional community services available on a regular/routine basis versus usual care (Addington-Hall 1992)</h5><p id="ch12.appe.fig5"><a href="/books/NBK558770/figure/ch12.appe.fig5/?report=objectonly" target="object" rid-ob="figobch12appefig5" class="figpopup">Figure 6. Satisfaction (carers agreeing with the statement ‘care was well coordinated’) after bereavement</a></p><p id="ch12.appe.fig6"><a href="/books/NBK558770/figure/ch12.appe.fig6/?report=objectonly" target="object" rid-ob="figobch12appefig6" class="figpopup">Figure 7. Satisfaction (carers satisfied with care from district nurses)</a></p><p id="ch12.appe.fig7"><a href="/books/NBK558770/figure/ch12.appe.fig7/?report=objectonly" target="object" rid-ob="figobch12appefig7" class="figpopup">Figure 8. Satisfaction (carers satisfied with care from GPs)</a></p><p id="ch12.appe.fig8"><a href="/books/NBK558770/figure/ch12.appe.fig8/?report=objectonly" target="object" rid-ob="figobch12appefig8" class="figpopup">Figure 9. Satisfaction (carers satisfied with care from hospital)</a></p><p id="ch12.appe.fig9"><a href="/books/NBK558770/figure/ch12.appe.fig9/?report=objectonly" target="object" rid-ob="figobch12appefig9" class="figpopup">Figure 10. Satisfaction (patients satisfied with care from district nurses)</a></p><p id="ch12.appe.fig10"><a href="/books/NBK558770/figure/ch12.appe.fig10/?report=objectonly" target="object" rid-ob="figobch12appefig10" class="figpopup">Figure 11. Satisfaction (patients satisfied with care from GPs)</a></p><p id="ch12.appe.fig11"><a href="/books/NBK558770/figure/ch12.appe.fig11/?report=objectonly" target="object" rid-ob="figobch12appefig11" class="figpopup">Figure 12. Satisfaction (patients satisfied with care from hospital)</a></p><p id="ch12.appe.fig12"><a href="/books/NBK558770/figure/ch12.appe.fig12/?report=objectonly" target="object" rid-ob="figobch12appefig12" class="figpopup">Figure 13. Preferred and actual place of death (people dying at home)</a></p><p id="ch12.appe.fig13"><a href="/books/NBK558770/figure/ch12.appe.fig13/?report=objectonly" target="object" rid-ob="figobch12appefig13" class="figpopup">Figure 14. Preferred and actual place of death (people dying elsewhere, i.e. not home, hospice, hospital)</a></p><p id="ch12.appe.fig14"><a href="/books/NBK558770/figure/ch12.appe.fig14/?report=objectonly" target="object" rid-ob="figobch12appefig14" class="figpopup">Figure 15. Preferred and actual place of death (people dying in hospice)</a></p><p id="ch12.appe.fig15"><a href="/books/NBK558770/figure/ch12.appe.fig15/?report=objectonly" target="object" rid-ob="figobch12appefig15" class="figpopup">Figure 16. Preferred and actual place of death (people dying in hospital)</a></p><p id="ch12.appe.fig16"><a href="/books/NBK558770/figure/ch12.appe.fig16/?report=objectonly" target="object" rid-ob="figobch12appefig16" class="figpopup">Figure 17. Use of community services (people known to occupational therapists)</a></p><p id="ch12.appe.fig17"><a href="/books/NBK558770/figure/ch12.appe.fig17/?report=objectonly" target="object" rid-ob="figobch12appefig17" class="figpopup">Figure 18. Use of community services (people known to social workers)</a></p><p id="ch12.appe.fig18"><a href="/books/NBK558770/figure/ch12.appe.fig18/?report=objectonly" target="object" rid-ob="figobch12appefig18" class="figpopup">Figure 19. Use of community services (patients having contact with district nurses) 2 weeks before final interview</a></p><p id="ch12.appe.fig19"><a href="/books/NBK558770/figure/ch12.appe.fig19/?report=objectonly" target="object" rid-ob="figobch12appefig19" class="figpopup">Figure 20. Use of community services (patients having contact with GP-home visits) 2 weeks before final interview</a></p><p id="ch12.appe.fig20"><a href="/books/NBK558770/figure/ch12.appe.fig20/?report=objectonly" target="object" rid-ob="figobch12appefig20" class="figpopup">Figure 21. Use of community services (patients having contact with GP-surgery visits) 2 weeks before final interview</a></p><p id="ch12.appe.fig21"><a href="/books/NBK558770/figure/ch12.appe.fig21/?report=objectonly" target="object" rid-ob="figobch12appefig21" class="figpopup">Figure 22. Use of community services (patients having contact with hospice or Macmillan nurses) 2 weeks before final interview</a></p><p id="ch12.appe.fig22"><a href="/books/NBK558770/figure/ch12.appe.fig22/?report=objectonly" target="object" rid-ob="figobch12appefig22" class="figpopup">Figure 23. Use of community services (home visits – district nurses, Macmillan nurses, hospital oncology nurses, hospice homecare team)</a></p><p id="ch12.appe.fig23"><a href="/books/NBK558770/figure/ch12.appe.fig23/?report=objectonly" target="object" rid-ob="figobch12appefig23" class="figpopup">Figure 24. Hospitalisation (n of admissions)</a></p><p id="ch12.appe.fig24"><a href="/books/NBK558770/figure/ch12.appe.fig24/?report=objectonly" target="object" rid-ob="figobch12appefig24" class="figpopup">Figure 25. Length of stay (n of inpatient days)</a></p><p id="ch12.appe.fig25"><a href="/books/NBK558770/figure/ch12.appe.fig25/?report=objectonly" target="object" rid-ob="figobch12appefig25" class="figpopup">Figure 26. Number of hospital visits (outpatient attendance)</a></p></div><div id="ch12.appe.s1.3"><h5>E.1.3. Additional community services available on a regular/routine basis versus usual care (Ahlner-elmqvist 2004)</h5><p id="ch12.appe.fig26"><a href="/books/NBK558770/figure/ch12.appe.fig26/?report=objectonly" target="object" rid-ob="figobch12appefig26" class="figpopup">Figure 27. Preferred and actual place of death (number of people dying at home)</a></p><p id="ch12.appe.fig27"><a href="/books/NBK558770/figure/ch12.appe.fig27/?report=objectonly" target="object" rid-ob="figobch12appefig27" class="figpopup">Figure 28. Preferred and actual place of death (number of people dying in hospice)</a></p><p id="ch12.appe.fig28"><a href="/books/NBK558770/figure/ch12.appe.fig28/?report=objectonly" target="object" rid-ob="figobch12appefig28" class="figpopup">Figure 29. Preferred and actual place of death (number of people dying in hospital)</a></p></div><div id="ch12.appe.s1.4"><h5>E.1.4. Additional community services available on a regular/routine basis versus usual care (Aiken 2006)</h5><p id="ch12.appe.fig29"><a href="/books/NBK558770/figure/ch12.appe.fig29/?report=objectonly" target="object" rid-ob="figobch12appefig29" class="figpopup">Figure 30. Number of visits to Accident and Emergency (Emergency department visits) 6 months</a></p></div><div id="ch12.appe.s1.5"><h5>E.1.5. Additional community services available on a regular/routine basis versus usual care (Bakitas 2009)</h5><p id="ch12.appe.fig30"><a href="/books/NBK558770/figure/ch12.appe.fig30/?report=objectonly" target="object" rid-ob="figobch12appefig30" class="figpopup">Figure 31. Length of survival (number of people alive at 14.6 months)</a></p></div><div id="ch12.appe.s1.6"><h5>E.1.6. Additional community services available on a regular/routine basis versus usual care (Bentur 2014)</h5><p id="ch12.appe.fig31"><a href="/books/NBK558770/figure/ch12.appe.fig31/?report=objectonly" target="object" rid-ob="figobch12appefig31" class="figpopup">Figure 32. ED visit (patients with ≥1 ED visit in the last 6 months of life)</a></p><p id="ch12.appe.fig32"><a href="/books/NBK558770/figure/ch12.appe.fig32/?report=objectonly" target="object" rid-ob="figobch12appefig32" class="figpopup">Figure 33. Hospitalisation (patients with ≥1 hospital admission in the last 6 months of life)</a></p><p id="ch12.appe.fig33"><a href="/books/NBK558770/figure/ch12.appe.fig33/?report=objectonly" target="object" rid-ob="figobch12appefig33" class="figpopup">Figure 34. Preferred and actual place of death (people dying at home)</a></p></div><div id="ch12.appe.s1.7"><h5>E.1.7. Additional community services available on a regular/routine basis versus usual care (Brian Cassel 2016)</h5><p id="ch12.appe.fig34"><a href="/books/NBK558770/figure/ch12.appe.fig34/?report=objectonly" target="object" rid-ob="figobch12appefig34" class="figpopup">Figure 35. Preferred and actual place of death (people dying in hospital – overall)</a></p><p id="ch12.appe.fig35"><a href="/books/NBK558770/figure/ch12.appe.fig35/?report=objectonly" target="object" rid-ob="figobch12appefig35" class="figpopup">Figure 36. Inappropriate/avoidable ICU admissions (people admitted to ICU during admission) last 30 days of life</a></p><p id="ch12.appe.fig36"><a href="/books/NBK558770/figure/ch12.appe.fig36/?report=objectonly" target="object" rid-ob="figobch12appefig36" class="figpopup">Figure 37. Unscheduled admissions (people admitted to hospital – overall) last 30 days of life</a></p><p id="ch12.appe.fig37"><a href="/books/NBK558770/figure/ch12.appe.fig37/?report=objectonly" target="object" rid-ob="figobch12appefig37" class="figpopup">Figure 38. Hospitalisation (number of hospital days/month – cancer group) 1-18 months before death</a></p><p id="ch12.appe.fig38"><a href="/books/NBK558770/figure/ch12.appe.fig38/?report=objectonly" target="object" rid-ob="figobch12appefig38" class="figpopup">Figure 39. Hospitalisation (number of hospital days/month – COPD group) 1-18 months before death</a></p><p id="ch12.appe.fig39"><a href="/books/NBK558770/figure/ch12.appe.fig39/?report=objectonly" target="object" rid-ob="figobch12appefig39" class="figpopup">Figure 40. Hospitalisation (number of hospital days/month – dementia group) 1-18 months before death</a></p><p id="ch12.appe.fig40"><a href="/books/NBK558770/figure/ch12.appe.fig40/?report=objectonly" target="object" rid-ob="figobch12appefig40" class="figpopup">Figure 41. Hospitalisation (number of hospital days/month – heart failure group) 1-18 months before death</a></p><p id="ch12.appe.fig41"><a href="/books/NBK558770/figure/ch12.appe.fig41/?report=objectonly" target="object" rid-ob="figobch12appefig41" class="figpopup">Figure 42. Number of hospital visits (number of hospitalisation/month – cancer group) 1-18 months before death</a></p><p id="ch12.appe.fig42"><a href="/books/NBK558770/figure/ch12.appe.fig42/?report=objectonly" target="object" rid-ob="figobch12appefig42" class="figpopup">Figure 43. Number of hospital visits (number of hospitalisation/month – COPD group) 1-18 months before death</a></p><p id="ch12.appe.fig43"><a href="/books/NBK558770/figure/ch12.appe.fig43/?report=objectonly" target="object" rid-ob="figobch12appefig43" class="figpopup">Figure 44. Number of hospital visits (number of hospitalisation/month – dementia group) 1-18 months before death</a></p><p id="ch12.appe.fig44"><a href="/books/NBK558770/figure/ch12.appe.fig44/?report=objectonly" target="object" rid-ob="figobch12appefig44" class="figpopup">Figure 45. Number of hospital visits (number of hospitalisation/month – heart failure group) 1-18 months before death</a></p></div><div id="ch12.appe.s1.8"><h5>E.1.8. Additional community services available on a regular/routine basis versus usual care (Brumley 2003)</h5><p id="ch12.appe.fig45"><a href="/books/NBK558770/figure/ch12.appe.fig45/?report=objectonly" target="object" rid-ob="figobch12appefig45" class="figpopup">Figure 46. Preferred and actual place of death (people dying at home)</a></p><p id="ch12.appe.fig46"><a href="/books/NBK558770/figure/ch12.appe.fig46/?report=objectonly" target="object" rid-ob="figobch12appefig46" class="figpopup">Figure 47. Number of hospital visits (number of hospital visits)</a></p><p id="ch12.appe.fig47"><a href="/books/NBK558770/figure/ch12.appe.fig47/?report=objectonly" target="object" rid-ob="figobch12appefig47" class="figpopup">Figure 48. Number of visits to A&E (Emergency department visits)</a></p><p id="ch12.appe.fig48"><a href="/books/NBK558770/figure/ch12.appe.fig48/?report=objectonly" target="object" rid-ob="figobch12appefig48" class="figpopup">Figure 49. Use of community services (physicians visits)</a></p><p id="ch12.appe.fig49"><a href="/books/NBK558770/figure/ch12.appe.fig49/?report=objectonly" target="object" rid-ob="figobch12appefig49" class="figpopup">Figure 50. Use of community services (skilled nurses visits)</a></p><p id="ch12.appe.fig50"><a href="/books/NBK558770/figure/ch12.appe.fig50/?report=objectonly" target="object" rid-ob="figobch12appefig50" class="figpopup">Figure 51. Use of community services (total home health visits)</a></p></div><div id="ch12.appe.s1.9"><h5>E.1.9. Additional community services available on a regular/routine basis versus usual care (Brumley 2007)</h5><p id="ch12.appe.fig51"><a href="/books/NBK558770/figure/ch12.appe.fig51/?report=objectonly" target="object" rid-ob="figobch12appefig51" class="figpopup">Figure 52. Hospitalisation (n of people hospitalised)</a></p><p id="ch12.appe.fig52"><a href="/books/NBK558770/figure/ch12.appe.fig52/?report=objectonly" target="object" rid-ob="figobch12appefig52" class="figpopup">Figure 53. Number of visits to A&E (people accessing Emergency department)</a></p><p id="ch12.appe.fig53"><a href="/books/NBK558770/figure/ch12.appe.fig53/?report=objectonly" target="object" rid-ob="figobch12appefig53" class="figpopup">Figure 54. Use of community services (people enrolled in hospice)</a></p><p id="ch12.appe.fig54"><a href="/books/NBK558770/figure/ch12.appe.fig54/?report=objectonly" target="object" rid-ob="figobch12appefig54" class="figpopup">Figure 55. Length of survival</a></p></div><div id="ch12.appe.s1.10"><h5>E.1.10. Additional community services available on a regular/routine basis versus usual care (Chitnis 2013)</h5><p id="ch12.appe.fig55"><a href="/books/NBK558770/figure/ch12.appe.fig55/?report=objectonly" target="object" rid-ob="figobch12appefig55" class="figpopup">Figure 56. Preferred and actual place of death (people dying at home)</a></p><p id="ch12.appe.fig56"><a href="/books/NBK558770/figure/ch12.appe.fig56/?report=objectonly" target="object" rid-ob="figobch12appefig56" class="figpopup">Figure 57. Preferred and actual place of death (people dying in hospital)</a></p><p id="ch12.appe.fig57"><a href="/books/NBK558770/figure/ch12.appe.fig57/?report=objectonly" target="object" rid-ob="figobch12appefig57" class="figpopup">Figure 58. Number of hospital visits (patients who attended outpatients) between first MCNS visit and death</a></p><p id="ch12.appe.fig58"><a href="/books/NBK558770/figure/ch12.appe.fig58/?report=objectonly" target="object" rid-ob="figobch12appefig58" class="figpopup">Figure 59. Number of unscheduled admissions (people with emergency admissions) between first MCNC visit and death</a></p><p id="ch12.appe.fig59"><a href="/books/NBK558770/figure/ch12.appe.fig59/?report=objectonly" target="object" rid-ob="figobch12appefig59" class="figpopup">Figure 60. Number of visits to A&E (people who attended A&E) between first MCNC visit and death</a></p></div><div id="ch12.appe.s1.11"><h5>E.1.11. Additional community services available on a regular/routine basis versus usual care (Gray 1987)</h5><p id="ch12.appe.fig60"><a href="/books/NBK558770/figure/ch12.appe.fig60/?report=objectonly" target="object" rid-ob="figobch12appefig60" class="figpopup">Figure 61. Preferred and actual place of death (people dying at home) up to 2 years</a></p></div><div id="ch12.appe.s1.12"><h5>E.1.12. Additional community services available on a regular/routine basis versus other additional community service (Hughes 2000)</h5><p id="ch12.appe.fig61"><a href="/books/NBK558770/figure/ch12.appe.fig61/?report=objectonly" target="object" rid-ob="figobch12appefig61" class="figpopup">Figure 62. Length of survival (number of people who died – mortality) at 6 months</a></p><p id="ch12.appe.fig62"><a href="/books/NBK558770/figure/ch12.appe.fig62/?report=objectonly" target="object" rid-ob="figobch12appefig62" class="figpopup">Figure 63. Length of survival (length of survival – overall)</a></p><p id="ch12.appe.fig63"><a href="/books/NBK558770/figure/ch12.appe.fig63/?report=objectonly" target="object" rid-ob="figobch12appefig63" class="figpopup">Figure 64. Length of survival (length of survival in people who died)</a></p><p id="ch12.appe.fig64"><a href="/books/NBK558770/figure/ch12.appe.fig64/?report=objectonly" target="object" rid-ob="figobch12appefig64" class="figpopup">Figure 65. Length of stay (VA services – emergency room)</a></p><p id="ch12.appe.fig65"><a href="/books/NBK558770/figure/ch12.appe.fig65/?report=objectonly" target="object" rid-ob="figobch12appefig65" class="figpopup">Figure 66. Length of stay (VA services – extended care days)</a></p><p id="ch12.appe.fig66"><a href="/books/NBK558770/figure/ch12.appe.fig66/?report=objectonly" target="object" rid-ob="figobch12appefig66" class="figpopup">Figure 67. Length of stay (VA services – general bed days)</a></p><p id="ch12.appe.fig67"><a href="/books/NBK558770/figure/ch12.appe.fig67/?report=objectonly" target="object" rid-ob="figobch12appefig67" class="figpopup">Figure 68. Length of stay (VA services – intensive care hospital days)</a></p><p id="ch12.appe.fig68"><a href="/books/NBK558770/figure/ch12.appe.fig68/?report=objectonly" target="object" rid-ob="figobch12appefig68" class="figpopup">Figure 69. Length of stay (VA services – intermediate bed days)</a></p><p id="ch12.appe.fig69"><a href="/books/NBK558770/figure/ch12.appe.fig69/?report=objectonly" target="object" rid-ob="figobch12appefig69" class="figpopup">Figure 70. Length of stay (VA services – outpatient clinic visits)</a></p><p id="ch12.appe.fig70"><a href="/books/NBK558770/figure/ch12.appe.fig70/?report=objectonly" target="object" rid-ob="figobch12appefig70" class="figpopup">Figure 71. Length of stay (VA services – rehabilitation days)</a></p><p id="ch12.appe.fig71"><a href="/books/NBK558770/figure/ch12.appe.fig71/?report=objectonly" target="object" rid-ob="figobch12appefig71" class="figpopup">Figure 72. Length of stay (VA services – total days)</a></p></div><div id="ch12.appe.s1.13"><h5>E.1.13. Additional community services available on a regular/routine basis versus other additional community service (Kim 2009)</h5><p id="ch12.appe.fig72"><a href="/books/NBK558770/figure/ch12.appe.fig72/?report=objectonly" target="object" rid-ob="figobch12appefig72" class="figpopup">Figure 73. Quality of life (QUAL-E physical) at 18 months</a></p><p id="ch12.appe.fig73"><a href="/books/NBK558770/figure/ch12.appe.fig73/?report=objectonly" target="object" rid-ob="figobch12appefig73" class="figpopup">Figure 74. Quality of life (QUAL-E social) at 18 months</a></p><p id="ch12.appe.fig74"><a href="/books/NBK558770/figure/ch12.appe.fig74/?report=objectonly" target="object" rid-ob="figobch12appefig74" class="figpopup">Figure 75. Quality of life (QUAL-E preparation) at 18 months</a></p><p id="ch12.appe.fig75"><a href="/books/NBK558770/figure/ch12.appe.fig75/?report=objectonly" target="object" rid-ob="figobch12appefig75" class="figpopup">Figure 76. Quality of life (QUAL-E control) at 18 months</a></p><p id="ch12.appe.fig76"><a href="/books/NBK558770/figure/ch12.appe.fig76/?report=objectonly" target="object" rid-ob="figobch12appefig76" class="figpopup">Figure 77. Quality of life (QUAL-E completion) at 18 months</a></p><p id="ch12.appe.fig77"><a href="/books/NBK558770/figure/ch12.appe.fig77/?report=objectonly" target="object" rid-ob="figobch12appefig77" class="figpopup">Figure 78. Length of stay (admission days in the last 6 months)</a></p></div><div id="ch12.appe.s1.14"><h5>E.1.14. Additional community services available on a regular/routine basis versus other additional community service (Leppert 2012)</h5><p id="ch12.appe.fig78"><a href="/books/NBK558770/figure/ch12.appe.fig78/?report=objectonly" target="object" rid-ob="figobch12appefig78" class="figpopup">Figure 79. Quality of life (EORTOC QLQ-C30 global function) at 14 days</a></p><p id="ch12.appe.fig79"><a href="/books/NBK558770/figure/ch12.appe.fig79/?report=objectonly" target="object" rid-ob="figobch12appefig79" class="figpopup">Figure 80. Quality of life (EORTOC QLQ-C30 global function) at 28 days</a></p></div><div id="ch12.appe.s1.15"><h5>E.1.15. Additional community services available on a regular/routine basis versus other additional community service (Leppert 2014)</h5><p id="ch12.appe.fig80"><a href="/books/NBK558770/figure/ch12.appe.fig80/?report=objectonly" target="object" rid-ob="figobch12appefig80" class="figpopup">Figure 81. Quality of life (EORTOC QLQ-C15 PAL global function) at 14 days</a></p></div><div id="ch12.appe.s1.16"><h5>E.1.16. Additional community services available on a regular/routine basis versus other additional community service (Leppert 2014)</h5><p id="ch12.appe.fig81"><a href="/books/NBK558770/figure/ch12.appe.fig81/?report=objectonly" target="object" rid-ob="figobch12appefig81" class="figpopup">Figure 82. Quality of life (EORTOC QLQ-C15 PAL global function) at 14 days</a></p></div><div id="ch12.appe.s1.17"><h5>E.1.17. Additional community services available on a regular/routine basis versus other additional community service (Leppert 2014)</h5><p id="ch12.appe.fig82"><a href="/books/NBK558770/figure/ch12.appe.fig82/?report=objectonly" target="object" rid-ob="figobch12appefig82" class="figpopup">Figure 83. Quality of life (EORTOC QLQ-C15 PAL global function) at 14 days</a></p></div><div id="ch12.appe.s1.18"><h5>E.1.18. Additional community services available on a regular/routine basis versus usual care (Lustbader 2017)</h5><p id="ch12.appe.fig83"><a href="/books/NBK558770/figure/ch12.appe.fig83/?report=objectonly" target="object" rid-ob="figobch12appefig83" class="figpopup">Figure 84. Hospitalisation (number of hospital admissions)</a></p><p id="ch12.appe.fig84"><a href="/books/NBK558770/figure/ch12.appe.fig84/?report=objectonly" target="object" rid-ob="figobch12appefig84" class="figpopup">Figure 85. Visits to accident and emergency (number of ED visits)</a></p><p id="ch12.appe.fig85"><a href="/books/NBK558770/figure/ch12.appe.fig85/?report=objectonly" target="object" rid-ob="figobch12appefig85" class="figpopup">Figure 86. Community service use (hospice enrolment)</a></p></div><div id="ch12.appe.s1.19"><h5>E.1.19. Additional community services available on a regular/routine basis versus usual care (Ng 2017/Wong 2017)</h5><p id="ch12.appe.fig86"><a href="/books/NBK558770/figure/ch12.appe.fig86/?report=objectonly" target="object" rid-ob="figobch12appefig86" class="figpopup">Figure 87. Quality of life (MWOL-HK global)</a></p><p id="ch12.appe.fig87"><a href="/books/NBK558770/figure/ch12.appe.fig87/?report=objectonly" target="object" rid-ob="figobch12appefig87" class="figpopup">Figure 88. Quality of life (CHQ-C total score)</a></p><p id="ch12.appe.fig88"><a href="/books/NBK558770/figure/ch12.appe.fig88/?report=objectonly" target="object" rid-ob="figobch12appefig88" class="figpopup">Figure 89. Patient satisfaction (PSQ)</a></p><p id="ch12.appe.fig89"><a href="/books/NBK558770/figure/ch12.appe.fig89/?report=objectonly" target="object" rid-ob="figobch12appefig89" class="figpopup">Figure 90. Quality of life (SF-6D)</a></p><p id="ch12.appe.fig90"><a href="/books/NBK558770/figure/ch12.appe.fig90/?report=objectonly" target="object" rid-ob="figobch12appefig90" class="figpopup">Figure 91. Quality of life (QALY)</a></p><p id="ch12.appe.fig91"><a href="/books/NBK558770/figure/ch12.appe.fig91/?report=objectonly" target="object" rid-ob="figobch12appefig91" class="figpopup">Figure 92. Visits to accident and emergency (number of ED visits)</a></p><p id="ch12.appe.fig92"><a href="/books/NBK558770/figure/ch12.appe.fig92/?report=objectonly" target="object" rid-ob="figobch12appefig92" class="figpopup">Figure 93. Length of stay (length of hospital stay, per patient mean)</a></p></div><div id="ch12.appe.s1.20"><h5>E.1.20. Additional community services available on a regular/routine basis versus usual care (Noble 2015)</h5><p id="ch12.appe.fig93"><a href="/books/NBK558770/figure/ch12.appe.fig93/?report=objectonly" target="object" rid-ob="figobch12appefig93" class="figpopup">Figure 94. Preferred and actual place of death (people dying at home)</a></p></div><div id="ch12.appe.s1.21"><h5>E.1.21. Additional community services available on a regular/routine basis versus usual care (Pattenden 2013)</h5><p id="ch12.appe.fig94"><a href="/books/NBK558770/figure/ch12.appe.fig94/?report=objectonly" target="object" rid-ob="figobch12appefig94" class="figpopup">Figure 95. Number of unscheduled admissions (N of patients admitted)</a></p><p id="ch12.appe.fig95"><a href="/books/NBK558770/figure/ch12.appe.fig95/?report=objectonly" target="object" rid-ob="figobch12appefig95" class="figpopup">Figure 96. Length of stay (Length of stay – Bradford subgroup)</a></p><p id="ch12.appe.fig96"><a href="/books/NBK558770/figure/ch12.appe.fig96/?report=objectonly" target="object" rid-ob="figobch12appefig96" class="figpopup">Figure 97. Length of stay (Length of stay – Poole subgroup)</a></p><p id="ch12.appe.fig97"><a href="/books/NBK558770/figure/ch12.appe.fig97/?report=objectonly" target="object" rid-ob="figobch12appefig97" class="figpopup">Figure 98. Number of unscheduled admissions (N of admissions per patients – Bradford subgroup)</a></p><p id="ch12.appe.fig98"><a href="/books/NBK558770/figure/ch12.appe.fig98/?report=objectonly" target="object" rid-ob="figobch12appefig98" class="figpopup">Figure 99. Number of unscheduled admissions (N of admissions per patients – Poole subgroup)</a></p></div><div id="ch12.appe.s1.22"><h5>E.1.22. Additional community services available on a regular/routine basis versus usual care (Riolfi 2014)</h5><p id="ch12.appe.fig99"><a href="/books/NBK558770/figure/ch12.appe.fig99/?report=objectonly" target="object" rid-ob="figobch12appefig99" class="figpopup">Figure 100. Preferred and actual place of death (people dying at country hospital)</a></p><p id="ch12.appe.fig100"><a href="/books/NBK558770/figure/ch12.appe.fig100/?report=objectonly" target="object" rid-ob="figobch12appefig100" class="figpopup">Figure 101. Preferred and actual place of death (people dying at home)</a></p><p id="ch12.appe.fig101"><a href="/books/NBK558770/figure/ch12.appe.fig101/?report=objectonly" target="object" rid-ob="figobch12appefig101" class="figpopup">Figure 102. Preferred and actual place of death (people dying in hospital)</a></p><p id="ch12.appe.fig102"><a href="/books/NBK558770/figure/ch12.appe.fig102/?report=objectonly" target="object" rid-ob="figobch12appefig102" class="figpopup">Figure 103. Preferred and actual place of death (people dying in nursing home)</a></p><p id="ch12.appe.fig103"><a href="/books/NBK558770/figure/ch12.appe.fig103/?report=objectonly" target="object" rid-ob="figobch12appefig103" class="figpopup">Figure 104. Length of stay (time spent in hospital) in the last 2 months of life</a></p><p id="ch12.appe.fig104"><a href="/books/NBK558770/figure/ch12.appe.fig104/?report=objectonly" target="object" rid-ob="figobch12appefig104" class="figpopup">Figure 105. Hospitalisation (number of hospitalisations) in the last 2 months of life</a></p></div><div id="ch12.appe.s1.23"><h5>E.1.23. Additional community services available on a regular/routine basis versus usual care (Seow 2008)</h5><p id="ch12.appe.fig105"><a href="/books/NBK558770/figure/ch12.appe.fig105/?report=objectonly" target="object" rid-ob="figobch12appefig105" class="figpopup">Figure 106. Length of survival (deaths since referral (120+ days))</a></p><p id="ch12.appe.fig106"><a href="/books/NBK558770/figure/ch12.appe.fig106/?report=objectonly" target="object" rid-ob="figobch12appefig106" class="figpopup">Figure 107. Length of survival (deaths since referral (31-120 days))</a></p><p id="ch12.appe.fig107"><a href="/books/NBK558770/figure/ch12.appe.fig107/?report=objectonly" target="object" rid-ob="figobch12appefig107" class="figpopup">Figure 108. Length of survival (deaths since referral (8-30 days))</a></p></div><div id="ch12.appe.s1.24"><h5>E.1.24. Additional community services available on a regular/routine basis versus usual care (Seow 2014)</h5><p id="ch12.appe.fig108"><a href="/books/NBK558770/figure/ch12.appe.fig108/?report=objectonly" target="object" rid-ob="figobch12appefig108" class="figpopup">Figure 109. Preferred and actual place of death (Place of death - hospital)</a></p><p id="ch12.appe.fig109"><a href="/books/NBK558770/figure/ch12.appe.fig109/?report=objectonly" target="object" rid-ob="figobch12appefig109" class="figpopup">Figure 110. Hospitalisation (last 2 weeks of life)</a></p><p id="ch12.appe.fig110"><a href="/books/NBK558770/figure/ch12.appe.fig110/?report=objectonly" target="object" rid-ob="figobch12appefig110" class="figpopup">Figure 111. Number of visits to accident and emergency (last two weeks of life)</a></p></div><div id="ch12.appe.s1.25"><h5>E.1.25. Additional community services available on a regular/routine basis versus usual care (Sessa 1996)</h5><p id="ch12.appe.fig111"><a href="/books/NBK558770/figure/ch12.appe.fig111/?report=objectonly" target="object" rid-ob="figobch12appefig111" class="figpopup">Figure 112. Preferred and actual place of death (people dying at home)</a></p><p id="ch12.appe.fig112"><a href="/books/NBK558770/figure/ch12.appe.fig112/?report=objectonly" target="object" rid-ob="figobch12appefig112" class="figpopup">Figure 113. Preferred and actual place of death (people dying in hospital)</a></p><p id="ch12.appe.fig113"><a href="/books/NBK558770/figure/ch12.appe.fig113/?report=objectonly" target="object" rid-ob="figobch12appefig113" class="figpopup">Figure 114. Preferred and actual place of death (people dying at nursing home or private clinic)</a></p><p id="ch12.appe.fig114"><a href="/books/NBK558770/figure/ch12.appe.fig114/?report=objectonly" target="object" rid-ob="figobch12appefig114" class="figpopup">Figure 115. Number of unscheduled admissions (people with >3 hospitalisations) in the 3 months before death)</a></p><p id="ch12.appe.fig115"><a href="/books/NBK558770/figure/ch12.appe.fig115/?report=objectonly" target="object" rid-ob="figobch12appefig115" class="figpopup">Figure 116. Number of unscheduled admissions (people with 1-2 hospitalisations) in the 3 months before death)</a></p></div><div id="ch12.appe.s1.26"><h5>E.1.26. Additional community services available on a regular/routine basis versus usual care (Smeenk 1998)</h5><p id="ch12.appe.fig116"><a href="/books/NBK558770/figure/ch12.appe.fig116/?report=objectonly" target="object" rid-ob="figobch12appefig116" class="figpopup">Figure 117. Preferred and actual place of death (people dying at home)</a></p><p id="ch12.appe.fig117"><a href="/books/NBK558770/figure/ch12.appe.fig117/?report=objectonly" target="object" rid-ob="figobch12appefig117" class="figpopup">Figure 118. Length of stay (days in hospital at rehospitalisation)</a></p><p id="ch12.appe.fig118"><a href="/books/NBK558770/figure/ch12.appe.fig118/?report=objectonly" target="object" rid-ob="figobch12appefig118" class="figpopup">Figure 119. Length of survival (days of survival)</a></p></div><div id="ch12.appe.s1.27"><h5>E.1.27. Additional community services available on a regular/routine basis versus usual care (Youens 2017)</h5><p id="ch12.appe.fig119"><a href="/books/NBK558770/figure/ch12.appe.fig119/?report=objectonly" target="object" rid-ob="figobch12appefig119" class="figpopup">Figure 120. Preferred and actual place of death (people dying in hospital)</a></p><p id="ch12.appe.fig120"><a href="/books/NBK558770/figure/ch12.appe.fig120/?report=objectonly" target="object" rid-ob="figobch12appefig120" class="figpopup">Figure 121. Preferred and actual place of death (people dying out of hospital)</a></p><p id="ch12.appe.fig121"><a href="/books/NBK558770/figure/ch12.appe.fig121/?report=objectonly" target="object" rid-ob="figobch12appefig121" class="figpopup">Figure 122. Hospitalisation (hospitalisation in the last 12 months)</a></p><p id="ch12.appe.fig122"><a href="/books/NBK558770/figure/ch12.appe.fig122/?report=objectonly" target="object" rid-ob="figobch12appefig122" class="figpopup">Figure 123. Unscheduled admissions (unplanned hospitalisation in the last 12 months)</a></p><p id="ch12.appe.fig123"><a href="/books/NBK558770/figure/ch12.appe.fig123/?report=objectonly" target="object" rid-ob="figobch12appefig123" class="figpopup">Figure 124. Accident and emergency visits (ED presentation in the last 12 months)</a></p><p id="ch12.appe.fig124"><a href="/books/NBK558770/figure/ch12.appe.fig124/?report=objectonly" target="object" rid-ob="figobch12appefig124" class="figpopup">Figure 125. Length of stay (days in inpatient hospital in last 12 months)</a></p></div></div><div id="ch12.appe.s2"><h4>E.2. Availability of additional community services in an acute/emergency scenario</h4><div id="ch12.appe.s2.1"><h5>E.2.1. Additional community services available in an acute/emergency scenario (Rapid response service available) versus usual care (Rapid response service not available) (Gage 2015 – Holdsworth 2015)</h5><p id="ch12.appe.fig125"><a href="/books/NBK558770/figure/ch12.appe.fig125/?report=objectonly" target="object" rid-ob="figobch12appefig125" class="figpopup">Figure 126. Preferred and actual place of death (people dying in inpatient hospice)</a></p></div><div id="ch12.appe.s2.2"><h5>E.2.2. Additional community services available in an acute/emergency scenario (Rapid response service available) versus usual care (Rapid response service not available) (Gage 2015 – Holdsworth 2015)</h5><p id="ch12.appe.fig126"><a href="/books/NBK558770/figure/ch12.appe.fig126/?report=objectonly" target="object" rid-ob="figobch12appefig126" class="figpopup">Figure 127. Carers quality of life (EQ5D, 0-1) (8 months)</a></p><p id="ch12.appe.fig127"><a href="/books/NBK558770/figure/ch12.appe.fig127/?report=objectonly" target="object" rid-ob="figobch12appefig127" class="figpopup">Figure 128. Carers quality of life (SF12 Physical Component Summary Score, 0-100) (8 months)</a></p><p id="ch12.appe.fig128"><a href="/books/NBK558770/figure/ch12.appe.fig128/?report=objectonly" target="object" rid-ob="figobch12appefig128" class="figpopup">Figure 129. Carers quality of life (SF12 Mental Component Summary Score, 0-100) (8 months)</a></p><p id="ch12.appe.fig129"><a href="/books/NBK558770/figure/ch12.appe.fig129/?report=objectonly" target="object" rid-ob="figobch12appefig129" class="figpopup">Figure 130. Preferred and actual place of death (N achieving (initial) place of death)</a></p><p id="ch12.appe.fig130"><a href="/books/NBK558770/figure/ch12.appe.fig130/?report=objectonly" target="object" rid-ob="figobch12appefig130" class="figpopup">Figure 131. Preferred and actual place of death (N achieving (final) place of death)</a></p></div><div id="ch12.appe.s2.3"><h5>E.2.3. Additional community services available in an acute/emergency scenario (Rapid response service users) versus usual care (Rapid response service non-users) (Gage 2015 – Holdsworth 2015)</h5><p id="ch12.appe.fig131"><a href="/books/NBK558770/figure/ch12.appe.fig131/?report=objectonly" target="object" rid-ob="figobch12appefig131" class="figpopup">Figure 132. Preferred and actual place of death (N achieving (initial) place of death)</a></p><p id="ch12.appe.fig132"><a href="/books/NBK558770/figure/ch12.appe.fig132/?report=objectonly" target="object" rid-ob="figobch12appefig132" class="figpopup">Figure 133. Number of visits to accident and emergency (N with ≥ 1 contact with acute care)</a></p><p id="ch12.appe.fig133"><a href="/books/NBK558770/figure/ch12.appe.fig133/?report=objectonly" target="object" rid-ob="figobch12appefig133" class="figpopup">Figure 134. Use of community services (N with ≥ 1 contact with GP/primary care)</a></p><p id="ch12.appe.fig134"><a href="/books/NBK558770/figure/ch12.appe.fig134/?report=objectonly" target="object" rid-ob="figobch12appefig134" class="figpopup">Figure 135. Use of community services (N with ≥ 1 contact with community care)</a></p><p id="ch12.appe.fig135"><a href="/books/NBK558770/figure/ch12.appe.fig135/?report=objectonly" target="object" rid-ob="figobch12appefig135" class="figpopup">Figure 136. Use of community services (N with ≥ 1 contact with Marie Curie visits)</a></p><p id="ch12.appe.fig136"><a href="/books/NBK558770/figure/ch12.appe.fig136/?report=objectonly" target="object" rid-ob="figobch12appefig136" class="figpopup">Figure 137. Use of community services (N with ≥ 1 contact with out of hours services)</a></p><p id="ch12.appe.fig137"><a href="/books/NBK558770/figure/ch12.appe.fig137/?report=objectonly" target="object" rid-ob="figobch12appefig137" class="figpopup">Figure 138. Use of community services (N with ≥ 1 contact with hospice, excluding rapid response service)</a></p><p id="ch12.appe.fig138"><a href="/books/NBK558770/figure/ch12.appe.fig138/?report=objectonly" target="object" rid-ob="figobch12appefig138" class="figpopup">Figure 139. Use of community services (N receiving ≥ 1 social service)</a></p></div><div id="ch12.appe.s2.4"><h5>E.2.4. Additional community services available in an acute/emergency scenario (Rapid response service users) versus usual care (Rapid response service non-users) (McCaffrey 2013)</h5><p id="ch12.appe.fig139"><a href="/books/NBK558770/figure/ch12.appe.fig139/?report=objectonly" target="object" rid-ob="figobch12appefig139" class="figpopup">Figure 140. Preferred and actual place of death (people dying at home) at 28 days</a></p></div><div id="ch12.appe.s2.5"><h5>E.2.5. Additional community services available in an acute/emergency scenario (Delivering Choice Programme with out of hours users) versus usual care (Delivering Choice Programme with out of hours non-users) (Purdy 2015)</h5><p id="ch12.appe.fig140"><a href="/books/NBK558770/figure/ch12.appe.fig140/?report=objectonly" target="object" rid-ob="figobch12appefig140" class="figpopup">Figure 141. Preferred and actual place of death (Place of death – acute hospital)</a></p><p id="ch12.appe.fig141"><a href="/books/NBK558770/figure/ch12.appe.fig141/?report=objectonly" target="object" rid-ob="figobch12appefig141" class="figpopup">Figure 142. Preferred and actual place of death (Place of death – community hospital)</a></p><p id="ch12.appe.fig142"><a href="/books/NBK558770/figure/ch12.appe.fig142/?report=objectonly" target="object" rid-ob="figobch12appefig142" class="figpopup">Figure 143. Preferred and actual place of death (Place of death – home)</a></p><p id="ch12.appe.fig143"><a href="/books/NBK558770/figure/ch12.appe.fig143/?report=objectonly" target="object" rid-ob="figobch12appefig143" class="figpopup">Figure 144. Preferred and actual place of death (Place of death – care home)</a></p><p id="ch12.appe.fig144"><a href="/books/NBK558770/figure/ch12.appe.fig144/?report=objectonly" target="object" rid-ob="figobch12appefig144" class="figpopup">Figure 145. Preferred and actual place of death (Place of death – hospice)</a></p><p id="ch12.appe.fig145"><a href="/books/NBK558770/figure/ch12.appe.fig145/?report=objectonly" target="object" rid-ob="figobch12appefig145" class="figpopup">Figure 146. Preferred and actual place of death (Place of death – elsewhere)</a></p><p id="ch12.appe.fig146"><a href="/books/NBK558770/figure/ch12.appe.fig146/?report=objectonly" target="object" rid-ob="figobch12appefig146" class="figpopup">Figure 147. Number of hospital visits (patients with one or more emergency admissions < 30 days)</a></p><p id="ch12.appe.fig147"><a href="/books/NBK558770/figure/ch12.appe.fig147/?report=objectonly" target="object" rid-ob="figobch12appefig147" class="figpopup">Figure 148. Number of hospital visits (patients with one or more emergency admissions < 7 days)</a></p><p id="ch12.appe.fig148"><a href="/books/NBK558770/figure/ch12.appe.fig148/?report=objectonly" target="object" rid-ob="figobch12appefig148" class="figpopup">Figure 149. Number of hospital visits (mean emergency admission per patient < 30 days)</a></p><p id="ch12.appe.fig149"><a href="/books/NBK558770/figure/ch12.appe.fig149/?report=objectonly" target="object" rid-ob="figobch12appefig149" class="figpopup">Figure 150. Number of hospital visits (mean emergency admission per patient < 7 days)</a></p><p id="ch12.appe.fig150"><a href="/books/NBK558770/figure/ch12.appe.fig150/?report=objectonly" target="object" rid-ob="figobch12appefig150" class="figpopup">Figure 151. Number of visits to accident and emergency (patients with one or more ED attendance < 30 days)</a></p><p id="ch12.appe.fig151"><a href="/books/NBK558770/figure/ch12.appe.fig151/?report=objectonly" target="object" rid-ob="figobch12appefig151" class="figpopup">Figure 152. Number of visits to accident and emergency (patients with one or more ED attendance < 7 days)</a></p><p id="ch12.appe.fig152"><a href="/books/NBK558770/figure/ch12.appe.fig152/?report=objectonly" target="object" rid-ob="figobch12appefig152" class="figpopup">Figure 153. Number of visits to accident and emergency (mean ED attendance per patient < 30 days)</a></p><p id="ch12.appe.fig153"><a href="/books/NBK558770/figure/ch12.appe.fig153/?report=objectonly" target="object" rid-ob="figobch12appefig153" class="figpopup">Figure 154. Number of visits to accident and emergency (mean ED attendance per patient < 7 days)</a></p></div></div></div><div id="ch12.appf"><h3>Appendix F. GRADE tables</h3><div id="ch12.appf.s1"><h4>F.1. Availability of additional community services on a regular/routine basis</h4><p id="ch12.appf.tab1"><a href="/books/NBK558770/table/ch12.appf.tab1/?report=objectonly" target="object" rid-ob="figobch12appftab1" class="figpopup">Table 47. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab2"><a href="/books/NBK558770/table/ch12.appf.tab2/?report=objectonly" target="object" rid-ob="figobch12appftab2" class="figpopup">Table 48. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab3"><a href="/books/NBK558770/table/ch12.appf.tab3/?report=objectonly" target="object" rid-ob="figobch12appftab3" class="figpopup">Table 49. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab4"><a href="/books/NBK558770/table/ch12.appf.tab4/?report=objectonly" target="object" rid-ob="figobch12appftab4" class="figpopup">Table 50. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab5"><a href="/books/NBK558770/table/ch12.appf.tab5/?report=objectonly" target="object" rid-ob="figobch12appftab5" class="figpopup">Table 51. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab6"><a href="/books/NBK558770/table/ch12.appf.tab6/?report=objectonly" target="object" rid-ob="figobch12appftab6" class="figpopup">Table 52. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab7"><a href="/books/NBK558770/table/ch12.appf.tab7/?report=objectonly" target="object" rid-ob="figobch12appftab7" class="figpopup">Table 53. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab8"><a href="/books/NBK558770/table/ch12.appf.tab8/?report=objectonly" target="object" rid-ob="figobch12appftab8" class="figpopup">Table 54. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab9"><a href="/books/NBK558770/table/ch12.appf.tab9/?report=objectonly" target="object" rid-ob="figobch12appftab9" class="figpopup">Table 55. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab10"><a href="/books/NBK558770/table/ch12.appf.tab10/?report=objectonly" target="object" rid-ob="figobch12appftab10" class="figpopup">Table 56. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab11"><a href="/books/NBK558770/table/ch12.appf.tab11/?report=objectonly" target="object" rid-ob="figobch12appftab11" class="figpopup">Table 57. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab12"><a href="/books/NBK558770/table/ch12.appf.tab12/?report=objectonly" target="object" rid-ob="figobch12appftab12" class="figpopup">Table 58. Clinical evidence profile: Additional community services (routine) compared to other additional community service (routine)</a></p><p id="ch12.appf.tab13"><a href="/books/NBK558770/table/ch12.appf.tab13/?report=objectonly" target="object" rid-ob="figobch12appftab13" class="figpopup">Table 59. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab14"><a href="/books/NBK558770/table/ch12.appf.tab14/?report=objectonly" target="object" rid-ob="figobch12appftab14" class="figpopup">Table 60. Clinical evidence profile: Additional community services (routine) compared to other additional community service</a></p><p id="ch12.appf.tab15"><a href="/books/NBK558770/table/ch12.appf.tab15/?report=objectonly" target="object" rid-ob="figobch12appftab15" class="figpopup">Table 61. Clinical evidence profile: Additional community services (routine) compared to other additional community service</a></p><p id="ch12.appf.tab16"><a href="/books/NBK558770/table/ch12.appf.tab16/?report=objectonly" target="object" rid-ob="figobch12appftab16" class="figpopup">Table 62. Clinical evidence profile: Additional community services (routine) compared to other additional community service</a></p><p id="ch12.appf.tab17"><a href="/books/NBK558770/table/ch12.appf.tab17/?report=objectonly" target="object" rid-ob="figobch12appftab17" class="figpopup">Table 63. Clinical evidence profile: Additional community services (routine) compared to other additional community service</a></p><p id="ch12.appf.tab18"><a href="/books/NBK558770/table/ch12.appf.tab18/?report=objectonly" target="object" rid-ob="figobch12appftab18" class="figpopup">Table 64. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab19"><a href="/books/NBK558770/table/ch12.appf.tab19/?report=objectonly" target="object" rid-ob="figobch12appftab19" class="figpopup">Table 65. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab20"><a href="/books/NBK558770/table/ch12.appf.tab20/?report=objectonly" target="object" rid-ob="figobch12appftab20" class="figpopup">Table 66. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab21"><a href="/books/NBK558770/table/ch12.appf.tab21/?report=objectonly" target="object" rid-ob="figobch12appftab21" class="figpopup">Table 67. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab22"><a href="/books/NBK558770/table/ch12.appf.tab22/?report=objectonly" target="object" rid-ob="figobch12appftab22" class="figpopup">Table 68. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab23"><a href="/books/NBK558770/table/ch12.appf.tab23/?report=objectonly" target="object" rid-ob="figobch12appftab23" class="figpopup">Table 69. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab24"><a href="/books/NBK558770/table/ch12.appf.tab24/?report=objectonly" target="object" rid-ob="figobch12appftab24" class="figpopup">Table 70. Clinical evidence profile: Additional community service (routine) versus usual care</a></p><p id="ch12.appf.tab25"><a href="/books/NBK558770/table/ch12.appf.tab25/?report=objectonly" target="object" rid-ob="figobch12appftab25" class="figpopup">Table 71. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab26"><a href="/books/NBK558770/table/ch12.appf.tab26/?report=objectonly" target="object" rid-ob="figobch12appftab26" class="figpopup">Table 72. Clinical evidence profile: Additional community services (routine) compared to usual care</a></p><p id="ch12.appf.tab27"><a href="/books/NBK558770/table/ch12.appf.tab27/?report=objectonly" target="object" rid-ob="figobch12appftab27" class="figpopup">Table 73. Clinical evidence profile: Additional community service (routine) versus usual care</a></p></div><div id="ch12.appf.s2"><h4>F.2. Availability of additional community services in an emergency/acute scenario</h4><p id="ch12.appf.tab28"><a href="/books/NBK558770/table/ch12.appf.tab28/?report=objectonly" target="object" rid-ob="figobch12appftab28" class="figpopup">Table 74. Clinical evidence profile: Additional community service (acute/emergency basis) – RRS available versus usual care – RRS not available</a></p><p id="ch12.appf.tab29"><a href="/books/NBK558770/table/ch12.appf.tab29/?report=objectonly" target="object" rid-ob="figobch12appftab29" class="figpopup">Table 75. Clinical evidence profile: Additional community service (acute/emergency basis) – RRS available versus usual care – RRS not available</a></p><p id="ch12.appf.tab30"><a href="/books/NBK558770/table/ch12.appf.tab30/?report=objectonly" target="object" rid-ob="figobch12appftab30" class="figpopup">Table 76. Clinical evidence profile: Additional community service (acute/emergency basis) – RRS users versus usual care – RRS non-users</a></p><p id="ch12.appf.tab31"><a href="/books/NBK558770/table/ch12.appf.tab31/?report=objectonly" target="object" rid-ob="figobch12appftab31" class="figpopup">Table 77. Clinical evidence profile: Additional community service (acute/emergency basis) versus usual care</a></p><p id="ch12.appf.tab32"><a href="/books/NBK558770/table/ch12.appf.tab32/?report=objectonly" target="object" rid-ob="figobch12appftab32" class="figpopup">Table 78. Clinical evidence profile: Additional community service (acute/emergency basis) versus usual care</a></p></div></div><div id="ch12.appg"><h3>Appendix G. Health economic evidence selection</h3><p id="ch12.appg.fig1"><a href="/books/NBK558770/figure/ch12.appg.fig1/?report=objectonly" target="object" rid-ob="figobch12appgfig1" class="figpopup">Figure 155. Flow chart of health economic study selection for the guideline</a></p></div><div id="ch12.apph"><h3>Appendix H. Health economic evidence tables</h3><div id="ch12.apph.s1"><h4>H.1. Availability of additional community services on a regular/routine basis</h4><p id="ch12.appe.et1"><a href="/books/NBK558770/bin/ch12-appe-et1.pdf" class="bk_dwnld_icn bk_dwnld_pdf">Download PDF</a><span class="small"> (345K)</span></p><p id="ch12.appe.et2"><a href="/books/NBK558770/bin/ch12-appe-et2.pdf" class="bk_dwnld_icn bk_dwnld_pdf">Table 79. Interventions, subgroups and timing of intervention strategies</a><span class="small"> (PDF, 227K)</span></p></div><div id="ch12.apph.s2"><h4>H.2. Availability of additional community services in an acute/emergency scenario</h4><p id="ch12.appe.et3"><a href="/books/NBK558770/bin/ch12-appe-et3.pdf" class="bk_dwnld_icn bk_dwnld_pdf">Download PDF</a><span class="small"> (193K)</span></p></div></div><div id="ch12.appi"><h3>Appendix I. Health economic analysis</h3><p>A cost analysis was conducted for different out-of-hours community interventions identified by the committee, from the literature or from the call for evidence (please see the details of the analysis in the separate report via the NICE website).</p></div><div id="ch12.appj"><h3>Appendix J. Excluded studies</h3><div id="ch12.appj.s1"><h4>J.1. Excluded clinical studies</h4><div id="ch12.appj.s1.1"><h5>J.1.1. </h5><p id="ch12.appj.tab1"><a href="/books/NBK558770/table/ch12.appj.tab1/?report=objectonly" target="object" rid-ob="figobch12appjtab1" class="figpopup">Table 80. Studies excluded from the clinical review on the availability of additional community services on a regular/routine basis</a></p></div><div id="ch12.appj.s1.2"><h5>J.1.2. </h5><p id="ch12.appj.tab2"><a href="/books/NBK558770/table/ch12.appj.tab2/?report=objectonly" target="object" rid-ob="figobch12appjtab2" class="figpopup">Table 81. Studies excluded from the clinical review on the availability of additional community services in an acute/emergency scenario</a></p></div></div><div id="ch12.appj.s2"><h4>J.2. Excluded economic studies</h4><p>No economic studies were excluded from this review.</p></div></div></div></div><div class="fm-sec"><div><p>Final</p></div><div><p>Evidence review</p><p>Developed by the National Guideline Centre, hosted by the Royal College of Physicians</p></div><div><p><b>Disclaimer</b>: The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.</p><p>Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.</p><p>NICE guidelines cover health and care in England. Decisions on how they apply in other UK countries are made by ministers in the <a href="http://wales.gov.uk/" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Welsh Government</a>, <a href="http://www.scotland.gov.uk/" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Scottish Government</a>, and <a href="http://www.northernireland.gov.uk/" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Northern Ireland Executive</a>. All NICE guidance is subject to regular review and may be updated or withdrawn.</p></div><div class="half_rhythm"><a href="/books/about/copyright/">Copyright</a> © NICE 2019.</div><div class="small"><span class="label">Bookshelf ID: NBK558770</span><span class="label">PMID: <a href="https://pubmed.ncbi.nlm.nih.gov/32614553" title="PubMed record of this title" ref="pagearea=meta&targetsite=entrez&targetcat=link&targettype=pubmed">32614553</a></span></div></div><div class="small-screen-prev"></div><div class="small-screen-next"></div></article><article data-type="table-wrap" id="figobch12tab1"><div id="ch12.tab1" class="table"><h3><span class="label">Table 1</span><span class="title">PICO characteristics of review question</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab1/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab1_lrgtbl__"><table><tbody><tr><th id="hd_b_ch12.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Population</th><td headers="hd_b_ch12.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<ul id="ch12.l1"><li id="ch12.lt1" class="half_rhythm"><div>Adults (aged over 18 or over) with progressive life-limiting conditions thought to be entering the last year of life.</div></li></ul>
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</td></tr><tr><th id="hd_b_ch12.tab1_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Interventions</th><td headers="hd_b_ch12.tab1_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<ul id="ch12.l2"><li id="ch12.lt2" class="half_rhythm"><div>Availability of additional community services on a regular/routine basis to support people in their last year of life to stay in their usual place of residence, for example:
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<ul id="ch12.l3" class="circle"><li id="ch12.lt3" class="half_rhythm"><div>Specialist palliative care</div></li><li id="ch12.lt4" class="half_rhythm"><div>Physiotherapy</div></li><li id="ch12.lt5" class="half_rhythm"><div>Occupational therapy</div></li><li id="ch12.lt6" class="half_rhythm"><div>Speech and language therapy</div></li><li id="ch12.lt7" class="half_rhythm"><div>Palliative care rehabilitation</div></li><li id="ch12.lt8" class="half_rhythm"><div>Rehabilitation</div></li><li id="ch12.lt9" class="half_rhythm"><div>Social care</div></li><li id="ch12.lt10" class="half_rhythm"><div>Specialist psychology</div></li><li id="ch12.lt11" class="half_rhythm"><div>Counselling</div></li><li id="ch12.lt12" class="half_rhythm"><div>Benefits advice</div></li><li id="ch12.lt13" class="half_rhythm"><div>Complementary therapies</div></li><li id="ch12.lt14" class="half_rhythm"><div>Emotional and spiritual</div></li></ul></div></li></ul>
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</td></tr><tr><th id="hd_b_ch12.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Comparisons</th><td headers="hd_b_ch12.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<ul id="ch12.l4"><li id="ch12.lt15" class="half_rhythm"><div>To each other (different ways of providing additional services; alone or in combination)</div></li><li id="ch12.lt16" class="half_rhythm"><div>No additional community services available to support people in their last year of life to stay in their usual place of residence (usual care)</div></li></ul>
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</td></tr><tr><th id="hd_b_ch12.tab1_1_1_4_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Outcomes</th><td headers="hd_b_ch12.tab1_1_1_4_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">CRITICAL
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<ul id="ch12.l5"><li id="ch12.lt17" class="half_rhythm"><div>Quality of life (Continuous)</div></li><li id="ch12.lt18" class="half_rhythm"><div>Preferred and actual place of death (Dichotomous)</div></li><li id="ch12.lt19" class="half_rhythm"><div>Preferred and actual place of care (Dichotomous)</div></li></ul>
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IMPORTANT
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<ul id="ch12.l6"><li id="ch12.lt20" class="half_rhythm"><div>Length of survival (Continuous)</div></li><li id="ch12.lt21" class="half_rhythm"><div>Length of stay (Continuous)</div></li><li id="ch12.lt22" class="half_rhythm"><div>Hospitalisation (Dichotomous)</div></li><li id="ch12.lt23" class="half_rhythm"><div>Number of hospital visits (Dichotomous)</div></li><li id="ch12.lt24" class="half_rhythm"><div>Number of visits to accident and emergency (Dichotomous)</div></li><li id="ch12.lt25" class="half_rhythm"><div>Number of unscheduled admissions (Dichotomous)</div></li><li id="ch12.lt26" class="half_rhythm"><div>Use of community services (Dichotomous)</div></li><li id="ch12.lt27" class="half_rhythm"><div>Avoidable/inappropriate admissions to ICU (Dichotomous)</div></li><li id="ch12.lt28" class="half_rhythm"><div>Inappropriate attempts at cardiopulmonary resuscitation (Dichotomous)</div></li><li id="ch12.lt29" class="half_rhythm"><div>Staff satisfaction (Continuous)</div></li><li id="ch12.lt30" class="half_rhythm"><div>Patient/carer reported outcomes (satisfaction) (Continuous)</div></li></ul></td></tr><tr><th id="hd_b_ch12.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Study design</th><td headers="hd_b_ch12.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<ul id="ch12.l7"><li id="ch12.lt31" class="half_rhythm"><div>Systematic reviews</div></li><li id="ch12.lt32" class="half_rhythm"><div>RCTs</div></li><li id="ch12.lt33" class="half_rhythm"><div>Non-randomised comparative studies, including before and after studies and interrupted-time-series.</div></li></ul>
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</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12tab2"><div id="ch12.tab2" class="table"><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab2/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab2_lrgtbl__"><table><tbody><tr><th id="hd_b_ch12.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Population</th><td headers="hd_b_ch12.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Adults (aged over 18 or over) with progressive life-limiting conditions thought to be entering the last year of life.</td></tr><tr><th id="hd_b_ch12.tab2_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Interventions</th><td headers="hd_b_ch12.tab2_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<ul id="ch12.l8"><li id="ch12.lt34" class="half_rhythm"><div>Availability of additional community services in an acute/emergency scenario (alone or in combination), for example
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<ul id="ch12.l9" class="circle"><li id="ch12.lt35" class="half_rhythm"><div>Social care</div></li><li id="ch12.lt36" class="half_rhythm"><div>Community health services</div></li><li id="ch12.lt37" class="half_rhythm"><div>Helplines</div></li><li id="ch12.lt38" class="half_rhythm"><div>Equipment</div></li><li id="ch12.lt39" class="half_rhythm"><div>Drugs</div></li><li id="ch12.lt40" class="half_rhythm"><div>Hydration</div></li><li id="ch12.lt41" class="half_rhythm"><div>Nutrition</div></li><li id="ch12.lt42" class="half_rhythm"><div>Carer support</div></li><li id="ch12.lt43" class="half_rhythm"><div>Hospice at home</div></li><li id="ch12.lt44" class="half_rhythm"><div>Virtual hospital</div></li><li id="ch12.lt45" class="half_rhythm"><div>Tele-health</div></li><li id="ch12.lt46" class="half_rhythm"><div>Advance care planning (ACP)</div></li><li id="ch12.lt47" class="half_rhythm"><div>Best interest meetings – mental capacity</div></li><li id="ch12.lt48" class="half_rhythm"><div>‘rapid response team’ – out of hours</div></li><li id="ch12.lt49" class="half_rhythm"><div>Ambulance service may link to community services</div></li><li id="ch12.lt50" class="half_rhythm"><div>24 hour community services</div></li><li id="ch12.lt51" class="half_rhythm"><div>Community/health provision of psychological support/self-management/psycho-education</div></li><li id="ch12.lt52" class="half_rhythm"><div>Provision of patient/care information</div></li><li id="ch12.lt53" class="half_rhythm"><div>Named professional/coordinator (especially out of hours)</div></li></ul></div></li></ul>
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</td></tr><tr><th id="hd_b_ch12.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Comparisons</th><td headers="hd_b_ch12.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<ul id="ch12.l10"><li id="ch12.lt54" class="half_rhythm"><div>To each other (different ways of providing additional services)</div></li><li id="ch12.lt55" class="half_rhythm"><div>No additional community services available (usual care)</div></li></ul>
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</td></tr><tr><th id="hd_b_ch12.tab2_1_1_4_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Outcomes</th><td headers="hd_b_ch12.tab2_1_1_4_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">CRITICAL
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<ul id="ch12.l11"><li id="ch12.lt56" class="half_rhythm"><div>Quality of life (Continuous)</div></li><li id="ch12.lt57" class="half_rhythm"><div>Preferred and actual place of death (Dichotomous)</div></li><li id="ch12.lt58" class="half_rhythm"><div>Preferred and actual place of care (Dichotomous)</div></li></ul>
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IMPORTANT
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<ul id="ch12.l12"><li id="ch12.lt59" class="half_rhythm"><div>Length of survival (Continuous)</div></li><li id="ch12.lt60" class="half_rhythm"><div>Length of stay (Continuous)</div></li><li id="ch12.lt61" class="half_rhythm"><div>Hospitalisation (Dichotomous)</div></li><li id="ch12.lt62" class="half_rhythm"><div>Number of hospital visits (Dichotomous)</div></li><li id="ch12.lt63" class="half_rhythm"><div>Number of visits to accident and emergency (Dichotomous)</div></li><li id="ch12.lt64" class="half_rhythm"><div>Number of unscheduled admissions (Dichotomous)</div></li><li id="ch12.lt65" class="half_rhythm"><div>Use of community services (Dichotomous)</div></li><li id="ch12.lt66" class="half_rhythm"><div>Avoidable/inappropriate admissions to ICU (Dichotomous)</div></li><li id="ch12.lt67" class="half_rhythm"><div>Inappropriate attempts at cardiopulmonary resuscitation (Dichotomous)</div></li><li id="ch12.lt68" class="half_rhythm"><div>Staff satisfaction (Continuous)</div></li><li id="ch12.lt69" class="half_rhythm"><div>Patient/carer reported outcomes (satisfaction) (Continuous)</div></li></ul></td></tr><tr><th id="hd_b_ch12.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Study design</th><td headers="hd_b_ch12.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<ul id="ch12.l13"><li id="ch12.lt70" class="half_rhythm"><div>Systematic reviews</div></li><li id="ch12.lt71" class="half_rhythm"><div>RCT</div></li><li id="ch12.lt72" class="half_rhythm"><div>Non-randomised comparative studies, including before and after studies and interrupted-time-series.</div></li></ul>
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</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12tab3"><div id="ch12.tab3" class="table"><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab3/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab3_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></th><th id="hd_h_ch12.tab3_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Description of the intervention</th><th id="hd_h_ch12.tab3_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">N</th><th id="hd_h_ch12.tab3_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Studies</th></tr></thead><tbody><tr><th headers="hd_h_ch12.tab3_1_1_1_1" id="hd_b_ch12.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</th><td headers="hd_h_ch12.tab3_1_1_1_2 hd_b_ch12.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>A single provider, no direct clinical care provided.</p>
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<p>For example: a co-ordinator</p>
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</td><td headers="hd_h_ch12.tab3_1_1_1_3 hd_b_ch12.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">2</td><td headers="hd_h_ch12.tab3_1_1_1_4 hd_b_ch12.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Addington-hall 1992<a class="bibr" href="#ch12.ref2" rid="ch12.ref2"><sup>2</sup></a> (Raftery 1996<a class="bibr" href="#ch12.ref187" rid="ch12.ref187"><sup>187</sup></a>), Aoun 2013<a class="bibr" href="#ch12.ref9" rid="ch12.ref9"><sup>9</sup></a></td></tr><tr><th headers="hd_h_ch12.tab3_1_1_1_1" id="hd_b_ch12.tab3_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">2</th><td headers="hd_h_ch12.tab3_1_1_1_2 hd_b_ch12.tab3_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Multiple providers, no direct clinical care</td><td headers="hd_h_ch12.tab3_1_1_1_3 hd_b_ch12.tab3_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">0</td><td headers="hd_h_ch12.tab3_1_1_1_4 hd_b_ch12.tab3_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><th headers="hd_h_ch12.tab3_1_1_1_1" id="hd_b_ch12.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">3</th><td headers="hd_h_ch12.tab3_1_1_1_2 hd_b_ch12.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>A single provider, direct clinical care provided.</p>
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<p>For example: a nurse specialist</p>
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</td><td headers="hd_h_ch12.tab3_1_1_1_3 hd_b_ch12.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">6</td><td headers="hd_h_ch12.tab3_1_1_1_4 hd_b_ch12.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Aiken 2006<a class="bibr" href="#ch12.ref5" rid="ch12.ref5"><sup>5</sup></a>, Bakitas 2009<a class="bibr" href="#ch12.ref17" rid="ch12.ref17"><sup>17</sup></a> (Bakitas 2009<a class="bibr" href="#ch12.ref16" rid="ch12.ref16"><sup>16</sup></a>), Chitnis 2013<a class="bibr" href="#ch12.ref46" rid="ch12.ref46"><sup>46</sup></a>, Ng 2017<a class="bibr" href="#ch12.ref165" rid="ch12.ref165"><sup>165</sup></a> (Wong 2017<a class="bibr" href="#ch12.ref230" rid="ch12.ref230"><sup>230</sup></a>), Seow 2008<a class="bibr" href="#ch12.ref202" rid="ch12.ref202"><sup>202</sup></a>, Seow 2014<a class="bibr" href="#ch12.ref201" rid="ch12.ref201"><sup>201</sup></a></td></tr><tr><th headers="hd_h_ch12.tab3_1_1_1_1" id="hd_b_ch12.tab3_1_1_4_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">4</th><td headers="hd_h_ch12.tab3_1_1_1_2 hd_b_ch12.tab3_1_1_4_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Multiple providers, direct clinical care</p>
|
|
<p>For example: MDT, multi-agency collaboration</p>
|
|
</td><td headers="hd_h_ch12.tab3_1_1_1_3 hd_b_ch12.tab3_1_1_4_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">22</td><td headers="hd_h_ch12.tab3_1_1_1_4 hd_b_ch12.tab3_1_1_4_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ahlner-elmqvist 2004<a class="bibr" href="#ch12.ref4" rid="ch12.ref4"><sup>4</sup></a>, Brian Cassel 2016<a class="bibr" href="#ch12.ref30" rid="ch12.ref30"><sup>30</sup></a>, Brumley 2003<a class="bibr" href="#ch12.ref33" rid="ch12.ref33"><sup>33</sup></a>, Brumley 2007<a class="bibr" href="#ch12.ref32" rid="ch12.ref32"><sup>32</sup></a>, Costantini 2003<a class="bibr" href="#ch12.ref54" rid="ch12.ref54"><sup>54</sup></a>, Gray 1987<a class="bibr" href="#ch12.ref94" rid="ch12.ref94"><sup>94</sup></a>, Hughes 2000<a class="bibr" href="#ch12.ref106" rid="ch12.ref106"><sup>106</sup></a>, Hughes 1992<a class="bibr" href="#ch12.ref104" rid="ch12.ref104"><sup>104</sup></a>, Kim 2009<a class="bibr" href="#ch12.ref120" rid="ch12.ref120"><sup>120</sup></a>,Leppert 2012<a class="bibr" href="#ch12.ref131" rid="ch12.ref131"><sup>131</sup></a>, Leppert 2014<a class="bibr" href="#ch12.ref130" rid="ch12.ref130"><sup>130</sup></a>, Lustbader 2017<a class="bibr" href="#ch12.ref138" rid="ch12.ref138"><sup>138</sup></a>, Melin-johansson 2010<a class="bibr" href="#ch12.ref152" rid="ch12.ref152"><sup>152</sup></a>, Lukas 2013<a class="bibr" href="#ch12.ref137" rid="ch12.ref137"><sup>137</sup></a> Noble 2015<a class="bibr" href="#ch12.ref168" rid="ch12.ref168"><sup>168</sup></a>, Pattenden 2013<a class="bibr" href="#ch12.ref180" rid="ch12.ref180"><sup>180</sup></a>, Riolfi 2014<a class="bibr" href="#ch12.ref190" rid="ch12.ref190"><sup>190</sup></a>, Sahlen 2016<a class="bibr" href="#ch12.ref192" rid="ch12.ref192"><sup>192</sup></a> (Brannstrom 2013<a class="bibr" href="#ch12.ref29" rid="ch12.ref29"><sup>29</sup></a>), Sessa 1996<a class="bibr" href="#ch12.ref203" rid="ch12.ref203"><sup>203</sup></a>, Smeenk 1998<a class="bibr" href="#ch12.ref207" rid="ch12.ref207"><sup>207</sup></a>, Wong 2013<a class="bibr" href="#ch12.ref232" rid="ch12.ref232"><sup>232</sup></a> Youens 2017 <a class="bibr" href="#ch12.ref238" rid="ch12.ref238"><sup>238</sup></a></td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12tab4"><div id="ch12.tab4" class="table"><h3><span class="label">Table 2</span><span class="title">Summary of studies included in the evidence review</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab4/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab4_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Study</th><th id="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Intervention and comparison</th><th id="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Population</th><th id="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Outcomes</th><th id="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Comments</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Abel 2013 <a class="bibr" href="#ch12.ref1" rid="ch12.ref1"><sup>1</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Additional community services on a regular/routine basis. Advanced care planning. A single document for ACP, ‘Planning Ahead’, which combines a modified version of the Preferred Priorities For Care document with a Putting Affairs In Order guide and an Advance Decision To Refuse Treatment document. ‘The Planning Ahead’ document was developed in response to requests from patients and their families to have a unified document for future care. Continued to receive usual care.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Specialist palliative care. Inpatient and outpatient services, visits from specialist palliative care community nurses at home and a day care centre.</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
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<p>All patients who were known to the hospice who died between 01 January 2009 and 30 June 2011. All the patients had a life limiting disease and were referred to the hospice for specialist palliative care.</p>
|
|
<p>Intervention + follow-up: 2.5 years</p>
|
|
<p>N=969</p>
|
|
<p>UK</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Number of accident and emergency visits;</p>
|
|
<p>Preferred and actual place of death;</p>
|
|
<p>Length of stay;</p>
|
|
<p>Hospitalisation;</p>
|
|
<p>Number of accident and emergency visits</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
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<p>Non-randomised study</p>
|
|
<p>Category 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Addington-hall 1992<a class="bibr" href="#ch12.ref2" rid="ch12.ref2"><sup>2</sup></a> (Raftery 1996<a class="bibr" href="#ch12.ref187" rid="ch12.ref187"><sup>187</sup></a>)</td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Additional community services on a regular/routine basis. Nurse coordinators. They were based in the community and introduced themselves to patients as nurses providing a link between the hospital, general practitioner and community services. They acted as ‘brokers’ of services: their role was to assess the need for services from the NHS, local authorities and voluntary sector agencies; to offer advice on how to obtain these services and to contact the agencies themselves if necessary; to ensure that services were provided and were well coordinated; and to monitor the changing needs of the patient and family for services. The coordinators did not provide practical nursing care or advice.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). No access to coordinator</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patient expected to live for one year or less and who were resident within the boundaries of the health authority entered the trial and were allocated to the coordination or control group depending on the general practice with which they were registered.</p>
|
|
<p>Intervention + follow-up: 3 years</p>
|
|
<p>N=554</p>
|
|
<p>UK</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death;</p>
|
|
<p>Length of survival;</p>
|
|
<p>Hospitalisation;</p>
|
|
<p>Length of stay;</p>
|
|
<p>Number of hospital visits;</p>
|
|
<p>Use of community services;</p>
|
|
<p>Patient/carer reported outcomes (satisfaction)</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>RCT</p>
|
|
<p>All recruited patients continued to receive routinely available services</p>
|
|
<p>Category: 1</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ahlner-elmqvist 2004<a class="bibr" href="#ch12.ref4" rid="ch12.ref4"><sup>4</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
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<p>Additional community services on a regular/routine basis. The AHC service was a 7-days-a-week resource, complementary to the existing inpatient and community health care services. The nurses worked day and evening shifts and were available for emergency services during the night. The AHC oncologist and the other team members worked daytime hours. During evenings, nights and weekends, the physician on call at the Oncology Department served the AHC. The AHC team visits were planned according to the patient’s needs. In addition to symptom treatment, counselling and emotional, social and family supports were provided. Home visits could include interventions such as injections, intravenous fluid therapy, blood transfusions, chemotherapy, nasogastric intubation and catheterization of the urine bladder and various other forms of technical support.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Conventional care: home care services including primary care centres served by general practitioners (GPs) and district nurses.</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>People who were above 18 years of age, had a histological verified malignant disease, were informed about their diagnoses and were in a palliative care situation</p>
|
|
<p>Intervention + follow-up: 1 year</p>
|
|
<p>N=297</p>
|
|
<p>Sweden</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death</p>
|
|
<p>Length of stay</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Aiken 2006<a class="bibr" href="#ch12.ref5" rid="ch12.ref5"><sup>5</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Registered nurse case managers provided ‘PhoenixCare’ services. Phoenixcare delivered home-based services focused on disease and symptom management, patient and caregiver education on disease management and social and psychological support. Registered nurse case managers delivered the primary PhoenixCare services and assumed a leadership role in coordinating PhoenixCare services with the patients’ primary care physician, with any case managers provided by the patient’s managed care organisation (HMO), and with community agencies. A medical director, social worker, and pastoral counsellor provided support to case managers, who coordinated care planning with PhoenixCare members, primary care physicians, health plan case manager, and patient, family and community agencies.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). No access to case manager</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>People diagnosed with chronic heart failure (CHF) or chronic obstructive pulmonary disease (COPD) who might live for up to 2 years beyond enrolment, based on expert judgment that drew on available prognostic data. All patients were required to have exhibited recent exacerbation of their conditions as evidenced by treatment in an emergency department, urgent care facility, or hospital within the 3 months prior to enrolment.</p>
|
|
<p>Follow-up: 6 months</p>
|
|
<p>N=192</p>
|
|
<p>USA</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life;</p>
|
|
<p>Number of visits to A&E</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>RCT</p>
|
|
<p>Category: 3</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Aoun 2013<a class="bibr" href="#ch12.ref9" rid="ch12.ref9"><sup>9</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Patients in the Care Aid (CA) support group each received an extra 30 hours of CA support in the 3 months-intervention period, particularly at weekends and after-hours when the routine service is limited by fewer staff being available. CA’s assisted with transport to doctor-s appointments, blood tests, visits to community pharmacists, shopping and transport. Inside the home, support included laundry, bed making, preparing meals, providing company during mealtime, social support and conversation, assisting with correspondence and personal care assistance. People also received standard care (SC)</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). SC is provided by an interdisciplinary team comprising general practitioners with a special interest in palliative care, palliative care specialist nurses, counsellors, chaplains, Cas, social workers and volunteers, who work with the patients to control symptoms or address psychosocial needs. Typically, nurses visit patients weekly or fortnightly and Cas visit one to three times per week depending on patient’s needs</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Cancer or non-cancer diagnosis requiring home-based palliative care, living at home alone, no family carer, understanding and speaking English, no cognitive impairment (clinical judgement of the nurse), no personal alarm at home</p>
|
|
<p>Duration: 3 months</p>
|
|
<p>N=58</p>
|
|
<p>Australia</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life (2-item QoL index);</p>
|
|
<p>Satisfaction</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study.</p>
|
|
<p>One arm is reported in Q9 – Additional community services on an emergency basis</p>
|
|
<p>Category: 1</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bakitas 2009<a class="bibr" href="#ch12.ref17" rid="ch12.ref17"><sup>17</sup></a> (Bakitas 2009<a class="bibr" href="#ch12.ref16" rid="ch12.ref16"><sup>16</sup></a>)</td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. ENABLE (Educate, Nurture, Advise, Before Life Ends). Advance palliative care nurse specialists educated participants about key palliative care principles and crisis prevention via practice problem solving/decision-making skills, symptom management, communication and advance care planning. Coordinated referrals to improve patients’ end of life care experience. Referrals and services generally increased as illness progressed. The intervention was primarily conducted by telephone</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Patients were allowed to use all usual oncology, palliative care and other medical centres without restrictions</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patients with a new diagnosis of advanced or recurrent life-limiting cancer (prognosis of approx. 1 year). Eligible if they were within 8 to 12 weeks of a new diagnosis of GI tract (unresectable stage III or IV), lung (stage IIIB or IV non-small cell or extensive small cell), genitourinary tract (stage IV), or breast (stage IV and visceral crisis, lung or liver metastasis, estrogen receptor -ve, human epidermal growth factor receptor 2 positive) cancer</p>
|
|
<p>Follow-up: 12 months</p>
|
|
<p>N=322</p>
|
|
<p>USA</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life;</p>
|
|
<p>Length of stay;</p>
|
|
<p>Number of visits to A&E;</p>
|
|
<p>Length of survival</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>RCT</p>
|
|
<p>Category: 3</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bentur 2014<a class="bibr" href="#ch12.ref22" rid="ch12.ref22"><sup>22</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Referral to home hospice unit (HHU) care. A 24hr service provided by a multidisciplinary palliative care team that includes physicians, nurses and social workers who visit the patients home once a week or more as needed.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Without home hospice care.</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Participants who lived in the community and died of metastatic cancer between January and September 2009.</p>
|
|
<p>Duration: 6 months before death (retrospective)</p>
|
|
<p>N=193</p>
|
|
<p>Israel</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death;</p>
|
|
<p>Hospitalisation;</p>
|
|
<p>Number of visits to A&E</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Brian Cassel 2016<a class="bibr" href="#ch12.ref30" rid="ch12.ref30"><sup>30</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Transitions is a concurrent care, home-based program designed for individuals with advanced chronic illness who would benefit from support provided by a trained specialty PC team comprising doctors, nurses, spiritual care providers and social workers. The program has 4 components: 1) in-home medical consultation, 2) on-going evidence-based prognostication of further survival, 3) caregiver support, 4) advance healthcare planning. The team provides pain and non-pain symptom management, education to promote individual and family awareness of illness trajectory and treatment choices, and psychosocial and spiritual support.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). No access to Transitions program</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>‘Transitions’ participants and comparison participants who had Medicare Advantage, one or more of four diseases (cancer, COPD, HF, dementia), and 2 years of usage data before death</p>
|
|
<p>Duration: 2 years</p>
|
|
<p>N=1443</p>
|
|
<p>USA</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death;</p>
|
|
<p>Length of survival;</p>
|
|
<p>Avoidable/inappropriate admissions to ICU;</p>
|
|
<p>Hospitalisation;</p>
|
|
<p>Number of hospital visits;</p>
|
|
<p>Number of unscheduled admissions</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Brumley 2003<a class="bibr" href="#ch12.ref33" rid="ch12.ref33"><sup>33</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. The TriCentral Palliative Care (TCPC) program is an interdisciplinary home-based program for patients at the end of life. The program offers enhanced pain control, symptom management and psychosocial support to improve quality of life. Patients retain their primary physician while receiving home visits from the palliative care team and physician. The core team consists of a physician, nurse and social worker with expertise in pain control, other symptom management and psychosocial intervention. A palliative care physician coordinates care from a variety of health care practitioners. Home visits are provided by all team members (including physicians) to provide medical care, support and education as needed by patients and their caregivers. Telephone support and afterhours visits are available 24/7, as needed by the patient. ACP is provided</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Kaiser Permanente hospice patients who did not receive the TCPC program</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Kaiser Permanente (KP) hospice homebound patients who had a diagnosis of a life threatening disease, primarily Chronic obstructive pulmonary disease (COPD), Chronic heart failure (CHF), or cancer; two or more emergency department visits or hospital admissions in the past year, and limited life expectancy (not more than approximately one year to live)</p>
|
|
<p>Duration: 1.5 years</p>
|
|
<p>N=297</p>
|
|
<p>USA</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death;</p>
|
|
<p>Number of hospital visits;</p>
|
|
<p>Number of visits to A&E;</p>
|
|
<p>Use of community services</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>RCT</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Brumley 2007<a class="bibr" href="#ch12.ref32" rid="ch12.ref32"><sup>32</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. The IHPC program is an interdisciplinary home-based program: core care team consists of patient and family, physician, nurse and a social worker with expertise in symptom management and bio-psychosocial intervention; responsible for coordinating and managing care. All patients received initial assessments from physicians, nurses and social workers. Additional team members as per needs. Frequency of medical visits is based on individual needs of the patients. Physicians conduct home visits and are available along with nursing services on a 24-hrs on-call basis. In addition, advanced care planning is provided that involves patients and their families in making informed decisions and choices about care goals and EOLC. The team provides education, support and medical care to the patients and families.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Standard care as per Medicare guidelines for home healthcare criteria, including various amounts and levels of home health services, acute care services, primary care services and hospice care. Patients were treated for conditions and symptoms when they presented them to the attending physicians. Additionally, they received on-going home care when they met the Medicare-certified criteria for an acute condition</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patients with a primary diagnosis of chronic heart failure, chronic obstructive pulmonary disease or cancer and a life expectancy of 12 months or less, have visited the emergency department or hospital at least once within the previous year, and scored 70% or less on the Palliative Performance Scale.</p>
|
|
<p>Duration: 2 years</p>
|
|
<p>N=297</p>
|
|
<p>USA</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death;</p>
|
|
<p>Length of survival;</p>
|
|
<p>Hospitalisation;</p>
|
|
<p>Number of visits to A&E;</p>
|
|
<p>Use of community services;</p>
|
|
<p>Satisfaction</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Category: 4</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Chitnis 2013<a class="bibr" href="#ch12.ref46" rid="ch12.ref46"><sup>46</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. MCNS provides hands-on nursing care and emotional support for people in their own homes, day and night at the end of life. It aims to provide care that makes it possible for people to spend their last days of life at home rather than in hospital. The service is provided by registered nurses and healthcare assistants, and people are referred to the service by community nursing services.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). MCNS not available</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Intervention group: people who received Marie Curie Nursing Service (MCNS) care in England between 2009 and 2011, and who died in the same period. Controls: selected based on the same inclusion and exclusion criteria as the intervention group, but also could not have received MCNS care.</p>
|
|
<p>N=59076</p>
|
|
<p>UK</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death;</p>
|
|
<p>Number of hospital visits;</p>
|
|
<p>Number of visits to A&E;</p>
|
|
<p>Number of unscheduled admissions</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 3</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Costantini 2003<a class="bibr" href="#ch12.ref54" rid="ch12.ref54"><sup>54</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Palliative home care teams (PHCT). 12 physicians, seven registered nurses, three psychologists and 25 volunteers.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Usual care no access to PHCT</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>People with diagnosis of advanced terminal cancer requiring palliative care, age 1-18 years, and family and patient consent to be followed at home by the PHCT. The control group Patients not followed by the PHCT received usual care from hospitals, their general practitioners and other health services.</p>
|
|
<p>Duration: 180 days</p>
|
|
<p>N=567</p>
|
|
<p>Italy</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gray 1987<a class="bibr" href="#ch12.ref94" rid="ch12.ref94"><sup>94</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Hospital Palliative Care Service (HPCS) provides care for patients dying in their home and support for family or friends. Medical care can be provided by the patient’s own GP, the HPCS GP, or a combination of both. The nursing staff work on a day, evening, night shift system. The HPCS liaison sister coordinates the work of all who care for the patient, liaises with the doctors, organises volunteers when needed, and has a responsibility to the family members during the final stages of illness. Both doctors and nurses can be contacted at all times through a pager by those in the patients home</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care).</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patients of Hospital Palliative Care Service (HPCS) who were listed on the Cancer Registry of the Health Department of Western Australia as dying of cancer in 1983. Control group were listed on the Cancer Registry of the Health Department of Western Australia as dying of cancer in 1983</p>
|
|
<p>Duration: 2 years</p>
|
|
<p>N=196</p>
|
|
<p>Australia</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death;</p>
|
|
<p>Length of stay;</p>
|
|
<p>Length of survival</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hughes 2000<a class="bibr" href="#ch12.ref106" rid="ch12.ref106"><sup>106</sup></a> (Hughes 1992<a class="bibr" href="#ch12.ref104" rid="ch12.ref104"><sup>104</sup></a>)</td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. The program encompasses an interdisciplinary team that is led by a physician and includes nurses, a social worker, a physical therapist, a dietician and health technicians. The program reinstated, interdisciplinary patient care plans at team meetings and schedules visits according to patient need. The HSBC physician also manages the HSBC patients both in and out of hospital. The model emphasises the provision of comprehensive services based on need, the importance of timely communication about patients across team members and the instruction and involvement of informal caregivers to the maximum possible extent.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Service deliver by skilled nursing team. No other details provided</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Hospitalised patients with a terminal diagnoses were enrolled at discharge. People who lived within the 25 to 35 mile catchment areas served by the programme. Presence of an available caregiver</p>
|
|
<p>Duration: 6 months</p>
|
|
<p>N=171</p>
|
|
<p>USA</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Length of stay;</p>
|
|
<p>Length of survival</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>NRS</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kim 2009<a class="bibr" href="#ch12.ref120" rid="ch12.ref120"><sup>120</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. The home-based palliative care team. Those who have less than 6 months life expectancy are approached by the palliative care team established by the community health center and asked if they would like to receive palliative care from the center. For those who requested palliative care, the team, consisting of two nurses and one physician on an 8-hour-per-day basis and 82 trained volunteers, provided management of symptoms and psychological and spiritual counselling via home visits.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Usual care. Those who refused the offer of the home palliative care service from the community health centre</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Home-bound, terminally ill cancer patients in the cancer database who had less than 6 months of life expectancy.</p>
|
|
<p>N=76</p>
|
|
<p>USA</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of Life;</p>
|
|
<p>Length of stay</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Leppert 2012<a class="bibr" href="#ch12.ref131" rid="ch12.ref131"><sup>131</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Patients under the home palliative care program were followed up by a nurse twice a week and by a physician every 2 weeks. Access to other members of the multiprofessional team, such as physiotherapists, psychologists, social workers, chaplains and volunteers</p>
|
|
<p>Other additional community services available on a regular/routine basis. Patients at the PCU were followed up daily by physicians and nurses. Access to other members of the multiprofessional team, such as physiotherapists, psychologists, social workers, chaplains and volunteers.</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>People diagnosed with advanced lung cancer (either stage IV non-small cell lung cancer or extensive disease small cell lung cancer) who were treated at home or at a palliative care unit (PCU). Able to fill in questionnaire and communicate with nurses.</p>
|
|
<p>N=78</p>
|
|
<p>Poland</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Quality of life</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Leppert 2014<a class="bibr" href="#ch12.ref130" rid="ch12.ref130"><sup>130</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Patients admitted to the PCU were those who could not be treated at home due to symptom burden or social problems; patients were followed up with every day by physicians and nurses, with other staff members available depending on patients’ needs.</p>
|
|
<p>Other additional community services available on a regular/routine basis. Patients treated at home were unable to attend the outpatient clinic; nurses visited them at home at least twice a week, physicians visited at least twice a month, and other team members visited the patients whenever it was necessary.</p>
|
|
<p>Other additional community services available on a regular/routine basis. Patients treated at DCC were able to attend DCC twice a week; follow-up with a nurse was provided at each visit, with physician follow-up twice a month and follow-up with other staff members upon patient request.</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Advanced cancer patients treated at home, at an in-patient palliative care unit, and at a day care centre.</p>
|
|
<p>N=129</p>
|
|
<p>Poland</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Quality of life</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category 4</p>
|
|
<p>Baseline QoL varied significantly between groups.</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lukas 2013<a class="bibr" href="#ch12.ref137" rid="ch12.ref137"><sup>137</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services available in an acute/emergency scenario. Optimising Advanced Complex Illness Support (OACIS) provides consultation regarding symptom management, ACO, goal-directed care, and care coordination for advance complex illness patients. All patients care provided by three nurse practitioners who were supported by a collaborating physician. A full-time office based nurse coordinator triaged new referrals and follow-up visits, and arranged social and community services.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Usual care; before enrolment with OACIS</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patients with an advanced life-limiting illness referred to OACIS with at least 1 hospitalisation in the pre-intervention period.</p>
|
|
<p>N=369</p>
|
|
<p>USA</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Hospitalisation;</p>
|
|
<p>Length of stay</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study (before and after)</p>
|
|
<p>Category:4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lustbader 2017<a class="bibr" href="#ch12.ref138" rid="ch12.ref138"><sup>138</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services available in an acute/emergency scenario. Home-based palliative care (HBPC) program implemented within an Accountable Care Organization. The HBPC team comprised six registered nurses, two social workers, two doctors, one data analyst, and three administrative staff. Most patients got at least one house call and two telephone calls per month with additional outreach from team members as needed. The team engaged in serious illness conversations about goals of care with patients over time with documentation of treatment preferences. There were twice-weekly in person team meetings and a one-hour weekly one-to-one with the nurse, social worker, and palliative care physician to review the nurse caseload in detail.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Usual care.</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Decedents with 12 months of continuous Medicare claims data before death.</p>
|
|
<p>N=651</p>
|
|
<p>USA</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Hospitalisation</p>
|
|
<p>Accident and emergency admissions</p>
|
|
<p>Service utilisation (Hospice enrolment)</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Melin-johansson 2010<a class="bibr" href="#ch12.ref152" rid="ch12.ref152"><sup>152</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. AFTER INTERVENTION (14 days after designation to PHT). The palliative homecare team (PHT) is composed of 7 full time registered nurses and 2 part-time physicians, with specific training in palliative care and long clinical experience of caring for this population. The PHT coordinates care in different geographical areas in the county, and with other categories of staff as district nurses, physio, OT, curators and a priest. 5-days a week consultative service working daytime hours and complementary to hospitalised care and community healthcare services.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). BEFORE INTERVENTION: standard care (1 week before referral)</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patients with incurable cancer. Every eligible patient referred to the palliative care team was considered for participation in the study. Patients needed to be aware of diagnosis and prognosis, aged 18 years or older, speaking Swedish, able to complete questionnaires independently, and intention to be cared for in their private homes</p>
|
|
<p>Duration: 2 weeks</p>
|
|
<p>N=63</p>
|
|
<p>Sweden</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Quality of life</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study (before/after)</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ng 2017<a class="bibr" href="#ch12.ref165" rid="ch12.ref165"><sup>165</sup></a> Wong 2017<a class="bibr" href="#ch12.ref230" rid="ch12.ref230"><sup>230</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Home-base Palliative Heart Failure; physical and psychological symptom assessment and management, social support, spiritual aspects of care, setting goals of care, and discussions of treatment preference and end-of-life issues. Structure included post-discharge home visits and telephone calls delivered by a PC case manager.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Pre-discharge palliative care referral consultation and standard discharge planning including a scheduled outpatient PC clinic. Usual care group received two social calls.</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>End stage heart failure patients (III/IV), with one-year life expectancy.</p>
|
|
<p>N=84</p>
|
|
<p>China</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life;</p>
|
|
<p>Patient satisfaction</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>RCT</p>
|
|
<p>Category: 3</p>
|
|
<p>Wong 2017 economics paper of Ng trial.</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Noble 2015<a class="bibr" href="#ch12.ref168" rid="ch12.ref168"><sup>168</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Midhurst Macmillan Specialist Palliative Care Service: medical consultant-led multi-disciplinary team that aims to provide round-the-clock, ‘hands-on’ care and advice at home, in community hospitals and in nursing or residential homes. The range of palliative interventions includes intravenous infusions, paracentesis and intrathecal analgesia. The service aims were: to put in place a sustainable and affordable specialist palliative care service for the population within the Midhurst and surrounding areas; to reduce acute hospital interventions and inpatient hospice stays; to ensure that patient choice is maximised by providing as much treatment and support in the home/ community setting as possible</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care).</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patients who died during the study period (August 2008–August 2009), within the West Sussex, Surrey and Hampshire PCT areas in the south-east of England, with cancer as known cause of death, who could be matched to both the Public Health Mortality File and the Commissioning Data Set.</p>
|
|
<p>N=971</p>
|
|
<p>UK</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Pattenden 2013<a class="bibr" href="#ch12.ref180" rid="ch12.ref180"><sup>180</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis ‘Better Together’ (BT): a 2-year collaboration between BHF HFSNs, Marie Curie Cancer Care nurses (MCNs) and Marie Curie Cancer Care healthcare assistants (MCHCAs) working together alongside cardiologists, care of the elderly consultants, district nurses and GPs to enable home/based end of life care.</p>
|
|
<p>The BHF and MCCC established a supportive and palliative care service. Staff from both organisations underwent joint training to learn about each other’s working practices. BHF HFSNs provided self-management education and advice to patients and their carers. They managed symptoms through clinical assessment and regular medication monitoring and review. MCNs provided practical palliative physical nursing care, including the administration of prescribed medications for pain relief and agitation, and psychological support from referral until the end of life. They also liaised with district nurses and other support services for the provision of comfort aids. MCHCAs provided respite care, including basic physical care and psychological support, to patients and carers. ‘Better Together’ (BT): a 2-year collaboration between BHF HFSNs, Marie Curie Cancer Care nurses (MCNs) and Marie Curie Cancer Care healthcare assistants (MCHCAs) working together alongside cardiologists, care of the elderly consultants, district nurses and GPs to enable home/based end of life care.</p>
|
|
<p>The BHF and MCCC established a supportive and palliative care service. BHF HFSNs provided self-management education and advice to patients and their carers. They managed symptoms through clinical assessment and regular medication monitoring and review. MCNs provided practical palliative physical nursing care, including the administration of prescribed medications for pain relief and agitation, and psychological support from referral until the end of life. They also liaised with district nurses and other support services for the provision of comfort aids. MCHCAs provided respite care, including basic physical care and psychological support, to patients and carers.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Historical control group</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>NYHA III or IV, patients thought to be in the last year of life by their referrer, repeated hospital admissions, difficult physical/psychological symptoms despite optimal therapy, needing extra care or support, willing to have the service.</p>
|
|
<p>N=197</p>
|
|
<p>UK</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Length of stay;</p>
|
|
<p>Number of unscheduled admissions</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Riolfi 2014<a class="bibr" href="#ch12.ref190" rid="ch12.ref190"><sup>190</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. The service consisted of two palliative care physicians and 30 specialist nurses who cooperate with GPs. The intensity of care depends on the patient’s condition: at least one specialist medical examination a week is guaranteed for all terminally ill patients being cared for at home and this specialist medical exam is conducted daily in the last days of life. Nurses are called into deal with medication and infusion therapies. The services of a palliative care physician or nurse are assured from Monday to Friday (8am to 8pm). On Saturdays and Sundays there is a nurse on call 8am to 8pm. During the night and weekends patients and caregivers and colleagues can always contact a palliative care physician by phone</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). The outcomes of the comparison group were for people treated before the palliative home care team was implemented</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>People who died of cancer in 2011, with a life expectancy of at least 3 months.</p>
|
|
<p>Duration: 3 months</p>
|
|
<p>N=402</p>
|
|
<p>Italy</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death;</p>
|
|
<p>Length of stay;</p>
|
|
<p>Hospitalisation</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sahlen 2016<a class="bibr" href="#ch12.ref192" rid="ch12.ref192"><sup>192</sup></a> (Brannstrom 2013<a class="bibr" href="#ch12.ref29" rid="ch12.ref29"><sup>29</sup></a>)</td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Patients offered a multiprofessional approach involving collaboration between specialists in palliative and heart failure care, that is specialised nurses, palliative care nurses, cardiologist, palliative care physician, physiotherapist, and occupational therapist. The programme included patient education on self-care maintenance and management of heart failure, and establishment of an ACP, designed with patients and revised regularly. Key individuals for example: nurse and physician were identified for each patient (point of contact). Out of hours providers were informed of the identity of these patients and know how to respond to call</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Standard care, usually provided by a primary health care centre or the nurse-led heart failure clinic at the hospital</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Confirmed diagnosis of CHF according to criteria of European Society of Cardiology, NYHA functional class 3 symptoms, one of: hospitalised episode of worsening heart failure that resolved with the injection/infusion of diuretics or addition of other heart failure treatment in the preceding 6 months; the need for frequent or continual iv support; chronically poor quality of life; signs of cardiac cachexia; and life expectancy of <1 year.</p>
|
|
<p>Duration: 6 months</p>
|
|
<p>N=72</p>
|
|
<p>Sweden</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Quality of life</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>RCT</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Seow 2008<a class="bibr" href="#ch12.ref202" rid="ch12.ref202"><sup>202</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. The Omega Life Program (OLP) - Nurse case managers lead the program and provided an initial and on-going holistic assessment of physical, psychosocial, and spiritual needs of patient and family. Case managers educate patients and families about various topics, including advance directives, hospice options, insurance and prescription benefits, and symptom management. Patients and families are taught to contact case managers for information and needs rather than emergencies. Patients are followed by the case manager from enrolment through to death. The case manager also coordinates care between multiple providers, integrate various providers into the care team, and serve as the main point of contact for the patient and the families to help them navigate the health system</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care) Patients referred to the OLP who elected not to enrol. Continued to receive usual care.</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Current cancer diagnosis, with a date of enrolment or refusal to the program, and a confirmed date of death while insured under the managed care organisation.</p>
|
|
<p>N=89</p>
|
|
<p>USA</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Length of survival;</p>
|
|
<p>Hospitalisation</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 3</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Seow 2014<a class="bibr" href="#ch12.ref201" rid="ch12.ref201"><sup>201</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services available on a regular/routine basis (usual care). Specialist palliative care team N=3109 Usual care.</p>
|
|
<p>Usual care N=3109</p>
|
|
<p>Core members: nurses, palliative care physicians, and family physicians. The team provided interdisciplinary, home-based palliative care to people with palliative care needs. Core features of services were 24/7 care and collaboration between health professionals</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patients receiving care from specialist care teams who:</p>
|
|
<p>a) provide interdisciplinary, home based palliative care; b) were the only team in their respective region; c) had little or no change in staffing between 2009 until 2012; d) had broad admission criteria (that is, not limited to one disease); e) admitted more than 50 patients; f) were available to patients 24/7</p>
|
|
<p>N=6218</p>
|
|
<p>Canada</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Hospitalisation (number of people in hospital in last 2 weeks of life);</p>
|
|
<p>Number of visits to A&E (ED visits in the last 2 weeks of life);</p>
|
|
<p>Place of death;</p>
|
|
<p>Hospital</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>All people in the intervention group received care from specialist palliative care team</p>
|
|
<p>Category: 3</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sessa 1996<a class="bibr" href="#ch12.ref203" rid="ch12.ref203"><sup>203</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Home-care program users. Public home-care services for cancer patients are available in the entire region, operated through the collaboration of community nurses, family doctors available, specialists and social workers from the cancer centre. Contact between patients and the community nurses is established by the SOC, usually with the agreement of family doctors. In each district, one nurse from the oncology outpatient clinic is responsible for coordination between community and hospital services of the home-care program. The SOC personnel responsible for the local home-care program (physicians, nurses, social workers) meet weekly with community nurses; SOC physicians are responsible for keeping family doctors informed about problems discussed and decisions taken during these meetings</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care).</p>
|
|
<p>Non-home care users</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>People wishing to be treated by home care services, an expected survival generally less than 3 months, concurrence of the family for the patient to remain at home, availability of one relative or friend of reference, and sufficient cooperation with the family doctor.</p>
|
|
<p>Duration: 3months before patients’ death</p>
|
|
<p>N=993</p>
|
|
<p>Switzerland</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death;</p>
|
|
<p>Length of stay;</p>
|
|
<p>Number of unscheduled admissions</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Smeenk 1998<a class="bibr" href="#ch12.ref207" rid="ch12.ref207"><sup>207</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Transmural home care intervention programme, aimed at assisting the primary care team and consisted of 4 main items: a) A SPECIALIST NURSE COORDINATOR: the key person in the programme. She prepares the necessary patients discharge arrangements. She has daily contacts with caregivers, from medical specialists to home helpers. B) THE 24 HOURS TELEPHONE SERVICE: this is installed in the multiprofessional oncology ward and manned by nurses trained to give assistance to patients on the phone. The service can be contacted for advice if problems arise at home, by direct line, and a specialist can also be contacted if needed. C) ACCESS TO A TRANSMURAL HOME TEAM: if specific nursing problems cannot be solved by the primary care team, support is provided by trained nurses from the hospitals transmural home team on request by the GP. The team consists of nurses from the hospital’s casualty and day care departments. During on call hours they can be called by semaphone. D) HOME CARE DOSSIER: informed consent, a list of caregivers, a preliminary discharge report for GP, a nursing transfer report for the community nurse, and other care details</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). The primary care team consists of a GP (available 24 hours a day), a community nurse (available 24 hours a day), a home help service, and a medical aid supply service which can provide special equipment for use at home for the patient, for example: special beds, equipment for epidural analgesia, etcetera</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patients who were admitted to the multiprofessional oncology ward of the hospital and who met the following inclusion criteria: cancer, an estimated prognosis of less than 6 months, age 18 years or older, and being fully informed of diagnosis. Cancer patients admitted to hospital and who were living in Eindhoven were allocated to intervention group, and those from the surrounding areas to the control group</p>
|
|
<p>N=62</p>
|
|
<p>Netherlands</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life;</p>
|
|
<p>Preferred and actual place of death;</p>
|
|
<p>Length of stay;</p>
|
|
<p>Length of survival</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wong 2013<a class="bibr" href="#ch12.ref232" rid="ch12.ref232"><sup>232</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. (AFTER INTERVENTION) Home palliative care programme: a multiprofessional team consisting of a doctor, a nurse and/or a counsellor. Patient contacts ranged from weekly to monthly home visitations by the ACP members depending on patient’s acuity of conditions. Oral medications could be modified or initiated to maximally palliate patients’ HF and/or general symptoms. Telephonic consults were made available 24/7to facilitate updates of clinical conditions and delivery of advice and education.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Usual care. Before intervention.</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>End-stage HF patients (NYHA class II and IV despite optimal medical treatment and/or cardiac resynchronisation therapy), expected 1 year survival, symptoms or end-of-life psychosocial needs likely to benefit from a multiprofessional approach, with potential for adequate and safe care at home</p>
|
|
<p>N=44</p>
|
|
<p>Singapore</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Category: 4</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Youens 2017<a class="bibr" href="#ch12.ref238" rid="ch12.ref238"><sup>238</sup></a></td><td headers="hd_h_ch12.tab4_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services on a regular/routine basis. Community based Palliative Care Service (PCS). An interdisciplinary service with teams comprising nurses, doctors, care aids, counsellors, chaplains, social workers, and volunteers, in which clinical nurses are case coordinators. Teams are available to provide care around the clock. The service focuses on alleviating physical symptoms and providing psychological and spiritual support for people with terminal illness.</p>
|
|
<p>No additional community services available on a regular/routine basis (usual care). Usual care. Those who did not access community based PCS.</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>All decedents between January 2001 and December 2011 in whom cancer was recorded as the cause of death on the WA Cancer registry record, whose usual place of residence was within the area covered by the PCS.</p>
|
|
<p>N=28561</p>
|
|
<p>Australia</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Place of death;</p>
|
|
<p>Hospitalisation;</p>
|
|
<p>Unplanned admissions;</p>
|
|
<p>number of visits to A&E;</p>
|
|
<p>Length of stay</p>
|
|
</td><td headers="hd_h_ch12.tab4_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study (retrospective database analysis)</p>
|
|
<p>Category: 4</p>
|
|
</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12tab5"><div id="ch12.tab5" class="table"><h3><span class="label">Table 3</span><span class="title">Summary of studies included in the review on additional community services available in an emergency/acute scenario</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab5/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab5_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Study</th><th id="hd_h_ch12.tab5_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Intervention and comparison</th><th id="hd_h_ch12.tab5_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Population</th><th id="hd_h_ch12.tab5_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Outcomes</th><th id="hd_h_ch12.tab5_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Comments</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Aoun 2013<a class="bibr" href="#ch12.ref9" rid="ch12.ref9"><sup>9</sup></a></td><td headers="hd_h_ch12.tab5_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services available in an acute/emergency scenario. People in the personal alarm group (PA) were provided with a button that the patient would press in an emergency. Currently, patients who are considered at risk are advised to have a PA for which they must pay. The alarm is connected to the SCHCS call centre so that when the patient activates the alarm, a SCHCS nurse responds</p>
|
|
<p>Usual care. SC is provided by an interdisciplinary team comprising general practitioners with a special interest in palliative care, palliative care specialist nurses, counsellors, chaplains, Cas, social workers and volunteers, who work with the patients to control symptoms or address psychosocial needs. Typically, nurses visit patients weekly or fortnightly and Cas visit one to three times per week depending on patients’ needs</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Cancer or non-cancer diagnosis requiring home-based palliative care, living at home alone, no family carer, understanding and speaking English, no cognitive impairment (clinical judgement of the nurse), no personal alarm at home, telephone landline (if randomised to the PA group</p>
|
|
<p>N=58</p>
|
|
<p>Australia</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life;</p>
|
|
<p>Satisfaction</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>RCT</p>
|
|
<p>One arm of this study is also included in Additional community services on a routine/regular basis review</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Casarett, 2015<a class="bibr" href="#ch12.ref41" rid="ch12.ref41"><sup>41</sup></a></td><td headers="hd_h_ch12.tab5_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services available in an acute/emergency scenario. Continuous hospice care. Continuous care provides more intensive staffing, of which at least 50% of care hours must be for a licensed nurse.</p>
|
|
<p>N=8524</p>
|
|
<p>Usual care. At a minimum, hospice provides routine home care, which constitutes the majority of hospice days. This level of care provides the services of a visiting nurse and other disciplines, who typically visit several times per week.</p>
|
|
<p>N=16134</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Decedents receiving continuous or standard hospice care the day before they died.</p>
|
|
<p>N=24658</p>
|
|
<p>USA</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death</td><td headers="hd_h_ch12.tab5_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>Little information on care received</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gage 2015<a class="bibr" href="#ch12.ref81" rid="ch12.ref81"><sup>81</sup></a> (Holdsworth 2015<a class="bibr" href="#ch12.ref101" rid="ch12.ref101"><sup>101</sup></a>)</td><td headers="hd_h_ch12.tab5_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services available in an acute/emergency scenario. Rapid response service users N=247</p>
|
|
<p>Usual care. Rapid response service non-users N=441</p>
|
|
<p>Additional community services available in an acute/emergency scenario. Rapid response service available N=688</p>
|
|
<p>Usual care. Rapid response service not available N=265</p>
|
|
<p>The rapid response service was delivered by health care assistants and supported by a multiprofessional team. The team had access to a service coordinator</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patients newly referred to the hospice services</p>
|
|
<p>N=953</p>
|
|
<p>UK</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death;</p>
|
|
<p>Use of community services:</p>
|
|
<p>GP contacts;</p>
|
|
<p>All community contacts;</p>
|
|
<p>All Marie Curie visits All out of hours contacts;</p>
|
|
<p>Hospice contacts;</p>
|
|
<p>Social services;</p>
|
|
<p>Number of visits to emergencyA&E;</p>
|
|
<p>Carers’ quality of life (SF-12, EQ5D)</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Non-randomised study</p>
|
|
<p>No description of usual care</p>
|
|
<p>Only 36% of people in the ‘RRS available’ group actually accessed the service</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mccaffrey 2013<a class="bibr" href="#ch12.ref146" rid="ch12.ref146"><sup>146</sup></a></td><td headers="hd_h_ch12.tab5_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services available in an acute/emergency scenario. Palliative Care Extended Packages at Home (PEACH): individualised care package. Services are rapidly mobilised, essential equipment is secured, allied health is coordinated and higher intensity nursing is provided (up to 24h/day for up to 5 days) compared with usual care</p>
|
|
<p>Usual care. Usual care encompassed conventional discharge planning with existing community services including specialist palliative care, access to an after-hours number, and equipment from loan pools.</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patient of the palliative care team, whose GP is currently involved in care at home or willing to be involved in such care on discharge from hospital. These are patients with advanced cancer or other life limiting illness who prefer care to be delivered at home and/or a home death with at least one of the following criteria: a) a patient with a complex and unstable symptom management and high care needs, whose clinician thinks readmission to hospital may be prevented by the package, b) a patient with complex and unstable symptom management and high care needs currently admitted in acute hospital/palliative care unit who may not be discharged without comprehensive community services, c) a patient wishing to receive end of life care (anticipated to be within 72hrs duration) at home</p>
|
|
<p>N=31</p>
|
|
<p>Australia</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death</td><td headers="hd_h_ch12.tab5_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">RCT</td></tr><tr><td headers="hd_h_ch12.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Purdy 2015<a class="bibr" href="#ch12.ref186" rid="ch12.ref186"><sup>186</sup></a></td><td headers="hd_h_ch12.tab5_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Additional community services available in an acute/emergency scenario. Marie Curie Cancer Care Delivering Choice Programme (with out of hours service) users N=616</p>
|
|
<p>Usual care. Marie Curie Cancer Care Delivering Choice Programme (with out of hours service) non-users N=1956</p>
|
|
<p>Intervention consisted of:</p>
|
|
<p>Out of hours advice and response lines manned by specialist nurses from 5pm to 1pm weekends and bank holidays</p>
|
|
<p>Two front of house hospital-based discharge nurses</p>
|
|
<p>Two end of life care coordinators</p>
|
|
<p>These services were supported by an electronic end of life care register to record advance care wishes</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patients who died between Sep 2011-Feb 2012, who were expected to die and potentially eligible for end-of-life care</p>
|
|
<p>N=829</p>
|
|
<p>UK</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Place of death</p>
|
|
<p>Acute hospital</p>
|
|
<p>Home</p>
|
|
<p>Care home (not usual place of residence)</p>
|
|
<p>Hospice</p>
|
|
<p>Community hospital</p>
|
|
<p>Elsewhere</p>
|
|
<p>Number of hospital visits</p>
|
|
<p>Patients with one or more emergency admissions (< 30 days, < 7 days)</p>
|
|
<p>Mean emergency admissions per patient (< 30 days, < 7 days)</p>
|
|
<p>Number of visits to accident and emergency</p>
|
|
<p>Patients with one or more ED attendance (< 30 days, < 7 days)</p>
|
|
<p>Mean ED attendance per patient (< 30 days, < 7 days)</p>
|
|
</td><td headers="hd_h_ch12.tab5_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>NRS</p>
|
|
<p>23% used the Delivery Choice intervention</p>
|
|
<p>Out of hours advice line 9%</p>
|
|
<p>Marie Curie Cancer Care Delivering Choice Programme (without out of hours service) users arm of trial not included in comparison as not considered to be a relevant intervention.</p>
|
|
</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12tab6"><div id="ch12.tab6" class="table"><h3><span class="label">Table 4</span><span class="title">Additional community services available on a regular/routine basis – data unsuitable for GRADE due to inadequate reporting of outcome measure</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab6/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab6_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Study</th><th id="hd_h_ch12.tab6_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Comparison</th><th id="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Outcome</th><th id="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Intervention results</th><th id="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Intervention group (n)</th><th id="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Comparison results</th><th id="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Comparison group (n)</th><th id="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk of bias<sup>a</sup></th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Abel 2013</td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Hospital deaths)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">11%</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">26%</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Addington-Hall 1992</td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of survival (mean days between study entry and death)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean 211 days</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">55</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean 232 days</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">64</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ahlner-elmqvist 2004<a class="bibr" href="#ch12.ref4" rid="ch12.ref4"><sup>4</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (length of stay in hospital) at end of follow-up</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean: 18% of their time</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">119</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean: 31% of their time</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">178</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Aiken 2006</td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Quality of life (SF-36) 3 months</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">COPD patients in the intervention group reported greater Vitality than COPD controls</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">High</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Quality of life (SF-36) 9 months</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Control patients declined in both Physical function and General health while intervention patients did not. Superior Physical functioning and General health emerged in the intervention above control participants.</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">High</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Aoun 2013 <a class="bibr" href="#ch12.ref9" rid="ch12.ref9"><sup>9</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Quality of life (QoL index) at 12 weeks</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Median (range): 6 (2-10)</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">19</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Median (range): 5 (0-9)</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">20</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Satisfaction (patients’ satisfaction with QoL) at 12 weeks</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Median (range): 5.5 (3-10)</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">19</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Median (range): 5 (0-9)</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">20</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="3" colspan="1" style="text-align:left;vertical-align:top;">Bakitas 2009<a class="bibr" href="#ch12.ref17" rid="ch12.ref17"><sup>17</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="3" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (mean days in hospital)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Mean: 6.6</p>
|
|
<p>p=0.14</p>
|
|
</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">161</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean: 6.5</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">161</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">High</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (mean number of emergency department visits)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean: 0.86</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">161</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean:0.63</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">161</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of survival (median length of survival)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Median (95%CI): 14 (10.6-18.4)</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">161</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Median (95%CI): 8.5 (7.0-11.1)</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">161</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Brian Cassel 2016 <a class="bibr" href="#ch12.ref30" rid="ch12.ref30"><sup>30</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of survival (days to death)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean: 201.2</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">368</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean: 200.7</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1075</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Brumley 2007<a class="bibr" href="#ch12.ref32" rid="ch12.ref32"><sup>32</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Satisfaction with care (Reid Gunlach Satisfaction with services) at 90 days</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">OR 3.37 (0.654.96).</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">N for groups not reported (only total N=149)</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at home)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">71% died at home; control group</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">N for each group not reported.</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>51% died at home</p>
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<p>OR 2.2 (1.3-3.7). 75% (n=223) of people included in the final analysis died during the study period; for 98% (n=219) of these site of death data was available.</p>
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</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Costantini 2003<a class="bibr" href="#ch12.ref54" rid="ch12.ref54"><sup>54</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (Days in hospital in the 180 days before death)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Median (95%CI) 19.0 (15-23)</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">189</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Median (95%CI) 30.3 (26-34)</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">378</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="3" colspan="1" style="text-align:left;vertical-align:top;">Lukas 2013<a class="bibr" href="#ch12.ref137" rid="ch12.ref137"><sup>137</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="3" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Number of hospitalisations (mean)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1.23</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">369</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">2.23</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">369</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Total hospital days for all hospitalisation (mean)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">14.45</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">369</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">11.2</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">369</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Probability of any ED visit</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>OR: 0.4</p>
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<p>(intervention versus comparison; p not significant)</p>
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</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">369</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">OR: 0.44</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">369</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Melin-johansson 2010<a class="bibr" href="#ch12.ref152" rid="ch12.ref152"><sup>152</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">lobal QoL (AQEL questionnaire) at 2 weeks after versus 1 week before intervention</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean (IQR) 5.70 (4)</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">63</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean (IQR) 4.98 (4)</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">63</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sahlen 2016<a class="bibr" href="#ch12.ref192" rid="ch12.ref192"><sup>192</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Quality of life (EQ5D)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean change score: +0.006</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">36</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mean change score: −0.024</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">36</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">High</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Seow 2008</td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (odds of having one or more hospital admission versus those in comparison group, controlling for time since referral, age, and gender)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">OR 0.138 (95%CI 0.03 - 0.57) p=0.006</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">High</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Smeenk 1998<a class="bibr" href="#ch12.ref207" rid="ch12.ref207"><sup>207</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Quality of life</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">the intervention programme contributed significantly (p=0.065) towards a better physical functioning</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">-</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sessa 1996<a class="bibr" href="#ch12.ref203" rid="ch12.ref203"><sup>203</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (days of hospital stay) 3 months before death</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Median hospital stay (10th-90th percentile): 17 (0-57) days</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">317</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Median hospital stay (10th-90th percentile): 28 (1-75) days</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">676</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Wong 2013<a class="bibr" href="#ch12.ref232" rid="ch12.ref232"><sup>232</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (Mean all cause hospitalization)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">after intervention: mean 1.0 per patient;</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">44</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">before intervention: mean 3.6 per patient</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">44</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (Mean HF-related hospitalization)</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">after intervention: mean 0.6 per patient</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">44</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">before intervention: mean 2.0 per patient</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">44</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_1" rowspan="3" colspan="1" style="text-align:left;vertical-align:top;">Youens 2017<a class="bibr" href="#ch12.ref238" rid="ch12.ref238"><sup>238</sup></a></td><td headers="hd_h_ch12.tab6_1_1_1_2" rowspan="3" colspan="1" style="text-align:left;vertical-align:top;">Additional community services on a regular/routine basis versus usual care</td><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation: Rate ratio all cause hospitalisation at follow-up 12 months before death</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1.01 (95% 0.96-1.05)</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">16530</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NA</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">12031</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Unscheduled admission: Rate ratio all cause unplanned hospitalization at follow-up 12 months before death</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">0.94 (95% 0.91-0.97)</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">16530</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NA</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">12031</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr><tr><td headers="hd_h_ch12.tab6_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Accident and emergency visits: Rate ratio all cause ED presentations at follow-up 12 months before death</td><td headers="hd_h_ch12.tab6_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">0.92 (95% 0.89-0.96)</td><td headers="hd_h_ch12.tab6_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">16530</td><td headers="hd_h_ch12.tab6_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NA</td><td headers="hd_h_ch12.tab6_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">12031</td><td headers="hd_h_ch12.tab6_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab6_1"><p class="no_margin">Risk of bias is from checklist of individual studies, see evidence tables for more details.</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab7"><div id="ch12.tab7" class="table"><h3><span class="label">Table 5</span><span class="title">Additional community services available in an acute/emergency scenario- data unsuitable for GRADE due to inadequate reporting of outcome measure</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab7/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab7_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Study</th><th id="hd_h_ch12.tab7_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Comparison</th><th id="hd_h_ch12.tab7_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Outcome</th><th id="hd_h_ch12.tab7_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Intervention results</th><th id="hd_h_ch12.tab7_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Intervention group (n)</th><th id="hd_h_ch12.tab7_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Comparison results</th><th id="hd_h_ch12.tab7_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Comparison group (n)</th><th id="hd_h_ch12.tab7_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk of bias<sup>a</sup></th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Aoun 2013<a class="bibr" href="#ch12.ref9" rid="ch12.ref9"><sup>9</sup></a></td><td headers="hd_h_ch12.tab7_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Additional community service available in emergency scenario versus usual care</td><td headers="hd_h_ch12.tab7_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Quality of life at 12 weeks</td><td headers="hd_h_ch12.tab7_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Median (range): 5 (0-10)</td><td headers="hd_h_ch12.tab7_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">19</td><td headers="hd_h_ch12.tab7_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Median (range):5 (0-9)</td><td headers="hd_h_ch12.tab7_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">20</td><td headers="hd_h_ch12.tab7_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very high</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12tab8"><div id="ch12.tab8" class="table"><h3><span class="label">Table 6</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab8/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab8_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab8_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab8_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab8_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab8_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab8_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab8_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab8_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab8_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab8_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab8_1_1_1_5" id="hd_h_ch12.tab8_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Other additional Community Services</th><th headers="hd_h_ch12.tab8_1_1_1_5" id="hd_h_ch12.tab8_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab8_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Number of visits to accident and emergency (patients with ≥1 ED admission in the last year of life)</td><td headers="hd_h_ch12.tab8_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>969</p>
|
|
<p>(1 study)</p>
|
|
<p>1 years</p>
|
|
</td><td headers="hd_h_ch12.tab8_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab8_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.97 (0.93 to 1.01)</td><td headers="hd_h_ch12.tab8_1_1_1_5 hd_h_ch12.tab8_1_1_2_1 hd_h_ch12.tab8_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab8_1_1_1_5 hd_h_ch12.tab8_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">910 per 1000</td><td headers="hd_h_ch12.tab8_1_1_1_5 hd_h_ch12.tab8_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>27 fewer per 1000</p>
|
|
<p>(from 64 fewer to 9 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (mean stay for those with or without an admission)</td><td headers="hd_h_ch12.tab8_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>664</p>
|
|
<p>(1 study)</p>
|
|
<p>1 years</p>
|
|
</td><td headers="hd_h_ch12.tab8_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab8_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab8_1_1_1_5 hd_h_ch12.tab8_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (mean stay for those with or without an admission) in the control groups was 26.4 days</td><td headers="hd_h_ch12.tab8_1_1_1_5 hd_h_ch12.tab8_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (mean stay for those with or without an admission) in the intervention groups was 8.3 lower (12.45 to 4.15 lower)</td></tr><tr><td headers="hd_h_ch12.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">ED visit (mean ED admissions in the last year of life)</td><td headers="hd_h_ch12.tab8_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>664</p>
|
|
<p>(1 study)</p>
|
|
<p>1 years</p>
|
|
</td><td headers="hd_h_ch12.tab8_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab8_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab8_1_1_1_5 hd_h_ch12.tab8_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean ED visit (mean ED admissions in the last year of life) in the control groups was 1.75</td><td headers="hd_h_ch12.tab8_1_1_1_5 hd_h_ch12.tab8_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean ED visit (mean ED admissions in the last year of life) in the intervention groups was 0.14 lower (0.4 lower to 0.12 higher)</td></tr><tr><td headers="hd_h_ch12.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (mean admissions)</td><td headers="hd_h_ch12.tab8_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>664</p>
|
|
<p>(1 study)</p>
|
|
<p>1 years</p>
|
|
</td><td headers="hd_h_ch12.tab8_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab8_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab8_1_1_1_5 hd_h_ch12.tab8_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean hospitalisation (mean admissions) in the control groups was 5.5</td><td headers="hd_h_ch12.tab8_1_1_1_5 hd_h_ch12.tab8_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean hospitalisation (mean admissions) in the intervention groups was 0.7 lower (1.86 lower to 0.46 higher)</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab8_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab8_2"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab9"><div id="ch12.tab9" class="table"><h3><span class="label">Table 7</span><span class="title">Clinical evidence summary: Additional community services (a single provider, no direct clinical care provided) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab9/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab9_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab9_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab9_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Particip ants (studies) Follow up</th><th id="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab9_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab9_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab9_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab9_1_1_1_5" id="hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab9_1_1_1_5" id="hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional community services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Satisfaction (carers agreeing with statement ‘care was well coordinated’) after bereavement</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>94</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.97 (0.7 to 1.33)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">628 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>19 fewer per 1000</p>
|
|
<p>(from 188 fewer to 207 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Satisfaction (carers satisfied with care from district nurses)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>118</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.35 (0.95 to 1.94)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">435 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>152 more per 1000</p>
|
|
<p>(from 22 fewer to 409 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Satisfaction (carers satisfied with care from GP)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>118</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1 (0.78 to 1.28)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">677 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>0 fewer per 1000</p>
|
|
<p>(from 149 fewer to 190 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Satisfaction (carers satisfied with care from hospital)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>118</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.16 (0.92 to 1.48)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">645 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>103 more per 1000</p>
|
|
<p>(from 52 fewer to 310 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Satisfaction (patients satisfied with care from district nurses)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>203</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.5 (1.13 to 1.99)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">404 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>202 more per 1000</p>
|
|
<p>(from 53 more to 400 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Satisfaction (patients satisfied with care from GP)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>203</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.09 to 1.32)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">636 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>57 more per 1000</p>
|
|
<p>(from 70 fewer to 204 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Satisfaction (patients satisfied with care from hospital)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>203</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:bottom;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.31 (1 to 1.71)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">455 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>141 more per 1000</p>
|
|
<p>(from 0 more to 323 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at home)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>167</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.14 (0.6 to 2.17)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">173 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>24 more per 1000</p>
|
|
<p>(from 69 fewer to 202 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying elsewhere)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>167</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.94 (0.14 to 6.53)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">25 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>1 fewer per 1000</p>
|
|
<p>(from 21 fewer to 137 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying in hospice)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>167</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.78 (0.36 to 1.72)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">148 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>33 fewer per 1000</p>
|
|
<p>(from 95 fewer to 107 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying in hospital)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>167</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.76 (0.52 to 1.11)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">444 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>107 fewer per 1000</p>
|
|
<p>(from 213 fewer to 49 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (people known to occupational therapists)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>167</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.09 (0.8 to 1.5)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">457 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>41 more per 1000</p>
|
|
<p>(from 91 fewer to 228 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (people known to social workers)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>167</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.89 (0.62 to 1.28)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">432 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>48 fewer per 1000</p>
|
|
<p>(from 164 fewer to 121 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (patients having contact with district nurses) 2 weeks before final interview</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>202</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.94 (0.66 to 1.33)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">394 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>24 fewer per 1000</p>
|
|
<p>(from 134 fewer to 130 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (patients having contact with GP-home visit) 2 weeks before final interview</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>202</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.96 (0.58 to 1.6)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">232 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>9 fewer per 1000</p>
|
|
<p>(from 98 fewer to 139 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (patients having contact with GP-surgery consultation) 2 weeks before final interview</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>202</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.69 (0.36 to 1.34)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1 hd_h_ch12.tab9_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">182 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>56 fewer per 1000</p>
|
|
<p>(from 116 fewer to 62 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (patients having contact with hospice or MacMillan sister) 2 weeks before final interview</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>202</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">RR 0.61 (0.25 to 1.51)</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">111 per 1000</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>43 fewer per 1000</p>
|
|
<p>(from 83 fewer to 57 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (admissions)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>167</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean hospitalisation (admissions) in the control groups was</p>
|
|
<p>3.3 admissions</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean hospitalisation (admissions) in the intervention groups was</p>
|
|
<p>0.8 lower</p>
|
|
<p>(1.76 lower to 0.16 higher)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (inpatient days)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>167</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean length of stay (inpatient days) in the control groups was 40 days</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean length of stay (inpatient days) in the intervention groups was</p>
|
|
<p>15.9 lower</p>
|
|
<p>(28.32 to 3.48 lower)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Number of hospital visits (outpatient attendance)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>167</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean number of hospital visits (outpatient attendance) in the control groups was</p>
|
|
<p>10.1</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean number of hospital visits (outpatient attendance) in the intervention groups was</p>
|
|
<p>7.9 higher</p>
|
|
<p>(4.96 to 10.84 higher)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (home visits-district nurses, Macmillan nurses, hospital oncology nurses, hospice homecare team)</td><td headers="hd_h_ch12.tab9_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>167</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean use of community services (home visits-district nurses, Macmillan nurses, hospital oncology nurses, hospice homecare team) in the control groups was</p>
|
|
<p>37.5</p>
|
|
</td><td headers="hd_h_ch12.tab9_1_1_1_5 hd_h_ch12.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean use of community services (home visits-district nurses, Macmillan nurses, hospital oncology nurses, hospice homecare team) in the intervention groups was</p>
|
|
<p>23 lower</p>
|
|
<p>(38.4 to 7.6 lower)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab9_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab9_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab9_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab10"><div id="ch12.tab10" class="table"><h3><span class="label">Table 8</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab10/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab10_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab10_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab10_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab10_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab10_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab10_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab10_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab10_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab10_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab10_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab10_1_1_1_5" id="hd_h_ch12.tab10_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab10_1_1_1_5" id="hd_h_ch12.tab10_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Place of death (home)</td><td headers="hd_h_ch12.tab10_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>280</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab10_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab10_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">RR 4.34 (2.66 to 7.1)</td><td headers="hd_h_ch12.tab10_1_1_1_5 hd_h_ch12.tab10_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">104 per 1000</td><td headers="hd_h_ch12.tab10_1_1_1_5 hd_h_ch12.tab10_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>347 more per 1000</p>
|
|
<p>(from 173 more to 634 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Place of death (hospice)</td><td headers="hd_h_ch12.tab10_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>280</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab10_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab10_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">RR 1.04 (0.71 to 1.53)</td><td headers="hd_h_ch12.tab10_1_1_1_5 hd_h_ch12.tab10_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">270 per 1000</td><td headers="hd_h_ch12.tab10_1_1_1_5 hd_h_ch12.tab10_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>11 more per 1000</p>
|
|
<p>(from 78 fewer to 143 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Place of death (hospital)</td><td headers="hd_h_ch12.tab10_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>280</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab10_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab10_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">RR 0.36 (0.25 to 0.51)</td><td headers="hd_h_ch12.tab10_1_1_1_5 hd_h_ch12.tab10_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">626 per 1000</td><td headers="hd_h_ch12.tab10_1_1_1_5 hd_h_ch12.tab10_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>401 fewer per 1000</p>
|
|
<p>(from 307 fewer to 470 fewer)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab10_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab10_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab10_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab11"><div id="ch12.tab11" class="table"><h3><span class="label">Table 9</span><span class="title">Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab11/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab11_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab11_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab11_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab11_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab11_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab11_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab11_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab11_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab11_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab11_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab11_1_1_1_5" id="hd_h_ch12.tab11_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab11_1_1_1_5" id="hd_h_ch12.tab11_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional community services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab11_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Length of survival (mortality) at 14.6 months</td><td headers="hd_h_ch12.tab11_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>322</p>
|
|
<p>(1 study)</p>
|
|
<p>14.6 months</p>
|
|
</td><td headers="hd_h_ch12.tab11_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab11_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.94 (0.82 to 1.08)</td><td headers="hd_h_ch12.tab11_1_1_1_5 hd_h_ch12.tab11_1_1_2_1 hd_h_ch12.tab11_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab11_1_1_1_5 hd_h_ch12.tab11_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">739 per 1000</td><td headers="hd_h_ch12.tab11_1_1_1_5 hd_h_ch12.tab11_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>44 fewer per 1000</p>
|
|
<p>(from 133 fewer to 59 more)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab11_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab11_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab12"><div id="ch12.tab12" class="table"><h3><span class="label">Table 10</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab12/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab12_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab12_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab12_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab12_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab12_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab12_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab12_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab12_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab12_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab12_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab12_1_1_1_5" id="hd_h_ch12.tab12_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab12_1_1_1_5" id="hd_h_ch12.tab12_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab12_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">ED visit (ED visit in the last 6 months of life)</td><td headers="hd_h_ch12.tab12_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>193</p>
|
|
<p>(1 study1)</p>
|
|
<p>6 months</p>
|
|
</td><td headers="hd_h_ch12.tab12_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab12_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1 (0.72 to 1.4)</td><td headers="hd_h_ch12.tab12_1_1_1_5 hd_h_ch12.tab12_1_1_2_1 hd_h_ch12.tab12_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab12_1_1_1_5 hd_h_ch12.tab12_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">523 per 1000</td><td headers="hd_h_ch12.tab12_1_1_1_5 hd_h_ch12.tab12_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>0 fewer per 1000</p>
|
|
<p>(from 146 fewer to 209 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (hospitalisation in the last 6 months of life)</td><td headers="hd_h_ch12.tab12_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>193</p>
|
|
<p>(1 study1)</p>
|
|
<p>6 months</p>
|
|
</td><td headers="hd_h_ch12.tab12_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab12_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">RR 1.08 (0.96 to 1.23)</td><td headers="hd_h_ch12.tab12_1_1_1_5 hd_h_ch12.tab12_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">830 per 1000</td><td headers="hd_h_ch12.tab12_1_1_1_5 hd_h_ch12.tab12_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>66 more per 1000</p>
|
|
<p>(from 33 fewer to 191 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab12_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at home)</td><td headers="hd_h_ch12.tab12_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>193</p>
|
|
<p>(1 study)</p>
|
|
<p>6 months</p>
|
|
</td><td headers="hd_h_ch12.tab12_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>c</sup><sup>,</sup><sup>d</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab12_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 2.1 (1.43 to 3.1)</td><td headers="hd_h_ch12.tab12_1_1_1_5 hd_h_ch12.tab12_1_1_2_1 hd_h_ch12.tab12_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab12_1_1_1_5 hd_h_ch12.tab12_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">261 per 1000</td><td headers="hd_h_ch12.tab12_1_1_1_5 hd_h_ch12.tab12_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>288 more per 1000</p>
|
|
<p>(from 112 more to 549 more)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab12_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab12_2"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab12_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl><dl class="bkr_refwrap"><dt>d</dt><dd><div id="ch12.tab12_4"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab13"><div id="ch12.tab13" class="table"><h3><span class="label">Table 11</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab13/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab13_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab13_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab13_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab13_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab13_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Particip ants (studies) Follow up</th><th id="hd_h_ch12.tab13_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab13_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab13_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab13_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab13_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab13_1_1_1_5" id="hd_h_ch12.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab13_1_1_1_5" id="hd_h_ch12.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab13_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (hospital - overall)</td><td headers="hd_h_ch12.tab13_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>1443</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.15 (0.1 to 0.21)</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1 hd_h_ch12.tab13_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">572 per 1000</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>486 fewer per 1000</p>
|
|
<p>(from 452 fewer to 515 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate/avoidable ICU admissions (people in ICU during admission) 30 d before death</td><td headers="hd_h_ch12.tab13_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>1443</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">RR 0.23 (0.18 to 0.31)</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">498 per 1000</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>383 fewer per 1000</p>
|
|
<p>(from 344 fewer to 408 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab13_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Unscheduled admissions (people admitted to hospital - overall) within 30 d of death</td><td headers="hd_h_ch12.tab13_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>1443</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.3 (0.24 to 0.36)</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1 hd_h_ch12.tab13_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">707 per 1000</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>495 fewer per 1000</p>
|
|
<p>(from 452 fewer to 537 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (number of hospital days/month - cancer group) 1- 18 months before death</td><td headers="hd_h_ch12.tab13_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>148</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean hospitalisation (number of hospital days/month - cancer group) 1- 18 months before death in the control groups was 2.62</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean hospitalisation (number of hospital days/month - cancer group) 1- 18 months before death in the intervention groups was 1.93 lower (2.8 to 1.06 lower)</td></tr><tr><td headers="hd_h_ch12.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (number of hospital days/month - COPD group) 1- 18 months before death</td><td headers="hd_h_ch12.tab13_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>254</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean hospitalisation (number of hospital days/month - COPD group) 1- 18 months before death in the control groups was 1.89</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean hospitalisation (number of hospital days/month - COPD group) 1- 18 months before death in the intervention groups was 0.99 lower (1.52 to 0.46 lower)</td></tr><tr><td headers="hd_h_ch12.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (number of hospital days/month - dementia group) 1- 18 months before death</td><td headers="hd_h_ch12.tab13_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>368</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean hospitalisation (number of hospital days/month - dementia group) 1- 18 months before death in the control groups was 1.68</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean hospitalisation (number of hospital days/month - dementia group) 1- 18 months before death in the intervention groups was 0.93 lower (1.46 to 0.4 lower)</td></tr><tr><td headers="hd_h_ch12.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (number of hospital days/month - HF group) 1- 18 months before death</td><td headers="hd_h_ch12.tab13_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>673</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean hospitalisation (number of hospital days/month - HF group) 1- 18 months before death in the control groups was 2.17</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean hospitalisation (number of hospital days/month - HF group) 1- 18 months before death in the intervention groups was 1.45 lower (1.79 to 1.11 lower)</td></tr><tr><td headers="hd_h_ch12.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">N of hospital visits (number of hospitalisation/month - cancer group) 1- 18 months before death</td><td headers="hd_h_ch12.tab13_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>148</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean n of hospital visits (number of hospitalisation/month - cancer group) 1- 18 months before death in the control groups was</p>
|
|
<p>0.39</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean n of hospital visits (number of hospitalisation/month - cancer group) 1- 18 months before death in the intervention groups was 0.25 lower (0.38 to 0.12 lower)</td></tr><tr><td headers="hd_h_ch12.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">N of hospital visits (number of hospitalisation/month - COPD group) 1- 18 months before death</td><td headers="hd_h_ch12.tab13_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>254</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean n of hospital visits (number of hospitalisation/month - COPD group) 1- 18 months before death in the control groups was</p>
|
|
<p>0.35</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean n of hospital visits (number of hospitalisation/month - COPD group) 1- 18 months before death in the intervention groups was 0.2 lower (0.29 to 0.11 lower)</td></tr><tr><td headers="hd_h_ch12.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">N of hospital visits (number of hospitalisation/month - dementia group) 1- 18 months before death</td><td headers="hd_h_ch12.tab13_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>368</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean n of hospital visits (number of hospitalisation/month - dementia group) 1- 18 months before death in the control groups was</p>
|
|
<p>0.27</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean n of hospital visits (number of hospitalisation/month - dementia group) 1- 18 months before death in the intervention groups was 0.16 lower (0.23 to 0.09 lower)</td></tr><tr><td headers="hd_h_ch12.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">N of hospital visits (number of hospitalisation/month - HF group) 1- 18 months before death</td><td headers="hd_h_ch12.tab13_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>591</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean n of hospital visits (number of hospitalisation/month - HF group) 1- 18 months before death in the control groups was</p>
|
|
<p>0.34</p>
|
|
</td><td headers="hd_h_ch12.tab13_1_1_1_5 hd_h_ch12.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean n of hospital visits (number of hospitalisation/month - HF group) 1- 18 months before death in the intervention groups was 0.23 lower (0.29 to 0.17 lower)</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab13_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab13_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab13_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab14"><div id="ch12.tab14" class="table"><h3><span class="label">Table 12</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab14/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab14_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab14_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab14_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab14_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab14_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab14_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab14_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab14_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab14_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab14_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab14_1_1_1_5" id="hd_h_ch12.tab14_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab14_1_1_1_5" id="hd_h_ch12.tab14_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional community services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab14_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">People dying at home</td><td headers="hd_h_ch12.tab14_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>298</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab14_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab14_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.53 (1.31 to 1.79)</td><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_1 hd_h_ch12.tab14_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">568 per 1000</td><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>301 more per 1000</p>
|
|
<p>(from 176 more to 449 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Number of hospital visits</td><td headers="hd_h_ch12.tab14_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>300</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab14_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab14_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of hospital visits in the control groups was 9.35</td><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of hospital visits in the intervention groups was 6.99 lower (9.46 to 4.52 lower)</td></tr><tr><td headers="hd_h_ch12.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Number of visits to accident and emergency (ED visits)</td><td headers="hd_h_ch12.tab14_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>300</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab14_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab14_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of visits to accident and emergency (ED visits) in the control groups was 2.3</td><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean number of visits to accident and emergency (ED visits) in the intervention groups was</p>
|
|
<p>1.37 lower (1.78 to 0.95 lower)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (physicians visits)</td><td headers="hd_h_ch12.tab14_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>300</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab14_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab14_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean use of community services (physicians visits) in the control groups was 11.09</td><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean use of community services (physicians visits) in the intervention groups was 5.75 lower (8.9 to 2.6 lower)</td></tr><tr><td headers="hd_h_ch12.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (skilled nursing care visits)</td><td headers="hd_h_ch12.tab14_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>300</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab14_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab14_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean use of community services (skilled nursing care visits) in the control groups was 4.58</td><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean use of community services (skilled nursing care visits) in the intervention groups was 3.72 lower (6.2 to 1.24 lower)</td></tr><tr><td headers="hd_h_ch12.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (total home health visits)</td><td headers="hd_h_ch12.tab14_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>300</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab14_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab14_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean use of community services (total home health visits) in the control groups was 13.25</td><td headers="hd_h_ch12.tab14_1_1_1_5 hd_h_ch12.tab14_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean use of community services (total home health visits) in the intervention groups was</p>
|
|
<p>21.8 higher (14.63 to 28.98 higher)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab14_1"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab14_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab14_3"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab15"><div id="ch12.tab15" class="table"><h3><span class="label">Table 13</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab15/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab15_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab15_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab15_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab15_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab15_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab15_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab15_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab15_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab15_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab15_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab15_1_1_1_5" id="hd_h_ch12.tab15_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care (Brumley 2007)</th><th headers="hd_h_ch12.tab15_1_1_1_5" id="hd_h_ch12.tab15_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional community services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab15_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (people hospitalised) - MDT (In-home palliative care service) versus usual care</td><td headers="hd_h_ch12.tab15_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>297</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab15_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊕⊝</p>
|
|
<p>MODERATE<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab15_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.58 (0.45 to 0.75)</td><td headers="hd_h_ch12.tab15_1_1_1_5 hd_h_ch12.tab15_1_1_2_1 hd_h_ch12.tab15_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab15_1_1_1_5 hd_h_ch12.tab15_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">618 per 1000</td><td headers="hd_h_ch12.tab15_1_1_1_5 hd_h_ch12.tab15_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>260 fewer per 1000</p>
|
|
<p>(from 154 fewer to 340 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab15_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">N of visits to A&E (people accessing Emergency dept.) - MDT (In-home palliative care service) versus usual care</td><td headers="hd_h_ch12.tab15_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>297</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab15_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab15_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.61 (0.41 to 0.9)</td><td headers="hd_h_ch12.tab15_1_1_1_5 hd_h_ch12.tab15_1_1_2_1 hd_h_ch12.tab15_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab15_1_1_1_5 hd_h_ch12.tab15_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">329 per 1000</td><td headers="hd_h_ch12.tab15_1_1_1_5 hd_h_ch12.tab15_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>128 fewer per 1000</p>
|
|
<p>(from 33 fewer to 194 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of survival (days of survival after enrolment)</td><td headers="hd_h_ch12.tab15_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>297</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab15_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊕⊝</p>
|
|
<p>MODERATE<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab15_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab15_1_1_1_5 hd_h_ch12.tab15_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of survival (days of survival after enrolment) in the control groups was 242</td><td headers="hd_h_ch12.tab15_1_1_1_5 hd_h_ch12.tab15_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of survival (days of survival after enrolment) in the intervention groups was 46 lower (87.51 to 4.49 lower)</td></tr><tr><td headers="hd_h_ch12.tab15_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (people enrolled in hospice) - MDT (In-home palliative care service) versus usual care</td><td headers="hd_h_ch12.tab15_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>297</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab15_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab15_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.69 (0.48 to 0.98)</td><td headers="hd_h_ch12.tab15_1_1_1_5 hd_h_ch12.tab15_1_1_2_1 hd_h_ch12.tab15_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab15_1_1_1_5 hd_h_ch12.tab15_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">362 per 1000</td><td headers="hd_h_ch12.tab15_1_1_1_5 hd_h_ch12.tab15_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>112 fewer per 1000</p>
|
|
<p>(from 7 fewer to 188 fewer)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab15_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab15_2"><p class="no_margin">Downgraded by 1 increment because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab15_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab16"><div id="ch12.tab16" class="table"><h3><span class="label">Table 14</span><span class="title">Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab16/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab16_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab16_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab16_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab16_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab16_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab16_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab16_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab16_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab16_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab16_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab16_1_1_1_5" id="hd_h_ch12.tab16_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab16_1_1_1_5" id="hd_h_ch12.tab16_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab16_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (home)</td><td headers="hd_h_ch12.tab16_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>59076</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab16_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab16_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 2.2 (2.16 to 2.24)</td><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_1 hd_h_ch12.tab16_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">350 per 1000</td><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>420 more per 1000</p>
|
|
<p>(from 406 more to 434 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab16_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (hospital)</td><td headers="hd_h_ch12.tab16_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>59076</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab16_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab16_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.2 (0.19 to 0.2)</td><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_1 hd_h_ch12.tab16_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">410 per 1000</td><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>328 fewer per 1000</p>
|
|
<p>(from 328 fewer to 332 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab16_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">N of hospital visits (patients who attended outpatients) between first MCNS visit and death</td><td headers="hd_h_ch12.tab16_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>59076</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab16_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab16_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.45 (0.43 to 0.47)</td><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">187 per 1000</td><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>103 fewer per 1000</p>
|
|
<p>(from 99 fewer to 107 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab16_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">N of unscheduled admissions (people with emergency admissions) between first MCNS visit and death</td><td headers="hd_h_ch12.tab16_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>59076</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab16_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab16_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.31 (0.3 to 0.33)</td><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_1 hd_h_ch12.tab16_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">350 per 1000</td><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">241 fewer per 1000 (from 234 fewer to 245 fewer)</td></tr><tr><td headers="hd_h_ch12.tab16_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">N of visits to A&E (people who attended A&E) between first MCNS visit and death</td><td headers="hd_h_ch12.tab16_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>59076</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab16_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab16_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.28 (0.26 to 0.29)</td><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_1 hd_h_ch12.tab16_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">286 per 1000</td><td headers="hd_h_ch12.tab16_1_1_1_5 hd_h_ch12.tab16_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>206 fewer per 1000</p>
|
|
<p>(from 203 fewer to 212 fewer)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab16_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab16_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab17"><div id="ch12.tab17" class="table"><h3><span class="label">Table 15</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab17/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab17_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab17_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab17_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab17_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab17_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab17_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab17_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab17_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab17_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab17_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab17_1_1_1_5" id="hd_h_ch12.tab17_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care (Gray 1987)</th><th headers="hd_h_ch12.tab17_1_1_1_5" id="hd_h_ch12.tab17_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional CommServ (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab17_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (home) up to 2 years</td><td headers="hd_h_ch12.tab17_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>196</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab17_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab17_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 3.69 (2.29 to 5.94)</td><td headers="hd_h_ch12.tab17_1_1_1_5 hd_h_ch12.tab17_1_1_2_1 hd_h_ch12.tab17_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab17_1_1_1_5 hd_h_ch12.tab17_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">163 per 1000</td><td headers="hd_h_ch12.tab17_1_1_1_5 hd_h_ch12.tab17_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>438 more per 1000</p>
|
|
<p>(from 210 more to 805 more)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab17_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab17_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab18"><div id="ch12.tab18" class="table"><h3><span class="label">Table 16</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care)</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab18/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab18_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab18_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab18_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab18_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab18_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab18_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab18_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab18_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab18_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab18_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab18_1_1_1_5" id="hd_h_ch12.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Other additional community services (routine)</th><th headers="hd_h_ch12.tab18_1_1_1_5" id="hd_h_ch12.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional community services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab18_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Length of survival (mortality at 6 months)</td><td headers="hd_h_ch12.tab18_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>171</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.02 (0.87 to 1.19)</td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_1 hd_h_ch12.tab18_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">777 per 1000</td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>16 more per 1000</p>
|
|
<p>(from 101 fewer to 148 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of survival</td><td headers="hd_h_ch12.tab18_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>171</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊕⊝</p>
|
|
<p>MODERATE<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of survival in the control groups was 83.1</td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of survival in the intervention groups was 6.9 lower (27.17 lower to 13.37 higher)</td></tr><tr><td headers="hd_h_ch12.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of survival (survival of people who died)</td><td headers="hd_h_ch12.tab18_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>134</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊕⊝</p>
|
|
<p>MODERATE<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of survival (survival of people who died) in the control groups was 54.5</td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of survival (survival of people who died) in the intervention groups was 6.5 lower (21.94 lower to 8.94 higher)</td></tr><tr><td headers="hd_h_ch12.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - emergency room visits)</td><td headers="hd_h_ch12.tab18_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>171</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (VA services - emergency room visits) in the control groups was 0.72</td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (VA services - emergency room visits) in the intervention groups was 0.15 lower (0.41 lower to 0.11 higher)</td></tr><tr><td headers="hd_h_ch12.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - extended care days)</td><td headers="hd_h_ch12.tab18_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>171</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (VA services - extended care days) in the control groups was 0</td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (VA services - extended care days) in the intervention groups was 0.38 higher (0.4 lower to 1.16 higher)</td></tr><tr><td headers="hd_h_ch12.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - general bed days)</td><td headers="hd_h_ch12.tab18_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>171</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean length of stay (VA services - general bed days) in the control groups was</p>
|
|
<p>12.06</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (VA services - general bed days) in the intervention groups was 6.43 lower (10.29 to 2.57 lower)</td></tr><tr><td headers="hd_h_ch12.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - intensive care hospital days)</td><td headers="hd_h_ch12.tab18_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>171</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean length of stay (VA services - intensive care hospital days) in the control groups was</p>
|
|
<p>0.45</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (VA services - intensive care hospital days) in the intervention groups was 0.32 lower (1.15 lower to 0.51 higher)</td></tr><tr><td headers="hd_h_ch12.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - intermediate bed days)</td><td headers="hd_h_ch12.tab18_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>171</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (VA services - intermediate bed days) in the control groups was 2.52</td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (VA services - intermediate bed days) in the intervention groups was 1.48 higher (0.9 lower to 3.86 higher)</td></tr><tr><td headers="hd_h_ch12.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - outpatient clinic visits)</td><td headers="hd_h_ch12.tab18_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>171</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean length of stay (VA services - outpatient clinic visits) in the control groups was</p>
|
|
<p>2.59</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean length of stay (VA services - outpatient clinic visits) in the intervention groups was 1.86 lower (3.22 to 0.5 lower)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - rehabilitation days)</td><td headers="hd_h_ch12.tab18_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>171</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (VA services - rehabilitation days) in the control groups was 0.14</td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (VA services - rehabilitation days) in the intervention groups was 1.86 lower (3.22 to 0.5 lower)</td></tr><tr><td headers="hd_h_ch12.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - total days)</td><td headers="hd_h_ch12.tab18_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>171</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab18_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (VA services - total days) in the control groups was 15.86</td><td headers="hd_h_ch12.tab18_1_1_1_5 hd_h_ch12.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (VA services - total days) in the intervention groups was 5.92 lower (11.03 to 0.81 lower)</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab18_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab18_2"><p class="no_margin">Downgraded by 1 increment because the majority of the evidence had indirect outcomes (not a measure of length of survival)</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab18_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab19"><div id="ch12.tab19" class="table"><h3><span class="label">Table 17</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab19/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab19_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab19_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab19_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab19_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab19_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab19_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab19_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab19_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab19_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab19_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab19_1_1_1_5" id="hd_h_ch12.tab19_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab19_1_1_1_5" id="hd_h_ch12.tab19_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life: QUAL-E - Physical symptoms (1-5, higher scores indicate a better QoL)</p>
|
|
<p>Scale from: 1 to 5.</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>76</p>
|
|
<p>(1 study)</p>
|
|
<p>36 months</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab19_1_1_1_5 hd_h_ch12.tab19_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: qual-e - physical symptoms (1-5, higher scores indicate a better qol) in the control groups was 3.37</td><td headers="hd_h_ch12.tab19_1_1_1_5 hd_h_ch12.tab19_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: qual-e - physical symptoms (1-5, higher scores indicate a better qol) in the intervention groups was 0.52 higher (0.07 to 0.97 higher)</td></tr><tr><td headers="hd_h_ch12.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life: QUAL-E - Social relationships (1-5, higher scores indicate a better QoL)</p>
|
|
<p>Scale from: 1 to 5.</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>76</p>
|
|
<p>(1 study)</p>
|
|
<p>36 months</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab19_1_1_1_5 hd_h_ch12.tab19_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: qual-e - social relationships (1-5, higher scores indicate a better qol) in the control groups was 3.53</td><td headers="hd_h_ch12.tab19_1_1_1_5 hd_h_ch12.tab19_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: qual-e - social relationships (1-5, higher scores indicate a better qol) in the intervention groups was 0.19 higher (0.15 lower to 0.53 higher)</td></tr><tr><td headers="hd_h_ch12.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life: QUAL-E - Preparation (1-5, higher scores indicate a better QoL)</p>
|
|
<p>Scale from: 1 to 5.</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>76</p>
|
|
<p>(1 study)</p>
|
|
<p>36 months</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab19_1_1_1_5 hd_h_ch12.tab19_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: qual-e - preparation (1-5, higher scores indicate a better qol) in the control groups was 2.49</td><td headers="hd_h_ch12.tab19_1_1_1_5 hd_h_ch12.tab19_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: qual-e - preparation (1-5, higher scores indicate a better qol) in the intervention groups was 0.12 lower (0.5 lower to 0.26 higher)</td></tr><tr><td headers="hd_h_ch12.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life: QUAL-E - Control (1-5, higher scores indicate a better QoL)</p>
|
|
<p>Scale from: 1 to 5.</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>76</p>
|
|
<p>(1 study)</p>
|
|
<p>36 months</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab19_1_1_1_5 hd_h_ch12.tab19_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean quality of life: qual-e - control (1-5, higher scores indicate a better qol) in the control groups was 3.73</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_5 hd_h_ch12.tab19_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: qual-e - control (1-5, higher scores indicate a better qol) in the intervention groups was 0.01 higher (0.24 lower to 0.26 higher)</td></tr><tr><td headers="hd_h_ch12.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life: QUAL-E - Completion (1-5, higher scores indicate a better QoL)</p>
|
|
<p>Scale from: 1 to 5.</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>76</p>
|
|
<p>(1 study)</p>
|
|
<p>36 months</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab19_1_1_1_5 hd_h_ch12.tab19_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean quality of life: qual-e - completion (1-5, higher scores indicate a better qol) in the control groups was</p>
|
|
<p>3.31</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_5 hd_h_ch12.tab19_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean quality of life: qual-e - completion (1-5, higher scores indicate a better qol) in the intervention groups was</p>
|
|
<p>0.17 higher</p>
|
|
<p>(0.15 lower to 0.49 higher)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (admission days in last 6 months)</td><td headers="hd_h_ch12.tab19_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>76</p>
|
|
<p>(1 study)</p>
|
|
<p>36 months</p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
</td><td headers="hd_h_ch12.tab19_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab19_1_1_1_5 hd_h_ch12.tab19_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (admission days in last 6 months) in the control groups was 17.89 days</td><td headers="hd_h_ch12.tab19_1_1_1_5 hd_h_ch12.tab19_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (admission days in last 6 months) in the intervention groups was 3.42 higher (19.61 lower to 26.45 higher)</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab19_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab20"><div id="ch12.tab20" class="table"><h3><span class="label">Table 18</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care)</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab20/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab20_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab20_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab20_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab20_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab20_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab20_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab20_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab20_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab20_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab20_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab20_1_1_1_5" id="hd_h_ch12.tab20_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Other additional Community Services</th><th headers="hd_h_ch12.tab20_1_1_1_5" id="hd_h_ch12.tab20_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>QoL (EORTOC QLQ-C30 global) (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire)14 days</p>
|
|
<p>Scale from: 0 to 100.</p>
|
|
</td><td headers="hd_h_ch12.tab20_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>50</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab20_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab20_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab20_1_1_1_5 hd_h_ch12.tab20_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean Qol (EORTOC QLQ-c30 global) 14 days in the control groups was 20.33</td><td headers="hd_h_ch12.tab20_1_1_1_5 hd_h_ch12.tab20_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean Qol (EORTOC QLQ-c30 global) 14 days in the intervention groups was 4.33 lower (13.73 lower to 5.07 higher)</td></tr><tr><td headers="hd_h_ch12.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>QoL (EORTOC QLQ-C30 global) 28 days</p>
|
|
<p>Scale from: 0 to 100.</p>
|
|
</td><td headers="hd_h_ch12.tab20_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>50</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab20_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab20_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab20_1_1_1_5 hd_h_ch12.tab20_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean Qol (EORTOC QLQ-c30 global) 28 days in the control groups was 13.33</td><td headers="hd_h_ch12.tab20_1_1_1_5 hd_h_ch12.tab20_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean Qol (EORTOC QLQ-c30 global) 28 days in the intervention groups was 1.33 lower (9.51 lower to 6.85 higher)</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab20_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab20_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab21"><div id="ch12.tab21" class="table"><h3><span class="label">Table 19</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care)</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab21/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab21_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab21_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab21_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab21_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab21_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab21_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab21_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab21_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab21_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab21_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab21_1_1_1_5" id="hd_h_ch12.tab21_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Home Care</th><th headers="hd_h_ch12.tab21_1_1_1_5" id="hd_h_ch12.tab21_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Palliative Care Unit (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>QoL (EORTOC QLQ-C15 PAL global) 7 days</p>
|
|
<p>Scale from: 0 to 100.</p>
|
|
</td><td headers="hd_h_ch12.tab21_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>102</p>
|
|
<p>(1 study1)</p>
|
|
<p>7 days</p>
|
|
</td><td headers="hd_h_ch12.tab21_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab21_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab21_1_1_1_5 hd_h_ch12.tab21_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean QoL (EORTOC QLQ-C15 PAL global) 7 days in the control groups was 53.27</td><td headers="hd_h_ch12.tab21_1_1_1_5 hd_h_ch12.tab21_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean QoL (EORTOC QLQ-C15 PAL global) 7 days in the intervention groups was</p>
|
|
<p>1.64 lower (5.44 lower to 2.16 higher)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab21_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab21_2"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab22"><div id="ch12.tab22" class="table"><h3><span class="label">Table 20</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care)</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab22/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab22_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab22_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab22_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab22_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab22_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab22_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab22_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab22_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab22_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab22_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab22_1_1_1_5" id="hd_h_ch12.tab22_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Day Care Centre</th><th headers="hd_h_ch12.tab22_1_1_1_5" id="hd_h_ch12.tab22_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Palliative Care Unit (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>QoL (EORTOC QLQ-C15 PAL global) 7 days</p>
|
|
<p>Scale from: 0 to 100.</p>
|
|
</td><td headers="hd_h_ch12.tab22_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>78</p>
|
|
<p>(1 study)</p>
|
|
<p>7 days</p>
|
|
</td><td headers="hd_h_ch12.tab22_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab22_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab22_1_1_1_5 hd_h_ch12.tab22_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean QoL (EORTOC QLQ-C15 PAL global) 7 days in the control groups was 65.43</td><td headers="hd_h_ch12.tab22_1_1_1_5 hd_h_ch12.tab22_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean QoL (EORTOC QLQ-C15 PAL global) 7 days in the intervention groups was 13.8 lower (18.74 to 8.86 lower)</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab22_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab22_2"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab23"><div id="ch12.tab23" class="table"><h3><span class="label">Table 21</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to other additional community service (multiple providers, direct clinical care)</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab23/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab23_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab23_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab23_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab23_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab23_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab23_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab23_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab23_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab23_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab23_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab23_1_1_1_5" id="hd_h_ch12.tab23_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Day Care Centre</th><th headers="hd_h_ch12.tab23_1_1_1_5" id="hd_h_ch12.tab23_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Home Care (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>QoL (EORTOC QLQ-C15 PAL global) 7 days</p>
|
|
<p>Scale from: 0 to 100.</p>
|
|
</td><td headers="hd_h_ch12.tab23_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>78</p>
|
|
<p>(1 study)</p>
|
|
<p>7 days</p>
|
|
</td><td headers="hd_h_ch12.tab23_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab23_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab23_1_1_1_5 hd_h_ch12.tab23_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean QoL (EORTOC QLQ-C15 PAL global) 7 days in the control groups was 65.43</td><td headers="hd_h_ch12.tab23_1_1_1_5 hd_h_ch12.tab23_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean QoL (EORTOC QLQ-C15 PAL global) 7 days in the intervention groups was 12.16 lower (16.63 to 7.69 lower)</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab23_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab23_2"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab24"><div id="ch12.tab24" class="table"><h3><span class="label">Table 22</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab24/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab24_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab24_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab24_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab24_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab24_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab24_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab24_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab24_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab24_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab24_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab24_1_1_1_5" id="hd_h_ch12.tab24_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab24_1_1_1_5" id="hd_h_ch12.tab24_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab24_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Number of hospital admissions</td><td headers="hd_h_ch12.tab24_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2000</p>
|
|
<p>(1 study)</p>
|
|
<p>18 months</p>
|
|
</td><td headers="hd_h_ch12.tab24_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
</td><td headers="hd_h_ch12.tab24_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Rate Ratio 0.66 (0.63 to 0.69)</td><td headers="hd_h_ch12.tab24_1_1_1_5 hd_h_ch12.tab24_1_1_2_1 hd_h_ch12.tab24_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab24_1_1_1_5 hd_h_ch12.tab24_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">4634 per 1000</td><td headers="hd_h_ch12.tab24_1_1_1_5 hd_h_ch12.tab24_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>1000 fewer per 1000</p>
|
|
<p>(from 1000 fewer to 1000 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab24_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Number of ED visits</td><td headers="hd_h_ch12.tab24_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2000</p>
|
|
<p>(1 study)</p>
|
|
<p>18 months</p>
|
|
</td><td headers="hd_h_ch12.tab24_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab24_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Rate Ratio 0.8 (0.73 to 0.87)</td><td headers="hd_h_ch12.tab24_1_1_1_5 hd_h_ch12.tab24_1_1_2_1 hd_h_ch12.tab24_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab24_1_1_1_5 hd_h_ch12.tab24_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1097 per 1000</td><td headers="hd_h_ch12.tab24_1_1_1_5 hd_h_ch12.tab24_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>219 fewer per 1000</p>
|
|
<p>(from 143 fewer to 296 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab24_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Hospice enrolment</td><td headers="hd_h_ch12.tab24_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>651</p>
|
|
<p>(1 study)</p>
|
|
<p>18 months</p>
|
|
</td><td headers="hd_h_ch12.tab24_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
</td><td headers="hd_h_ch12.tab24_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">OR 2.28 (1.42 to 3.64)</td><td headers="hd_h_ch12.tab24_1_1_1_5 hd_h_ch12.tab24_1_1_2_1 hd_h_ch12.tab24_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab24_1_1_1_5 hd_h_ch12.tab24_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">371 per 1000</td><td headers="hd_h_ch12.tab24_1_1_1_5 hd_h_ch12.tab24_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>203 more per 1000</p>
|
|
<p>(from 85 more to 311 more)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab24_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab24_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab25"><div id="ch12.tab25" class="table"><h3><span class="label">Table 23</span><span class="title">Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab25/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab25_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab25_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab25_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab25_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab25_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab25_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab25_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab25_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab25_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab25_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab25_1_1_1_5" id="hd_h_ch12.tab25_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab25_1_1_1_5" id="hd_h_ch12.tab25_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life: MQOL-HK - Global score (0-10, higher scores indicate a better QoL)</p>
|
|
<p>Scale from: 0 to 10.</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>84</p>
|
|
<p>(1 study)</p>
|
|
<p>12 weeks</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: mqol-hk - global score (0-10, higher scores indicate a better qol) in the control groups was 6.61</td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: mqol-hk - global score (0-10, higher scores indicate a better qol) in the intervention groups was 0.88 higher (0.34 to 1.42 higher)</td></tr><tr><td headers="hd_h_ch12.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life: CHQ-C - Total score (1-7, higher scores indicate a better QoL)</p>
|
|
<p>Scale from: 1 to 7.</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>84</p>
|
|
<p>(1 study)</p>
|
|
<p>12 weeks</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: chq-c - total score (1-7, higher scores indicate a better qol) in the control groups was 5.31</td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: chq-c - total score (1-7, higher scores indicate a better qol) in the intervention groups was 0.1 higher (0.95 lower to 1.15 higher)</td></tr><tr><td headers="hd_h_ch12.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Patient satisfaction: PSQ (1-5, higher scores indicate greater satisfaction)</p>
|
|
<p>Scale from: 1 to 5.</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>67</p>
|
|
<p>(1 study)</p>
|
|
<p>12 weeks</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean patient satisfaction: psq (1-5, higher scores indicate greater satisfaction) in the control groups was 2.76</td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean patient satisfaction: psq (1-5, higher scores indicate greater satisfaction) in the intervention groups was 1.24 higher (0.35 to 2.13 higher)</td></tr><tr><td headers="hd_h_ch12.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life: SF-6D (0-1, higher scores indicate a better QoL)</p>
|
|
<p>Scale from: 0 to 1.</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>84</p>
|
|
<p>(1 study)</p>
|
|
<p>12 weeks</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊕⊝</p>
|
|
<p>MODERATE<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: sf-6d (0-1, higher scores indicate a better qol) in the control groups was 0.15</td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: sf-6d (0-1, higher scores indicate a better qol) in the intervention groups was 0.01 higher (0.06 lower to 0.08 higher)</td></tr><tr><td headers="hd_h_ch12.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Quality of life: QALY (0-1, higher scores indicate a better QoL)</p>
|
|
<p>Scale from: 0 to 1.</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>84</p>
|
|
<p>(1 study)</p>
|
|
<p>12 weeks</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊕⊝</p>
|
|
<p>MODERATE<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: qaly (0-1, higher scores indicate a better qol) in the control groups was 0.007</td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean quality of life: qaly (0-1, higher scores indicate a better qol) in the intervention groups was 0.01 higher (0 to 0.02 higher)</td></tr><tr><td headers="hd_h_ch12.tab25_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Number of ED visits</td><td headers="hd_h_ch12.tab25_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>84</p>
|
|
<p>(1 study)</p>
|
|
<p>12 weeks</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Rate Ratio 0.55 (0.36 to 0.85)</td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_1 hd_h_ch12.tab25_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1439 per 1000</td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>648 fewer per 1000</p>
|
|
<p>(from 216 fewer to 921 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of hospital stay (per patient mean)</td><td headers="hd_h_ch12.tab25_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>84</p>
|
|
<p>(1 study)</p>
|
|
<p>12 weeks</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab25_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of hospital stay (per patient mean) in the control groups was 11.8 days</td><td headers="hd_h_ch12.tab25_1_1_1_5 hd_h_ch12.tab25_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of hospital stay (per patient mean) in the intervention groups was 6.7 lower (12.27 to 1.13 lower)</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab25_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab25_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab26"><div id="ch12.tab26" class="table"><h3><span class="label">Table 24</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab26/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab26_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab26_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab26_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab26_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab26_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab26_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab26_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab26_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab26_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab26_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab26_1_1_1_5" id="hd_h_ch12.tab26_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab26_1_1_1_5" id="hd_h_ch12.tab26_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab26_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (home)</td><td headers="hd_h_ch12.tab26_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>971</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab26_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab26_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.02 (0.92 to 1.12)</td><td headers="hd_h_ch12.tab26_1_1_1_5 hd_h_ch12.tab26_1_1_2_1 hd_h_ch12.tab26_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab26_1_1_1_5 hd_h_ch12.tab26_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">700 per 1000</td><td headers="hd_h_ch12.tab26_1_1_1_5 hd_h_ch12.tab26_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>14 more per 1000</p>
|
|
<p>(from 56 fewer to 84 more)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab26_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab26_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab27"><div id="ch12.tab27" class="table"><h3><span class="label">Table 25</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab27/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab27_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab27_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab27_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab27_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab27_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab27_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab27_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab27_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab27_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab27_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab27_1_1_1_5" id="hd_h_ch12.tab27_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab27_1_1_1_5" id="hd_h_ch12.tab27_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Number of unscheduled admissions (N of patients admitted)</td><td headers="hd_h_ch12.tab27_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>197</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab27_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab27_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">RR 0.64 (0.49 to 0.85)</td><td headers="hd_h_ch12.tab27_1_1_1_5 hd_h_ch12.tab27_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">643 per 1000</td><td headers="hd_h_ch12.tab27_1_1_1_5 hd_h_ch12.tab27_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>231 fewer per 1000</p>
|
|
<p>(from 96 fewer to 328 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (Bradford subgroup)</td><td headers="hd_h_ch12.tab27_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>138</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab27_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab27_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab27_1_1_1_5 hd_h_ch12.tab27_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean length of stay (Bradford) in the control groups was</p>
|
|
<p>9.5</p>
|
|
</td><td headers="hd_h_ch12.tab27_1_1_1_5 hd_h_ch12.tab27_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (Bradford) in the intervention groups was 2.4 lower (5.69 lower to 0.89 higher)</td></tr><tr><td headers="hd_h_ch12.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (Poole subgroup)</td><td headers="hd_h_ch12.tab27_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>59</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab27_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab27_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab27_1_1_1_5 hd_h_ch12.tab27_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (Poole) in the control groups was 11.3</td><td headers="hd_h_ch12.tab27_1_1_1_5 hd_h_ch12.tab27_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (Poole) in the intervention groups was 1 higher (6.02 lower to 8.02 higher)</td></tr><tr><td headers="hd_h_ch12.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">N of unscheduled admissions (N of admissions per patient – Bradford subgroup)</td><td headers="hd_h_ch12.tab27_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>138</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab27_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab27_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab27_1_1_1_5 hd_h_ch12.tab27_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of unscheduled admissions (n of admissions per patient - Bradford) in the control groups was 2.3</td><td headers="hd_h_ch12.tab27_1_1_1_5 hd_h_ch12.tab27_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of unscheduled admissions (n of admissions per patient - Bradford) in the intervention groups was 0.3 lower (0.85 lower to 0.25 higher)</td></tr><tr><td headers="hd_h_ch12.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">N of unscheduled admissions (N of admissions per patient – Poole subgroup)</td><td headers="hd_h_ch12.tab27_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>59</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab27_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab27_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab27_1_1_1_5 hd_h_ch12.tab27_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of unscheduled admissions (number of admissions per patient - Poole) in the control groups was 2.4</td><td headers="hd_h_ch12.tab27_1_1_1_5 hd_h_ch12.tab27_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean n of unscheduled admissions (number of admissions per patient - Poole) in the intervention groups was 1 lower (1.54 to 0.46 lower)</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab27_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab27_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab27_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab28"><div id="ch12.tab28" class="table"><h3><span class="label">Table 26</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab28/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab28_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab28_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab28_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab28_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab28_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Particip ants (studies) Follow up</th><th id="hd_h_ch12.tab28_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab28_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab28_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab28_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab28_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab28_1_1_1_5" id="hd_h_ch12.tab28_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab28_1_1_1_5" id="hd_h_ch12.tab28_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional community services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab28_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - hospital) - Palliative home care service versus usual care</td><td headers="hd_h_ch12.tab28_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>402</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab28_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab28_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.31 (0.23 to 0.42)</td><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_1 hd_h_ch12.tab28_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">736 per 1000</td><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>508 fewer per 1000</p>
|
|
<p>(from 427 fewer to 567 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab28_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - country hospital) - Palliative home care service versus usual care</td><td headers="hd_h_ch12.tab28_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>402</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab28_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab28_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 2.42 (1.31 to 4.47)</td><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_1 hd_h_ch12.tab28_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">62 per 1000</td><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>88 more per 1000</p>
|
|
<p>(from 19 more to 215 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab28_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - home) - Palliative home care service versus usual care</td><td headers="hd_h_ch12.tab28_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>402</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab28_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab28_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 6.85 (4.34 to 10.79)</td><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_1 hd_h_ch12.tab28_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">79 per 1000</td><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>462 more per 1000</p>
|
|
<p>(from 264 more to 773 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - nursing home) - Palliative home care service versus usual care</td><td headers="hd_h_ch12.tab28_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>402</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab28_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup><sup>,</sup><sup>d</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab28_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">RR 0.66 (0.35 to 1.22)</td><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">124 per 1000</td><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>42 fewer per 1000</p>
|
|
<p>(from 81 fewer to 27 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (number of hospitalisations in last 2 months of life) - Palliative home care service versus usual care</td><td headers="hd_h_ch12.tab28_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>402</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab28_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab28_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean hospitalisation (number of hospitalisations in last 2 months of life) - palliative home care service versus usual care in the control groups was 1.3</td><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean hospitalisation (number of hospitalisations in last 2 months of life) - palliative home care service versus usual care in the intervention groups was</p>
|
|
<p>0.9 lower</p>
|
|
<p>(1.07 to 0.73 lower)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (time spent in hospital in the last 2 months of life) - Palliative home care service versus usual care</td><td headers="hd_h_ch12.tab28_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>402</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab28_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab28_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (time spent in hospital in the last 2 months of life) - palliative home care service versus usual care in the control groups was 19.6</td><td headers="hd_h_ch12.tab28_1_1_1_5 hd_h_ch12.tab28_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (time spent in hospital in the last 2 months of life) - palliative home care service versus usual care in the intervention groups was 15.2 lower (18.08 to 12.32 lower)</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab28_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab28_2"><p class="no_margin">The majority of the evidence had indirect outcomes (preferred place of death not reported)</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab28_3"><p class="no_margin">The majority of the evidence was based on indirect intervention.</p></div></dd></dl><dl class="bkr_refwrap"><dt>d</dt><dd><div id="ch12.tab28_4"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or downgraded by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab29"><div id="ch12.tab29" class="table"><h3><span class="label">Table 27</span><span class="title">Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab29/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab29_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab29_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab29_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab29_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab29_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab29_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab29_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab29_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab29_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab29_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab29_1_1_1_5" id="hd_h_ch12.tab29_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab29_1_1_1_5" id="hd_h_ch12.tab29_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab29_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Length of survival (deaths since referral (120+ days))</td><td headers="hd_h_ch12.tab29_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>89</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab29_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab29_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.68 (0.37 to 1.23)</td><td headers="hd_h_ch12.tab29_1_1_1_5 hd_h_ch12.tab29_1_1_2_1 hd_h_ch12.tab29_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab29_1_1_1_5 hd_h_ch12.tab29_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">450 per 1000</td><td headers="hd_h_ch12.tab29_1_1_1_5 hd_h_ch12.tab29_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>144 fewer per 1000</p>
|
|
<p>(from 283 fewer to 104 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab29_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Length of survival (deaths since referral (31-120 days))</td><td headers="hd_h_ch12.tab29_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>89</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab29_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>b</sup></p>
|
|
<p>due to imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab29_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.72 (0.38 to 1.39)</td><td headers="hd_h_ch12.tab29_1_1_1_5 hd_h_ch12.tab29_1_1_2_1 hd_h_ch12.tab29_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab29_1_1_1_5 hd_h_ch12.tab29_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">400 per 1000</td><td headers="hd_h_ch12.tab29_1_1_1_5 hd_h_ch12.tab29_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>112 fewer per 1000</p>
|
|
<p>(from 248 fewer to 156 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab29_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Length of survival (deaths since referral (8-30 days))</td><td headers="hd_h_ch12.tab29_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>89</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab29_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>b</sup></p>
|
|
<p>due to imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab29_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 2.71 (0.92 to 7.98)</td><td headers="hd_h_ch12.tab29_1_1_1_5 hd_h_ch12.tab29_1_1_2_1 hd_h_ch12.tab29_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab29_1_1_1_5 hd_h_ch12.tab29_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">150 per 1000</td><td headers="hd_h_ch12.tab29_1_1_1_5 hd_h_ch12.tab29_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>257 more per 1000</p>
|
|
<p>(from 12 fewer to 1000 more)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab29_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab29_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab30"><div id="ch12.tab30" class="table"><h3><span class="label">Table 28</span><span class="title">Clinical evidence summary: Additional community services (a single provider, direct clinical care provided) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab30/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab30_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab30_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab30_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab30_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab30_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab30_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab30_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab30_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab30_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab30_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab30_1_1_1_5" id="hd_h_ch12.tab30_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab30_1_1_1_5" id="hd_h_ch12.tab30_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) - SPC team (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab30_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - hospital) - Specialist palliative care team versus usual care</td><td headers="hd_h_ch12.tab30_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>6218</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab30_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab30_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.57 (0.51 to 0.63)</td><td headers="hd_h_ch12.tab30_1_1_1_5 hd_h_ch12.tab30_1_1_2_1 hd_h_ch12.tab30_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab30_1_1_1_5 hd_h_ch12.tab30_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">285 per 1000</td><td headers="hd_h_ch12.tab30_1_1_1_5 hd_h_ch12.tab30_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>123 fewer per 1000</p>
|
|
<p>(from 105 fewer to 140 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab30_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (last 2 weeks of life) - Specialist palliative care team versus usual care</td><td headers="hd_h_ch12.tab30_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>6218</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab30_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab30_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.80 (0.74 to 0.85)</td><td headers="hd_h_ch12.tab30_1_1_1_5 hd_h_ch12.tab30_1_1_2_1 hd_h_ch12.tab30_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab30_1_1_1_5 hd_h_ch12.tab30_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">392 per 1000</td><td headers="hd_h_ch12.tab30_1_1_1_5 hd_h_ch12.tab30_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>78 fewer per 1000</p>
|
|
<p>(from 59 fewer to 102 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab30_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (last two weeks of life) - Specialist palliative care team versus usual care</td><td headers="hd_h_ch12.tab30_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>6218</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab30_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab30_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.84 (0.78 to 0.9)</td><td headers="hd_h_ch12.tab30_1_1_1_5 hd_h_ch12.tab30_1_1_2_1 hd_h_ch12.tab30_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab30_1_1_1_5 hd_h_ch12.tab30_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">344 per 1000</td><td headers="hd_h_ch12.tab30_1_1_1_5 hd_h_ch12.tab30_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>55 fewer per 1000</p>
|
|
<p>(from 34 fewer to 76 fewer)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab30_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab30_2"><p class="no_margin">The majority of the evidence had indirect outcomes (preferred place of death not reported)</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab30_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or downgraded by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab31"><div id="ch12.tab31" class="table"><h3><span class="label">Table 29</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab31/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab31_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab31_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab31_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab31_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab31_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab31_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab31_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab31_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab31_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab31_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab31_1_1_1_5" id="hd_h_ch12.tab31_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab31_1_1_1_5" id="hd_h_ch12.tab31_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab31_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at home)</td><td headers="hd_h_ch12.tab31_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>993</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab31_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab31_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 3.98 (3.1 to 5.1)</td><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_1 hd_h_ch12.tab31_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">110 per 1000</td><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>328 more per 1000</p>
|
|
<p>(from 231 more to 451 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab31_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at hospital)</td><td headers="hd_h_ch12.tab31_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>993</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab31_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab31_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.69 (0.61 to 0.77)</td><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_1 hd_h_ch12.tab31_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">746 per 1000</td><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>231 fewer per 1000</p>
|
|
<p>(from 172 fewer to 291 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab31_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at nursing home or private clinic)</td><td headers="hd_h_ch12.tab31_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>993</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab31_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab31_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.37 (0.22 to 0.63)</td><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_1 hd_h_ch12.tab31_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">135 per 1000</td><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>85 fewer per 1000</p>
|
|
<p>(from 50 fewer to 105 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab31_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Number of unscheduled admissions (people with >3 hospitalisations) 3 months before death</td><td headers="hd_h_ch12.tab31_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>993</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab31_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab31_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.92 (0.64 to 1.31)</td><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_1 hd_h_ch12.tab31_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">130 per 1000</td><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>10 fewer per 1000</p>
|
|
<p>(from 47 fewer to 40 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab31_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Number of unscheduled admissions (people with 1-2 hospitalisations) 3 months before death</td><td headers="hd_h_ch12.tab31_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>993</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab31_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab31_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.87 (0.8 to 0.95)</td><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_1 hd_h_ch12.tab31_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">780 per 1000</td><td headers="hd_h_ch12.tab31_1_1_1_5 hd_h_ch12.tab31_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>101 fewer per 1000</p>
|
|
<p>(from 39 fewer to 156 fewer)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab31_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab31_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab31_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab32"><div id="ch12.tab32" class="table"><h3><span class="label">Table 30</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab32/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab32_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab32_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab32_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab32_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab32_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab32_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab32_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab32_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab32_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab32_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab32_1_1_1_5" id="hd_h_ch12.tab32_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab32_1_1_1_5" id="hd_h_ch12.tab32_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab32_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at home)</td><td headers="hd_h_ch12.tab32_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>116</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab32_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab32_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.25 (0.96 to 1.62)</td><td headers="hd_h_ch12.tab32_1_1_1_5 hd_h_ch12.tab32_1_1_2_1 hd_h_ch12.tab32_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab32_1_1_1_5 hd_h_ch12.tab32_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">649 per 1000</td><td headers="hd_h_ch12.tab32_1_1_1_5 hd_h_ch12.tab32_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>162 more per 1000</p>
|
|
<p>(from 26 fewer to 402 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay (days in hospital at rehospitalisation)</td><td headers="hd_h_ch12.tab32_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>116</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab32_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab32_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab32_1_1_1_5 hd_h_ch12.tab32_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (days in hospital at rehospitalisation) in the control groups was 11.5</td><td headers="hd_h_ch12.tab32_1_1_1_5 hd_h_ch12.tab32_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of stay (days in hospital at rehospitalisation) in the intervention groups was 5.7 lower (11.89 lower to 0.49 higher)</td></tr><tr><td headers="hd_h_ch12.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of survival (days of survival)</td><td headers="hd_h_ch12.tab32_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>116</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab32_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab32_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab32_1_1_1_5 hd_h_ch12.tab32_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of survival (days of survival) in the control groups was 68.8</td><td headers="hd_h_ch12.tab32_1_1_1_5 hd_h_ch12.tab32_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean length of survival (days of survival) in the intervention groups was 32.4 higher (8.59 lower to 73.39 higher)</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab32_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab32_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab32_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab33"><div id="ch12.tab33" class="table"><h3><span class="label">Table 31</span><span class="title">Clinical evidence summary: Additional community services (multiple providers, direct clinical care) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab33/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab33_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab33_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab33_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab33_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab33_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab33_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab33_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab33_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab33_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab33_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab33_1_1_1_5" id="hd_h_ch12.tab33_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab33_1_1_1_5" id="hd_h_ch12.tab33_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (routine) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab33_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying in hospital)</td><td headers="hd_h_ch12.tab33_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>28561</p>
|
|
<p>(1 study)</p>
|
|
<p>10 years</p>
|
|
</td><td headers="hd_h_ch12.tab33_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab33_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.67 (0.66 to 0.68)</td><td headers="hd_h_ch12.tab33_1_1_1_5 hd_h_ch12.tab33_1_1_2_1 hd_h_ch12.tab33_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab33_1_1_1_5 hd_h_ch12.tab33_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">759 per 1000</td><td headers="hd_h_ch12.tab33_1_1_1_5 hd_h_ch12.tab33_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>250 fewer per 1000</p>
|
|
<p>(from 243 fewer to 258 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab33_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying out of hospital)</td><td headers="hd_h_ch12.tab33_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>28561</p>
|
|
<p>(1 study)</p>
|
|
<p>10 years</p>
|
|
</td><td headers="hd_h_ch12.tab33_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab33_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 2.03 (1.96 to 2.11)</td><td headers="hd_h_ch12.tab33_1_1_1_5 hd_h_ch12.tab33_1_1_2_1 hd_h_ch12.tab33_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab33_1_1_1_5 hd_h_ch12.tab33_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">241 per 1000</td><td headers="hd_h_ch12.tab33_1_1_1_5 hd_h_ch12.tab33_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>248 more per 1000</p>
|
|
<p>(from 231 more to 268 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab33_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Length of stay for inpatient hospitalisation (last 12 months of life)</td><td headers="hd_h_ch12.tab33_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>28561</p>
|
|
<p>(1 study)</p>
|
|
<p>10 years</p>
|
|
</td><td headers="hd_h_ch12.tab33_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊕⊝⊝</p>
|
|
<p>LOW<sup>a</sup></p>
|
|
</td><td headers="hd_h_ch12.tab33_1_1_1_4 hd_h_ch12.tab33_1_1_1_5 hd_h_ch12.tab33_1_1_2_1" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab33_1_1_1_5 hd_h_ch12.tab33_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>The mean length of stay for inpatient hospitalisation (last 12 months of life) in the intervention groups was</p>
|
|
<p>4.19 lower</p>
|
|
<p>(4.58 to 3.8 lower)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab33_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab33_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab34"><div id="ch12.tab34" class="table"><h3><span class="label">Table 32</span><span class="title">Clinical evidence summary: Additional community service (acute/emergency basis) – RRS available versus usual care – RRS not available</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab34/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab34_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab34_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab34_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab34_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab34_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab34_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab34_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab34_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab34_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab34_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab34_1_1_1_5" id="hd_h_ch12.tab34_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab34_1_1_1_5" id="hd_h_ch12.tab34_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (emergency) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab34_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying in inpatient hospice)</td><td headers="hd_h_ch12.tab34_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>24658</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab34_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab34_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">RR 0.33 (0.29 to 0.36)</td><td headers="hd_h_ch12.tab34_1_1_1_5 hd_h_ch12.tab34_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">126 per 1000</td><td headers="hd_h_ch12.tab34_1_1_1_5 hd_h_ch12.tab34_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>84 fewer per 1000</p>
|
|
<p>(from 81 fewer to 89 fewer)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab34_1"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab35"><div id="ch12.tab35" class="table"><h3><span class="label">Table 33</span><span class="title">Clinical evidence summary: Additional community service (acute/emergency basis) – RRS available versus usual care – RRS not available</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab35/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab35_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab35_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab35_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab35_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab35_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Particip ants (studies) Follow up</th><th id="hd_h_ch12.tab35_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab35_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab35_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab35_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab35_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab35_1_1_1_5" id="hd_h_ch12.tab35_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care (RRS not available) (Holdsworth 2015)</th><th headers="hd_h_ch12.tab35_1_1_1_5" id="hd_h_ch12.tab35_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (emergency) - RRS available (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab35_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Carers quality of life (EQ5D) 8 months - Rapid response service available versus rapid response service not available</td><td headers="hd_h_ch12.tab35_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>64</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab35_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab35_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab35_1_1_1_5 hd_h_ch12.tab35_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean carers quality of life (eq5d) 8 months - rapid response service available versus rapid response service not available in the control groups was 0.77</td><td headers="hd_h_ch12.tab35_1_1_1_5 hd_h_ch12.tab35_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean carers quality of life (eq5d) 8 months - rapid response service available versus rapid response service not available in the intervention groups was 0.05 lower (0.12 lower to 0.02 higher)</td></tr><tr><td headers="hd_h_ch12.tab35_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Carers quality of life (SF12 Physical) 8 months - Rapid response service available versus rapid response service not availableScale from: 0 to 100.</td><td headers="hd_h_ch12.tab35_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>64</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab35_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab35_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab35_1_1_1_5 hd_h_ch12.tab35_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean carers quality of life (sf12 physical) 8 months - rapid response service available versus rapid response service not available in the control groups was 44.27</td><td headers="hd_h_ch12.tab35_1_1_1_5 hd_h_ch12.tab35_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean carers quality of life (sf12 physical) 8 months - rapid response service available versus rapid response service not available in the intervention groups was 1.86 higher (0.99 lower to 4.71 higher)</td></tr><tr><td headers="hd_h_ch12.tab35_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Carers quality of life (SF12 Mental) 8 months - Rapid response service available versus rapid response service not available</p>
|
|
<p>Scale from: 0 to 100.</p>
|
|
</td><td headers="hd_h_ch12.tab35_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>64</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab35_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab35_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab35_1_1_1_5 hd_h_ch12.tab35_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean carers quality of life (sf12 mental) 8 months - rapid response service available versus rapid response service not available in the control groups was 46.47</td><td headers="hd_h_ch12.tab35_1_1_1_5 hd_h_ch12.tab35_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean carers quality of life (sf12 mental) 8 months - rapid response service available versus rapid response service not available in the intervention groups was 4.93 lower (8 to 1.86 lower)</td></tr><tr><td headers="hd_h_ch12.tab35_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Achieved (initial) place of death) - Rapid response service available versus rapid response service not available</td><td headers="hd_h_ch12.tab35_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>953</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab35_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab35_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.01 (0.9 to 1.13)</td><td headers="hd_h_ch12.tab35_1_1_1_5 hd_h_ch12.tab35_1_1_2_1 hd_h_ch12.tab35_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab35_1_1_1_5 hd_h_ch12.tab35_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">619 per 1000</td><td headers="hd_h_ch12.tab35_1_1_1_5 hd_h_ch12.tab35_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>6 more per 1000</p>
|
|
<p>(from 62 fewer to 80 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab35_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Achieved (final) place of death) - Rapid response service available versus rapid response service not available</td><td headers="hd_h_ch12.tab35_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>953</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab35_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab35_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.95 (0.86 to 1.04)</td><td headers="hd_h_ch12.tab35_1_1_1_5 hd_h_ch12.tab35_1_1_2_1 hd_h_ch12.tab35_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab35_1_1_1_5 hd_h_ch12.tab35_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">698 per 1000</td><td headers="hd_h_ch12.tab35_1_1_1_5 hd_h_ch12.tab35_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>35 fewer per 1000</p>
|
|
<p>(from 98 fewer to 28 more)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab35_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab35_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or downgraded by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab36"><div id="ch12.tab36" class="table"><h3><span class="label">Table 34</span><span class="title">Clinical evidence summary: Additional community service (acute/emergency basis) – RRS users versus usual care – RRS non-users</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab36/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab36_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab36_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab36_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab36_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab36_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab36_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab36_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab36_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab36_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab36_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab36_1_1_1_5" id="hd_h_ch12.tab36_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care (RRS non-users) (Gage 2015)</th><th headers="hd_h_ch12.tab36_1_1_1_5" id="hd_h_ch12.tab36_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (emergency) - RRS users (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab36_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Achieved (initial) place of death) - Rapid response service users versus rapid response service non-users)</td><td headers="hd_h_ch12.tab36_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>681</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.17 (1.04 to 1.31)</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1 hd_h_ch12.tab36_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">592 per 1000</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>101 more per 1000</p>
|
|
<p>(from 24 more to 184 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (N with >1 contact with acute care) - Rapid response service users versus Rapid response service non-users</td><td headers="hd_h_ch12.tab36_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>688</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.92 (0.8 to 1.07)</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1 hd_h_ch12.tab36_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">565 per 1000</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>45 fewer per 1000</p>
|
|
<p>(from 113 fewer to 40 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (N with >1 contact with GP/primary care) - Rapid response service users versus Rapid response service non-users</td><td headers="hd_h_ch12.tab36_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>426</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.22 (1.11 to 1.34)</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1 hd_h_ch12.tab36_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">719 per 1000</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>158 more per 1000</p>
|
|
<p>(from 79 more to 244 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (N with>1 contact with community care) - Rapid response service users versus Rapid response service non-users</td><td headers="hd_h_ch12.tab36_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>688</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.3 (1.21 to 1.4)</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1 hd_h_ch12.tab36_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">694 per 1000</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>208 more per 1000</p>
|
|
<p>(from 146 more to 278 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (N with >1 contact with Marie Curie visits) - Rapid response service users versus Rapid response service non-users</td><td headers="hd_h_ch12.tab36_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>688</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 9.82 (4.17 to 23.11)</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1 hd_h_ch12.tab36_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">14 per 1000</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>123 more per 1000</p>
|
|
<p>(from 44 more to 310 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (N with >1 contact with out of hours services) - Rapid response service users versus Rapid response service non-users</td><td headers="hd_h_ch12.tab36_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>668</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 2.1 (1.65 to 2.69)</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1 hd_h_ch12.tab36_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">191 per 1000</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">210 more per 1000 (from 124 more to 323 more)</td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (N with >1 contact with hospice) - Rapid response service users versus Rapid response service non-users</td><td headers="hd_h_ch12.tab36_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>668</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1 (0.99 to 1.01)</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1 hd_h_ch12.tab36_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1000 per 1000</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>0 fewer per 1000</p>
|
|
<p>(from 10 fewer to 10 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Use of community services (N receiving >1 social service) - Rapid response service users versus Rapid response service non-users</td><td headers="hd_h_ch12.tab36_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>668</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab36_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.19 (0.82 to 1.72)</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1 hd_h_ch12.tab36_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">136 per 1000</td><td headers="hd_h_ch12.tab36_1_1_1_5 hd_h_ch12.tab36_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>26 more per 1000</p>
|
|
<p>(from 24 fewer to 98 more)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab36_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab36_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or downgraded by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab37"><div id="ch12.tab37" class="table"><h3><span class="label">Table 35</span><span class="title">Clinical evidence summary: Additional community service (acute/emergency basis) versus usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab37/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab37_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab37_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab37_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab37_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab37_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Participants (studies) Follow up</th><th id="hd_h_ch12.tab37_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab37_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab37_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab37_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab37_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab37_1_1_1_5" id="hd_h_ch12.tab37_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab37_1_1_1_5" id="hd_h_ch12.tab37_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (emergency) (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab37_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at home) 28 days</td><td headers="hd_h_ch12.tab37_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>21</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab37_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab37_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">RR 0.7 (0.38 to 1.3)</td><td headers="hd_h_ch12.tab37_1_1_1_5 hd_h_ch12.tab37_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">800 per 1000</td><td headers="hd_h_ch12.tab37_1_1_1_5 hd_h_ch12.tab37_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>240 fewer per 1000</p>
|
|
<p>(from 496 fewer to 240 more)</p>
|
|
</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab37_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab37_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab37_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab38"><div id="ch12.tab38" class="table"><h3><span class="label">Table 36</span><span class="title">Clinical evidence summary: Additional community service (acute/emergency basis) versus usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab38/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab38_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab38_1_1_1_1" rowspan="2" colspan="1" headers="hd_h_ch12.tab38_1_1_1_1" style="text-align:left;vertical-align:bottom;">Outcomes</th><th id="hd_h_ch12.tab38_1_1_1_2" rowspan="2" colspan="1" headers="hd_h_ch12.tab38_1_1_1_2" style="text-align:left;vertical-align:bottom;">No of Particip ants (studies) Follow up</th><th id="hd_h_ch12.tab38_1_1_1_3" rowspan="2" colspan="1" headers="hd_h_ch12.tab38_1_1_1_3" style="text-align:left;vertical-align:bottom;">Quality of the evidence (GRADE)</th><th id="hd_h_ch12.tab38_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.tab38_1_1_1_4" style="text-align:left;vertical-align:bottom;">Relative effect (95% CI)</th><th id="hd_h_ch12.tab38_1_1_1_5" colspan="2" rowspan="1" style="text-align:left;vertical-align:bottom;">Anticipated absolute effects</th></tr><tr><th headers="hd_h_ch12.tab38_1_1_1_5" id="hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk with Usual care</th><th headers="hd_h_ch12.tab38_1_1_1_5" id="hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Risk difference with Additional Community Services (emergency) - DCP with OOH (95% CI)</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - acute hospital) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.32 (0.26 to 0.39)</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1 hd_h_ch12.tab38_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">427 per 1000</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>290 fewer per 1000</p>
|
|
<p>(from 260 fewer to 316 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - community hospital) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 3.18 (1.95 to 5.18)</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1 hd_h_ch12.tab38_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">16 per 1000</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>35 more per 1000</p>
|
|
<p>(from 15 more to 67 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - home) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.37 (1.26 to 1.5)</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1 hd_h_ch12.tab38_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">398 per 1000</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>147 more per 1000</p>
|
|
<p>(from 103 more to 199 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - care home) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.06 (0.8 to 1.41)</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1 hd_h_ch12.tab38_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">88 per 1000</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>5 more per 1000</p>
|
|
<p>(from 18 fewer to 36 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - care home) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 1.06 (0.8 to 1.41)</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1 hd_h_ch12.tab38_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">88 per 1000</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>5 more per 1000</p>
|
|
<p>(from 18 fewer to 36 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - hospice) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup></p>
|
|
<p>due to risk of bias, indirectness</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 5.66 (4.12 to 7.77)</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1 hd_h_ch12.tab38_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">28 per 1000</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>130 more per 1000</p>
|
|
<p>(from 87 more to 190 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - elsewhere) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>b</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, indirectness, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 2.12 (0.87 to 5.15)</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1 hd_h_ch12.tab38_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">6 per 1000</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>7 more per 1000</p>
|
|
<p>(from 1 fewer to 25 more)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Number of hospital visits (patients with one or more emergency admissions <30 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.85 (0.76 to 0.95)</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1 hd_h_ch12.tab38_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">447 per 1000</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>67 fewer per 1000</p>
|
|
<p>(from 22 fewer to 107 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Number of hospital visits (patients with one or more emergency admissions <7 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.41 (0.32 to 0.53)</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1 hd_h_ch12.tab38_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">239 per 1000</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>141 fewer per 1000</p>
|
|
<p>(from 112 fewer to 163 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Number of hospital visits (mean emergency admissions per patient <30 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of hospital visits (mean emergency admissions per patient <30 days) - delivering choice programme (with out of hours) users versus delivering choice programme (with out of hours) non-users in the control groups was 0.45</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of hospital visits (mean emergency admissions per patient <30 days) - delivering choice programme (with out of hours) users versus delivering choice programme (with out of hours) non-users in the intervention groups was 0.08 higher (0.02 to 0.14 higher)</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Number of hospital visits (mean emergency admissions per patient <7 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of hospital visits (mean emergency admissions per patient <7 days) - delivering choice programme (with out of hours) users versus delivering choice programme (with out of hours) non-users in the control groups was 0.25</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of hospital visits (mean emergency admissions per patient <7 days) - delivering choice programme (with out of hours) users versus delivering choice programme (with out of hours) non-users in the intervention groups was 0.14 lower (0.17 to 0.11 lower)</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (patients with one or more ED attendance <30 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.71 (0.61 to 0.82)</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1 hd_h_ch12.tab38_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">364 per 1000</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>106 fewer per 1000</p>
|
|
<p>(from 66 fewer to 142 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (patients with one or more ED attendance <7 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="2" colspan="1" style="text-align:left;vertical-align:top;">RR 0.32 (0.23 to 0.43)</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1 hd_h_ch12.tab38_1_1_2_2" colspan="2" rowspan="1" style="text-align:left;vertical-align:top;"></td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">221 per 1000</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>150 fewer per 1000</p>
|
|
<p>(from 126 fewer to 170 fewer)</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (mean ED attendance per patient <30 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup></p>
|
|
<p>due to risk of bias</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of visits to A&E (mean ED attendance per patient <30 days) - delivering choice programme (with out of hours) users versus delivering choice programme (with out of hours) non-users in the control groups was 0.41</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of visits to A&E (mean ED attendance per patient <30 days) - delivering choice programme (with out of hours) users versus delivering choice programme (with out of hours) non-users in the intervention groups was 0.02 lower (0.07 lower to 0.03 higher)</td></tr><tr><td headers="hd_h_ch12.tab38_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (mean ED attendance per patient <7 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</td><td headers="hd_h_ch12.tab38_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>2572</p>
|
|
<p>(1 study)</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>⊕⊝⊝⊝</p>
|
|
<p>VERY LOW<sup>a</sup><sup>,</sup><sup>c</sup></p>
|
|
<p>due to risk of bias, imprecision</p>
|
|
</td><td headers="hd_h_ch12.tab38_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of visits to A&E (mean ED attendance per patient <7 days) - delivering choice programme (with out of hours) users versus delivering choice programme (with out of hours) non-users in the control groups was 0.26</td><td headers="hd_h_ch12.tab38_1_1_1_5 hd_h_ch12.tab38_1_1_2_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The mean number of visits to A&E (mean ED attendance per patient <7 days) - delivering choice programme (with out of hours) users versus delivering choice programme (with out of hours) non-users in the intervention groups was 0.19 lower (0.22 to 0.16 lower)</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.tab38_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.tab38_2"><p class="no_margin">The majority of the evidence had indirect outcomes (preferred place of death not reported)</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.tab38_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or downgraded by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab39"><div id="ch12.tab39" class="table"><h3><span class="label">Table 37</span><span class="title">Health economic evidence profile: Additional community services (routine/regular basis) versus no additional community services/usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab39/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab39_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab39_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Study</th><th id="hd_h_ch12.tab39_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Applicability</th><th id="hd_h_ch12.tab39_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Limitations</th><th id="hd_h_ch12.tab39_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Other comments</th><th id="hd_h_ch12.tab39_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Incremental cost</th><th id="hd_h_ch12.tab39_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Incremental effects</th><th id="hd_h_ch12.tab39_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Cost-effectiveness</th><th id="hd_h_ch12.tab39_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Uncertainty</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab39_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Abel 2013 <a class="bibr" href="#ch12.ref1" rid="ch12.ref1"><sup>1</sup></a> (UK)</p>
|
|
<p>Perspective: UK</p>
|
|
<p>NHS</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Partially applicable<sup>(a)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Potentially Serious Limitations<sup>(b)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Economic Analysis: CCA</p>
|
|
<p>Intervention: Advanced care planning discussions taken place versus no discussions</p>
|
|
<p>Setting: Hospice</p>
|
|
<p>Study design: Retrospective cohort analysis with multivariate regression</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">saves £431 per person in the last year of life</td><td headers="hd_h_ch12.tab39_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Proportion with at least one emergency admission: 3% lower Proportion dying in hospital: 15% lower Mean length of stay for those with or without an admission: 8.3 days less</p>
|
|
<p>Mean number of admissions in the last year of life (per patient): 0.7 fewer</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NA</td><td headers="hd_h_ch12.tab39_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NR</td></tr><tr><td headers="hd_h_ch12.tab39_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Bentur 2014 <a class="bibr" href="#ch12.ref22" rid="ch12.ref22"><sup>22</sup></a> (Israel)</p>
|
|
<p>Perspective: Israeli Ministry of Health</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Partially applicable<sup>(c)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very Serious Limitations<sup>(d)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Economic Analysis: CCA</p>
|
|
<p>Study design: Retrospective cohort analysis without multivariate regression</p>
|
|
<p>Intervention: Home hospice care in addition to regular community care</p>
|
|
<p>Population: Patients with metastatic cancer in last 6 months of life</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">saves £3,356 per person in the last 6 months of life</td><td headers="hd_h_ch12.tab39_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Proportion hospitalised at least once:</p>
|
|
<p>6% lower</p>
|
|
<p>Proportion that visited the emergency room at least once:</p>
|
|
<p>1% lower</p>
|
|
<p>Proportion who died at home: 30% lower</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NA</td><td headers="hd_h_ch12.tab39_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NR</td></tr><tr><td headers="hd_h_ch12.tab39_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Chitnis 2013<a class="bibr" href="#ch12.ref46" rid="ch12.ref46"><sup>46</sup></a> (UK)</p>
|
|
<p>Perspective: UK</p>
|
|
<p>NHS</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Partially applicable<sup>(e)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very Serious Limitations<sup>(f)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Economic Analysis: CCA</p>
|
|
<p>Study design: Retrospective cohort analysis with multivariate regression (using matched controls)</p>
|
|
<p>Intervention: Marie-Curie Nursing Service at home</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Adjusted incremental cost saving: saves £1,113 per person</td><td headers="hd_h_ch12.tab39_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death (home): RR 2.2</p>
|
|
<p>Preferred and actual place of death (hospital): RR 0.2</p>
|
|
<p>Number of hospital visits (patients who attended outpatients) between first MCNS visit and death: RR 0.45</p>
|
|
<p>Number of unscheduled admissions (people with emergency admissions) between first MCNS visit and death: RR 0.31</p>
|
|
<p>Number of visits to A&E (people who attended A&E) between first MCNS visit and death: RR 0.28</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NA</td><td headers="hd_h_ch12.tab39_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sensitivity analysis was done using conditional logistic regression to assess the impact of this modelling strategy on the estimates of the proportional endpoints.</td></tr><tr><td headers="hd_h_ch12.tab39_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Noble 2014<a class="bibr" href="#ch12.ref168" rid="ch12.ref168"><sup>168</sup></a> (UK)</p>
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<p>Perspective: UK</p>
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<p>NHS</p>
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</td><td headers="hd_h_ch12.tab39_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Partially applicable<sup>(g)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very Serious Limitations<sup>(h)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
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<p>Economic Analysis: CCA</p>
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<p>Study design: Non-randomised comparative study with retrospective activity based costing analysis of the service</p>
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<p>Intervention: Comprehensive consultant-led specialist palliative care provided in the home versus specialist palliative care provided in a hospice setting</p>
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</td><td headers="hd_h_ch12.tab39_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Before any hospital stays:</p>
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|
<p>Saves £700 in healthcare utilisation costs</p>
|
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<p>After 1 stay</p>
|
|
<p>Saves £700 in healthcare utilisation costs</p>
|
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<p>After2+ stays</p>
|
|
<p>No difference in healthcare utilisation costs.</p>
|
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</td><td headers="hd_h_ch12.tab39_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (home): RR 1.02</td><td headers="hd_h_ch12.tab39_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NA</td><td headers="hd_h_ch12.tab39_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NR</td></tr><tr><td headers="hd_h_ch12.tab39_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Pattenden 2013<a class="bibr" href="#ch12.ref180" rid="ch12.ref180"><sup>180</sup></a> (UK)</p>
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<p>Perspective: UK</p>
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<p>NHS</p>
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</td><td headers="hd_h_ch12.tab39_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Partially applicable<sup>(i)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very Serious Limitations<sup>(j)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
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<p>Economic analysis: CCA</p>
|
|
<p>Study design: Prospective non-randomised cohort study matched with historical controls</p>
|
|
<p>Intervention: Better together</p>
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<p>Population: Patients with advanced congestive heart failure</p>
|
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</td><td headers="hd_h_ch12.tab39_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
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<p>Patient costs in the last year of life:</p>
|
|
<p>Bradford saves £1,187</p>
|
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<p>Poole</p>
|
|
<p>saves £848</p>
|
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</td><td headers="hd_h_ch12.tab39_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Number of unscheduled admissions: RR 0.64</p>
|
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<p>Length of stay (Bradford subgroup): 2.4 lower</p>
|
|
<p>Length of stay (Poole subgroup): 1 higher</p>
|
|
<p>Number of admissions per patient – Bradford subgroup): 0.3 lower</p>
|
|
<p>Number of admissions per patient – Poole subgroup): 1 lower</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NA</td><td headers="hd_h_ch12.tab39_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NR</td></tr><tr><td headers="hd_h_ch12.tab39_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Pham 2014 <a class="bibr" href="#ch12.ref181" rid="ch12.ref181"><sup>181</sup></a> (Canada)</p>
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<p>Perspective: Ontario Ministry of Health and Long-Term Care</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Partially applicable<sup>(k)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very serious limitations<sup>(l)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
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<p>Economic Analysis: CUA</p>
|
|
<p>Study design: Probabilistic decision analytic markov model (microsimulation)</p>
|
|
<p>Intervention: Palliative care team in-home (the model compared multiple interventions but only the above intervention was considered relevant for this review question.)</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">saves £2,477 per person in last year of life</td><td headers="hd_h_ch12.tab39_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">0.47 more quality-adjusted life days (0.001 QALYs)</td><td headers="hd_h_ch12.tab39_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>ICER (Palliative care team in-home versus usual care):</p>
|
|
<p>Dominant</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Probabilistic and one-way sensitivity analyses conducted to explore key sources of variability and uncertainty in the simulated model.</td></tr><tr><td headers="hd_h_ch12.tab39_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Yousens 2017 <a class="bibr" href="#ch12.ref238" rid="ch12.ref238"><sup>238</sup></a> (Australia)</p>
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<p>Perspective: Western Australia health system</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Partially applicable<sup>(m)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very serious limitations<sup>(n)</sup></td><td headers="hd_h_ch12.tab39_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Economic Analysis: CCA</p>
|
|
<p>Study design: Retrospective cohort analysis with multivariate regression (propensity score-weighted)</p>
|
|
<p>Intervention: Interdisciplinary service</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Adjusted difference in mean cost of all hospitalisations and ED presentations in last 12 months: £2,240 lower</td><td headers="hd_h_ch12.tab39_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Preferred and actual place of death (people dying out of hospital): RR 2.03</p>
|
|
<p>All cause hospitalisation at follow-up 12 months before death: Rate Ratio 1.01</p>
|
|
<p>All cause unplanned hospitalisation at follow-up 12 months before death: Rate ratio 0.94</p>
|
|
<p>All cause ED presentations at follow-up 12 months before death: Rate ratio 0.92</p>
|
|
<p>Length of stay (days) for inpatient hospitalisation at follow-up 12 months before death: Mean difference −4.19</p>
|
|
</td><td headers="hd_h_ch12.tab39_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NA</td><td headers="hd_h_ch12.tab39_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NR</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt></dt><dd><div><p class="no_margin">Abbreviations: CCA: cost consequence analysis; CUA cost utility analysis; ICER: incremental cost-effectiveness ratio; QALY: quality-adjusted life years;</p></div></dd></dl><dl class="bkr_refwrap"><dt>(a)</dt><dd><div id="ch12.tab39_1"><p class="no_margin">Right population and intervention. Only a CCA.</p></div></dd></dl><dl class="bkr_refwrap"><dt>(b)</dt><dd><div id="ch12.tab39_2"><p class="no_margin">No costs of the intervention. Doesn’t report many costs for example: non-emergency admissions. The study states that the deaths in hospital in the baseline group are low compared to the national average, therefore the lack of differences in costs (that the study reports of emergency admissions) could be explained by the fact that the specialist palliative care services in both groups are already reducing hospital resource use, and so the impact of ACP could be more about getting people to die in their preferred place (which could however reduce cost as the study also showed that mean hospital care costs are higher for those who died in hospital).</p></div></dd></dl><dl class="bkr_refwrap"><dt>(c)</dt><dd><div id="ch12.tab39_3"><p class="no_margin">Right population and intervention. Perspective only partly applicable as non UK setting. Only a CCA.</p></div></dd></dl><dl class="bkr_refwrap"><dt>(d)</dt><dd><div id="ch12.tab39_4"><p class="no_margin">No cost of intervention. Some costs missing. No detailed disaggregated cost/resource use breakdown. Issues with data identification and therefore whether the people in the intervention group have used the intervention appropriately. Control group much bigger than intervention group.</p></div></dd></dl><dl class="bkr_refwrap"><dt>(e)</dt><dd><div id="ch12.tab39_5"><p class="no_margin">UK based CCA of secondary care costs only.</p></div></dd></dl><dl class="bkr_refwrap"><dt>(f)</dt><dd><div id="ch12.tab39_6"><p class="no_margin">The costs only include the costs that occur in a hospital setting. Costs that occur in other settings such as primary care are not captured in the analysis. Lower costs in a hospital setting could lead to higher costs in primary or community care. The study cannot tell us whether the intervention is likely to lead to a reduction in the mean overall costs patients incur to the health system as a whole. Potential conflict of interest.</p></div></dd></dl><dl class="bkr_refwrap"><dt>(g)</dt><dd><div id="ch12.tab39_7"><p class="no_margin">UK based CCA.</p></div></dd></dl><dl class="bkr_refwrap"><dt>(h)</dt><dd><div id="ch12.tab39_8"><p class="no_margin">The methods for estimating costs for each intervention compared are very different. An activity based costing was only able to be conducted for the Midhurst intervention. The study does not explain the methodology of matching patients who received the Midhurst service to the usual hospice service therefore it is not clear if the patient characteristics were similar. The number of inpatient stays has been used as a proxy for early identification of needing supportive/palliative care but it does not appear that anything else has been controlled for. The study could not collect detailed data on the extent of involvement of primary care services therefore they could not accurately estimate the cost. The study reports national average costs of hospice costs which may not be an accurate cost of hospice use in the local area.</p></div></dd></dl><dl class="bkr_refwrap"><dt>(i)</dt><dd><div id="ch12.tab39_9"><p class="no_margin">UK based CCA of costs to secondary care.</p></div></dd></dl><dl class="bkr_refwrap"><dt>(j)</dt><dd><div id="ch12.tab39_10"><p class="no_margin">Data on New York Heart Association (NYHA) scores were not available for the controls so clinical comparability could not be demonstrated. Cost data on outpatient, primary and community care use were not available for either group so analysis only focused on secondary care costs which therefore does not provide enough information to be able to determine if total costs were really lower in the intervention groups. Cost may have been shifted from secondary to primary/community settings. In Bradford, patients in the intervention group were significantly older than their control group with a mean difference of 3.8 years. This could have affected the clinical outcomes observed biasing the results in favour of the intervention. The paper reports after BT the HFSNs in Poole began to receive more of their caseloads from ‘care of the elderly’ wards, GPs and district nurses which increased the proportion of people in their caseloads with a severity classification of III or IV. This means the cost of the historical controls could be underestimated as they previously had a lower severity case mix of patients.</p></div></dd></dl><dl class="bkr_refwrap"><dt>(k)</dt><dd><div id="ch12.tab39_11"><p class="no_margin">Not a UK study therefore study population and costs not directly applicable.</p></div></dd></dl><dl class="bkr_refwrap"><dt>(l)</dt><dd><div id="ch12.tab39_12"><p class="no_margin">Model assumes that last year of life is known which does not reflect reality. Model assumes that interventions do not affect survival time which does not reflect reality. Model assumes that a palliative prognosis can be determined by resource use of patients therefore doesn’t account for patients with a terminal illness who do not receive EOL care services in the last year of life, it is not clear how this effects the cost effectiveness results. Cost effectiveness results for in-home palliative care are subject to EOL care in the control group of the RCT study used as evidence of the estimated outcome being the same as the usual care strategy; this is unlikely to be true. The model does not explicitly take into account that some of the interventions are currently provided as part of usual care therefore it is likely that the treatment effects are overestimated. Estimating the intervention effect on HRQOL as well as decrements in QALY weights through downstream resource use risks the possibility of double counting.</p></div></dd></dl><dl class="bkr_refwrap"><dt>(m)</dt><dd><div id="ch12.tab39_13"><p class="no_margin">Not a UK study therefore study population and costs not directly applicable.</p></div></dd></dl><dl class="bkr_refwrap"><dt>(n)</dt><dd><div id="ch12.tab39_14"><p class="no_margin">Costs only include the cumulative costs of hospital admissions at the end of life, they do not include the costs of providing the intervention, and therefore it is not possible to determine whether the service is likely to be cost effective.</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab40"><div id="ch12.tab40" class="table"><h3><span class="label">Table 38</span><span class="title">Health economic evidence profile: Additional community services to avoid emergency admissions versus no additional services/usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab40/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab40_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab40_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Study</th><th id="hd_h_ch12.tab40_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Applicability</th><th id="hd_h_ch12.tab40_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Limitations</th><th id="hd_h_ch12.tab40_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Other comments</th><th id="hd_h_ch12.tab40_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Incremental cost</th><th id="hd_h_ch12.tab40_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Incremental effects</th><th id="hd_h_ch12.tab40_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Cost-effectiveness</th><th id="hd_h_ch12.tab40_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Uncertainty</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab40_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>McCaffrey 2013 <a class="bibr" href="#ch12.ref146" rid="ch12.ref146"><sup>146</sup></a> (Australia)</p>
|
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<p>Perspective: Australian health system</p>
|
|
</td><td headers="hd_h_ch12.tab40_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Partially Applicable<sup>(a)</sup></td><td headers="hd_h_ch12.tab40_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Very Serious Limitations<sup>(b)</sup></td><td headers="hd_h_ch12.tab40_1_1_1_4" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Economic analysis: Within trial CEA</p>
|
|
<p>Study design: RCT</p>
|
|
<p>Intervention: Palliative care extended packages at home (PEACH)</p>
|
|
</td><td headers="hd_h_ch12.tab40_1_1_1_5" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">£2,073</td><td headers="hd_h_ch12.tab40_1_1_1_6" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>1 more day at home</p>
|
|
<p>Preferred and actual place of death (people dying at home) 28 days: RR 0.7 (CI: 0.38 to 1.3) ARD 240 fewer per 1000</p>
|
|
</td><td headers="hd_h_ch12.tab40_1_1_1_7" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">ICER: £2,073 per day at home gained</td><td headers="hd_h_ch12.tab40_1_1_1_8" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Threshold analysis performed which estimated that expected benefits of PEACH over 28 days exceed expected costs of the intervention when the threshold value for one extra day at home exceeded £490.</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt></dt><dd><div><p class="no_margin">Abbreviations: ICER: incremental cost-effectiveness ratio; QALY: quality-adjusted life years; RCT: randomised controlled trial</p></div></dd></dl><dl class="bkr_refwrap"><dt>(o)</dt><dd><div id="ch12.tab40_1"><p class="no_margin">Australian study</p></div></dd></dl><dl class="bkr_refwrap"><dt>(p)</dt><dd><div id="ch12.tab40_2"><p class="no_margin">Health outcomes are not expressed in QALYs. Short follow-up time of 28 days and only 68% of participants had died during follow-up. Difficult to interpret the cost effectiveness of the intervention as there is no willingness to pay threshold set for an additional day spent at home for people at the end of life. Higher proportion of usual care recruited as inpatients which may restrict days at home. Cost estimated did not include claims data for any additional costs of community care so the true costs of the models of care in each arm may be underestimated, however, costs not expected to differ by arm. Informal care-giver costs not included (as health system perspective taken) but costs could shift from service providers to families. Generalisability of results limited to care provided by similar costing and funding models. Very small sample size, only 8 in the usual care arm.</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab41"><div id="ch12.tab41" class="table"><h3><span class="label">Table 39</span><span class="title">Total costs of the out-of-hours community services included in the costing analysis</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab41/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab41_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.tab41_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Out-of-hours community services</th><th id="hd_h_ch12.tab41_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Total cost<sup>(a)</sup></th><th id="hd_h_ch12.tab41_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Source</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab41_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">End of life care coordination service</td><td headers="hd_h_ch12.tab41_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">£642,335</td><td headers="hd_h_ch12.tab41_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Original costing analysis</td></tr><tr><td headers="hd_h_ch12.tab41_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Out of hours, end of life advice line</td><td headers="hd_h_ch12.tab41_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">£138,424</td><td headers="hd_h_ch12.tab41_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Original costing analysis</td></tr><tr><td headers="hd_h_ch12.tab41_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Out of hours, end of life, medication provision service</td><td headers="hd_h_ch12.tab41_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">£7,464</td><td headers="hd_h_ch12.tab41_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Original costing analysis</td></tr><tr><td headers="hd_h_ch12.tab41_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">End of Life ambulance</td><td headers="hd_h_ch12.tab41_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">£100,000</td><td headers="hd_h_ch12.tab41_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Original costing analysis</td></tr><tr><td headers="hd_h_ch12.tab41_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospice at home service</td><td headers="hd_h_ch12.tab41_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">£873,023</td><td headers="hd_h_ch12.tab41_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Original costing analysis</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>(a)</dt><dd><div id="ch12.tab41_1"><p class="no_margin">these costs were estimated assuming that 0.8% of a population of approximately 265,000 people would have access to the services (*please see the End of Life Care costing analysis report, saved separately on the NICE website for details on why the figure of 0.8% was used)</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12tab42"><div id="ch12.tab42" class="table"><h3><span class="label">Table 40</span><span class="title">Potential cost savings resulting from implementing the additional end-of-life out-of-hours community services</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab42/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab42_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.tab42_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Outcome</th><th id="hd_h_ch12.tab42_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Estimated cost saved</th><th id="hd_h_ch12.tab42_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Source</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab42_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Death occurring outside hospital instead of in hospital</td><td headers="hd_h_ch12.tab42_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">£958</td><td headers="hd_h_ch12.tab42_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<a class="bibr" href="#ch12.ref163" rid="ch12.ref163">
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<sup>163</sup>
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</a>
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</td></tr><tr><td headers="hd_h_ch12.tab42_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inpatient day reduced in an end of life emergency admission</td><td headers="hd_h_ch12.tab42_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">£254</td><td headers="hd_h_ch12.tab42_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<a class="bibr" href="#ch12.ref185" rid="ch12.ref185">
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<sup>185</sup>
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</a>
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</td></tr><tr><td headers="hd_h_ch12.tab42_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">End of life emergency admission avoided</td><td headers="hd_h_ch12.tab42_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">£2,919</td><td headers="hd_h_ch12.tab42_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<a class="bibr" href="#ch12.ref185" rid="ch12.ref185">
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<sup>185</sup>
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</a>
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</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12tab43"><div id="ch12.tab43" class="table"><h3><span class="label">Table 41</span><span class="title">Threshold Analysis Results</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.tab43/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.tab43_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.tab43_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Service</th><th id="hd_h_ch12.tab43_1_1_1_2" colspan="3" rowspan="1" style="text-align:left;vertical-align:bottom;">Percentage reduction in outcomes required to make the service cost neutral</th></tr></thead><tbody><tr><td headers="hd_h_ch12.tab43_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"></td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Deaths in Hospital</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inpatient Days in Emergency Admissions</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Emergency Admissions</td></tr><tr><td headers="hd_h_ch12.tab43_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">End of life care coordination service</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">63%</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">6%</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">6%</td></tr><tr><td headers="hd_h_ch12.tab43_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Out of hours, end of life advice line</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">13%</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1%</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1%</td></tr><tr><td headers="hd_h_ch12.tab43_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Out of hours, end of life, medication provision service</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">0.3%</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">0.07%</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">0.07%</td></tr><tr><td headers="hd_h_ch12.tab43_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">End of Life ambulance</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">10%</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1%</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1%</td></tr><tr><td headers="hd_h_ch12.tab43_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospice at home service</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">85%</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">8%</td><td headers="hd_h_ch12.tab43_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">8%</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appatab1"><div id="ch12.appa.tab1" class="table"><h3><span class="label">Table 42</span><span class="title">Review protocol for what additional community services are needed to support people in their last year of life to stay in their usual place of residence</span></h3><div class="caption"><p>Question number: Q9</p><p>Relevant section of Scope:</p><p>Service delivery models for end of life care, including both acute, community and third sector settings covering:
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<ul id="ch12.l22"><li id="ch12.lt101" class="half_rhythm"><div>types of services (supportive and palliative care) provided by generalists and specialists during the course of the last year of life,</div></li><li id="ch12.lt102" class="half_rhythm"><div>who delivers the services and how, multidisciplinary team composition</div></li><li id="ch12.lt103" class="half_rhythm"><div>timing and review of service provision,</div></li><li id="ch12.lt104" class="half_rhythm"><div>location of services, for example, place of care</div></li><li id="ch12.lt105" class="half_rhythm"><div>out of hours, weekend and 24/7 availability of services.</div></li></ul></p><p>Field names are based on <a href="http://www.prisma-statement.org/Extensions/Protocols.aspx" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">PRISMA-P</a>.]</p></div><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appa.tab1/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appa.tab1_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">ID</th><th id="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Field</th><th id="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Content</th></tr></thead><tbody><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">I</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Review question</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">What additional community services are needed to support people in their last year of life to stay in their usual place of residence?</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">II</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Type of review question</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">
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<p>Intervention</p>
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<p>A review of health economic evidence related to the same review question was conducted in parallel with this review. For details see the health economic review protocol for this NICE guideline.</p>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">III</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Objective of the review</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">To identify what additional community services are needed to support people in their last year of life to stay in their usual place of residence</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">IV</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Eligibility criteria – population / disease / condition / issue / domain</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:middle;">Adults (aged over 18 or over) with progressive life-limiting conditions thought to be entering the last year of life.</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">V</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Eligibility criteria – intervention(s) / exposure(s) / prognostic factor(s)</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Availability of additional community services on a regular/routine basis to support people in their last year of life to stay in their usual place of residence, for example:
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<ul id="ch12.l23"><li id="ch12.lt106" class="half_rhythm"><div>Physiotherapy</div></li><li id="ch12.lt107" class="half_rhythm"><div>Occupational therapy</div></li><li id="ch12.lt108" class="half_rhythm"><div>Speech and language therapy</div></li><li id="ch12.lt109" class="half_rhythm"><div>Palliative care rehabilitation</div></li><li id="ch12.lt110" class="half_rhythm"><div>Rehabilitation</div></li><li id="ch12.lt111" class="half_rhythm"><div>Social care</div></li><li id="ch12.lt112" class="half_rhythm"><div>Specialist psychology</div></li><li id="ch12.lt113" class="half_rhythm"><div>Counselling</div></li><li id="ch12.lt114" class="half_rhythm"><div>Benefits advice</div></li><li id="ch12.lt115" class="half_rhythm"><div>Complementary therapies</div></li><li id="ch12.lt116" class="half_rhythm"><div>Emotional and spiritual</div></li></ul></td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">VI</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Eligibility criteria – comparator(s) / control or reference (gold) standard</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">
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<ul id="ch12.l24"><li id="ch12.lt117" class="half_rhythm"><div>To each other (different ways of providing additional services; alone or in combination)</div></li><li id="ch12.lt118" class="half_rhythm"><div>No additional community services available (usual care)</div></li></ul></td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">VII</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Outcomes and prioritisation</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">CRITICAL
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<ul id="ch12.l25"><li id="ch12.lt119" class="half_rhythm"><div>Quality of life (Continuous)</div></li><li id="ch12.lt120" class="half_rhythm"><div>Preferred and actual place of death (Dichotomous)</div></li><li id="ch12.lt121" class="half_rhythm"><div>Preferred and actual place of care (Dichotomous)</div></li></ul>
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IMPORTANT
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<ul id="ch12.l26"><li id="ch12.lt122" class="half_rhythm"><div>Length of survival (Continuous)</div></li><li id="ch12.lt123" class="half_rhythm"><div>Length of stay (Continuous)</div></li><li id="ch12.lt124" class="half_rhythm"><div>Hospitalisation (Dichotomous)</div></li><li id="ch12.lt125" class="half_rhythm"><div>Number of hospital visits (Dichotomous)</div></li><li id="ch12.lt126" class="half_rhythm"><div>Number of visits to accident and emergency (Dichotomous)</div></li><li id="ch12.lt127" class="half_rhythm"><div>Number of unscheduled admissions (Dichotomous)</div></li><li id="ch12.lt128" class="half_rhythm"><div>Use of community services (Dichotomous)</div></li><li id="ch12.lt129" class="half_rhythm"><div>Avoidable/inappropriate admissions to ICU (Dichotomous)</div></li><li id="ch12.lt130" class="half_rhythm"><div>Inappropriate resuscitation (Dichotomous) Staff satisfaction (Continuous)</div></li></ul>
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Patient/carer reported outcomes (satisfaction) (Continuous)</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">VIII</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Eligibility criteria – study design</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">
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<ul id="ch12.l27"><li id="ch12.lt131" class="half_rhythm"><div>Systematic reviews</div></li><li id="ch12.lt132" class="half_rhythm"><div>RCTs</div></li><li id="ch12.lt133" class="half_rhythm"><div>Non-randomised comparative studies, including before and after studies.</div></li></ul></td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">IX</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Other inclusion exclusion criteria</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Exclusions:
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<ul id="ch12.l28"><li id="ch12.lt134" class="half_rhythm"><div>Children (17 years or younger)</div></li><li id="ch12.lt135" class="half_rhythm"><div>Studies will only be included if they reported one or more of the outcomes listed above</div></li><li id="ch12.lt136" class="half_rhythm"><div>Descriptive (non-comparative) studies will be excluded</div></li></ul></td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">X</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Proposed sensitivity / subgroup analysis, or meta-regression</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:middle;">Subgroups to be analysed if heterogeneity found:
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<ul id="ch12.l29"><li id="ch12.lt137" class="half_rhythm"><div>Younger adults (aged 18-25)</div></li><li id="ch12.lt138" class="half_rhythm"><div>Frail elderly</div></li><li id="ch12.lt139" class="half_rhythm"><div>People with dementia</div></li><li id="ch12.lt140" class="half_rhythm"><div>People with hearing loss</div></li><li id="ch12.lt141" class="half_rhythm"><div>People with advanced heart and lung disease</div></li><li id="ch12.lt142" class="half_rhythm"><div>People in prisons</div></li><li id="ch12.lt143" class="half_rhythm"><div>Socioeconomic inequalities (people from lower income brackets)</div></li><li id="ch12.lt144" class="half_rhythm"><div>Homeless people/vulnerably housed</div></li><li id="ch12.lt145" class="half_rhythm"><div>Travelers</div></li><li id="ch12.lt146" class="half_rhythm"><div>People with learning difficulties</div></li><li id="ch12.lt147" class="half_rhythm"><div>People with disabilities</div></li><li id="ch12.lt148" class="half_rhythm"><div>People with mental health problems</div></li><li id="ch12.lt149" class="half_rhythm"><div>Migrant workers</div></li><li id="ch12.lt150" class="half_rhythm"><div>LGBT</div></li><li id="ch12.lt151" class="half_rhythm"><div>People in whom life-prolonging therapies are still an active option</div></li></ul></td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XI</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Selection process – duplicate screening / selection / analysis</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Quality assurance will be undertaken by a senior research fellow prior to completion.</p>
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<p>Review strategy/other analysis:
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<ul id="ch12.l30"><li id="ch12.lt152" class="half_rhythm"><div>Information on identification tools used as part of a service will be extracted.</div></li><li id="ch12.lt153" class="half_rhythm"><div>Due to the expected complexity of the service models implemented in the studies, studies will be reported separately if necessary. In such case, studies on the populations included in the subgroup list will be highlighted to the Committee and will be considered when making the recommendations</div></li></ul></p>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XII</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Data management (software)</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<ul id="ch12.l31"><li id="ch12.lt154" class="half_rhythm"><div>Pairwise meta-analyses were performed using Cochrane Review Manager (RevMan5).</div></li><li id="ch12.lt155" class="half_rhythm"><div>GRADEpro was used to assess the quality of evidence for each outcome.</div></li><li id="ch12.lt156" class="half_rhythm"><div>Endnote was used for:
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<ul id="ch12.l32" class="circle"><li id="ch12.lt157" class="half_rhythm"><div>Bibliography, citations, sifting and reference management</div></li></ul></div></li><li id="ch12.lt158" class="half_rhythm"><div>Evibase was used for Data extraction and quality assessment / critical appraisal</div></li></ul>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XIII</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Information sources – databases and dates</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">
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<p>Clinical search databases to be used: Medline, Embase, Cochrane Library, Current Nursing and Allied Health Literature (CINAHL), PsycINFO, Healthcare Management Information Consortium (HMIC), Social Policy and Practice (SSP), Applied Social Sciences Index and Abstracts (ASSIA)</p>
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<p>Date: All years</p>
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<p>Health economics search databases to be used: Medline, Embase, NHSEED, HTA</p>
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<p>Date: Medline, Embase from 2014</p>
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<p>NHSEED, HTA – All years</p>
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<p>Language: Restrict to English only</p>
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<p>A call for evidence was also conducted.</p>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XIV</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Identify if an update</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Not applicable</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XV</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Author contacts</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;"><a href="https://www.nice.org.uk/guidance/indevelopment/gid-cgwave0799" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">https://www<wbr style="display:inline-block"></wbr>​.nice.org<wbr style="display:inline-block"></wbr>​.uk/guidance/indevelopment<wbr style="display:inline-block"></wbr>​/gid-cgwave0799</a>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XVI</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Highlight if amendment to previous protocol</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see section 4.5 of <a href="https://www.nice.org.uk/article/pmg20/chapter/4-Developing-review-questions-and-planning-the-evidence-review#planning-the-evidence-review" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a>.</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XVII</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Search strategy – for one database</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see <a href="#ch12.appb">Appendix B</a></td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XVIII</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Data collection process – forms / duplicate</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">A standardised evidence table format will be used, and published as <a href="#ch12.appd">Appendix D</a> of the evidence report.</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XIX</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Data items – define all variables to be collected</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see evidence tables in <a href="#ch12.appd">Appendix D</a> (clinical evidence tables) or <a href="#ch12.apph">H</a> (health economic evidence tables).</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XX</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Methods for assessing bias at outcome / study level</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Standard study checklists were used to critically appraise individual studies. For details please see section 6.2 of <a href="https://www.nice.org.uk/article/pmg20/chapter/6-Reviewing-research-evidence#assessing-the-quality-of-the-evidence" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a></p>
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<p>The risk of bias across all available evidence was evaluated for each outcome using an adaptation of the ‘Grading of Recommendations Assessment, Development and Evaluation (GRADE) toolbox’ developed by the international GRADE working group <a href="http://www.gradeworkinggroup.org/" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">http://www<wbr style="display:inline-block"></wbr>​.gradeworkinggroup.org/</a></p>
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<p>[Please document any deviations/alternative approach when GRADE isn’t used or if a modified GRADE approach has been used for non-intervention or non-comparative studies.]</p>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXI</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Criteria for quantitative synthesis</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see section 6.4 of <a href="https://www.nice.org.uk/article/pmg20/chapter/6-Reviewing-research-evidence#assessing-the-quality-of-the-evidence" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a>.</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXII</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Methods for quantitative analysis – combining studies and exploring (in)consistency</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see the separate <a href="/books/NBK558770/bin/bm1.pdf">Methods</a> report for this guideline.</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXIII</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Meta-bias assessment – publication bias, selective reporting bias</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>For details please see section 6.2 of <a href="https://www.nice.org.uk/article/pmg20/chapter/6-Reviewing-research-evidence#assessing-the-quality-of-the-evidence" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a>.</p>
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<p>[Consider exploring publication bias for review questions where it may be more common, such as pharmacological questions, and certain disease areas. Describe any steps taken to mitigate against publication bias, such as examining trial registries.]</p>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXIV</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Confidence in cumulative evidence</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see sections 6.4 and 9.1 of <a href="https://www.nice.org.uk/article/pmg20/chapter/1-Introduction-and-overview" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a>.</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXV</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Rationale / context – what is known</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see the introduction to the evidence review.</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXVI</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Describe contributions of authors and guarantor</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>A multidisciplinary committee [<a href="https://www.nice.org.uk/guidance/indevelopment/gid-cgwave0799" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">https://www<wbr style="display:inline-block"></wbr>​.nice.org<wbr style="display:inline-block"></wbr>​.uk/guidance/indevelopment<wbr style="display:inline-block"></wbr>​/gid-cgwave0799</a>] developed the evidence review. The committee was convened by the National Guideline Centre (NCommittee) and chaired by Mark Thomas in line with section 3 of <a href="https://www.nice.org.uk/article/pmg20/chapter/1%20Introduction%20and%20overview" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a>.</p>
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<p>Staff from NCommittee undertook systematic literature searches, appraised the evidence, conducted meta-analysis and cost-effectiveness analysis where appropriate, and drafted the evidence review in collaboration with the committee. For details please see <a href="https://www.nice.org.uk/article/pmg20/chapter/1-Introduction-and-overview" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a>.</p>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXVII</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sources of funding / support</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NCommittee is funded by NICE and hosted by the Royal College of Physicians.</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXVIII</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Name of sponsor</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NCommittee is funded by NICE and hosted by the Royal College of Physicians.</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXIX</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Roles of sponsor</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NICE funds NCommittee to develop guidelines for those working in the NHS, public health and social care in England.</td></tr><tr><td headers="hd_h_ch12.appa.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXX</td><td headers="hd_h_ch12.appa.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">PROSPERO registration number</td><td headers="hd_h_ch12.appa.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not registered</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appatab2"><div id="ch12.appa.tab2" class="table"><h3><span class="label">Table 43</span><span class="title">Review protocol: Reducing inappropriate or avoidable admissions</span></h3><div class="caption"><p>Question number: Q9</p><p>Relevant section of Scope:</p><p>Service delivery models for end of life care, including both acute, community and third sector settings covering:
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<ul id="ch12.l33"><li id="ch12.lt159" class="half_rhythm"><div>types of services (supportive and palliative care) provided by generalists and specialists during the course of the last year of life,</div></li><li id="ch12.lt160" class="half_rhythm"><div>who delivers the services and how, multidisciplinary team composition,</div></li><li id="ch12.lt161" class="half_rhythm"><div>timing and review of service provision,</div></li><li id="ch12.lt162" class="half_rhythm"><div>location of services, for example, place of care</div></li><li id="ch12.lt163" class="half_rhythm"><div>out of hours, weekend and 24/7 availability of services.</div></li></ul></p><p>Field names are based on <a href="http://www.prisma-statement.org/Extensions/Protocols.aspx" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">PRISMA-P</a>.]</p></div><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appa.tab2/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appa.tab2_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">ID</th><th id="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Field</th><th id="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Content</th></tr></thead><tbody><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">I</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Review question</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">What provision of additional community services should be available to reduce inappropriate/avoidable admissions in people in their last year of life?</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">II</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Type of review question</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">
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<p>Intervention</p>
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<p>A review of health economic evidence related to the same review question was conducted in parallel with this review. For details see the health economic review protocol for this NICE guideline.</p>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">III</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Objective of the review</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">To identify what provision of additional community services should be available to reduce inappropriate/avoidable admissions in people in their last year of life</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">IV</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Eligibility criteria – population / disease / condition / issue / domain</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:middle;">Adults (aged over 18 or over) with progressive life-limiting conditions thought to be entering the last year of life.</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">V</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Eligibility criteria – intervention(s) / exposure(s) / prognostic factor(s)</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Availability of additional community services in an acute/emergency scenario (alone or in combination), for example
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<ul id="ch12.l34"><li id="ch12.lt164" class="half_rhythm"><div>Social care</div></li><li id="ch12.lt165" class="half_rhythm"><div>Community health services</div></li><li id="ch12.lt166" class="half_rhythm"><div>Helplines</div></li><li id="ch12.lt167" class="half_rhythm"><div>Equipment</div></li><li id="ch12.lt168" class="half_rhythm"><div>Drugs</div></li><li id="ch12.lt169" class="half_rhythm"><div>Hydration</div></li><li id="ch12.lt170" class="half_rhythm"><div>Nutrition</div></li><li id="ch12.lt171" class="half_rhythm"><div>Carer support</div></li><li id="ch12.lt172" class="half_rhythm"><div>Hospice at home</div></li><li id="ch12.lt173" class="half_rhythm"><div>Virtual hospital</div></li><li id="ch12.lt174" class="half_rhythm"><div>Tele-health</div></li><li id="ch12.lt175" class="half_rhythm"><div>Advance care planning (ACP)</div></li><li id="ch12.lt176" class="half_rhythm"><div>Best interest meetings – mental capacity</div></li><li id="ch12.lt177" class="half_rhythm"><div>‘rapid response team’ – out of hours</div></li><li id="ch12.lt178" class="half_rhythm"><div>Ambulance service may link to community services</div></li><li id="ch12.lt179" class="half_rhythm"><div>24 hour community services</div></li><li id="ch12.lt180" class="half_rhythm"><div>Community/health provision of psychological support/self-management/psycho-education</div></li><li id="ch12.lt181" class="half_rhythm"><div>Provision of patient/care information</div></li><li id="ch12.lt182" class="half_rhythm"><div>Named professional/coordinator (especially out of hours)</div></li></ul></td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">VI</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Eligibility criteria – comparator(s) / control or reference (gold) standard</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">
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<ul id="ch12.l35"><li id="ch12.lt183" class="half_rhythm"><div>To each other (different ways of providing additional services; alone or in combination)</div></li><li id="ch12.lt184" class="half_rhythm"><div>No additional community services available (usual care)</div></li></ul>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">VII</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Outcomes and prioritisation</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">CRITICAL
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<ul id="ch12.l36"><li id="ch12.lt185" class="half_rhythm"><div>Quality of life (Continuous)</div></li><li id="ch12.lt186" class="half_rhythm"><div>Preferred and actual place of death (Dichotomous)</div></li><li id="ch12.lt187" class="half_rhythm"><div>Preferred and actual place of care (Dichotomous)</div></li></ul>
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IMPORTANT
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<ul id="ch12.l37"><li id="ch12.lt188" class="half_rhythm"><div>Length of survival (Continuous)</div></li><li id="ch12.lt189" class="half_rhythm"><div>Length of stay (Continuous)</div></li><li id="ch12.lt190" class="half_rhythm"><div>Hospitalisation (Dichotomous)</div></li><li id="ch12.lt191" class="half_rhythm"><div>Number of hospital visits (Dichotomous)</div></li><li id="ch12.lt192" class="half_rhythm"><div>Number of visits to accident and emergency (Dichotomous)</div></li><li id="ch12.lt193" class="half_rhythm"><div>Number of unscheduled admissions (Dichotomous)</div></li><li id="ch12.lt194" class="half_rhythm"><div>Use of community services (Dichotomous)</div></li><li id="ch12.lt195" class="half_rhythm"><div>Avoidable/inappropriate admissions to ICU (Dichotomous)</div></li><li id="ch12.lt196" class="half_rhythm"><div>Inappropriate resuscitation (Dichotomous) Staff satisfaction (Continuous)</div></li></ul>
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Patient/carer reported outcomes (satisfaction) (Continuous)</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">VIII</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Eligibility criteria – study design</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">
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<ul id="ch12.l38"><li id="ch12.lt197" class="half_rhythm"><div>Systematic reviews</div></li><li id="ch12.lt198" class="half_rhythm"><div>RCTs</div></li><li id="ch12.lt199" class="half_rhythm"><div>Non-randomised comparative studies, including before and after studies.</div></li></ul></td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">IX</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Other inclusion exclusion criteria</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Exclusions:
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<ul id="ch12.l39"><li id="ch12.lt200" class="half_rhythm"><div>Children (17 years or younger)</div></li><li id="ch12.lt201" class="half_rhythm"><div>Studies will only be included if they reported one or more of the outcomes listed above</div></li><li id="ch12.lt202" class="half_rhythm"><div>Descriptive (non-comparative) studies will be excluded</div></li></ul></td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">X</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Proposed sensitivity / subgroup analysis, or meta-regression</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:middle;">Subgroups to be analysed if heterogeneity found:
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<ul id="ch12.l40"><li id="ch12.lt203" class="half_rhythm"><div>Younger adults (aged 18-25)</div></li><li id="ch12.lt204" class="half_rhythm"><div>Frail elderly</div></li><li id="ch12.lt205" class="half_rhythm"><div>People with dementia</div></li><li id="ch12.lt206" class="half_rhythm"><div>People with hearing loss</div></li><li id="ch12.lt207" class="half_rhythm"><div>People with advanced heart and lung disease</div></li><li id="ch12.lt208" class="half_rhythm"><div>People in prisons</div></li><li id="ch12.lt209" class="half_rhythm"><div>Socioeconomic inequalities (people from lower income brackets)</div></li><li id="ch12.lt210" class="half_rhythm"><div>Homeless people/vulnerably housed</div></li><li id="ch12.lt211" class="half_rhythm"><div>Travelers</div></li><li id="ch12.lt212" class="half_rhythm"><div>People with learning difficulties</div></li><li id="ch12.lt213" class="half_rhythm"><div>People with disabilities</div></li><li id="ch12.lt214" class="half_rhythm"><div>People with mental health problems</div></li><li id="ch12.lt215" class="half_rhythm"><div>Migrant workers</div></li><li id="ch12.lt216" class="half_rhythm"><div>LGBT</div></li><li id="ch12.lt217" class="half_rhythm"><div>People in whom life-prolonging therapies are still an active option</div></li></ul></td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XI</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Selection process – duplicate screening / selection / analysis</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Quality assurance will be undertaken by a senior research fellow prior to completion.</p>
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<p>Review strategy/other analysis:
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<ul id="ch12.l41"><li id="ch12.lt218" class="half_rhythm"><div>Information on identification tools used as part of a service will be extracted.</div></li><li id="ch12.lt219" class="half_rhythm"><div>Due to the expected complexity of the service models implemented in the studies, studies will be reported separately if necessary. In such case, studies on the populations included in the subgroup list will be highlighted to the Committee and will be considered when making the recommendations</div></li></ul></p>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XII</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Data management (software)</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<ul id="ch12.l42"><li id="ch12.lt220" class="half_rhythm"><div>Pairwise meta-analyses were performed using Cochrane Review Manager (RevMan5).</div></li><li id="ch12.lt221" class="half_rhythm"><div>GRADEpro was used to assess the quality of evidence for each outcome.</div></li><li id="ch12.lt222" class="half_rhythm"><div>Endnote was used for:
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<ul id="ch12.l43" class="circle"><li id="ch12.lt223" class="half_rhythm"><div>Bibliographies / citations, text mining, and study sifting</div></li></ul></div></li><li id="ch12.lt224" class="half_rhythm"><div>Evibase was used for Data extraction and quality assessment / critical appraisal</div></li></ul>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XIII</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Information sources – databases and dates</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">
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<p>Databases: Medline, Embase, The Cochrane LIbrary</p>
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<p>Date limits for search: all years</p>
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<p>Language: English only</p>
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<p>A call for evidence was also conducted.</p>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XIV</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Identify if an update</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:bottom;">Not applicable</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XV</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Author contacts</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<a href="https://www.nice.org.uk/guidance/indevelopment/gid-cgwave0799" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">https://www<wbr style="display:inline-block"></wbr>​.nice.org<wbr style="display:inline-block"></wbr>​.uk/guidance/indevelopment<wbr style="display:inline-block"></wbr>​/gid-cgwave0799</a>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XVI</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Highlight if amendment to previous protocol</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see section 4.5 of <a href="https://www.nice.org.uk/article/pmg20/chapter/4-Developing-review-questions-and-planning-the-evidence-review#planning-the-evidence-review" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a>.</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XVII</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Search strategy – for one database</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see <a href="#ch12.appb">Appendix B</a></td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XVIII</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Data collection process – forms / duplicate</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">A standardised evidence table format will be used, and published as <a href="#ch12.appd">Appendix D</a> of the evidence report.</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XIX</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Data items – define all variables to be collected</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see evidence tables in <a href="#ch12.appd">Appendix D</a> (clinical evidence tables) or <a href="#ch12.apph">H</a> (health economic evidence tables).</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XX</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Methods for assessing bias at outcome / study level</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:middle;">
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<p>Standard study checklists were used to critically appraise individual studies. For details please see section 6.2 of <a href="https://www.nice.org.uk/article/pmg20/chapter/6-Reviewing-research-evidence#assessing-the-quality-of-the-evidence" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a></p>
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<p>The risk of bias across all available evidence was evaluated for each outcome using an adaptation of the ‘Grading of Recommendations Assessment, Development and Evaluation (GRADE) toolbox’ developed by the international GRADE working group <a href="http://www.gradeworkinggroup.org/" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">http://www<wbr style="display:inline-block"></wbr>​.gradeworkinggroup.org/</a></p>
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<p>[Please document any deviations/alternative approach when GRADE isn’t used or if a modified GRADE approach has been used for non-intervention or non-comparative studies.]</p>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXI</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Criteria for quantitative synthesis</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see section 6.4 of <a href="https://www.nice.org.uk/article/pmg20/chapter/6-Reviewing-research-evidence#assessing-the-quality-of-the-evidence" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a>.</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXII</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Methods for quantitative analysis – combining studies and exploring (in)consistency</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see the separate <a href="/books/NBK558770/bin/bm1.pdf">Methods</a> report for this guideline.</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXIII</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Meta-bias assessment – publication bias, selective reporting bias</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>For details please see section 6.2 of <a href="https://www.nice.org.uk/article/pmg20/chapter/6-Reviewing-research-evidence#assessing-the-quality-of-the-evidence" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a>.</p>
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<p>[Consider exploring publication bias for review questions where it may be more common, such as pharmacological questions, and certain disease areas. Describe any steps taken to mitigate against publication bias, such as examining trial registries.]</p>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXIV</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Confidence in cumulative evidence</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see sections 6.4 and 9.1 of <a href="https://www.nice.org.uk/article/pmg20/chapter/1-Introduction-and-overview" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a>.</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXV</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Rationale / context – what is known</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">For details please see the introduction to the evidence review.</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXVI</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Describe contributions of authors and guarantor</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>A multidisciplinary committee [<a href="https://www.nice.org.uk/guidance/indevelopment/gid-cgwave0799" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">https://www<wbr style="display:inline-block"></wbr>​.nice.org<wbr style="display:inline-block"></wbr>​.uk/guidance/indevelopment<wbr style="display:inline-block"></wbr>​/gid-cgwave0799</a>] developed the evidence review. The committee was convened by the National Guideline Centre (NCommittee) and chaired by Mark Thomas in line with section 3 of <a href="https://www.nice.org.uk/article/pmg20/chapter/1%20Introduction%20and%20overview" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a>.</p>
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<p>Staff from NCommittee undertook systematic literature searches, appraised the evidence, conducted meta-analysis and cost-effectiveness analysis where appropriate, and drafted the evidence review in collaboration with the committee. For details please see <a href="https://www.nice.org.uk/article/pmg20/chapter/1-Introduction-and-overview" ref="pagearea=body&targetsite=external&targetcat=link&targettype=uri">Developing NICE guidelines: the manual</a>.</p>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXVII</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sources of funding / support</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NCommittee is funded by NICE and hosted by the Royal College of Physicians.</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXVIII</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Name of sponsor</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NCommittee is funded by NICE and hosted by the Royal College of Physicians.</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXIX</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Roles of sponsor</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">NICE funds NCommittee to develop guidelines for those working in the NHS, public health and social care in England.</td></tr><tr><td headers="hd_h_ch12.appa.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">XXX</td><td headers="hd_h_ch12.appa.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">PROSPERO registration number</td><td headers="hd_h_ch12.appa.tab2_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not registered</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appatab3"><div id="ch12.appa.tab3" class="table"><h3><span class="label">Table 44</span><span class="title">Health economic review protocol</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appa.tab3/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appa.tab3_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.appa.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:middle;">Review question</th><th id="hd_h_ch12.appa.tab3_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:middle;">All questions – health economic evidence</th></tr></thead><tbody><tr><td headers="hd_h_ch12.appa.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<b>Objectives</b>
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</td><td headers="hd_h_ch12.appa.tab3_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">To identify health economic studies relevant to any of the review questions.</td></tr><tr><td headers="hd_h_ch12.appa.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<b>Search criteria</b>
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</td><td headers="hd_h_ch12.appa.tab3_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<ul id="ch12.l44"><li id="ch12.lt225" class="half_rhythm"><div>Populations, interventions and comparators must be as specified in the clinical review protocol above.</div></li><li id="ch12.lt226" class="half_rhythm"><div>Studies must be of a relevant health economic study design (cost–utility analysis, cost-effectiveness analysis, cost–benefit analysis, cost–consequences analysis, comparative cost analysis).</div></li><li id="ch12.lt227" class="half_rhythm"><div>Studies must not be a letter, editorial or commentary, or a review of health economic evaluations. (Recent reviews will be ordered although not reviewed. The bibliographies will be checked for relevant studies, which will then be ordered.)</div></li><li id="ch12.lt228" class="half_rhythm"><div>Unpublished reports will not be considered unless submitted as part of a call for evidence.</div></li><li id="ch12.lt229" class="half_rhythm"><div>Studies must be in English.</div></li></ul>
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</td></tr><tr><td headers="hd_h_ch12.appa.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<b>Search strategy</b>
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</td><td headers="hd_h_ch12.appa.tab3_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">A health economic study search will be undertaken using population-specific terms and a health economic study filter – see <a href="#ch12.appa">Appendix A</a>.</td></tr><tr><td headers="hd_h_ch12.appa.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<b>Review strategy</b>
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</td><td headers="hd_h_ch12.appa.tab3_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Studies not meeting any of the search criteria above will be excluded. Studies published before 2007, abstract-only studies and studies from non-OECD countries or the USA will also be excluded.</p>
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<p>Each remaining study will be assessed for applicability and methodological limitations using the NICE economic evaluation checklist which can be found in <a href="#ch12.apph">Appendix H</a> of Developing NICE guidelines: the manual (2014).<a class="bibr" href="#ch12.ref164" rid="ch12.ref164"><sup>164</sup></a></p>
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<p><b>Inclusion and exclusion criteria</b>
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<ul id="ch12.l45"><li id="ch12.lt230" class="half_rhythm"><div>If a study is rated as both ‘Directly applicable’ and with ‘Minor limitations’ then it will be included in the guideline. A health economic evidence table will be completed and it will be included in the health economic evidence profile.</div></li><li id="ch12.lt231" class="half_rhythm"><div>If a study is rated as either ‘Not applicable’ or with ‘Very serious limitations’ then it will usually be excluded from the guideline. If it is excluded then a health economic evidence table will not be completed and it will not be included in the health economic evidence profile.</div></li><li id="ch12.lt232" class="half_rhythm"><div>If a study is rated as ‘Partially applicable’, with ‘Potentially serious limitations’ or both then there is discretion over whether it should be included.</div></li></ul>
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<b>Where there is discretion</b></p>
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<p>The health economist will make a decision based on the relative applicability and quality of the available evidence for that question, in discussion with the guideline committee if required. The ultimate aim is to include health economic studies that are helpful for decision-making in the context of the guideline and the current NHS setting. If several studies are considered of sufficiently high applicability and methodological quality that they could all be included, then the health economist, in discussion with the committee if required, may decide to include only the most applicable studies and to selectively exclude the remaining studies. All studies excluded on the basis of applicability or methodological limitations will be listed with explanation as excluded health economic studies in Appendix M.</p>
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<p>The health economist will be guided by the following hierarchies.</p>
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<p><i>Setting:</i>
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<ul id="ch12.l46"><li id="ch12.lt233" class="half_rhythm"><div>UK NHS (most applicable).</div></li><li id="ch12.lt234" class="half_rhythm"><div>OECD countries with predominantly public health insurance systems (for example, France, Germany, Sweden).</div></li><li id="ch12.lt235" class="half_rhythm"><div>OECD countries with predominantly private health insurance systems (for example, Switzerland).</div></li><li id="ch12.lt236" class="half_rhythm"><div>Studies set in non-OECD countries or in the USA will be excluded before being assessed for applicability and methodological limitations.</div></li></ul>
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<i>Health economic study type:</i>
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<ul id="ch12.l47"><li id="ch12.lt237" class="half_rhythm"><div>Cost–utility analysis (most applicable).</div></li><li id="ch12.lt238" class="half_rhythm"><div>Other type of full economic evaluation (cost–benefit analysis, cost-effectiveness analysis, cost–consequences analysis).</div></li><li id="ch12.lt239" class="half_rhythm"><div>Comparative cost analysis.</div></li><li id="ch12.lt240" class="half_rhythm"><div>Non-comparative cost analyses including cost-of-illness studies will be excluded before being assessed for applicability and methodological limitations.</div></li></ul>
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<i>Year of analysis:</i>
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<ul id="ch12.l48"><li id="ch12.lt241" class="half_rhythm"><div>The more recent the study, the more applicable it will be.</div></li><li id="ch12.lt242" class="half_rhythm"><div>Studies published in 2007 or later but that depend on unit costs and resource data entirely or predominantly from before 2007 will be rated as ‘Not applicable’.</div></li><li id="ch12.lt243" class="half_rhythm"><div>Studies published before 2007 will be excluded before being assessed for applicability and methodological limitations.</div></li></ul>
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<i>Quality and relevance of effectiveness data used in the health economic analysis:</i>
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<ul id="ch12.l49"><li id="ch12.lt244" class="half_rhythm"><div>The more closely the clinical effectiveness data used in the health economic analysis match with the outcomes of the studies included in the clinical review the more useful the analysis will be for decision-making in the guideline.</div></li></ul></p>
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</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab1"><div id="ch12.appb.tab1" class="table"><h3><span class="label">Table 45</span><span class="title">Database date parameters and filters used</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab1/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab1_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.appb.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Database</th><th id="hd_h_ch12.appb.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Dates searched</th><th id="hd_h_ch12.appb.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Search filter used</th></tr></thead><tbody><tr><td headers="hd_h_ch12.appb.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Medline (Ovid)</td><td headers="hd_h_ch12.appb.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1946 – 04 January 2019</td><td headers="hd_h_ch12.appb.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Exclusions</td></tr><tr><td headers="hd_h_ch12.appb.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Embase (Ovid)</td><td headers="hd_h_ch12.appb.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1974 – 04 January 2019</td><td headers="hd_h_ch12.appb.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Exclusions</td></tr><tr><td headers="hd_h_ch12.appb.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">The Cochrane Library (Wiley)</td><td headers="hd_h_ch12.appb.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>Cochrane Reviews to Issue 1 of 12, January 2019</p>
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<p>CENTRAL to Issue 1 of 12, January 2019</p>
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<p>DARE, and NHSEED to Issue 2 of 4 2015</p>
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<p>HTA to Issue 4 of 4 2016</p>
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</td><td headers="hd_h_ch12.appb.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">None</td></tr><tr><td headers="hd_h_ch12.appb.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">CINAHL, Current Nursing and Allied Health Literature (EBSCO)</td><td headers="hd_h_ch12.appb.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inception – 04 January 2019</td><td headers="hd_h_ch12.appb.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Limiters - English Language; Exclude MEDLINE records; Publication Type: Clinical Trial, Journal Article, Meta Analysis, Randomized Controlled Trial, Systematic Review: Age Groups: All Adult; Language: English</td></tr><tr><td headers="hd_h_ch12.appb.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">PsycINFO (ProQuest)</td><td headers="hd_h_ch12.appb.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inception – 04 January 2019</td><td headers="hd_h_ch12.appb.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Study type</td></tr><tr><td headers="hd_h_ch12.appb.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">HMIC. Healthcare Management Information Consortium (Ovid)</td><td headers="hd_h_ch12.appb.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1979 – 04 January 2019</td><td headers="hd_h_ch12.appb.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Exclusions</td></tr><tr><td headers="hd_h_ch12.appb.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">SPP, Social Policy and Practice</td><td headers="hd_h_ch12.appb.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1981 – 04 January 2019</td><td headers="hd_h_ch12.appb.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Study types</td></tr><tr><td headers="hd_h_ch12.appb.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">ASSIA, Applied Social Sciences Index and Abstracts (ProQuest)</td><td headers="hd_h_ch12.appb.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1987 – 04 January 2019</td><td headers="hd_h_ch12.appb.tab1_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">None</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab2"><div id="ch12.appb.tab2" class="table"><h3><span class="title">Medline (Ovid) search terms</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab2/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab2_lrgtbl__"><table><tbody><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Palliative care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">2.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Terminal care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">3.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospice care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">4.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">palliat*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">5.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Terminally Ill/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">6.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((terminal* or long term or longterm) adj2 (care* or caring or ill*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">7.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or terminal) adj (phase* or stage*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">8.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">life limit*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">9.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Nursing Homes/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">10.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Respite Care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">11.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((respite or day) adj2 (care or caring)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">12.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospices/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">13.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">hospice*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">14.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Advance Care Planning/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">15.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(advance* adj2 (plan* or decision* or directive*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">16.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">living will*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">17.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Patient care planning/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">18.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*“Continuity of Patient Care”/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">19.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((advance* or patient*) adj3 (care or caring) adj3 (continu* or plan*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">20.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Attitude to Death/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">21.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(attitude* adj3 (death* or dying*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">22.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Physician-Patient Relations/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">23.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Long-Term Care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">24.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*“Delivery of Health Care”/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">25.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(end adj2 life).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">26.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">EOLC.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">27.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((last or final) adj2 (year or month*) adj2 life).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">28.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or death) adj2 (patient* or person* or people or care or caring)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">29.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/1-28</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">30.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">letter/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">31.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">editorial/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">32.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">news/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">33.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp historical article/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">34.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Anecdotes as Topic/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">35.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">comment/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">36.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">case report/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">37.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(letter or comment*).ti.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">38.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/30-37</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">39.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomized controlled trial/ or random*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">40.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">38 not 39</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">41.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">animals/ not humans/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">42.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Animals, Laboratory/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">43.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Animal Experimentation/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">44.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Models, Animal/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">45.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Rodentia/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">46.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(rat or rats or mouse or mice).ti.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">47.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/40-46</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">48.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">29 not 47</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">49.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">limit 48 to English language</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">50.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(exp child/ or exp pediatrics/ or exp infant/) not (exp adolescent/ or exp adult/ or exp middle age/ or exp aged/)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">51.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">49 not 50</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">52.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Social Welfare/ec, ed, es, eh, ma, st, sn, td [Economics, Education, Ethics, Ethnology, Manpower, Standards, Statistics & Numerical Data, Trends]</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">53.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Charities/ec, ed, es, ma, mt, og, st, sn, sd, td, ut [Economics, Education, Ethics, Manpower, Methods, Organization & Administration, Standards, Statistics & Numerical Data, Supply & Distribution, Trends, Utilization]</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">54.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Home Care Services/ec, ed, es, ma, mt, og, st, sn, sd, td, ut [Economics, Education, Ethics, Manpower, Methods, Organization & Administration, Standards, Statistics & Numerical Data, Supply & Distribution, Trends, Utilization]</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">55.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Community Health Nursing/ec, ed, es, ma, mt, og, st, sn, sd, td, ut [Economics, Education, Ethics, Manpower, Methods, Organization & Administration, Standards, Statistics & Numerical Data, Supply & Distribution, Trends, Utilization]</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">56.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Telemedicine/ec, es, ma, mt, og, st, sn, td, ut [Economics, Ethics, Manpower, Methods, Organization & Administration, Standards, Statistics & Numerical Data, Trends, Utilization]</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">57.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp remote consultation/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">58.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*telemedicine/ or *telepathology/ or *teleradiology/ or *telerehabilitation/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">59.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(telemedicine or tele medicine or telehealth or tele health or virtual hospital* or helpline* or help line* or rapid response team* or telepathology or teleradiology or telerehabilitatio).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">60.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((tele* or remote) adj2 consult*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">61.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mobile Health Units/ec, es, ma, og, st, sn, sd, td, ut [Economics, Ethics, Manpower, Organization & Administration, Standards, Statistics & Numerical Data, Supply & Distribution, Trends, Utilization]</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">62.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(mobile adj2 (health or care) adj2 unit*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">63.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(hospital-based home care or HBHC or hospital-based hospice care or acute hospital care).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">64.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(hospital adj3 (domicil* or home)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">65.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">home hospitali*ation.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">66.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Home Care Agencies/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">67.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(social adj (welfare or care)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">68.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(nurs* adj4 (home-visit* or home visit* or home-based or home based)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">69.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((district* or communit* or home or visit*) adj nurs*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">70.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(community adj2 (health care or healthcare or nursing or nurse*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">71.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((hospitali*ation* or admission* or readmission* or admit*) adj3 (reduc* or avoid* or prevent* or inappropiate or increase* or risk*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">72.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/52-71</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">73.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">51 and 72</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">74.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(commission* adj2 (support* or service* or model*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">75.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((service* or program* or co-ordinat* or co ordinat* or coordinat*) adj2 (model* or deliver* or strateg* or support* or access* or method* or system* or policies or policy or availab*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">76.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Critical Pathways/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">77.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((critical or clinic* or service* or care) adj2 path*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">78.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Patient Care Bundles/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">79.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(care adj2 (bundle* or service* or package* or standard*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">80.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/74-79</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">81.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(assess* or criteria* or predict* or recogni* or identif* or refer*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">82.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">51 and 80 and 81</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">83.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">gold standard*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">84.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">51 and 83</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">85.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(amber adj2 bundle).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">86.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">82 or 84 or 85</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">87.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">patient care team/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">88.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">interdisciplinary communication/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">89.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(((interdisciplin* or inter-disciplin* or interprofession* or inter-profession* or multidisciplin* or multi-disciplin* or multi-profession* or multiprofession* or transprofession* or trans-profession*) adj2 (team* or staff* or meeting* or manag* or appointment* or system* or program* or practic* or advic* or advis* or caring or intervention* or ward* or round* or panel* or forum* or fora or communicat* or collaborat* or relat*)) or MDT or IDT).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">90.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(((integrat* or network*) adj2 (team* or staff* or meeting* or manag* or appointment* or system* or program* or practic* or advic* or advis* or caring or intervention* or ward* or round* or panel* or forum* or fora or communicat* or collaborat* or relat*)) or MDT or IDT).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">91.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(key adj2 work*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">92.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((healthcare or care) adj2 (lead or leader or leads or facilitat*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">93.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((healthcare or care) adj1 profession*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">94.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Case Management/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">95.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(case adj2 manage*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">96.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(co-ordinator* or coordinator* or coordinate* or co-ordinate*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">97.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Or/87-96</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">98.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*“Continuity of Patient Care”/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">99.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Aftercare/ or *Patient discharge/ or *Patient handoff/ or *Patient transfer/ or *Transitional care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">100.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Patient Discharge Summaries/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">101.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((patient* or person* or people or nursing* or clinic*) adj (discharg* or handover* or hand* over* or handoff* or hand off* or signout* or sign* out* or signover* or sign* over*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">102.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((care or caring or serv*) adj2 (continu* or change* or transition* or transfer*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">103.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(discharg* adj2 (facilitat* or rapid* or pathway* or path way* or plan* or program*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">104.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Or/98-103</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">105.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Caregiver/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">106.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Spouse/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">107.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Family/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">108.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(spouse* or wife or wives or husband* or carer* or caregiver* or care giver* or significant other* or friend* or partner* or family or families or individual* or sibling* or brother* or sister* or relative or relatives or mothers* or daughters* or father* or son or sons or uncle* or aunt* or grand mother* or grandmother* or grandfather* or grand father* or aunt* or uncle* or cousin* or niece* or nephew*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">109.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Or/105-108</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">110.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((replacement or break* or holiday* or respite) adj3 (care* or service*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">111.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((communit* or support* or psychosocial* or psycholog*) adj3 (service* or group* or system*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">112.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((group* or support* or psychosocial* or psycholog*) adj3 (selfhelp or self help or therap*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">113.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((psychosocial* or psycholog*) adj2 support*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">114.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Self-Help/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">115.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Social support/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">116.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Counseling/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">117.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(counseling or counselling*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">118.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(buddy* or buddies).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">119.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((health* or medical*) adj2 check*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">120.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((spouse* or wife or wives or husband* or carer* or caregiver* or care giver* or significant other* or friend* or partner* or family or families or individual* or sibling* or brother* or sister* or relative or relatives or mothers* or daughters* or father* or son or sons or uncle* or aunt* or grand mother* or grandmother* or grandfather* or grand father* or aunt* or uncle* or cousin* or niece* or nephew*) adj3 (education or educate or educating or information or literature or leaflet* or booklet* or pamphlet* or website* or knowledge)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">121.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Or/110-120</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">122.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">52 and 109 and 121</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">123.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(service* adj3 (provision* or deliver* or addition* or method* or time* or timing or frequent* or frequenc* or review* or ident* or assess*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">124.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">51 and (97 or 104 or 123)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">125.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">73 or 86 or 122 or 124</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab3"><div id="ch12.appb.tab3" class="table"><h3><span class="title">Embase (Ovid) search terms</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab3/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab3_lrgtbl__"><table><tbody><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Palliative therapy/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">2.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Terminal care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">3.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Hospice care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">4.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">palliat*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">5.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Terminally ill patient/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">6.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((terminal* or long term or longterm) adj2 (care* or caring or ill*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">7.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or terminal) adj (phase* or stage*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">8.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">life limit*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">9.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Nursing home/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">10.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Respite Care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">11.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((respite or day) adj2 (care or caring)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">12.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Hospice/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">13.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">hospice*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">14.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Patient care planning/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">15.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(advance* adj2 (plan* or decision* or directive*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">16.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">living will*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">17.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Patient care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">18.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((advance* or patient*) adj3 (care or caring) adj3 (continu* or plan*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">19.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Attitude to Death/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">20.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(attitude* adj3 (death* or dying*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">21.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Doctor patient relation/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">22.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Long term care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">23.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Health care delivery/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">24.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(end adj2 life).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">25.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">EOLC.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">26.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((last or final) adj2 (year or month*) adj2 life).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">27.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or death) adj2 (patient* or person* or people or care or caring)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">28.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/1-27</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">29.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">letter.pt. or letter/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">30.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">note.pt.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">31.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">editorial.pt.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">32.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">case report/ or case study/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">33.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(letter or comment*).ti.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">34.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/29-33</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">35.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomized controlled trial/ or random*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">36.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">34 not 35</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">37.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">animal/ not human/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">38.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">nonhuman/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">39.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Animal Experiment/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">40.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Experimental Animal/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">41.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">animal model/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">42.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Rodent/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">43.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(rat or rats or mouse or mice).ti.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">44.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/36-43</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">45.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">28 not 44</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">46.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">limit 45 to English language</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">47.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(exp child/ or exp pediatrics/ or exp infant/) not (exp adolescent/ or exp adult/ or exp middle age/ or exp aged/)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">48.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">46 not 47</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">49.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*social welfare/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">50.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*community health nursing/ or *community care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">51.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*senior center/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">52.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*telemedicine/ or *telehealth/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">53.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*teleconsultation/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">54.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(telehealth or tele health or virtual hospital* or helpline* or help line* or rapid response team* or mobile health unit*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">55.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*home care/ or *home health agency/ or *home monitoring/ or *home oxygen therapy/ or *home physiotherapy/ or *home rehabilitation/ or *home respiratory care/ or *respite care/ or *visiting nursing service/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">56.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*health care personnel/ or *health auxiliary/ or *nursing home personnel/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">57.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(telemedicine or tele medicine or telehealth or tele health or virtual hospital* or helpline* or help line* or rapid response team* or telepathology or teleradiology or telerehabilitatio).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">58.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((tele* or remote) adj2 consult*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">59.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(mobile adj2 (health or care) adj2 unit*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">60.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(hospital-based home care or HBHC or hospital-based hospice care or acute hospital care).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">61.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(hospital adj3 (domicil* or home)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">62.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">home hospitali*ation.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">63.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(social adj (welfare or care)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">64.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(nurs* adj4 (home-visit* or home visit* or home-based or home based)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">65.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((district* or communit* or home or visit*) adj nurs*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">66.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(community adj2 (health care or healthcare or nursing or nurse*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">67.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((hospitali*ation* or admission* or readmission* or admit*) adj3 (reduc* or avoid* or prevent* or inappropiate or increase* or risk*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">68.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/49-67</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">69.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">48 and 68</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">70.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(commission* adj2 (support* or service* or model*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">71.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((service* or program* or co-ordinat* or co ordinat* or coordinat*) adj2 (model* or deliver* or strateg* or support* or access* or method* or system* or policies or policy or availab*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">72.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Clinical Pathway/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">73.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((critical or clinic* or service* or care) adj2 path*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">74.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Care Bundle/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">75.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(care adj2 (bundle* or service* or package* or standard*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">76.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/70-75</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">77.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(assess* or criteria* or predict* or recogni* or identif* or refer*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">78.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">48 and 76 and 77</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">79.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">gold standard*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">80.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">48 and 79</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">81.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(amber adj2 bundle).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">82.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">78 or 80 or 81</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">83.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">interdisciplinary communication/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">84.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">patient care team*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">85.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(((interdisciplin* or inter-disciplin* or interprofession* or inter-profession* or multidisciplin* or multi-disciplin* or multi-profession* or multiprofession* or transprofession* or trans-profession*) adj2 (team* or staff* or meeting* or manag* or appointment* or system* or program* or practic* or advic* or advis* or caring or intervention* or ward* or round* or panel* or forum* or fora or communicat* or collaborat* or relat*)) or MDT or IDT).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">86.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(((integrat* or network*) adj2 (team* or staff* or meeting* or manag* or appointment* or system* or program* or practic* or advic* or advis* or caring or intervention* or ward* or round* or panel* or forum* or fora or communicat* or collaborat* or relat*)) or MDT or IDT).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">87.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(key adj2 work*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">88.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((healthcare or care) adj2 (lead or leader or leads or facilitat*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">89.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((healthcare or care) adj1 profession*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">90.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Case Management/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">91.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(case adj2 manage*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">92.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(co-ordinator* or coordinator* or coordinate* or co-ordinate*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">93.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Or/83-92</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">94.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*patient care/ or *case management/ or *patient care planning/ or *rapid response team/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">95.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*aftercare/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">96.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*hospital discharge/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">97.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*clinical handover/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">98.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*transitional care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">99.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*patient care planning/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">100.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*medical record/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">101.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((patient* or person* or people or nursing* or clinic*) adj (discharg* or handover* or hand* over* or handoff* or hand off* or signout* or sign* out* or signover* or sign* over*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">102.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((care or caring or serv*) adj2 (continu* or change* or transition* or transfer*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">103.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(discharg* adj2 (facilitat* or rapid* or pathway* or path way* or plan* or program*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">104.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Or/94-103</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">105.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Caregiver/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">106.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Spouse/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">107.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Family/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">108.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(spouse* or wife or wives or husband* or carer* or caregiver* or care giver* or significant other* or friend* or partner* or family or families or individual* or sibling* or brother* or sister* or relative or relatives or mothers* or daughters* or father* or son or sons or uncle* or aunt* or grand mother* or grandmother* or grandfather* or grand father* or aunt* or uncle* or cousin* or niece* or nephew*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">109.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Or/105-108</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">110.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((replacement or break* or holiday* or respite) adj3 (care* or service*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">111.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((communit* or support* or psychosocial* or psycholog*) adj3 (service* or group* or system*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">112.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((group* or support* or psychosocial* or psycholog*) adj3 (selfhelp or self help or therap*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">113.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((psychosocial* or psycholog*) adj2 support*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">114.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Self-Help/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">115.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Social support/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">116.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Counseling/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">117.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(counseling or counselling*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">118.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(buddy* or buddies).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">119.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((health* or medical*) adj2 check*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">120.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((spouse* or wife or wives or husband* or carer* or caregiver* or care giver* or significant other* or friend* or partner* or family or families or individual* or sibling* or brother* or sister* or relative or relatives or mothers* or daughters* or father* or son or sons or uncle* or aunt* or grand mother* or grandmother* or grandfather* or grand father* or aunt* or uncle* or cousin* or niece* or nephew*) adj3 (education or educate or educating or information or literature or leaflet* or booklet* or pamphlet* or website* or knowledge)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">121.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/109-120</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">122.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">48 and 109 and 120</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">123.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(service* adj3 (provision* or deliver* or addition* or method* or time* or timing or frequent* or frequenc* or review* or ident* or assess*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">124.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">48 and (93 or 104 or 123)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">125.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">69 or 82 or 122 or 124</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab4"><div id="ch12.appb.tab4" class="table"><h3><span class="title">Cochrane Library (Wiley) search terms</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab4/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab4_lrgtbl__"><table><tbody><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#1.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Palliative Care] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#2.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Terminal Care] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#3.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Hospice Care] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#4.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">palliat*:ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#5.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Terminally Ill] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#6.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((terminal* or long term or longterm) near/2 (care* or caring or ill*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#7.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or terminal) near (phase* or stage*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#8.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">life limit*:ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#9.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Nursing Homes] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#10.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Respite Care] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#11.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((respite or day) near/2 (care or caring)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#12.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Hospices] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#13.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">hospice*:ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#14.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Patient Care Planning] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#15.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Continuity of Patient Care] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#16.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((advance* or patient*) near/3 (care or caring) near/3 (continu* or plan*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#17.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Attitude to Death] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#18.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(attitude* near/3 (death* or dying*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#19.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Physician-Patient Relations] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#20.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Long-Term Care] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#21.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Delivery of Health Care] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#22.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(end near/2 life):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#23.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">EOLC:ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#24.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((last or final) near/2 (year or month*) near/2 life):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#25.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or death) near/2 (patient* or person* or people or care or caring)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#26.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Advance Care Planning] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#27.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(advance* near/2 (plan* or decision* or directive*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#28.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(or #1-#27)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#29.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Social Welfare] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#30.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Charities] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#31.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Adult Day Care Centers] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#32.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Community Health Nursing] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#33.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Home Care Services] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#34.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Senior Centers] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#35.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Telemedicine] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#36.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Remote Consultation] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#37.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(telehealth or tele health or virtual hospital* or helpline* or help line* or rapid response team*):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#38.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Mobile Health Units] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#39.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((community based or community dwelling home or rural) near/3 (care or health care or healthcare)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#40.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(hospital-based home care or HBHC or hospital-based hospice care or acute hospital care):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#41.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((hospitali*ation* or admission* or readmission* or admit*) near/3 (reduc* or avoid* or prevent* or inappropiate or increase* or risk*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#42.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(home based versus hospital based):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#43.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(hospital near/3 (domicil* or home)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#44.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(home hospitali*ation):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#45.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Home Care Services, Hospital-Based] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#46.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Home Health Nursing] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#47.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Homemaker Services] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#48.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Home Care Agencies] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#49.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Home Health Aides] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#50.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(social care):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#51.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Nurses, Community Health] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#52.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(nurs* near/4 (home-visit* or home visit* or home-based or home based)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#53.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((district* or communit* or home or visit*) near nurs*):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#54.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(or #29-#53)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#55.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#28 and #54</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#56.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(commission* near/2 (support* or service* or model*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#57.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((service* or program* or co-ordinat* or co ordinat* or coordinat*) near/2 (model* or deliver* or strateg* or support* or access* or method* or system* or policies or policy or availab*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#58.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Critical Pathways] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#59.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((critical or clinic* or service* or care) near/2 path*):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#60.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Patient Care Bundles] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#61.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(care near/2 (bundle* or service* or package* or standard*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#62.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(or #56-#61)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#63.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(assess* or criteria* or predict* or recogni* or identif* or refer*):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#64.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#27 and #62 and #63</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#65.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">gold standard*:ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#66.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#27 and #65</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#67.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(amber near/2 bundle):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#68.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#64 or #66 or #67</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#69.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Patient Care Team] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#70.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Interdisciplinary Communication] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#71.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(((interdisciplin* or inter-disciplin* or interprofession* or inter-profession* or multidisciplin* or multi-disciplin* or multi-profession* or multiprofession* or transprofession* or trans-profession*) near/2 (team* or staff* or meeting* or manag* or appointment* or system* or program* or practic* or advic* or advis* or caring or intervention* or ward* or round* or panel* or forum* or fora or communicat* or collaborat* or relat*)) or MDT or IDT):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#72.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((integrat* or network*) near/2 (team* or staff* or meeting* or manag* or appointment* or system* or program* or practic* or advic* or advis* or caring or intervention* or ward* or round* or panel* or forum* or fora or communicat* or collaborat* or relat*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#73.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(key near/2 work*):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#74.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((healthcare or care) near/2 (lead or leader or leads or facilitat*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#75.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((healthcare or care) near/1 profession*):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#76.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Case Management] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#77.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(case near/2 manage*):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#78.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(co-ordinator* or coordinator* or coordinate* or co-ordinate*):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#79.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(or #69-#78)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#80.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Continuity of Patient Care] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#81.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Aftercare] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#82.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Patient Discharge] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#83.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Patient Handoff] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#84.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Patient Transfer] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#85.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Transitional Care] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#86.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Patient Discharge Summaries] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#87.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((patient* or person* or people or nursing* or clinic*) near (discharg* or handover* or hand* over* or handoff* or hand off* or signout* or sign* out* or signover* or sign* over*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#88.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((care or caring or serv*) near/2 (continu* or change* or transition* or transfer*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#89.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(discharg* near/2 (facilitat* or rapid* or pathway* or path way* or plan* or program*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#90.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(or #80-#89)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#91.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Caregivers] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#92.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Spouses] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#93.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Family] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#94.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(spouse* or wife or wives or husband* or carer* or caregiver* or care giver* or significant other* or friend* or partner* or family or families or individual* or sibling* or brother* or sister* or relative or relatives or mothers* or daughters* or father* or son or sons or uncle* or aunt* or grand mother* or grandmother* or grandfather* or grand father* or aunt* or uncle* or cousin* or niece* or nephew*):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#95.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(or #91-#94)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#96.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((replacement or break* or holiday* or respite) near/3 (care* or service*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#97.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((communit* or support* or psychosocial* or psycholog*) near/3 (service* or group* or system*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#98.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((group* or support* or psychosocial* or psycholog*) near/3 (selfhelp or self help or therap*)):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#99.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((psychosocial* or psycholog*) near/2 support*):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#100.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Self-Help Groups] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#101.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Social Support] explode all trees</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#102.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH descriptor: [Counseling] this term only</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#103.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(counseling or counselling*):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#104.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(buddy* or buddies):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#105.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(health or medical*) near/3 check*:ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#106.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(spouse* or wife or wives or husband* or carer* or caregiver* or care giver* or significant other* or friend* or partner* or family or families or individual* or sibling* or brother* or sister* or relative or relatives or mothers* or daughters* or father* or son or sons or uncle* or aunt* or grand mother* or grandmother* or grandfather* or grand father* or aunt* or uncle* or cousin* or niece* or nephew*) near/3 (education or educate or educating or information or literature or leaflet* or booklet* or pamphlet* or website* or knowledge):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#107.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(or #96-#106)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#108.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">27 and 95 and 107</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#109.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">service* near/3 (provision* or deliver* or addition* or method* or time* or timing or frequent* or frequenc* or review* or ident* or assess*):ti,ab</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#110.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#29 and (#79 or #90 or #109)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#111.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#55 or #68 or #108 or #110</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab5"><div id="ch12.appb.tab5" class="table"><h3><span class="title">CINAHL (EBSCO) search terms</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab5/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab5_lrgtbl__"><table><tbody><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S1.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MH Palliative care</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S2.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MH Terminal care</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S3.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MH Hospice care</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S4.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI palliat* OR AB palliat*</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S5.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MW Terminally ill</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S6.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (terminal* or long term or longterm) AND TI (care* or caring or ill*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S7.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB (terminal* or long term or longterm) AND AB (care* or caring or ill*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S8.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (dying or terminal) AND TI (phase* or stage*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S9.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB (dying or terminal) AND AB (phase* or stage*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S10.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI life limit* OR AB life limit*</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S11.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MH Nursing homes</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S12.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (care or nursing) AND TI (home or homes)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S13.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB (care or nursing) AND AB (home or homes)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S14.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MH Respite care</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S15.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MH Respite care</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S16.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB (respite or day) AND AB (care or caring)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S17.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MH Hospices</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S18.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI Hospice* OR AB Hospice*</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S19.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MH “Patient Care Plans”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S20.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MH “Continuity of Patient Care”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S21.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (advance* or patient*) AND TI (care or caring) AND TI (continu* or plan*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S22.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB (advance* or patient*) AND AB (care or caring) AND AB (continu* or plan*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S23.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MH Attitude to Death</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S24.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI attitude* AND TI (death* or dying)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S25.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB attitude* AND AB (death* or dying)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S26.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MH Physician-Patient Relations</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S27.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MH “Long Term Care”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S28.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MH “Health Care Delivery”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S29.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI end AND TI life OR AB end AND AB life</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S30.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI EOLC OR AB EOLC</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S31.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (last or final) AND TI (year or month) AND TI life</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S32.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB (last or final) AND AB (year or month) AND AB life</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S33.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (dying or death) AND TI (patient* or person* or people or care or caring)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S34.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB (dying or death) AND AB (patient* or person* or people or care or caring)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S35.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
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<p>S1 OR S2 OR S3 OR S4 OR S5 OR S6 OR S7 OR S8 OR S9 OR S10 OR S11 OR</p>
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<p>S12 OR S13 OR S14 OR S15 OR S16 OR S17 OR S18 OR S19 OR S20 OR S21 OR</p>
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<p>S22 OR S23 OR S24 OR S25 OR S26 OR 27 OR S28 OR S29 OR S30 OR S31 OR S32 OR S33 OR S34</p>
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</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S36.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MM “Social Welfare”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S37.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MH “Charities”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S38.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MM “Adult Day Center (Saba CCC)”) OR (MM “Housing for the Elderly”) OR (MM “Older Adult Care (Saba CCC)”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S39.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MH “Community Health Nursing+”) OR (MM “Community Health Centers”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S40.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MH “Home Health Care+”) OR (MM “Home Health Aides”) OR (MM “Home Health Care Information Systems”) OR (MM “Home Health Aide Service (Saba CCC)”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S41.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MM “Housing for the Elderly”) OR (MM “Rural Health Centers”) OR (MM “Community Health Centers”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S42.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MH “Telemedicine+”) OR (MH “Telehealth+”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S43.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MM “Remote Consultation”) OR (MM “Telephone Consultation (Iowa NIC)”) OR (MM “Services for Australian Rural and Remote Allied Health”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S44.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">telehealth or tele health or virtual hospital* or helpline* or help line* or rapid response team* or senior center*</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S45.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MM “Rural Health Personnel”) OR (MM “Mobile Health Units”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S46.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">remote consultation</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S47.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((community based or community dwelling home or rural) n3 (care or health care or healthcare))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S48.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">hospital-based home care or HBHC or hospital-based hospice care or acute hospital care</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S49.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((hospitali?ation* or admission* or readmission* or admit*) n3 (reduc* or avoid* or prevent* or inappropiate or increase* or risk*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S50.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">home based versus hospital based</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S51.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(hospital n3 (domicil* or home))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S52.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">home hospitali?ation</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S53.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">home care service*</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S54.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MM “Home Health Agencies”) OR (MM “Nursing Home Personnel”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S55.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MM “Homemaker Services”) OR (MM “Health Services for the Aged”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S56.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MH “Home Health Care+”) OR (MM “Home Care Equipment and Supplies”) OR (MH “Nursing Homes”) OR (MM “National Association for Home Care & Hospice”) OR (MM “Nursing Home Patients”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S57.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">social care</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S58.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MM “Hospitals, Community”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S59.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MM “Home Nursing”) OR (MM “Home Nursing, Professional”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S60.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(nurs* n4 (home-visit* or home visit* or home-based or home based))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S61.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((district* or communit* or home or visit*) n nurs*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S62.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S36 OR S37 OR S38 OR S39 OR S40 OR S41 OR S42 OR S43 OR S44 OR S45 OR S46 OR S47 OR S48 OR S49 OR S50 OR S51 OR S52 OR S53 OR S54 OR S55 OR S56 OR S57 OR S58 OR S59 OR S60 OR S61</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S63.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S35 AND S62</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S64.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI commission* AND TI ((support* or service* or model*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S65.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB commission* AND AB ((support* or service* or model*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S66.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (service* or program* or co-ordinat* or co ordinat* or coordinat*) AND TI (model* or deliver* or strateg* or support* or access* or method* or system* or policies or policy or availab*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S67.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB (service* or program* or co-ordinat* or co ordinat* or coordinat*) AND AB (model* or deliver* or strateg* or support* or access* or method* or system* or policies or policy or availab*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S68.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (critical or clinic* or service* or care) AND TI path*</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S69.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB (critical or clinic* or service* or care) AND AB path*</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S70.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI care AND TI (bundle* or service* or package* or standard*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S71.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB care AND AB (bundle* or service* or package* or standard*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S72.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S64 OR S65 OR S66 OR S67 OR S68 OR S69 OR S70 OR S71</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S73.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (assess* or criteria* or predict* or recogni* or identif* or refer*) OR AB (assess* or criteria* or predict* or recogni* or identif* or refer*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S74.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S35 AND S72 AND S73</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S75.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI gold standard* OR AB gold standard*</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S76.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S35 AND S75</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S77.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI amber AND TI bundle</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S78.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB amber AND AB bundle</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S79.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S77 OR S78</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S80.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S74 OR S76 OR S79</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S81.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MH “Multidisciplinary Care Team+”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S82.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MDT OR IDT</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S83.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((interdisciplin* or inter-disciplin* or interprofession* or inter-profession* or multidisciplin* or multi-disciplin* or multi-profession* or multiprofession* or transprofession* or trans-profession*) n2 (team* or staff* or meeting* or manag* or appointment* or system* or program* or practic* or advic* or advis* or caring or intervention* or ward* or round* or panel* or forum* or fora or communicat* or collaborat* or relat*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S84.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((integrat* or network*) n2 (team* or staff* or meeting* or manag* or appointment* or system* or program* or practic* or advic* or advis* or caring or intervention* or ward* or round* or panel* or forum* or fora or communicat* or collaborat* or relat*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S85.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (key n2 work*) OR AB (key n2 work*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S86.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (((healthcare or care) n2 (lead or leader or leads or facilitat*))) OR AB (((healthcare or care) n2 (lead or leader or leads or facilitat*)))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S87.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (((healthcare or care) n1 profession*)) OR AB (((healthcare or care) n1 profession*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S88.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MH Case Management</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S89.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (case n2 manage*) OR AB (case n2 manage*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S90.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI ((co-ordinator* or coordinator* or coordinate* or co-ordinate*)*)) OR AB ((co-ordinator* or coordinator* or coordinate* or co-ordinate*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S91.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S81 OR S82 OR S83 OR S84 OR S85 OR S86 OR S87 OR S88 OR S89 OR S90</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S92.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MH Continuity of Patient Care OR MH Aftercare OR MH Patient discharge OR MH Patient handoff OR MH Patient transfer OR MH Transitional care</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S93.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(MM “Discharge Planning”) OR (MM “Patient Discharge Summaries”)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S94.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI (((patient* or person* or people or nursing* or clinic*)) AND TX ((discharg* or handover* or hand* over* or handoff* or hand off* or signout* or sign* out* or signover* or sign* over*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S95.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB (((patient* or person* or people or nursing* or clinic*)) AND AB ((discharg* or handover* or hand* over* or handoff* or hand off* or signout* or sign* out* or signover* or sign* over*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S96.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB ((care or caring or serv*)) AND AB ((continu* or change* or transition* or transfer*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S97.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI ((care or caring or serv*)) AND TI ((continu* or change* or transition* or transfer*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S98.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI discharg* AND TI (facilitat* or rapid* or pathway* or path way* or plan* or program*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S99.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB discharg* AND AB (facilitat* or rapid* or pathway* or path way* or plan* or program*))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S100.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S92 OR S93 OR S94 OR S95 OR S96 OR S97 OR S98 OR S99</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S101.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">TI advance* AND TI (plan* or decision* or directive*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S102.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">AB advance* AND AB (plan* or decision* or directive*)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S103.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S101 OR S102</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S104.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S36 AND (S91 OR S100 OR S103)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S105.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">S63 OR S80 OR S104</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab6"><div id="ch12.appb.tab6" class="table"><h3><span class="title">PsycINFO (ProQuest) search terms</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab6/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab6_lrgtbl__"><table><tbody><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(ti,ab(commission* NEAR/2 (support* OR service* OR model*)) OR ((service* OR program* OR co-ordinat* OR coordinat*) NEAR/2 (model* OR deliver* OR strateg* OR support* OR access* OR method* OR system* OR policies OR policy OR availab*))) AND (SU.EXACT(“Palliative Care”) OR SU.EXACT(“Terminally Ill Patients”) OR SU.EXACT(“Hospice”) OR ti,ab(palliat*) OR ti,ab((terminal* OR long-term OR longterm) NEAR/2 (care* OR caring OR ill*)) OR ti,ab((dying OR terminal) NEAR/1 (phase* OR stage*)) OR ti,ab(life-limit*) OR SU.EXACT(“Nursing Homes”) OR ti,ab((care OR nursing) NEAR/2 (home OR homes)) OR SU.EXACT(“Respite Care”) OR ti,ab((respite OR day) NEAR/2 (care OR caring)) OR ti,ab(hospice*) OR MJSUB.EXACT(“Treatment Planning”) OR MJSUB.EXACT(“Continuum of Care”) OR ti,ab((advance* OR patient*) NEAR/3 (care OR caring) NEAR/3 (continu* OR plan*)) OR MJSUB.EXACT(“Long Term Care”) OR ti,ab(attitude* NEAR/3 (death* OR dying*)) OR ti,ab(end NEAR/2 life) OR ti,ab(EOLC) OR ti,ab((last OR final) NEAR/2 (year OR month*) NEAR/2 life) OR ti,ab((dying OR death) NEAR/2 (patient* OR person* OR people OR care OR caring)))</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">2.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Adolescence (13-17 Yrs), Adulthood (18 Yrs & Older), Aged (65 Yrs & Older), Middle Age (40-64 Yrs), Thirties (30-39 Yrs), Very Old (85 Yrs & Older), Young Adulthood (18-29 Yrs)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">3.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1 and 2</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">4.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Conference Proceedings, Journal Article, Peer Reviewed Journal</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">5.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">3 and 4</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab7"><div id="ch12.appb.tab7" class="table"><h3><span class="title">HMIC (Ovid) search terms</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab7/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab7_lrgtbl__"><table><tbody><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp End of life care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">2.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(terminal* adj ill*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">3.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or terminal) adj (phase* or stage*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">4.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">life limit*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">5.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(end adj2 life).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">6.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">EOLC.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">7.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((last or final) adj2 (year or month*) adj2 life).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">8.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or death) adj2 (patient* or person* or people or care or caring)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">9.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/2-8</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">10.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(exp child/ or exp Paediatrics/ or exp infant/) not (exp adolescent/ or exp adult/ or exp middle age/ or exp older people/)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">11.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">9 not 10</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">12.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">limit 11 to English</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">13.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">limit 12 to (audiovis or book or chapter dh helmis or circular or microfiche dh helmis or multimedias or website)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">14.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">limit 12 to (audiocass or books or cdrom or chapter or dept pubs or diskettes or folio pamp or “map” or marc or microfiche or multimedia or pamphlet or parly or press or press rel or thesis or trustdoc or video or videos or website)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">15.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">13 or 14</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">16.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">12 not 15</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">17.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">euthanasia/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">18.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">euthanasia.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">19.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">17 or 18</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">20.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">16 not 19</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab8"><div id="ch12.appb.tab8" class="table"><h3><span class="title">SPP (Ovid) search terms</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab8/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab8_lrgtbl__"><table><tbody><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">palliat*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">2.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or terminal) adj (phase* or stage*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">3.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">life limit*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">4.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">hospice*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">5.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(advance* adj2 (plan* or decision* or directive*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">6.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">living will*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">7.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((advance* or patient*) adj3 (care or caring) adj3 (continu* or plan*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">8.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(attitude* adj3 (death* or dying*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">9.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(end adj2 life).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">10.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">EOLC.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">11.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((last or final) adj2 (year or month*) adj2 life).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">12.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or death) adj2 (patient* or person* or people or care or caring)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">13.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(nursing adj2 (home or homes)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">14.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(terminal* adj2 ill*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">15.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(respite adj2 (care or caring)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">16.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/1-15</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">17.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(child* or infant*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">18.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(adult* or adolescent*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">19.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">17 not 18</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">20.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">16 not 19</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">21.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">limit 20 to (journal or journal article or online resource or online report or report)</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab9"><div id="ch12.appb.tab9" class="table"><h3><span class="title">ASSIA (ProQuest) search terms</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab9/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab9_lrgtbl__"><table><tbody><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">palliat*.ti,ab. ((ti,ab(commission* N/2 (support* or service* or model*)) OR ti,ab((service* or program* or co-ordinat* or coordinat*) N/2 (model* or deliver* or strateg* or support* or access* or method* or system* or policies or policy or availab*))) AND ((SU.EXACT(“Care” OR “Clinical nursing” OR “Community homes” OR “Community nursery nursing” OR “Community nursing” OR “Compassionate care” OR “Continuing care” OR “District nursing” OR “Family centred care” OR “Geriatric wards” OR “Group care” OR “Health visiting” OR “Home care” OR “Home from home care” OR “Home health aides” OR “Home helps” OR “Hospices” OR “Hostel wards” OR “Informal care” OR “Integrated care pathways” OR “Intentional care” OR “Intermediate care” OR “Intermediate care centres” OR “Lack of care” OR “Learning disability nursing” OR “Length of stay” OR “Liaison nursing” OR “Long stay wards” OR “Long term care” OR “Long term home care” OR “Long term residential care” OR “Nurse led care” OR “Nursing” OR “Occupational health nursing” OR “Ontological care” OR “Out of home care” OR “Outreach nursing” OR “Palliative care” OR “Paranursing” OR “Pastoral care” OR “Patient care” OR “Primary nursing” OR “Private residential care” OR “Process centred care” OR “Quality of care” OR “Radical health visiting” OR “Residential care” OR “Residential group care” OR “Respite care” OR “Shared care” OR “Social care” “Temporary care” OR “Terminal care” OR “Wards”) OR (SU.EXACT(“Terminally ill elderly people”) OR SU.EXACT(“Terminally ill fathers”) OR SU.EXACT(“Terminally ill elderly men”) OR SU.EXACT(“Terminally ill elderly women”) OR SU.EXACT(“Terminally ill young adults”) OR SU.EXACT(“Terminally ill parents”) OR SU.EXACT(“Terminally ill women”) OR SU.EXACT(“Terminally ill widowed sisters”) OR SU.EXACT(“Terminally ill colleagues”) OR SU.EXACT(“Terminally ill young girls”) OR SU.EXACT(“Terminally ill people”) OR SU.EXACT(“Terminally ill men”)) OR SU.EXACT(“Advance directives” OR “Do not resuscitate orders” OR “Durable power of attorney for health care” OR “Living wills” OR “Treatment preferences” OR “Treatment needs”)) OR (ti,ab((advance* or patient*) N/3 (care or caring) N/3 (continu* or plan*)) or ti,ab(attitude* N/3 (death* or dying*)) or ti,ab(end N/2 life) or ti,ab(EOLC) or ti,ab((last or final) N/2 (year or month*) N/2 life) or ti,ab((dying or death) N/2 (patient* or person* or people or care or caring))))) OR SU.EXACT(“End of life decisions”)</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab10"><div id="ch12.appb.tab10" class="table"><h3><span class="label">Table 46</span><span class="title">Database date parameters and filters used</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab10/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab10_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.appb.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Database</th><th id="hd_h_ch12.appb.tab10_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Dates searched</th><th id="hd_h_ch12.appb.tab10_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Search filter used</th></tr></thead><tbody><tr><td headers="hd_h_ch12.appb.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Medline</td><td headers="hd_h_ch12.appb.tab10_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">2014 – 04 January 2019</td><td headers="hd_h_ch12.appb.tab10_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Exclusions</p>
|
|
<p>Health economics studies</p>
|
|
<p>Health economics modelling studies</p>
|
|
<p>Quality of life studies</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.appb.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Embase</td><td headers="hd_h_ch12.appb.tab10_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">2014 – 04 January 2019</td><td headers="hd_h_ch12.appb.tab10_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>Exclusions</p>
|
|
<p>Health economics studies</p>
|
|
<p>Health economics modelling studies</p>
|
|
<p>Quality of life studies</p>
|
|
</td></tr><tr><td headers="hd_h_ch12.appb.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Centre for Research and Dissemination (CRD)</td><td headers="hd_h_ch12.appb.tab10_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">
|
|
<p>HTA - Inception – 04 January 2019</p>
|
|
<p>NHSEED - Inception to March 2015</p>
|
|
</td><td headers="hd_h_ch12.appb.tab10_1_1_1_3" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">None</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab11"><div id="ch12.appb.tab11" class="table"><h3><span class="title">Medline (Ovid) search terms</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab11/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab11_lrgtbl__"><table><tbody><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Palliative care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">2.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Terminal care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">3.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospice care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">4.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">palliat*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">5.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Terminally Ill/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">6.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((terminal* or long term or longterm) adj2 (care* or caring or ill*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">7.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or terminal) adj (phase* or stage*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">8.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">life limit*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">9.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Nursing Homes/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">10.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((care or nursing) adj2 (home or homes)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">11.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Respite Care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">12.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((respite or day) adj2 (care or caring)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">13.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hospices/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">14.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">hospice*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">15.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Advance Care Planning/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">16.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(advance* adj2 (plan* or decision* or directive*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">17.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">living will*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">18.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Patient care planning/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">19.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*“Continuity of Patient Care”/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">20.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((advance* or patient*) adj3 (care or caring) adj3 (continu* or plan*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">21.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Attitude to Death/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">22.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(attitude* adj3 (death* or dying*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">23.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Physician-Patient Relations/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">24.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Long-Term Care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">25.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*“Delivery of Health Care”/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">26.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(end adj2 life).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">27.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">EOLC.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">28.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((last or final) adj2 (year or month*) adj2 life).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">29.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or death) adj2 (patient* or person* or people or care or caring)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">30.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/1-29</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">31.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">letter/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">32.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">editorial/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">33.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">news/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">34.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp historical article/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">35.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Anecdotes as Topic/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">36.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">comment/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">37.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">case report/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">38.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(letter or comment*).ti.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">39.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/31-38</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">40.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomized controlled trial/ or random*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">41.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">39 not 40</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">42.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">animals/ not humans/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">43.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Animals, Laboratory/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">44.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Animal Experimentation/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">45.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Models, Animal/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">46.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Rodentia/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">47.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(rat or rats or mouse or mice).ti.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">48.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/41-47</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">49.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">30 not 48</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">50.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">limit 49 to English language</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">51.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(exp child/ or exp pediatrics/ or exp infant/) not (exp adolescent/ or exp adult/ or exp middle age/ or exp aged/)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">52.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">50 not 51</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">53.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">economics/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">54.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">value of life/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">55.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp “costs and cost analysis”/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">56.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Economics, Hospital/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">57.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Economics, medical/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">58.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Economics, nursing/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">59.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">economics, pharmaceutical/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">60.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp “Fees and Charges”/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">61.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp budgets/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">62.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">budget*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">63.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">cost*.ti.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">64.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(economic* or pharmaco?economic*).ti.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">65.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(price* or pricing*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">66.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(cost* adj2 (effectiv* or utilit* or benefit* or minimi* or unit* or estimat* or variable*)).ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">67.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(financ* or fee or fees).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">68.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(value adj2 (money or monetary)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">69.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/53-68</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">70.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp models, economic/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">71.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Models, Theoretical/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">72.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Models, Organizational/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">73.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">markov chains/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">74.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">monte carlo method/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">75.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Decision Theory/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">76.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(markov* or monte carlo).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">77.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">econom* model*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">78.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(decision* adj2 (tree* or analy* or model*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">79.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/70-78</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">80.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">quality-adjusted life years/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">81.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">sickness impact profile/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">82.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(quality adj2 (wellbeing or well being)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">83.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">sickness impact profile.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">84.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">disability adjusted life.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">85.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(qal* or qtime* or qwb* or daly*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">86.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(euroqol* or eq5d* or eq 5*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">87.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(qol* or hql* or hqol* or h qol* or hrqol* or hr qol*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">88.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(health utility* or utility score* or disutilit* or utility value*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">89.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(hui or hui1 or hui2 or hui3).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">90.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(health* year* equivalent* or hye or hyes).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">91.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">discrete choice*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">92.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">rosser.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">93.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(willingness to pay or time tradeoff or time trade off or tto or standard gamble*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">94.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(sf36* or sf 36* or short form 36* or shortform 36* or shortform36*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">95.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(sf20 or sf 20 or short form 20 or shortform 20 or shortform20).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">96.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(sf12* or sf 12* or short form 12* or shortform 12* or shortform12*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">97.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(sf8* or sf 8* or short form 8* or shortform 8* or shortform8*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">98.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(sf6* or sf 6* or short form 6* or shortform 6* or shortform6*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">99.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/80-98</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">100.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">52 and (69 or 79 or 99)</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab12"><div id="ch12.appb.tab12" class="table"><h3><span class="title">Embase (Ovid) search terms</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab12/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab12_lrgtbl__"><table><tbody><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Palliative therapy/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">2.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Terminal care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">3.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Hospice care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">4.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">palliat*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">5.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Terminally ill patient/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">6.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((terminal* or long term or longterm) adj2 (care* or caring or ill*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">7.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or terminal) adj (phase* or stage*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">8.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">life limit*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">9.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Nursing home/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">10.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((care or nursing) adj2 (home or homes)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">11.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Respite Care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">12.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((respite or day) adj2 (care or caring)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">13.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Hospice/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">14.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">hospice*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">15.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Patient care planning/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">16.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(advance* adj2 (plan* or decision* or directive*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">17.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">living will*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">18.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Patient care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">19.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((advance* or patient*) adj3 (care or caring) adj3 (continu* or plan*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">20.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Attitude to Death/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">21.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(attitude* adj3 (death* or dying*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">22.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Doctor patient relation/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">23.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Long term care/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">24.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*Health care delivery/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">25.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(end adj2 life).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">26.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">EOLC.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">27.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((last or final) adj2 (year or month*) adj2 life).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">28.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((dying or death) adj2 (patient* or person* or people or care or caring)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">29.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/1-28</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">30.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">letter.pt. or letter/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">31.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">note.pt.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">32.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">editorial.pt.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">33.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">case report/ or case study/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">34.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(letter or comment*).ti.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">35.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/30-34</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">36.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomized controlled trial/ or random*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">37.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">35 not 36</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">38.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">animal/ not human/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">39.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">nonhuman/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">40.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Animal Experiment/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">41.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Experimental Animal/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">42.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">animal model/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">43.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp Rodent/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">44.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(rat or rats or mouse or mice).ti.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">45.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/37-44</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">46.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">29 not 45</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">47.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">limit 46 to English language</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">48.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(exp child/ or exp pediatrics/ or exp infant/) not (exp adolescent/ or exp adult/ or exp middle age/ or exp aged/)</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">49.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">47 not 48</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">50.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">health economics/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">51.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp economic evaluation/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">52.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp health care cost/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">53.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp fee/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">54.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">budget/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">55.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">funding/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">56.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">budget*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">57.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">cost*.ti.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">58.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(economic* or pharmaco?economic*).ti.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">59.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(price* or pricing*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">60.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(cost* adj2 (effectiv* or utilit* or benefit* or minimi* or unit* or estimat* or variable*)).ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">61.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(financ* or fee or fees).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">62.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(value adj2 (money or monetary)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">63.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/50-62</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">64.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">statistical model/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">65.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">exp economic aspect/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">66.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">64 and 65</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">67.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*theoretical model/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">68.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">*nonbiological model/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">69.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">stochastic model/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">70.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">decision theory/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">71.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">decision tree/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">72.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">monte carlo method/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">73.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(markov* or monte carlo).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">74.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">econom* model*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">75.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(decision* adj2 (tree* or analy* or model*)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">76.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/66-75</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">77.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">quality-adjusted life years/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">78.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">“quality of life index”/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">79.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">short form 12/ or short form 20/ or short form 36/ or short form 8/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">80.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">sickness impact profile/</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">81.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(quality adj2 (wellbeing or well being)).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">82.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">sickness impact profile.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">83.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">disability adjusted life.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">84.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(qal* or qtime* or qwb* or daly*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">85.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(euroqol* or eq5d* or eq 5*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">86.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(qol* or hql* or hqol* or h qol* or hrqol* or hr qol*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">87.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(health utility* or utility score* or disutilit* or utility value*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">88.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(hui or hui1 or hui2 or hui3).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">89.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(health* year* equivalent* or hye or hyes).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">90.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">discrete choice*.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">91.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">rosser.ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">92.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(willingness to pay or time tradeoff or time trade off or tto or standard gamble*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">93.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(sf36* or sf 36* or short form 36* or shortform 36* or shortform36*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">94.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(sf20 or sf 20 or short form 20 or shortform 20 or shortform20).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">95.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(sf12* or sf 12* or short form 12* or shortform 12* or shortform12*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">96.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(sf8* or sf 8* or short form 8* or shortform 8* or shortform8*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">97.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(sf6* or sf 6* or short form 6* or shortform 6* or shortform6*).ti,ab.</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">98.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">or/77-97</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">99.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">49 and (63 or 76 or 98)</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appbtab13"><div id="ch12.appb.tab13" class="table"><h3><span class="title">NHS EED and HTA (CRD) search terms</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appb.tab13/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appb.tab13_lrgtbl__"><table><tbody><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#1.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Palliative Care IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#2.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Terminal Care IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#3.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Hospice Care IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#4.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(palliat*) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#5.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Terminally Ill IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#6.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(((terminal* or long term or longterm) adj2 (care* or caring or ill*))) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#7.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(((dying or terminal) adj (phase* or stage*))) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#8.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(life limit*) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#9.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Nursing Homes IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#10.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(((care or nursing) adj2 (home or homes))) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#11.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Respite Care IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#12.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(((respite or day) adj2 (care or caring))) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#13.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Hospices IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#14.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(hospice*) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#15.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Advance Care Planning EXPLODE ALL TREES IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#16.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((advance* adj2 (plan* or decision* or directive*))) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#17.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(living will*) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#18.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Patient Care Planning IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#19.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Continuity of Patient Care IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#20.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(((advance* or patient*) adj3 (care or caring) adj3 (continu* or plan*))) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#21.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Attitude to Death IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#22.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((attitude* adj3 (death* or dying*))) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#23.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Physician-Patient Relations IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#24.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Long-Term Care IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#25.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">MeSH DESCRIPTOR Delivery of Health Care IN NHSEED,HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#26.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">((end adj2 life)) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#27.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(EOLC) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#28.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(((last or final) adj2 (year or month*) adj2 life)) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#29.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(((dying or death) adj2 (patient* or person* or people or care or caring))) IN NHSEED, HTA</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#30.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#1 OR #2 OR #3 OR #4 OR #5 OR #6 OR #7 OR #8 OR #9 OR #10 OR #11 OR #12 OR #13 OR #14 OR #15 OR #16 OR #17 OR #18 OR #19 OR #20 OR #21 OR #22 OR #23 OR #24 OR #25 OR #26 OR #27 OR #28 OR #29</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#31.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(#30) IN NHSEED</td></tr><tr><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">#32.</td><td rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">(#30) IN HTA</td></tr></tbody></table></div></div></article><article data-type="fig" id="figobch12appcfig1"><div id="ch12.appc.fig1" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%201.%20Flow%20chart%20of%20clinical%20study%20selection%20for%20the%20review%20of%20Additional%20services%20and%20inappropriate%20admissions.&p=BOOKS&id=558770_ch12appcf1.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appcf1.jpg" alt="Figure 1. Flow chart of clinical study selection for the review of Additional services and inappropriate admissions." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 1</span><span class="title">Flow chart of clinical study selection for the review of Additional services and inappropriate admissions</span></h3></div></article><article data-type="fig" id="figobch12appefig1"><div id="ch12.appe.fig1" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%202.%20Number%20of%20visits%20to%20accident%20and%20emergency%20(patients%20with%20%022651%20ED%20admission%20in%20the%20last%20year%20of%20life).&p=BOOKS&id=558770_ch12appef1.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef1.jpg" alt="Figure 2. Number of visits to accident and emergency (patients with ≥1 ED admission in the last year of life)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 2</span><span class="title">Number of visits to accident and emergency (patients with ≥1 ED admission in the last year of life)</span></h3></div></article><article data-type="fig" id="figobch12appefig2"><div id="ch12.appe.fig2" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%203.%20Length%20of%20stay%20(mean%20stay%20for%20those%20with%20or%20without%20an%20admission).&p=BOOKS&id=558770_ch12appef2.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef2.jpg" alt="Figure 3. Length of stay (mean stay for those with or without an admission)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 3</span><span class="title">Length of stay (mean stay for those with or without an admission)</span></h3></div></article><article data-type="fig" id="figobch12appefig3"><div id="ch12.appe.fig3" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%204.%20Hospitalisation%20(mean%20admissions).&p=BOOKS&id=558770_ch12appef3.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef3.jpg" alt="Figure 4. Hospitalisation (mean admissions)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 4</span><span class="title">Hospitalisation (mean admissions)</span></h3></div></article><article data-type="fig" id="figobch12appefig4"><div id="ch12.appe.fig4" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%205.%20ED%20visit%20(mean%20ED%20admissions%20in%20the%20last%20year%20of%20life).&p=BOOKS&id=558770_ch12appef4.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef4.jpg" alt="Figure 5. ED visit (mean ED admissions in the last year of life)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 5</span><span class="title">ED visit (mean ED admissions in the last year of life)</span></h3></div></article><article data-type="fig" id="figobch12appefig5"><div id="ch12.appe.fig5" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%206.%20Satisfaction%20(carers%20agreeing%20with%20the%20statement%20%02018care%20was%20well%20coordinated%02019)%20after%20bereavement.&p=BOOKS&id=558770_ch12appef5.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef5.jpg" alt="Figure 6. Satisfaction (carers agreeing with the statement ‘care was well coordinated’) after bereavement." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 6</span><span class="title">Satisfaction (carers agreeing with the statement ‘care was well coordinated’) after bereavement</span></h3></div></article><article data-type="fig" id="figobch12appefig6"><div id="ch12.appe.fig6" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%207.%20Satisfaction%20(carers%20satisfied%20with%20care%20from%20district%20nurses).&p=BOOKS&id=558770_ch12appef6.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef6.jpg" alt="Figure 7. Satisfaction (carers satisfied with care from district nurses)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 7</span><span class="title">Satisfaction (carers satisfied with care from district nurses)</span></h3></div></article><article data-type="fig" id="figobch12appefig7"><div id="ch12.appe.fig7" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%208.%20Satisfaction%20(carers%20satisfied%20with%20care%20from%20GPs).&p=BOOKS&id=558770_ch12appef7.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef7.jpg" alt="Figure 8. Satisfaction (carers satisfied with care from GPs)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 8</span><span class="title">Satisfaction (carers satisfied with care from GPs)</span></h3></div></article><article data-type="fig" id="figobch12appefig8"><div id="ch12.appe.fig8" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%209.%20Satisfaction%20(carers%20satisfied%20with%20care%20from%20hospital).&p=BOOKS&id=558770_ch12appef8.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef8.jpg" alt="Figure 9. Satisfaction (carers satisfied with care from hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 9</span><span class="title">Satisfaction (carers satisfied with care from hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig9"><div id="ch12.appe.fig9" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2010.%20Satisfaction%20(patients%20satisfied%20with%20care%20from%20district%20nurses).&p=BOOKS&id=558770_ch12appef9.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef9.jpg" alt="Figure 10. Satisfaction (patients satisfied with care from district nurses)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 10</span><span class="title">Satisfaction (patients satisfied with care from district nurses)</span></h3></div></article><article data-type="fig" id="figobch12appefig10"><div id="ch12.appe.fig10" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2011.%20Satisfaction%20(patients%20satisfied%20with%20care%20from%20GPs).&p=BOOKS&id=558770_ch12appef10.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef10.jpg" alt="Figure 11. Satisfaction (patients satisfied with care from GPs)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 11</span><span class="title">Satisfaction (patients satisfied with care from GPs)</span></h3></div></article><article data-type="fig" id="figobch12appefig11"><div id="ch12.appe.fig11" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2012.%20Satisfaction%20(patients%20satisfied%20with%20care%20from%20hospital).&p=BOOKS&id=558770_ch12appef11.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef11.jpg" alt="Figure 12. Satisfaction (patients satisfied with care from hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 12</span><span class="title">Satisfaction (patients satisfied with care from hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig12"><div id="ch12.appe.fig12" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2013.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20at%20home).&p=BOOKS&id=558770_ch12appef12.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef12.jpg" alt="Figure 13. Preferred and actual place of death (people dying at home)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 13</span><span class="title">Preferred and actual place of death (people dying at home)</span></h3></div></article><article data-type="fig" id="figobch12appefig13"><div id="ch12.appe.fig13" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2014.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20elsewhere%2C%20i.e.%20not%20home%2C%20hospice%2C%20hospital).&p=BOOKS&id=558770_ch12appef13.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef13.jpg" alt="Figure 14. Preferred and actual place of death (people dying elsewhere, i.e. not home, hospice, hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 14</span><span class="title">Preferred and actual place of death (people dying elsewhere, i.e. not home, hospice, hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig14"><div id="ch12.appe.fig14" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2015.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20in%20hospice).&p=BOOKS&id=558770_ch12appef14.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef14.jpg" alt="Figure 15. Preferred and actual place of death (people dying in hospice)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 15</span><span class="title">Preferred and actual place of death (people dying in hospice)</span></h3></div></article><article data-type="fig" id="figobch12appefig15"><div id="ch12.appe.fig15" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2016.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20in%20hospital).&p=BOOKS&id=558770_ch12appef15.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef15.jpg" alt="Figure 16. Preferred and actual place of death (people dying in hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 16</span><span class="title">Preferred and actual place of death (people dying in hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig16"><div id="ch12.appe.fig16" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2017.%20Use%20of%20community%20services%20(people%20known%20to%20occupational%20therapists).&p=BOOKS&id=558770_ch12appef16.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef16.jpg" alt="Figure 17. Use of community services (people known to occupational therapists)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 17</span><span class="title">Use of community services (people known to occupational therapists)</span></h3></div></article><article data-type="fig" id="figobch12appefig17"><div id="ch12.appe.fig17" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2018.%20Use%20of%20community%20services%20(people%20known%20to%20social%20workers).&p=BOOKS&id=558770_ch12appef17.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef17.jpg" alt="Figure 18. Use of community services (people known to social workers)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 18</span><span class="title">Use of community services (people known to social workers)</span></h3></div></article><article data-type="fig" id="figobch12appefig18"><div id="ch12.appe.fig18" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2019.%20Use%20of%20community%20services%20(patients%20having%20contact%20with%20district%20nurses)%202%20weeks%20before%20final%20interview.&p=BOOKS&id=558770_ch12appef18.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef18.jpg" alt="Figure 19. Use of community services (patients having contact with district nurses) 2 weeks before final interview." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 19</span><span class="title">Use of community services (patients having contact with district nurses) 2 weeks before final interview</span></h3></div></article><article data-type="fig" id="figobch12appefig19"><div id="ch12.appe.fig19" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2020.%20Use%20of%20community%20services%20(patients%20having%20contact%20with%20GP-home%20visits)%202%20weeks%20before%20final%20interview.&p=BOOKS&id=558770_ch12appef19.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef19.jpg" alt="Figure 20. Use of community services (patients having contact with GP-home visits) 2 weeks before final interview." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 20</span><span class="title">Use of community services (patients having contact with GP-home visits) 2 weeks before final interview</span></h3></div></article><article data-type="fig" id="figobch12appefig20"><div id="ch12.appe.fig20" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2021.%20Use%20of%20community%20services%20(patients%20having%20contact%20with%20GP-surgery%20visits)%202%20weeks%20before%20final%20interview.&p=BOOKS&id=558770_ch12appef20.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef20.jpg" alt="Figure 21. Use of community services (patients having contact with GP-surgery visits) 2 weeks before final interview." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 21</span><span class="title">Use of community services (patients having contact with GP-surgery visits) 2 weeks before final interview</span></h3></div></article><article data-type="fig" id="figobch12appefig21"><div id="ch12.appe.fig21" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2022.%20Use%20of%20community%20services%20(patients%20having%20contact%20with%20hospice%20or%20Macmillan%20nurses)%202%20weeks%20before%20final%20interview.&p=BOOKS&id=558770_ch12appef21.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef21.jpg" alt="Figure 22. Use of community services (patients having contact with hospice or Macmillan nurses) 2 weeks before final interview." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 22</span><span class="title">Use of community services (patients having contact with hospice or Macmillan nurses) 2 weeks before final interview</span></h3></div></article><article data-type="fig" id="figobch12appefig22"><div id="ch12.appe.fig22" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2023.%20Use%20of%20community%20services%20(home%20visits%20%02013%20district%20nurses%2C%20Macmillan%20nurses%2C%20hospital%20oncology%20nurses%2C%20hospice%20homecare%20team).&p=BOOKS&id=558770_ch12appef22.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef22.jpg" alt="Figure 23. Use of community services (home visits – district nurses, Macmillan nurses, hospital oncology nurses, hospice homecare team)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 23</span><span class="title">Use of community services (home visits – district nurses, Macmillan nurses, hospital oncology nurses, hospice homecare team)</span></h3></div></article><article data-type="fig" id="figobch12appefig23"><div id="ch12.appe.fig23" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2024.%20Hospitalisation%20(n%20of%20admissions).&p=BOOKS&id=558770_ch12appef23.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef23.jpg" alt="Figure 24. Hospitalisation (n of admissions)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 24</span><span class="title">Hospitalisation (n of admissions)</span></h3></div></article><article data-type="fig" id="figobch12appefig24"><div id="ch12.appe.fig24" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2025.%20Length%20of%20stay%20(n%20of%20inpatient%20days).&p=BOOKS&id=558770_ch12appef24.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef24.jpg" alt="Figure 25. Length of stay (n of inpatient days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 25</span><span class="title">Length of stay (n of inpatient days)</span></h3></div></article><article data-type="fig" id="figobch12appefig25"><div id="ch12.appe.fig25" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2026.%20Number%20of%20hospital%20visits%20(outpatient%20attendance).&p=BOOKS&id=558770_ch12appef25.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef25.jpg" alt="Figure 26. Number of hospital visits (outpatient attendance)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 26</span><span class="title">Number of hospital visits (outpatient attendance)</span></h3></div></article><article data-type="fig" id="figobch12appefig26"><div id="ch12.appe.fig26" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2027.%20Preferred%20and%20actual%20place%20of%20death%20(number%20of%20people%20dying%20at%20home).&p=BOOKS&id=558770_ch12appef26.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef26.jpg" alt="Figure 27. Preferred and actual place of death (number of people dying at home)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 27</span><span class="title">Preferred and actual place of death (number of people dying at home)</span></h3></div></article><article data-type="fig" id="figobch12appefig27"><div id="ch12.appe.fig27" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2028.%20Preferred%20and%20actual%20place%20of%20death%20(number%20of%20people%20dying%20in%20hospice).&p=BOOKS&id=558770_ch12appef27.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef27.jpg" alt="Figure 28. Preferred and actual place of death (number of people dying in hospice)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 28</span><span class="title">Preferred and actual place of death (number of people dying in hospice)</span></h3></div></article><article data-type="fig" id="figobch12appefig28"><div id="ch12.appe.fig28" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2029.%20Preferred%20and%20actual%20place%20of%20death%20(number%20of%20people%20dying%20in%20hospital).&p=BOOKS&id=558770_ch12appef28.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef28.jpg" alt="Figure 29. Preferred and actual place of death (number of people dying in hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 29</span><span class="title">Preferred and actual place of death (number of people dying in hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig29"><div id="ch12.appe.fig29" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2030.%20Number%20of%20visits%20to%20Accident%20and%20Emergency%20(Emergency%20department%20visits)%206%20months.&p=BOOKS&id=558770_ch12appef29.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef29.jpg" alt="Figure 30. Number of visits to Accident and Emergency (Emergency department visits) 6 months." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 30</span><span class="title">Number of visits to Accident and Emergency (Emergency department visits) 6 months</span></h3></div></article><article data-type="fig" id="figobch12appefig30"><div id="ch12.appe.fig30" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2031.%20Length%20of%20survival%20(number%20of%20people%20alive%20at%2014.6%20months).&p=BOOKS&id=558770_ch12appef30.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef30.jpg" alt="Figure 31. Length of survival (number of people alive at 14.6 months)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 31</span><span class="title">Length of survival (number of people alive at 14.6 months)</span></h3></div></article><article data-type="fig" id="figobch12appefig31"><div id="ch12.appe.fig31" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2032.%20ED%20visit%20(patients%20with%20%022651%20ED%20visit%20in%20the%20last%206%20months%20of%20life).&p=BOOKS&id=558770_ch12appef31.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef31.jpg" alt="Figure 32. ED visit (patients with ≥1 ED visit in the last 6 months of life)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 32</span><span class="title">ED visit (patients with ≥1 ED visit in the last 6 months of life)</span></h3></div></article><article data-type="fig" id="figobch12appefig32"><div id="ch12.appe.fig32" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2033.%20Hospitalisation%20(patients%20with%20%022651%20hospital%20admission%20in%20the%20last%206%20months%20of%20life).&p=BOOKS&id=558770_ch12appef32.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef32.jpg" alt="Figure 33. Hospitalisation (patients with ≥1 hospital admission in the last 6 months of life)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 33</span><span class="title">Hospitalisation (patients with ≥1 hospital admission in the last 6 months of life)</span></h3></div></article><article data-type="fig" id="figobch12appefig33"><div id="ch12.appe.fig33" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2034.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20at%20home).&p=BOOKS&id=558770_ch12appef33.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef33.jpg" alt="Figure 34. Preferred and actual place of death (people dying at home)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 34</span><span class="title">Preferred and actual place of death (people dying at home)</span></h3></div></article><article data-type="fig" id="figobch12appefig34"><div id="ch12.appe.fig34" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2035.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20in%20hospital%20%02013%20overall).&p=BOOKS&id=558770_ch12appef34.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef34.jpg" alt="Figure 35. Preferred and actual place of death (people dying in hospital – overall)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 35</span><span class="title">Preferred and actual place of death (people dying in hospital – overall)</span></h3></div></article><article data-type="fig" id="figobch12appefig35"><div id="ch12.appe.fig35" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2036.%20Inappropriate%2Favoidable%20ICU%20admissions%20(people%20admitted%20to%20ICU%20during%20admission)%20last%2030%20days%20of%20life.&p=BOOKS&id=558770_ch12appef35.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef35.jpg" alt="Figure 36. Inappropriate/avoidable ICU admissions (people admitted to ICU during admission) last 30 days of life." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 36</span><span class="title">Inappropriate/avoidable ICU admissions (people admitted to ICU during admission) last 30 days of life</span></h3></div></article><article data-type="fig" id="figobch12appefig36"><div id="ch12.appe.fig36" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2037.%20Unscheduled%20admissions%20(people%20admitted%20to%20hospital%20%02013%20overall)%20last%2030%20days%20of%20life.&p=BOOKS&id=558770_ch12appef36.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef36.jpg" alt="Figure 37. Unscheduled admissions (people admitted to hospital – overall) last 30 days of life." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 37</span><span class="title">Unscheduled admissions (people admitted to hospital – overall) last 30 days of life</span></h3></div></article><article data-type="fig" id="figobch12appefig37"><div id="ch12.appe.fig37" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2038.%20Hospitalisation%20(number%20of%20hospital%20days%2Fmonth%20%02013%20cancer%20group)%201-18%20months%20before%20death.&p=BOOKS&id=558770_ch12appef37.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef37.jpg" alt="Figure 38. Hospitalisation (number of hospital days/month – cancer group) 1-18 months before death." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 38</span><span class="title">Hospitalisation (number of hospital days/month – cancer group) 1-18 months before death</span></h3></div></article><article data-type="fig" id="figobch12appefig38"><div id="ch12.appe.fig38" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2039.%20Hospitalisation%20(number%20of%20hospital%20days%2Fmonth%20%02013%20COPD%20group)%201-18%20months%20before%20death.&p=BOOKS&id=558770_ch12appef38.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef38.jpg" alt="Figure 39. Hospitalisation (number of hospital days/month – COPD group) 1-18 months before death." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 39</span><span class="title">Hospitalisation (number of hospital days/month – COPD group) 1-18 months before death</span></h3></div></article><article data-type="fig" id="figobch12appefig39"><div id="ch12.appe.fig39" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2040.%20Hospitalisation%20(number%20of%20hospital%20days%2Fmonth%20%02013%20dementia%20group)%201-18%20months%20before%20death.&p=BOOKS&id=558770_ch12appef39.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef39.jpg" alt="Figure 40. Hospitalisation (number of hospital days/month – dementia group) 1-18 months before death." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 40</span><span class="title">Hospitalisation (number of hospital days/month – dementia group) 1-18 months before death</span></h3></div></article><article data-type="fig" id="figobch12appefig40"><div id="ch12.appe.fig40" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2041.%20Hospitalisation%20(number%20of%20hospital%20days%2Fmonth%20%02013%20heart%20failure%20group)%201-18%20months%20before%20death.&p=BOOKS&id=558770_ch12appef40.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef40.jpg" alt="Figure 41. Hospitalisation (number of hospital days/month – heart failure group) 1-18 months before death." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 41</span><span class="title">Hospitalisation (number of hospital days/month – heart failure group) 1-18 months before death</span></h3></div></article><article data-type="fig" id="figobch12appefig41"><div id="ch12.appe.fig41" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2042.%20Number%20of%20hospital%20visits%20(number%20of%20hospitalisation%2Fmonth%20%02013%20cancer%20group)%201-18%20months%20before%20death.&p=BOOKS&id=558770_ch12appef41.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef41.jpg" alt="Figure 42. Number of hospital visits (number of hospitalisation/month – cancer group) 1-18 months before death." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 42</span><span class="title">Number of hospital visits (number of hospitalisation/month – cancer group) 1-18 months before death</span></h3></div></article><article data-type="fig" id="figobch12appefig42"><div id="ch12.appe.fig42" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2043.%20Number%20of%20hospital%20visits%20(number%20of%20hospitalisation%2Fmonth%20%02013%20COPD%20group)%201-18%20months%20before%20death.&p=BOOKS&id=558770_ch12appef42.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef42.jpg" alt="Figure 43. Number of hospital visits (number of hospitalisation/month – COPD group) 1-18 months before death." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 43</span><span class="title">Number of hospital visits (number of hospitalisation/month – COPD group) 1-18 months before death</span></h3></div></article><article data-type="fig" id="figobch12appefig43"><div id="ch12.appe.fig43" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2044.%20Number%20of%20hospital%20visits%20(number%20of%20hospitalisation%2Fmonth%20%02013%20dementia%20group)%201-18%20months%20before%20death.&p=BOOKS&id=558770_ch12appef43.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef43.jpg" alt="Figure 44. Number of hospital visits (number of hospitalisation/month – dementia group) 1-18 months before death." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 44</span><span class="title">Number of hospital visits (number of hospitalisation/month – dementia group) 1-18 months before death</span></h3></div></article><article data-type="fig" id="figobch12appefig44"><div id="ch12.appe.fig44" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2045.%20Number%20of%20hospital%20visits%20(number%20of%20hospitalisation%2Fmonth%20%02013%20heart%20failure%20group)%201-18%20months%20before%20death.&p=BOOKS&id=558770_ch12appef44.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef44.jpg" alt="Figure 45. Number of hospital visits (number of hospitalisation/month – heart failure group) 1-18 months before death." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 45</span><span class="title">Number of hospital visits (number of hospitalisation/month – heart failure group) 1-18 months before death</span></h3></div></article><article data-type="fig" id="figobch12appefig45"><div id="ch12.appe.fig45" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2046.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20at%20home).&p=BOOKS&id=558770_ch12appef45.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef45.jpg" alt="Figure 46. Preferred and actual place of death (people dying at home)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 46</span><span class="title">Preferred and actual place of death (people dying at home)</span></h3></div></article><article data-type="fig" id="figobch12appefig46"><div id="ch12.appe.fig46" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2047.%20Number%20of%20hospital%20visits%20(number%20of%20hospital%20visits).&p=BOOKS&id=558770_ch12appef46.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef46.jpg" alt="Figure 47. Number of hospital visits (number of hospital visits)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 47</span><span class="title">Number of hospital visits (number of hospital visits)</span></h3></div></article><article data-type="fig" id="figobch12appefig47"><div id="ch12.appe.fig47" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2048.%20Number%20of%20visits%20to%20A%26E%20(Emergency%20department%20visits).&p=BOOKS&id=558770_ch12appef47.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef47.jpg" alt="Figure 48. Number of visits to A&E (Emergency department visits)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 48</span><span class="title">Number of visits to A&E (Emergency department visits)</span></h3></div></article><article data-type="fig" id="figobch12appefig48"><div id="ch12.appe.fig48" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2049.%20Use%20of%20community%20services%20(physicians%20visits).&p=BOOKS&id=558770_ch12appef48.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef48.jpg" alt="Figure 49. Use of community services (physicians visits)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 49</span><span class="title">Use of community services (physicians visits)</span></h3></div></article><article data-type="fig" id="figobch12appefig49"><div id="ch12.appe.fig49" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2050.%20Use%20of%20community%20services%20(skilled%20nurses%20visits).&p=BOOKS&id=558770_ch12appef49.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef49.jpg" alt="Figure 50. Use of community services (skilled nurses visits)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 50</span><span class="title">Use of community services (skilled nurses visits)</span></h3></div></article><article data-type="fig" id="figobch12appefig50"><div id="ch12.appe.fig50" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2051.%20Use%20of%20community%20services%20(total%20home%20health%20visits).&p=BOOKS&id=558770_ch12appef50.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef50.jpg" alt="Figure 51. Use of community services (total home health visits)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 51</span><span class="title">Use of community services (total home health visits)</span></h3></div></article><article data-type="fig" id="figobch12appefig51"><div id="ch12.appe.fig51" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2052.%20Hospitalisation%20(n%20of%20people%20hospitalised).&p=BOOKS&id=558770_ch12appef51.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef51.jpg" alt="Figure 52. Hospitalisation (n of people hospitalised)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 52</span><span class="title">Hospitalisation (n of people hospitalised)</span></h3></div></article><article data-type="fig" id="figobch12appefig52"><div id="ch12.appe.fig52" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2053.%20Number%20of%20visits%20to%20A%26E%20(people%20accessing%20Emergency%20department).&p=BOOKS&id=558770_ch12appef52.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef52.jpg" alt="Figure 53. Number of visits to A&E (people accessing Emergency department)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 53</span><span class="title">Number of visits to A&E (people accessing Emergency department)</span></h3></div></article><article data-type="fig" id="figobch12appefig53"><div id="ch12.appe.fig53" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2054.%20Use%20of%20community%20services%20(people%20enrolled%20in%20hospice).&p=BOOKS&id=558770_ch12appef53.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef53.jpg" alt="Figure 54. Use of community services (people enrolled in hospice)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 54</span><span class="title">Use of community services (people enrolled in hospice)</span></h3></div></article><article data-type="fig" id="figobch12appefig54"><div id="ch12.appe.fig54" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2055.%20Length%20of%20survival.&p=BOOKS&id=558770_ch12appef54.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef54.jpg" alt="Figure 55. Length of survival." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 55</span><span class="title">Length of survival</span></h3></div></article><article data-type="fig" id="figobch12appefig55"><div id="ch12.appe.fig55" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2056.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20at%20home).&p=BOOKS&id=558770_ch12appef55.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef55.jpg" alt="Figure 56. Preferred and actual place of death (people dying at home)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 56</span><span class="title">Preferred and actual place of death (people dying at home)</span></h3></div></article><article data-type="fig" id="figobch12appefig56"><div id="ch12.appe.fig56" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2057.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20in%20hospital).&p=BOOKS&id=558770_ch12appef56.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef56.jpg" alt="Figure 57. Preferred and actual place of death (people dying in hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 57</span><span class="title">Preferred and actual place of death (people dying in hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig57"><div id="ch12.appe.fig57" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2058.%20Number%20of%20hospital%20visits%20(patients%20who%20attended%20outpatients)%20between%20first%20MCNS%20visit%20and%20death.&p=BOOKS&id=558770_ch12appef57.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef57.jpg" alt="Figure 58. Number of hospital visits (patients who attended outpatients) between first MCNS visit and death." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 58</span><span class="title">Number of hospital visits (patients who attended outpatients) between first MCNS visit and death</span></h3></div></article><article data-type="fig" id="figobch12appefig58"><div id="ch12.appe.fig58" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2059.%20Number%20of%20unscheduled%20admissions%20(people%20with%20emergency%20admissions)%20between%20first%20MCNC%20visit%20and%20death.&p=BOOKS&id=558770_ch12appef58.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef58.jpg" alt="Figure 59. Number of unscheduled admissions (people with emergency admissions) between first MCNC visit and death." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 59</span><span class="title">Number of unscheduled admissions (people with emergency admissions) between first MCNC visit and death</span></h3></div></article><article data-type="fig" id="figobch12appefig59"><div id="ch12.appe.fig59" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2060.%20Number%20of%20visits%20to%20A%26E%20(people%20who%20attended%20A%26E)%20between%20first%20MCNC%20visit%20and%20death.&p=BOOKS&id=558770_ch12appef59.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef59.jpg" alt="Figure 60. Number of visits to A&E (people who attended A&E) between first MCNC visit and death." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 60</span><span class="title">Number of visits to A&E (people who attended A&E) between first MCNC visit and death</span></h3></div></article><article data-type="fig" id="figobch12appefig60"><div id="ch12.appe.fig60" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2061.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20at%20home)%20up%20to%202%20years.&p=BOOKS&id=558770_ch12appef60.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef60.jpg" alt="Figure 61. Preferred and actual place of death (people dying at home) up to 2 years." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 61</span><span class="title">Preferred and actual place of death (people dying at home) up to 2 years</span></h3></div></article><article data-type="fig" id="figobch12appefig61"><div id="ch12.appe.fig61" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2062.%20Length%20of%20survival%20(number%20of%20people%20who%20died%20%02013%20mortality)%20at%206%20months.&p=BOOKS&id=558770_ch12appef61.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef61.jpg" alt="Figure 62. Length of survival (number of people who died – mortality) at 6 months." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 62</span><span class="title">Length of survival (number of people who died – mortality) at 6 months</span></h3></div></article><article data-type="fig" id="figobch12appefig62"><div id="ch12.appe.fig62" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2063.%20Length%20of%20survival%20(length%20of%20survival%20%02013%20overall).&p=BOOKS&id=558770_ch12appef62.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef62.jpg" alt="Figure 63. Length of survival (length of survival – overall)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 63</span><span class="title">Length of survival (length of survival – overall)</span></h3></div></article><article data-type="fig" id="figobch12appefig63"><div id="ch12.appe.fig63" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2064.%20Length%20of%20survival%20(length%20of%20survival%20in%20people%20who%20died).&p=BOOKS&id=558770_ch12appef63.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef63.jpg" alt="Figure 64. Length of survival (length of survival in people who died)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 64</span><span class="title">Length of survival (length of survival in people who died)</span></h3></div></article><article data-type="fig" id="figobch12appefig64"><div id="ch12.appe.fig64" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2065.%20Length%20of%20stay%20(VA%20services%20%02013%20emergency%20room).&p=BOOKS&id=558770_ch12appef64.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef64.jpg" alt="Figure 65. Length of stay (VA services – emergency room)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 65</span><span class="title">Length of stay (VA services – emergency room)</span></h3></div></article><article data-type="fig" id="figobch12appefig65"><div id="ch12.appe.fig65" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2066.%20Length%20of%20stay%20(VA%20services%20%02013%20extended%20care%20days).&p=BOOKS&id=558770_ch12appef65.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef65.jpg" alt="Figure 66. Length of stay (VA services – extended care days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 66</span><span class="title">Length of stay (VA services – extended care days)</span></h3></div></article><article data-type="fig" id="figobch12appefig66"><div id="ch12.appe.fig66" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2067.%20Length%20of%20stay%20(VA%20services%20%02013%20general%20bed%20days).&p=BOOKS&id=558770_ch12appef66.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef66.jpg" alt="Figure 67. Length of stay (VA services – general bed days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 67</span><span class="title">Length of stay (VA services – general bed days)</span></h3></div></article><article data-type="fig" id="figobch12appefig67"><div id="ch12.appe.fig67" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2068.%20Length%20of%20stay%20(VA%20services%20%02013%20intensive%20care%20hospital%20days).&p=BOOKS&id=558770_ch12appef67.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef67.jpg" alt="Figure 68. Length of stay (VA services – intensive care hospital days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 68</span><span class="title">Length of stay (VA services – intensive care hospital days)</span></h3></div></article><article data-type="fig" id="figobch12appefig68"><div id="ch12.appe.fig68" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2069.%20Length%20of%20stay%20(VA%20services%20%02013%20intermediate%20bed%20days).&p=BOOKS&id=558770_ch12appef68.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef68.jpg" alt="Figure 69. Length of stay (VA services – intermediate bed days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 69</span><span class="title">Length of stay (VA services – intermediate bed days)</span></h3></div></article><article data-type="fig" id="figobch12appefig69"><div id="ch12.appe.fig69" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2070.%20Length%20of%20stay%20(VA%20services%20%02013%20outpatient%20clinic%20visits).&p=BOOKS&id=558770_ch12appef69.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef69.jpg" alt="Figure 70. Length of stay (VA services – outpatient clinic visits)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 70</span><span class="title">Length of stay (VA services – outpatient clinic visits)</span></h3></div></article><article data-type="fig" id="figobch12appefig70"><div id="ch12.appe.fig70" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2071.%20Length%20of%20stay%20(VA%20services%20%02013%20rehabilitation%20days).&p=BOOKS&id=558770_ch12appef70.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef70.jpg" alt="Figure 71. Length of stay (VA services – rehabilitation days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 71</span><span class="title">Length of stay (VA services – rehabilitation days)</span></h3></div></article><article data-type="fig" id="figobch12appefig71"><div id="ch12.appe.fig71" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2072.%20Length%20of%20stay%20(VA%20services%20%02013%20total%20days).&p=BOOKS&id=558770_ch12appef71.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef71.jpg" alt="Figure 72. Length of stay (VA services – total days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 72</span><span class="title">Length of stay (VA services – total days)</span></h3></div></article><article data-type="fig" id="figobch12appefig72"><div id="ch12.appe.fig72" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2073.%20Quality%20of%20life%20(QUAL-E%20physical)%20at%2018%20months.&p=BOOKS&id=558770_ch12appef72.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef72.jpg" alt="Figure 73. Quality of life (QUAL-E physical) at 18 months." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 73</span><span class="title">Quality of life (QUAL-E physical) at 18 months</span></h3></div></article><article data-type="fig" id="figobch12appefig73"><div id="ch12.appe.fig73" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2074.%20Quality%20of%20life%20(QUAL-E%20social)%20at%2018%20months.&p=BOOKS&id=558770_ch12appef73.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef73.jpg" alt="Figure 74. Quality of life (QUAL-E social) at 18 months." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 74</span><span class="title">Quality of life (QUAL-E social) at 18 months</span></h3></div></article><article data-type="fig" id="figobch12appefig74"><div id="ch12.appe.fig74" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2075.%20Quality%20of%20life%20(QUAL-E%20preparation)%20at%2018%20months.&p=BOOKS&id=558770_ch12appef74.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef74.jpg" alt="Figure 75. Quality of life (QUAL-E preparation) at 18 months." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 75</span><span class="title">Quality of life (QUAL-E preparation) at 18 months</span></h3></div></article><article data-type="fig" id="figobch12appefig75"><div id="ch12.appe.fig75" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2076.%20Quality%20of%20life%20(QUAL-E%20control)%20at%2018%20months.&p=BOOKS&id=558770_ch12appef75.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef75.jpg" alt="Figure 76. Quality of life (QUAL-E control) at 18 months." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 76</span><span class="title">Quality of life (QUAL-E control) at 18 months</span></h3></div></article><article data-type="fig" id="figobch12appefig76"><div id="ch12.appe.fig76" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2077.%20Quality%20of%20life%20(QUAL-E%20completion)%20at%2018%20months.&p=BOOKS&id=558770_ch12appef76.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef76.jpg" alt="Figure 77. Quality of life (QUAL-E completion) at 18 months." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 77</span><span class="title">Quality of life (QUAL-E completion) at 18 months</span></h3></div></article><article data-type="fig" id="figobch12appefig77"><div id="ch12.appe.fig77" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2078.%20Length%20of%20stay%20(admission%20days%20in%20the%20last%206%20months).&p=BOOKS&id=558770_ch12appef77.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef77.jpg" alt="Figure 78. Length of stay (admission days in the last 6 months)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 78</span><span class="title">Length of stay (admission days in the last 6 months)</span></h3></div></article><article data-type="fig" id="figobch12appefig78"><div id="ch12.appe.fig78" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2079.%20Quality%20of%20life%20(EORTOC%20QLQ-C30%20global%20function)%20at%2014%20days.&p=BOOKS&id=558770_ch12appef78.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef78.jpg" alt="Figure 79. Quality of life (EORTOC QLQ-C30 global function) at 14 days." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 79</span><span class="title">Quality of life (EORTOC QLQ-C30 global function) at 14 days</span></h3></div></article><article data-type="fig" id="figobch12appefig79"><div id="ch12.appe.fig79" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2080.%20Quality%20of%20life%20(EORTOC%20QLQ-C30%20global%20function)%20at%2028%20days.&p=BOOKS&id=558770_ch12appef79.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef79.jpg" alt="Figure 80. Quality of life (EORTOC QLQ-C30 global function) at 28 days." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 80</span><span class="title">Quality of life (EORTOC QLQ-C30 global function) at 28 days</span></h3></div></article><article data-type="fig" id="figobch12appefig80"><div id="ch12.appe.fig80" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2081.%20Quality%20of%20life%20(EORTOC%20QLQ-C15%20PAL%20global%20function)%20at%2014%20days.&p=BOOKS&id=558770_ch12appef80.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef80.jpg" alt="Figure 81. Quality of life (EORTOC QLQ-C15 PAL global function) at 14 days." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 81</span><span class="title">Quality of life (EORTOC QLQ-C15 PAL global function) at 14 days</span></h3></div></article><article data-type="fig" id="figobch12appefig81"><div id="ch12.appe.fig81" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2082.%20Quality%20of%20life%20(EORTOC%20QLQ-C15%20PAL%20global%20function)%20at%2014%20days.&p=BOOKS&id=558770_ch12appef81.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef81.jpg" alt="Figure 82. Quality of life (EORTOC QLQ-C15 PAL global function) at 14 days." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 82</span><span class="title">Quality of life (EORTOC QLQ-C15 PAL global function) at 14 days</span></h3></div></article><article data-type="fig" id="figobch12appefig82"><div id="ch12.appe.fig82" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2083.%20Quality%20of%20life%20(EORTOC%20QLQ-C15%20PAL%20global%20function)%20at%2014%20days.&p=BOOKS&id=558770_ch12appef82.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef82.jpg" alt="Figure 83. Quality of life (EORTOC QLQ-C15 PAL global function) at 14 days." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 83</span><span class="title">Quality of life (EORTOC QLQ-C15 PAL global function) at 14 days</span></h3></div></article><article data-type="fig" id="figobch12appefig83"><div id="ch12.appe.fig83" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2084.%20Hospitalisation%20(number%20of%20hospital%20admissions).&p=BOOKS&id=558770_ch12appef83.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef83.jpg" alt="Figure 84. Hospitalisation (number of hospital admissions)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 84</span><span class="title">Hospitalisation (number of hospital admissions)</span></h3></div></article><article data-type="fig" id="figobch12appefig84"><div id="ch12.appe.fig84" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2085.%20Visits%20to%20accident%20and%20emergency%20(number%20of%20ED%20visits).&p=BOOKS&id=558770_ch12appef84.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef84.jpg" alt="Figure 85. Visits to accident and emergency (number of ED visits)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 85</span><span class="title">Visits to accident and emergency (number of ED visits)</span></h3></div></article><article data-type="fig" id="figobch12appefig85"><div id="ch12.appe.fig85" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2086.%20Community%20service%20use%20(hospice%20enrolment).&p=BOOKS&id=558770_ch12appef85.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef85.jpg" alt="Figure 86. Community service use (hospice enrolment)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 86</span><span class="title">Community service use (hospice enrolment)</span></h3></div></article><article data-type="fig" id="figobch12appefig86"><div id="ch12.appe.fig86" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2087.%20Quality%20of%20life%20(MWOL-HK%20global).&p=BOOKS&id=558770_ch12appef86.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef86.jpg" alt="Figure 87. Quality of life (MWOL-HK global)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 87</span><span class="title">Quality of life (MWOL-HK global)</span></h3></div></article><article data-type="fig" id="figobch12appefig87"><div id="ch12.appe.fig87" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2088.%20Quality%20of%20life%20(CHQ-C%20total%20score).&p=BOOKS&id=558770_ch12appef87.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef87.jpg" alt="Figure 88. Quality of life (CHQ-C total score)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 88</span><span class="title">Quality of life (CHQ-C total score)</span></h3></div></article><article data-type="fig" id="figobch12appefig88"><div id="ch12.appe.fig88" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2089.%20Patient%20satisfaction%20(PSQ).&p=BOOKS&id=558770_ch12appef88.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef88.jpg" alt="Figure 89. Patient satisfaction (PSQ)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 89</span><span class="title">Patient satisfaction (PSQ)</span></h3></div></article><article data-type="fig" id="figobch12appefig89"><div id="ch12.appe.fig89" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2090.%20Quality%20of%20life%20(SF-6D).&p=BOOKS&id=558770_ch12appef89.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef89.jpg" alt="Figure 90. Quality of life (SF-6D)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 90</span><span class="title">Quality of life (SF-6D)</span></h3></div></article><article data-type="fig" id="figobch12appefig90"><div id="ch12.appe.fig90" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2091.%20Quality%20of%20life%20(QALY).&p=BOOKS&id=558770_ch12appef90.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef90.jpg" alt="Figure 91. Quality of life (QALY)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 91</span><span class="title">Quality of life (QALY)</span></h3></div></article><article data-type="fig" id="figobch12appefig91"><div id="ch12.appe.fig91" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2092.%20Visits%20to%20accident%20and%20emergency%20(number%20of%20ED%20visits).&p=BOOKS&id=558770_ch12appef91.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef91.jpg" alt="Figure 92. Visits to accident and emergency (number of ED visits)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 92</span><span class="title">Visits to accident and emergency (number of ED visits)</span></h3></div></article><article data-type="fig" id="figobch12appefig92"><div id="ch12.appe.fig92" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2093.%20Length%20of%20stay%20(length%20of%20hospital%20stay%2C%20per%20patient%20mean).&p=BOOKS&id=558770_ch12appef92.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef92.jpg" alt="Figure 93. Length of stay (length of hospital stay, per patient mean)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 93</span><span class="title">Length of stay (length of hospital stay, per patient mean)</span></h3></div></article><article data-type="fig" id="figobch12appefig93"><div id="ch12.appe.fig93" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2094.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20at%20home).&p=BOOKS&id=558770_ch12appef93.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef93.jpg" alt="Figure 94. Preferred and actual place of death (people dying at home)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 94</span><span class="title">Preferred and actual place of death (people dying at home)</span></h3></div></article><article data-type="fig" id="figobch12appefig94"><div id="ch12.appe.fig94" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2095.%20Number%20of%20unscheduled%20admissions%20(N%20of%20patients%20admitted).&p=BOOKS&id=558770_ch12appef94.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef94.jpg" alt="Figure 95. Number of unscheduled admissions (N of patients admitted)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 95</span><span class="title">Number of unscheduled admissions (N of patients admitted)</span></h3></div></article><article data-type="fig" id="figobch12appefig95"><div id="ch12.appe.fig95" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2096.%20Length%20of%20stay%20(Length%20of%20stay%20%02013%20Bradford%20subgroup).&p=BOOKS&id=558770_ch12appef95.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef95.jpg" alt="Figure 96. Length of stay (Length of stay – Bradford subgroup)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 96</span><span class="title">Length of stay (Length of stay – Bradford subgroup)</span></h3></div></article><article data-type="fig" id="figobch12appefig96"><div id="ch12.appe.fig96" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2097.%20Length%20of%20stay%20(Length%20of%20stay%20%02013%20Poole%20subgroup).&p=BOOKS&id=558770_ch12appef96.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef96.jpg" alt="Figure 97. Length of stay (Length of stay – Poole subgroup)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 97</span><span class="title">Length of stay (Length of stay – Poole subgroup)</span></h3></div></article><article data-type="fig" id="figobch12appefig97"><div id="ch12.appe.fig97" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2098.%20Number%20of%20unscheduled%20admissions%20(N%20of%20admissions%20per%20patients%20%02013%20Bradford%20subgroup).&p=BOOKS&id=558770_ch12appef97.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef97.jpg" alt="Figure 98. Number of unscheduled admissions (N of admissions per patients – Bradford subgroup)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 98</span><span class="title">Number of unscheduled admissions (N of admissions per patients – Bradford subgroup)</span></h3></div></article><article data-type="fig" id="figobch12appefig98"><div id="ch12.appe.fig98" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%2099.%20Number%20of%20unscheduled%20admissions%20(N%20of%20admissions%20per%20patients%20%02013%20Poole%20subgroup).&p=BOOKS&id=558770_ch12appef98.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef98.jpg" alt="Figure 99. Number of unscheduled admissions (N of admissions per patients – Poole subgroup)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 99</span><span class="title">Number of unscheduled admissions (N of admissions per patients – Poole subgroup)</span></h3></div></article><article data-type="fig" id="figobch12appefig99"><div id="ch12.appe.fig99" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20100.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20at%20country%20hospital).&p=BOOKS&id=558770_ch12appef99.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef99.jpg" alt="Figure 100. Preferred and actual place of death (people dying at country hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 100</span><span class="title">Preferred and actual place of death (people dying at country hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig100"><div id="ch12.appe.fig100" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20101.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20at%20home).&p=BOOKS&id=558770_ch12appef100.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef100.jpg" alt="Figure 101. Preferred and actual place of death (people dying at home)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 101</span><span class="title">Preferred and actual place of death (people dying at home)</span></h3></div></article><article data-type="fig" id="figobch12appefig101"><div id="ch12.appe.fig101" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20102.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20in%20hospital).&p=BOOKS&id=558770_ch12appef101.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef101.jpg" alt="Figure 102. Preferred and actual place of death (people dying in hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 102</span><span class="title">Preferred and actual place of death (people dying in hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig102"><div id="ch12.appe.fig102" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20103.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20in%20nursing%20home).&p=BOOKS&id=558770_ch12appef102.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef102.jpg" alt="Figure 103. Preferred and actual place of death (people dying in nursing home)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 103</span><span class="title">Preferred and actual place of death (people dying in nursing home)</span></h3></div></article><article data-type="fig" id="figobch12appefig103"><div id="ch12.appe.fig103" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20104.%20Length%20of%20stay%20(time%20spent%20in%20hospital)%20in%20the%20last%202%20months%20of%20life.&p=BOOKS&id=558770_ch12appef103.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef103.jpg" alt="Figure 104. Length of stay (time spent in hospital) in the last 2 months of life." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 104</span><span class="title">Length of stay (time spent in hospital) in the last 2 months of life</span></h3></div></article><article data-type="fig" id="figobch12appefig104"><div id="ch12.appe.fig104" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20105.%20Hospitalisation%20(number%20of%20hospitalisations)%20in%20the%20last%202%20months%20of%20life.&p=BOOKS&id=558770_ch12appef104.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef104.jpg" alt="Figure 105. Hospitalisation (number of hospitalisations) in the last 2 months of life." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 105</span><span class="title">Hospitalisation (number of hospitalisations) in the last 2 months of life</span></h3></div></article><article data-type="fig" id="figobch12appefig105"><div id="ch12.appe.fig105" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20106.%20Length%20of%20survival%20(deaths%20since%20referral%20(120%2B%20days)).&p=BOOKS&id=558770_ch12appef105.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef105.jpg" alt="Figure 106. Length of survival (deaths since referral (120+ days))." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 106</span><span class="title">Length of survival (deaths since referral (120+ days))</span></h3></div></article><article data-type="fig" id="figobch12appefig106"><div id="ch12.appe.fig106" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20107.%20Length%20of%20survival%20(deaths%20since%20referral%20(31-120%20days)).&p=BOOKS&id=558770_ch12appef106.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef106.jpg" alt="Figure 107. Length of survival (deaths since referral (31-120 days))." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 107</span><span class="title">Length of survival (deaths since referral (31-120 days))</span></h3></div></article><article data-type="fig" id="figobch12appefig107"><div id="ch12.appe.fig107" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20108.%20Length%20of%20survival%20(deaths%20since%20referral%20(8-30%20days)).&p=BOOKS&id=558770_ch12appef107.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef107.jpg" alt="Figure 108. Length of survival (deaths since referral (8-30 days))." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 108</span><span class="title">Length of survival (deaths since referral (8-30 days))</span></h3></div></article><article data-type="fig" id="figobch12appefig108"><div id="ch12.appe.fig108" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20109.%20Preferred%20and%20actual%20place%20of%20death%20(Place%20of%20death%20-%20hospital).&p=BOOKS&id=558770_ch12appef108.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef108.jpg" alt="Figure 109. Preferred and actual place of death (Place of death - hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 109</span><span class="title">Preferred and actual place of death (Place of death - hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig109"><div id="ch12.appe.fig109" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20110.%20Hospitalisation%20(last%202%20weeks%20of%20life).&p=BOOKS&id=558770_ch12appef109.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef109.jpg" alt="Figure 110. Hospitalisation (last 2 weeks of life)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 110</span><span class="title">Hospitalisation (last 2 weeks of life)</span></h3></div></article><article data-type="fig" id="figobch12appefig110"><div id="ch12.appe.fig110" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20111.%20Number%20of%20visits%20to%20accident%20and%20emergency%20(last%20two%20weeks%20of%20life).&p=BOOKS&id=558770_ch12appef110.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef110.jpg" alt="Figure 111. Number of visits to accident and emergency (last two weeks of life)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 111</span><span class="title">Number of visits to accident and emergency (last two weeks of life)</span></h3></div></article><article data-type="fig" id="figobch12appefig111"><div id="ch12.appe.fig111" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20112.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20at%20home).&p=BOOKS&id=558770_ch12appef111.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef111.jpg" alt="Figure 112. Preferred and actual place of death (people dying at home)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 112</span><span class="title">Preferred and actual place of death (people dying at home)</span></h3></div></article><article data-type="fig" id="figobch12appefig112"><div id="ch12.appe.fig112" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20113.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20in%20hospital).&p=BOOKS&id=558770_ch12appef112.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef112.jpg" alt="Figure 113. Preferred and actual place of death (people dying in hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 113</span><span class="title">Preferred and actual place of death (people dying in hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig113"><div id="ch12.appe.fig113" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20114.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20at%20nursing%20home%20or%20private%20clinic).&p=BOOKS&id=558770_ch12appef113.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef113.jpg" alt="Figure 114. Preferred and actual place of death (people dying at nursing home or private clinic)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 114</span><span class="title">Preferred and actual place of death (people dying at nursing home or private clinic)</span></h3></div></article><article data-type="fig" id="figobch12appefig114"><div id="ch12.appe.fig114" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20115.%20Number%20of%20unscheduled%20admissions%20(people%20with%20%3E3%20hospitalisations)%20in%20the%203%20months%20before%20death).&p=BOOKS&id=558770_ch12appef114.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef114.jpg" alt="Figure 115. Number of unscheduled admissions (people with >3 hospitalisations) in the 3 months before death)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 115</span><span class="title">Number of unscheduled admissions (people with >3 hospitalisations) in the 3 months before death)</span></h3></div></article><article data-type="fig" id="figobch12appefig115"><div id="ch12.appe.fig115" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20116.%20Number%20of%20unscheduled%20admissions%20(people%20with%201-2%20hospitalisations)%20in%20the%203%20months%20before%20death).&p=BOOKS&id=558770_ch12appef115.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef115.jpg" alt="Figure 116. Number of unscheduled admissions (people with 1-2 hospitalisations) in the 3 months before death)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 116</span><span class="title">Number of unscheduled admissions (people with 1-2 hospitalisations) in the 3 months before death)</span></h3></div></article><article data-type="fig" id="figobch12appefig116"><div id="ch12.appe.fig116" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20117.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20at%20home).&p=BOOKS&id=558770_ch12appef116.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef116.jpg" alt="Figure 117. Preferred and actual place of death (people dying at home)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 117</span><span class="title">Preferred and actual place of death (people dying at home)</span></h3></div></article><article data-type="fig" id="figobch12appefig117"><div id="ch12.appe.fig117" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20118.%20Length%20of%20stay%20(days%20in%20hospital%20at%20rehospitalisation).&p=BOOKS&id=558770_ch12appef117.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef117.jpg" alt="Figure 118. Length of stay (days in hospital at rehospitalisation)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 118</span><span class="title">Length of stay (days in hospital at rehospitalisation)</span></h3></div></article><article data-type="fig" id="figobch12appefig118"><div id="ch12.appe.fig118" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20119.%20Length%20of%20survival%20(days%20of%20survival).&p=BOOKS&id=558770_ch12appef118.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef118.jpg" alt="Figure 119. Length of survival (days of survival)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 119</span><span class="title">Length of survival (days of survival)</span></h3></div></article><article data-type="fig" id="figobch12appefig119"><div id="ch12.appe.fig119" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20120.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20in%20hospital).&p=BOOKS&id=558770_ch12appef119.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef119.jpg" alt="Figure 120. Preferred and actual place of death (people dying in hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 120</span><span class="title">Preferred and actual place of death (people dying in hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig120"><div id="ch12.appe.fig120" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20121.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20out%20of%20hospital).&p=BOOKS&id=558770_ch12appef120.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef120.jpg" alt="Figure 121. Preferred and actual place of death (people dying out of hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 121</span><span class="title">Preferred and actual place of death (people dying out of hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig121"><div id="ch12.appe.fig121" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20122.%20Hospitalisation%20(hospitalisation%20in%20the%20last%2012%20months).&p=BOOKS&id=558770_ch12appef121.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef121.jpg" alt="Figure 122. Hospitalisation (hospitalisation in the last 12 months)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 122</span><span class="title">Hospitalisation (hospitalisation in the last 12 months)</span></h3></div></article><article data-type="fig" id="figobch12appefig122"><div id="ch12.appe.fig122" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20123.%20Unscheduled%20admissions%20(unplanned%20hospitalisation%20in%20the%20last%2012%20months).&p=BOOKS&id=558770_ch12appef122.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef122.jpg" alt="Figure 123. Unscheduled admissions (unplanned hospitalisation in the last 12 months)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 123</span><span class="title">Unscheduled admissions (unplanned hospitalisation in the last 12 months)</span></h3></div></article><article data-type="fig" id="figobch12appefig123"><div id="ch12.appe.fig123" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20124.%20Accident%20and%20emergency%20visits%20(ED%20presentation%20in%20the%20last%2012%20months).&p=BOOKS&id=558770_ch12appef123.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef123.jpg" alt="Figure 124. Accident and emergency visits (ED presentation in the last 12 months)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 124</span><span class="title">Accident and emergency visits (ED presentation in the last 12 months)</span></h3></div></article><article data-type="fig" id="figobch12appefig124"><div id="ch12.appe.fig124" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20125.%20Length%20of%20stay%20(days%20in%20inpatient%20hospital%20in%20last%2012%20months).&p=BOOKS&id=558770_ch12appef124.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef124.jpg" alt="Figure 125. Length of stay (days in inpatient hospital in last 12 months)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 125</span><span class="title">Length of stay (days in inpatient hospital in last 12 months)</span></h3></div></article><article data-type="fig" id="figobch12appefig125"><div id="ch12.appe.fig125" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20126.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20in%20inpatient%20hospice).&p=BOOKS&id=558770_ch12appef125.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef125.jpg" alt="Figure 126. Preferred and actual place of death (people dying in inpatient hospice)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 126</span><span class="title">Preferred and actual place of death (people dying in inpatient hospice)</span></h3></div></article><article data-type="fig" id="figobch12appefig126"><div id="ch12.appe.fig126" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20127.%20Carers%20quality%20of%20life%20(EQ5D%2C%200-1)%20(8%20months).&p=BOOKS&id=558770_ch12appef126.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef126.jpg" alt="Figure 127. Carers quality of life (EQ5D, 0-1) (8 months)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 127</span><span class="title">Carers quality of life (EQ5D, 0-1) (8 months)</span></h3></div></article><article data-type="fig" id="figobch12appefig127"><div id="ch12.appe.fig127" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20128.%20Carers%20quality%20of%20life%20(SF12%20Physical%20Component%20Summary%20Score%2C%200-100)%20(8%20months).&p=BOOKS&id=558770_ch12appef127.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef127.jpg" alt="Figure 128. Carers quality of life (SF12 Physical Component Summary Score, 0-100) (8 months)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 128</span><span class="title">Carers quality of life (SF12 Physical Component Summary Score, 0-100) (8 months)</span></h3></div></article><article data-type="fig" id="figobch12appefig128"><div id="ch12.appe.fig128" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20129.%20Carers%20quality%20of%20life%20(SF12%20Mental%20Component%20Summary%20Score%2C%200-100)%20(8%20months).&p=BOOKS&id=558770_ch12appef128.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef128.jpg" alt="Figure 129. Carers quality of life (SF12 Mental Component Summary Score, 0-100) (8 months)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 129</span><span class="title">Carers quality of life (SF12 Mental Component Summary Score, 0-100) (8 months)</span></h3></div></article><article data-type="fig" id="figobch12appefig129"><div id="ch12.appe.fig129" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20130.%20Preferred%20and%20actual%20place%20of%20death%20(N%20achieving%20(initial)%20place%20of%20death).&p=BOOKS&id=558770_ch12appef129.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef129.jpg" alt="Figure 130. Preferred and actual place of death (N achieving (initial) place of death)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 130</span><span class="title">Preferred and actual place of death (N achieving (initial) place of death)</span></h3></div></article><article data-type="fig" id="figobch12appefig130"><div id="ch12.appe.fig130" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20131.%20Preferred%20and%20actual%20place%20of%20death%20(N%20achieving%20(final)%20place%20of%20death).&p=BOOKS&id=558770_ch12appef130.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef130.jpg" alt="Figure 131. Preferred and actual place of death (N achieving (final) place of death)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 131</span><span class="title">Preferred and actual place of death (N achieving (final) place of death)</span></h3></div></article><article data-type="fig" id="figobch12appefig131"><div id="ch12.appe.fig131" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20132.%20Preferred%20and%20actual%20place%20of%20death%20(N%20achieving%20(initial)%20place%20of%20death).&p=BOOKS&id=558770_ch12appef131.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef131.jpg" alt="Figure 132. Preferred and actual place of death (N achieving (initial) place of death)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 132</span><span class="title">Preferred and actual place of death (N achieving (initial) place of death)</span></h3></div></article><article data-type="fig" id="figobch12appefig132"><div id="ch12.appe.fig132" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20133.%20Number%20of%20visits%20to%20accident%20and%20emergency%20(N%20with%20%02265%201%20contact%20with%20acute%20care).&p=BOOKS&id=558770_ch12appef132.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef132.jpg" alt="Figure 133. Number of visits to accident and emergency (N with ≥ 1 contact with acute care)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 133</span><span class="title">Number of visits to accident and emergency (N with ≥ 1 contact with acute care)</span></h3><div class="caption"><p>This outcome included visits to hospital A&E, inpatients nights, outpatients appointments, day hospital visits</p></div></div></article><article data-type="fig" id="figobch12appefig133"><div id="ch12.appe.fig133" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20134.%20Use%20of%20community%20services%20(N%20with%20%02265%201%20contact%20with%20GP%2Fprimary%20care).&p=BOOKS&id=558770_ch12appef133.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef133.jpg" alt="Figure 134. Use of community services (N with ≥ 1 contact with GP/primary care)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 134</span><span class="title">Use of community services (N with ≥ 1 contact with GP/primary care)</span></h3><div class="caption"><p>This outcome included all visits to surgery to see GP or practice nurse, and home visits by GP</p></div></div></article><article data-type="fig" id="figobch12appefig134"><div id="ch12.appe.fig134" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20135.%20Use%20of%20community%20services%20(N%20with%20%02265%201%20contact%20with%20community%20care).&p=BOOKS&id=558770_ch12appef134.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef134.jpg" alt="Figure 135. Use of community services (N with ≥ 1 contact with community care)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 135</span><span class="title">Use of community services (N with ≥ 1 contact with community care)</span></h3><div class="caption"><p>This outcome included all visits and telephone calls to patients by community nurse, long-term condition team, intermediate care teams, community matrons</p></div></div></article><article data-type="fig" id="figobch12appefig135"><div id="ch12.appe.fig135" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20136.%20Use%20of%20community%20services%20(N%20with%20%02265%201%20contact%20with%20Marie%20Curie%20visits).&p=BOOKS&id=558770_ch12appef135.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef135.jpg" alt="Figure 136. Use of community services (N with ≥ 1 contact with Marie Curie visits)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 136</span><span class="title">Use of community services (N with ≥ 1 contact with Marie Curie visits)</span></h3><div class="caption"><p>This outcome included Marie Curie health care assistants or registered nurse visits – each lasted 8 hours (overnight sitting)</p></div></div></article><article data-type="fig" id="figobch12appefig136"><div id="ch12.appe.fig136" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20137.%20Use%20of%20community%20services%20(N%20with%20%02265%201%20contact%20with%20out%20of%20hours%20services).&p=BOOKS&id=558770_ch12appef136.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef136.jpg" alt="Figure 137. Use of community services (N with ≥ 1 contact with out of hours services)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 137</span><span class="title">Use of community services (N with ≥ 1 contact with out of hours services)</span></h3><div class="caption"><p>This outcome included out of hours home visits by GP or nurse, telephone advice by GP, ‘walk-in’ attendances and ambulance responses</p></div></div></article><article data-type="fig" id="figobch12appefig137"><div id="ch12.appe.fig137" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20138.%20Use%20of%20community%20services%20(N%20with%20%02265%201%20contact%20with%20hospice%2C%20excluding%20rapid%20response%20service).&p=BOOKS&id=558770_ch12appef137.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef137.jpg" alt="Figure 138. Use of community services (N with ≥ 1 contact with hospice, excluding rapid response service)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 138</span><span class="title">Use of community services (N with ≥ 1 contact with hospice, excluding rapid response service)</span></h3><div class="caption"><p>This outcome included home or outpatients contacts with hospice nurses, doctors, allied health professionals, social workers, chaplain, inpatient stays, day hospice attendances for complementary therapies</p></div></div></article><article data-type="fig" id="figobch12appefig138"><div id="ch12.appe.fig138" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20139.%20Use%20of%20community%20services%20(N%20receiving%20%02265%201%20social%20service).&p=BOOKS&id=558770_ch12appef138.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef138.jpg" alt="Figure 139. Use of community services (N receiving ≥ 1 social service)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 139</span><span class="title">Use of community services (N receiving ≥ 1 social service)</span></h3><div class="caption"><p>This outcome included social services such as for example domiciliary help, meals</p></div></div></article><article data-type="fig" id="figobch12appefig139"><div id="ch12.appe.fig139" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20140.%20Preferred%20and%20actual%20place%20of%20death%20(people%20dying%20at%20home)%20at%2028%20days.&p=BOOKS&id=558770_ch12appef139.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef139.jpg" alt="Figure 140. Preferred and actual place of death (people dying at home) at 28 days." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 140</span><span class="title">Preferred and actual place of death (people dying at home) at 28 days</span></h3></div></article><article data-type="fig" id="figobch12appefig140"><div id="ch12.appe.fig140" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20141.%20Preferred%20and%20actual%20place%20of%20death%20(Place%20of%20death%20%02013%20acute%20hospital).&p=BOOKS&id=558770_ch12appef140.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef140.jpg" alt="Figure 141. Preferred and actual place of death (Place of death – acute hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 141</span><span class="title">Preferred and actual place of death (Place of death – acute hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig141"><div id="ch12.appe.fig141" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20142.%20Preferred%20and%20actual%20place%20of%20death%20(Place%20of%20death%20%02013%20community%20hospital).&p=BOOKS&id=558770_ch12appef141.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef141.jpg" alt="Figure 142. Preferred and actual place of death (Place of death – community hospital)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 142</span><span class="title">Preferred and actual place of death (Place of death – community hospital)</span></h3></div></article><article data-type="fig" id="figobch12appefig142"><div id="ch12.appe.fig142" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20143.%20Preferred%20and%20actual%20place%20of%20death%20(Place%20of%20death%20%02013%20home).&p=BOOKS&id=558770_ch12appef142.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef142.jpg" alt="Figure 143. Preferred and actual place of death (Place of death – home)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 143</span><span class="title">Preferred and actual place of death (Place of death – home)</span></h3></div></article><article data-type="fig" id="figobch12appefig143"><div id="ch12.appe.fig143" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20144.%20Preferred%20and%20actual%20place%20of%20death%20(Place%20of%20death%20%02013%20care%20home).&p=BOOKS&id=558770_ch12appef143.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef143.jpg" alt="Figure 144. Preferred and actual place of death (Place of death – care home)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 144</span><span class="title">Preferred and actual place of death (Place of death – care home)</span></h3></div></article><article data-type="fig" id="figobch12appefig144"><div id="ch12.appe.fig144" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20145.%20Preferred%20and%20actual%20place%20of%20death%20(Place%20of%20death%20%02013%20hospice).&p=BOOKS&id=558770_ch12appef144.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef144.jpg" alt="Figure 145. Preferred and actual place of death (Place of death – hospice)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 145</span><span class="title">Preferred and actual place of death (Place of death – hospice)</span></h3></div></article><article data-type="fig" id="figobch12appefig145"><div id="ch12.appe.fig145" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20146.%20Preferred%20and%20actual%20place%20of%20death%20(Place%20of%20death%20%02013%20elsewhere).&p=BOOKS&id=558770_ch12appef145.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef145.jpg" alt="Figure 146. Preferred and actual place of death (Place of death – elsewhere)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 146</span><span class="title">Preferred and actual place of death (Place of death – elsewhere)</span></h3></div></article><article data-type="fig" id="figobch12appefig146"><div id="ch12.appe.fig146" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20147.%20Number%20of%20hospital%20visits%20(patients%20with%20one%20or%20more%20emergency%20admissions%20%3C%2030%20days).&p=BOOKS&id=558770_ch12appef146.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef146.jpg" alt="Figure 147. Number of hospital visits (patients with one or more emergency admissions < 30 days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 147</span><span class="title">Number of hospital visits (patients with one or more emergency admissions < 30 days)</span></h3></div></article><article data-type="fig" id="figobch12appefig147"><div id="ch12.appe.fig147" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20148.%20Number%20of%20hospital%20visits%20(patients%20with%20one%20or%20more%20emergency%20admissions%20%3C%207%20days).&p=BOOKS&id=558770_ch12appef147.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef147.jpg" alt="Figure 148. Number of hospital visits (patients with one or more emergency admissions < 7 days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 148</span><span class="title">Number of hospital visits (patients with one or more emergency admissions < 7 days)</span></h3></div></article><article data-type="fig" id="figobch12appefig148"><div id="ch12.appe.fig148" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20149.%20Number%20of%20hospital%20visits%20(mean%20emergency%20admission%20per%20patient%20%3C%2030%20days).&p=BOOKS&id=558770_ch12appef148.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef148.jpg" alt="Figure 149. Number of hospital visits (mean emergency admission per patient < 30 days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 149</span><span class="title">Number of hospital visits (mean emergency admission per patient < 30 days)</span></h3></div></article><article data-type="fig" id="figobch12appefig149"><div id="ch12.appe.fig149" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20150.%20Number%20of%20hospital%20visits%20(mean%20emergency%20admission%20per%20patient%20%3C%207%20days).&p=BOOKS&id=558770_ch12appef149.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef149.jpg" alt="Figure 150. Number of hospital visits (mean emergency admission per patient < 7 days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 150</span><span class="title">Number of hospital visits (mean emergency admission per patient < 7 days)</span></h3></div></article><article data-type="fig" id="figobch12appefig150"><div id="ch12.appe.fig150" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20151.%20Number%20of%20visits%20to%20accident%20and%20emergency%20(patients%20with%20one%20or%20more%20ED%20attendance%20%3C%2030%20days).&p=BOOKS&id=558770_ch12appef150.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef150.jpg" alt="Figure 151. Number of visits to accident and emergency (patients with one or more ED attendance < 30 days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 151</span><span class="title">Number of visits to accident and emergency (patients with one or more ED attendance < 30 days)</span></h3></div></article><article data-type="fig" id="figobch12appefig151"><div id="ch12.appe.fig151" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20152.%20Number%20of%20visits%20to%20accident%20and%20emergency%20(patients%20with%20one%20or%20more%20ED%20attendance%20%3C%207%20days).&p=BOOKS&id=558770_ch12appef151.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef151.jpg" alt="Figure 152. Number of visits to accident and emergency (patients with one or more ED attendance < 7 days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 152</span><span class="title">Number of visits to accident and emergency (patients with one or more ED attendance < 7 days)</span></h3></div></article><article data-type="fig" id="figobch12appefig152"><div id="ch12.appe.fig152" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20153.%20Number%20of%20visits%20to%20accident%20and%20emergency%20(mean%20ED%20attendance%20per%20patient%20%3C%2030%20days).&p=BOOKS&id=558770_ch12appef152.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef152.jpg" alt="Figure 153. Number of visits to accident and emergency (mean ED attendance per patient < 30 days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 153</span><span class="title">Number of visits to accident and emergency (mean ED attendance per patient < 30 days)</span></h3></div></article><article data-type="fig" id="figobch12appefig153"><div id="ch12.appe.fig153" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20154.%20Number%20of%20visits%20to%20accident%20and%20emergency%20(mean%20ED%20attendance%20per%20patient%20%3C%207%20days).&p=BOOKS&id=558770_ch12appef153.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appef153.jpg" alt="Figure 154. Number of visits to accident and emergency (mean ED attendance per patient < 7 days)." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 154</span><span class="title">Number of visits to accident and emergency (mean ED attendance per patient < 7 days)</span></h3></div></article><article data-type="table-wrap" id="figobch12appftab1"><div id="ch12.appf.tab1" class="table"><h3><span class="label">Table 47</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab1/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab1_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab1_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab1_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab1_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab1_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab1_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab1_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab1_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab1_1_1_1_1" id="hd_h_ch12.appf.tab1_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab1_1_1_1_1" id="hd_h_ch12.appf.tab1_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab1_1_1_1_1" id="hd_h_ch12.appf.tab1_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab1_1_1_1_1" id="hd_h_ch12.appf.tab1_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab1_1_1_1_1" id="hd_h_ch12.appf.tab1_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab1_1_1_1_1" id="hd_h_ch12.appf.tab1_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab1_1_1_1_1" id="hd_h_ch12.appf.tab1_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab1_1_1_1_2" id="hd_h_ch12.appf.tab1_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab1_1_1_1_2" id="hd_h_ch12.appf.tab1_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other additional CommServ (Abel 2013)</th><th headers="hd_h_ch12.appf.tab1_1_1_1_3" id="hd_h_ch12.appf.tab1_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab1_1_1_1_3" id="hd_h_ch12.appf.tab1_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_1 hd_h_ch12.appf.tab1_1_1_2_2 hd_h_ch12.appf.tab1_1_1_2_3 hd_h_ch12.appf.tab1_1_1_2_4 hd_h_ch12.appf.tab1_1_1_2_5 hd_h_ch12.appf.tab1_1_1_2_6 hd_h_ch12.appf.tab1_1_1_2_7 hd_h_ch12.appf.tab1_1_1_1_2 hd_h_ch12.appf.tab1_1_1_2_8 hd_h_ch12.appf.tab1_1_1_2_9 hd_h_ch12.appf.tab1_1_1_1_3 hd_h_ch12.appf.tab1_1_1_2_10 hd_h_ch12.appf.tab1_1_1_2_11 hd_h_ch12.appf.tab1_1_1_1_4 hd_h_ch12.appf.tab1_1_1_1_5" id="hd_b_ch12.appf.tab1_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of visits to accident and emergency (patients with ≥1 ED admission in the last year of life) (follow-up mean 1 years)</th></tr><tr><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_1 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_2 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>1</sup></td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_3 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>2</sup></td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_4 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_5 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_6 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_7 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab1_1_1_1_2 hd_h_ch12.appf.tab1_1_1_2_8 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>481/547</p>
|
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<p>(87.9%)</p>
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|
</td><td headers="hd_h_ch12.appf.tab1_1_1_1_2 hd_h_ch12.appf.tab1_1_1_2_9 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>384/422</p>
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<p>(91%)</p>
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</td><td headers="hd_h_ch12.appf.tab1_1_1_1_3 hd_h_ch12.appf.tab1_1_1_2_10 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.97 (0.93 to 1.01)</td><td headers="hd_h_ch12.appf.tab1_1_1_1_3 hd_h_ch12.appf.tab1_1_1_2_11 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">27 fewer per 1000 (from 64 fewer to 9 more)</td><td headers="hd_h_ch12.appf.tab1_1_1_1_4 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab1_1_1_1_5 hd_b_ch12.appf.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_1 hd_h_ch12.appf.tab1_1_1_2_2 hd_h_ch12.appf.tab1_1_1_2_3 hd_h_ch12.appf.tab1_1_1_2_4 hd_h_ch12.appf.tab1_1_1_2_5 hd_h_ch12.appf.tab1_1_1_2_6 hd_h_ch12.appf.tab1_1_1_2_7 hd_h_ch12.appf.tab1_1_1_1_2 hd_h_ch12.appf.tab1_1_1_2_8 hd_h_ch12.appf.tab1_1_1_2_9 hd_h_ch12.appf.tab1_1_1_1_3 hd_h_ch12.appf.tab1_1_1_2_10 hd_h_ch12.appf.tab1_1_1_2_11 hd_h_ch12.appf.tab1_1_1_1_4 hd_h_ch12.appf.tab1_1_1_1_5" id="hd_b_ch12.appf.tab1_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (mean stay for those with or without an admission) (follow-up mean 1 years; Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_1 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_2 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>1</sup></td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_3 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>2</sup></td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_4 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_5 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_6 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_7 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab1_1_1_1_2 hd_h_ch12.appf.tab1_1_1_2_8 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">389</td><td headers="hd_h_ch12.appf.tab1_1_1_1_2 hd_h_ch12.appf.tab1_1_1_2_9 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">275</td><td headers="hd_h_ch12.appf.tab1_1_1_1_3 hd_h_ch12.appf.tab1_1_1_2_10 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab1_1_1_1_3 hd_h_ch12.appf.tab1_1_1_2_11 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 8.3 lower (12.45 to 4.15 lower)</td><td headers="hd_h_ch12.appf.tab1_1_1_1_4 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab1_1_1_1_5 hd_b_ch12.appf.tab1_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_1 hd_h_ch12.appf.tab1_1_1_2_2 hd_h_ch12.appf.tab1_1_1_2_3 hd_h_ch12.appf.tab1_1_1_2_4 hd_h_ch12.appf.tab1_1_1_2_5 hd_h_ch12.appf.tab1_1_1_2_6 hd_h_ch12.appf.tab1_1_1_2_7 hd_h_ch12.appf.tab1_1_1_1_2 hd_h_ch12.appf.tab1_1_1_2_8 hd_h_ch12.appf.tab1_1_1_2_9 hd_h_ch12.appf.tab1_1_1_1_3 hd_h_ch12.appf.tab1_1_1_2_10 hd_h_ch12.appf.tab1_1_1_2_11 hd_h_ch12.appf.tab1_1_1_1_4 hd_h_ch12.appf.tab1_1_1_1_5" id="hd_b_ch12.appf.tab1_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">ED visit (mean ED admissions in the last year of life) (follow-up mean 1 years; Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_1 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_2 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>1</sup></td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_3 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>2</sup></td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_4 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_5 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_6 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_7 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab1_1_1_1_2 hd_h_ch12.appf.tab1_1_1_2_8 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">389</td><td headers="hd_h_ch12.appf.tab1_1_1_1_2 hd_h_ch12.appf.tab1_1_1_2_9 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">275</td><td headers="hd_h_ch12.appf.tab1_1_1_1_3 hd_h_ch12.appf.tab1_1_1_2_10 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab1_1_1_1_3 hd_h_ch12.appf.tab1_1_1_2_11 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.14 lower (0.4 lower to 0.12 higher)</td><td headers="hd_h_ch12.appf.tab1_1_1_1_4 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab1_1_1_1_5 hd_b_ch12.appf.tab1_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_1 hd_h_ch12.appf.tab1_1_1_2_2 hd_h_ch12.appf.tab1_1_1_2_3 hd_h_ch12.appf.tab1_1_1_2_4 hd_h_ch12.appf.tab1_1_1_2_5 hd_h_ch12.appf.tab1_1_1_2_6 hd_h_ch12.appf.tab1_1_1_2_7 hd_h_ch12.appf.tab1_1_1_1_2 hd_h_ch12.appf.tab1_1_1_2_8 hd_h_ch12.appf.tab1_1_1_2_9 hd_h_ch12.appf.tab1_1_1_1_3 hd_h_ch12.appf.tab1_1_1_2_10 hd_h_ch12.appf.tab1_1_1_2_11 hd_h_ch12.appf.tab1_1_1_1_4 hd_h_ch12.appf.tab1_1_1_1_5" id="hd_b_ch12.appf.tab1_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (mean admissions) (follow-up mean 1 years; Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_1 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_2 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>1</sup></td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_3 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>2</sup></td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_4 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_5 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_6 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab1_1_1_1_1 hd_h_ch12.appf.tab1_1_1_2_7 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab1_1_1_1_2 hd_h_ch12.appf.tab1_1_1_2_8 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">389</td><td headers="hd_h_ch12.appf.tab1_1_1_1_2 hd_h_ch12.appf.tab1_1_1_2_9 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">275</td><td headers="hd_h_ch12.appf.tab1_1_1_1_3 hd_h_ch12.appf.tab1_1_1_2_10 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab1_1_1_1_3 hd_h_ch12.appf.tab1_1_1_2_11 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.7 lower (1.86 lower to 0.46 higher)</td><td headers="hd_h_ch12.appf.tab1_1_1_1_4 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab1_1_1_1_5 hd_b_ch12.appf.tab1_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>1</dt><dd><div id="ch12.appf.tab1_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>2</dt><dd><div id="ch12.appf.tab1_2"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab2"><div id="ch12.appf.tab2" class="table"><h3><span class="label">Table 48</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab2/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab2_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab2_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab2_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab2_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab2_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab2_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab2_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab2_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1" id="hd_h_ch12.appf.tab2_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab2_1_1_1_1" id="hd_h_ch12.appf.tab2_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab2_1_1_1_1" id="hd_h_ch12.appf.tab2_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab2_1_1_1_1" id="hd_h_ch12.appf.tab2_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab2_1_1_1_1" id="hd_h_ch12.appf.tab2_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab2_1_1_1_1" id="hd_h_ch12.appf.tab2_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab2_1_1_1_1" id="hd_h_ch12.appf.tab2_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab2_1_1_1_2" id="hd_h_ch12.appf.tab2_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional community services (routine)</th><th headers="hd_h_ch12.appf.tab2_1_1_1_2" id="hd_h_ch12.appf.tab2_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Addington-hall 1992)</th><th headers="hd_h_ch12.appf.tab2_1_1_1_3" id="hd_h_ch12.appf.tab2_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab2_1_1_1_3" id="hd_h_ch12.appf.tab2_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Satisfaction (carers agreeing with statement ‘care was well coordinated’) after bereavement</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>31/51</p>
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<p>(60.8%)</p>
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</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>27/43</p>
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<p>(62.8%)</p>
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</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.97 (0.7 to 1.33)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">19 fewer per 1000 (from 188 fewer to 207 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Satisfaction (carers satisfied with care from district nurses)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>33/56</p>
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<p>(58.9%)</p>
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</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>27/62</p>
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<p>(43.5%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.35 (0.95 to 1.94)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">152 more per 1000 (from 22 fewer to 409 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Satisfaction (carers satisfied with care from GP)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>38/56</p>
|
|
<p>(67.9%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>42/62</p>
|
|
<p>(67.7%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1 (0.78 to 1.28)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">0 fewer per 1000 (from 149 fewer to 190 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Satisfaction (carers satisfied with care from hospital)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>42/56</p>
|
|
<p>(75%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>40/62</p>
|
|
<p>(64.5%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.16 (0.92 to 1.48)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">103 more per 1000 (from 52 fewer to 310 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Satisfaction (patients satisfied with care from district nurses)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>63/104</p>
|
|
<p>(60.6%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>40/99</p>
|
|
<p>(40.4%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.5 (1.13 to 1.99)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">202 more per 1000 (from 53 more to 400 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_11_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Satisfaction (patients satisfied with care from GP)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>72/104</p>
|
|
<p>(69.2%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>63/99</p>
|
|
<p>(63.6%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.09 (0.89 to 1.32)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">57 more per 1000 (from 70 fewer to 204 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_13_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Satisfaction (patients satisfied with care from hospital)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>62/104</p>
|
|
<p>(59.6%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>45/99</p>
|
|
<p>(45.5%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.31 (1 to 1.71)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">141 more per 1000 (from 0 more to 323 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_15_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at home)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>17/86</p>
|
|
<p>(19.8%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>14/81</p>
|
|
<p>(17.3%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.14 (0.6 to 2.17)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">24 more per 1000 (from 69 fewer to 202 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_17_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying elsewhere)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>2/86</p>
|
|
<p>(2.3%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>2/81</p>
|
|
<p>(2.5%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.94 (0.14 to 6.53)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">1 fewer per 1000 (from 21 fewer to 137 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_19_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying in hospice)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>10/86</p>
|
|
<p>(11.6%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>12/81</p>
|
|
<p>(14.8%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.78 (0.36 to 1.72)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">33 fewer per 1000 (from 95 fewer to 107 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_21_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying in hospital)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>29/86</p>
|
|
<p>(33.7%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>36/81</p>
|
|
<p>(44.4%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.76 (0.52 to 1.11)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">107 fewer per 1000 (from 213 fewer to 49 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_23_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (people known to occupational therapists)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>43/86</p>
|
|
<p>(50%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>37/81</p>
|
|
<p>(45.7%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.09 (0.8 to 1.5)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">41 more per 1000 (from 91 fewer to 228 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_23_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_25_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (people known to social workers)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>33/86</p>
|
|
<p>(38.4%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>35/81</p>
|
|
<p>(43.2%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.89 (0.62 to 1.28)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">48 fewer per 1000 (from 164 fewer to 121 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_25_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_27_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (patients having contact with district nurses) 2 weeks before final interview</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>38/103</p>
|
|
<p>(36.9%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>39/99</p>
|
|
<p>(39.4%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.94 (0.66 to 1.33)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">24 fewer per 1000 (from 134 fewer to 130 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_27_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_29_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (patients having contact with GP-home visit) 2 weeks before final interview</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>23/103</p>
|
|
<p>(22.3%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>23/99</p>
|
|
<p>(23.2%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.96 (0.58 to 1.6)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">9 fewer per 1000 (from 98 fewer to 139 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_29_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_31_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (patients having contact with GP-surgery consultation) 2 weeks before final interview</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>13/103</p>
|
|
<p>(12.6%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">18/99 (18.2%)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.69 (0.36 to 1.34)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">56 fewer per 1000 (from 116 fewer to 62 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_31_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_33_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (patients having contact with hospice or MacMillan sister) 2 weeks before final interview</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>7/103</p>
|
|
<p>(6.8%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>11/99</p>
|
|
<p>(11.1%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.61 (0.25 to 1.51)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">43 fewer per 1000 (from 83 fewer to 57 more)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_33_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_35_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (admissions) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">81</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.8 lower (1.76 lower to 0.16 higher)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_35_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_37_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (inpatient days) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">81</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 15.9 lower (28.32 to 3.48 lower)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_37_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_39_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of hospital visits (outpatient attendance) (Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">81</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 7.9 higher (4.96 to 10.84 higher)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_39_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_h_ch12.appf.tab2_1_1_2_3 hd_h_ch12.appf.tab2_1_1_2_4 hd_h_ch12.appf.tab2_1_1_2_5 hd_h_ch12.appf.tab2_1_1_2_6 hd_h_ch12.appf.tab2_1_1_2_7 hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_h_ch12.appf.tab2_1_1_2_9 hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_h_ch12.appf.tab2_1_1_2_11 hd_h_ch12.appf.tab2_1_1_1_4 hd_h_ch12.appf.tab2_1_1_1_5" id="hd_b_ch12.appf.tab2_1_1_41_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (home visits-district nurses, Macmillan nurses, hospital oncology nurses, hospice homecare team) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_1 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_2 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_3 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_4 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_5 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_6 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab2_1_1_1_1 hd_h_ch12.appf.tab2_1_1_2_7 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_8 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab2_1_1_1_2 hd_h_ch12.appf.tab2_1_1_2_9 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">81</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_10 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab2_1_1_1_3 hd_h_ch12.appf.tab2_1_1_2_11 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 23 lower (38.4 to 7.6 lower)</td><td headers="hd_h_ch12.appf.tab2_1_1_1_4 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab2_1_1_1_5 hd_b_ch12.appf.tab2_1_1_41_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab2_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab2_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab2_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab3"><div id="ch12.appf.tab3" class="table"><h3><span class="label">Table 49</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab3/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab3_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab3_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab3_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab3_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab3_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab3_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab3_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab3_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab3_1_1_1_1" id="hd_h_ch12.appf.tab3_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab3_1_1_1_1" id="hd_h_ch12.appf.tab3_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab3_1_1_1_1" id="hd_h_ch12.appf.tab3_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab3_1_1_1_1" id="hd_h_ch12.appf.tab3_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab3_1_1_1_1" id="hd_h_ch12.appf.tab3_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab3_1_1_1_1" id="hd_h_ch12.appf.tab3_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab3_1_1_1_1" id="hd_h_ch12.appf.tab3_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab3_1_1_1_2" id="hd_h_ch12.appf.tab3_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab3_1_1_1_2" id="hd_h_ch12.appf.tab3_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Ahlner-Elmqvist 2004)</th><th headers="hd_h_ch12.appf.tab3_1_1_1_3" id="hd_h_ch12.appf.tab3_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab3_1_1_1_3" id="hd_h_ch12.appf.tab3_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_1 hd_h_ch12.appf.tab3_1_1_2_2 hd_h_ch12.appf.tab3_1_1_2_3 hd_h_ch12.appf.tab3_1_1_2_4 hd_h_ch12.appf.tab3_1_1_2_5 hd_h_ch12.appf.tab3_1_1_2_6 hd_h_ch12.appf.tab3_1_1_2_7 hd_h_ch12.appf.tab3_1_1_1_2 hd_h_ch12.appf.tab3_1_1_2_8 hd_h_ch12.appf.tab3_1_1_2_9 hd_h_ch12.appf.tab3_1_1_1_3 hd_h_ch12.appf.tab3_1_1_2_10 hd_h_ch12.appf.tab3_1_1_2_11 hd_h_ch12.appf.tab3_1_1_1_4 hd_h_ch12.appf.tab3_1_1_1_5" id="hd_b_ch12.appf.tab3_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Place of death (home)</th></tr><tr><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_1 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_2 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_3 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_4 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_5 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_6 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_7 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab3_1_1_1_2 hd_h_ch12.appf.tab3_1_1_2_8 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>53/117</p>
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<p>(45.3%)</p>
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</td><td headers="hd_h_ch12.appf.tab3_1_1_1_2 hd_h_ch12.appf.tab3_1_1_2_9 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">10.4%</td><td headers="hd_h_ch12.appf.tab3_1_1_1_3 hd_h_ch12.appf.tab3_1_1_2_10 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 4.34 (2.66 to 7.1)</td><td headers="hd_h_ch12.appf.tab3_1_1_1_3 hd_h_ch12.appf.tab3_1_1_2_11 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">347 more per 1000 (from 173 more to 634 more)</td><td headers="hd_h_ch12.appf.tab3_1_1_1_4 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab3_1_1_1_5 hd_b_ch12.appf.tab3_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_1 hd_h_ch12.appf.tab3_1_1_2_2 hd_h_ch12.appf.tab3_1_1_2_3 hd_h_ch12.appf.tab3_1_1_2_4 hd_h_ch12.appf.tab3_1_1_2_5 hd_h_ch12.appf.tab3_1_1_2_6 hd_h_ch12.appf.tab3_1_1_2_7 hd_h_ch12.appf.tab3_1_1_1_2 hd_h_ch12.appf.tab3_1_1_2_8 hd_h_ch12.appf.tab3_1_1_2_9 hd_h_ch12.appf.tab3_1_1_1_3 hd_h_ch12.appf.tab3_1_1_2_10 hd_h_ch12.appf.tab3_1_1_2_11 hd_h_ch12.appf.tab3_1_1_1_4 hd_h_ch12.appf.tab3_1_1_1_5" id="hd_b_ch12.appf.tab3_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Place of death (hospice)</th></tr><tr><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_1 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_2 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_3 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_4 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_5 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_6 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_7 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab3_1_1_1_2 hd_h_ch12.appf.tab3_1_1_2_8 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>33/117</p>
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<p>(28.2%)</p>
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</td><td headers="hd_h_ch12.appf.tab3_1_1_1_2 hd_h_ch12.appf.tab3_1_1_2_9 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">27%</td><td headers="hd_h_ch12.appf.tab3_1_1_1_3 hd_h_ch12.appf.tab3_1_1_2_10 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.04 (0.71 to 1.53)</td><td headers="hd_h_ch12.appf.tab3_1_1_1_3 hd_h_ch12.appf.tab3_1_1_2_11 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">11 more per 1000 (from 78 fewer to 143 more)</td><td headers="hd_h_ch12.appf.tab3_1_1_1_4 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab3_1_1_1_5 hd_b_ch12.appf.tab3_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_1 hd_h_ch12.appf.tab3_1_1_2_2 hd_h_ch12.appf.tab3_1_1_2_3 hd_h_ch12.appf.tab3_1_1_2_4 hd_h_ch12.appf.tab3_1_1_2_5 hd_h_ch12.appf.tab3_1_1_2_6 hd_h_ch12.appf.tab3_1_1_2_7 hd_h_ch12.appf.tab3_1_1_1_2 hd_h_ch12.appf.tab3_1_1_2_8 hd_h_ch12.appf.tab3_1_1_2_9 hd_h_ch12.appf.tab3_1_1_1_3 hd_h_ch12.appf.tab3_1_1_2_10 hd_h_ch12.appf.tab3_1_1_2_11 hd_h_ch12.appf.tab3_1_1_1_4 hd_h_ch12.appf.tab3_1_1_1_5" id="hd_b_ch12.appf.tab3_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Place of death (hospital)</th></tr><tr><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_1 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_2 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_3 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_4 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_5 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_6 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab3_1_1_1_1 hd_h_ch12.appf.tab3_1_1_2_7 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab3_1_1_1_2 hd_h_ch12.appf.tab3_1_1_2_8 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>26/117</p>
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<p>(22.2%)</p>
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</td><td headers="hd_h_ch12.appf.tab3_1_1_1_2 hd_h_ch12.appf.tab3_1_1_2_9 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">62.6%</td><td headers="hd_h_ch12.appf.tab3_1_1_1_3 hd_h_ch12.appf.tab3_1_1_2_10 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.36 (0.25 to 0.51)</td><td headers="hd_h_ch12.appf.tab3_1_1_1_3 hd_h_ch12.appf.tab3_1_1_2_11 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">401 fewer per 1000 (from 307 fewer to 470 fewer)</td><td headers="hd_h_ch12.appf.tab3_1_1_1_4 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab3_1_1_1_5 hd_b_ch12.appf.tab3_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab3_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab3_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab3_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab4"><div id="ch12.appf.tab4" class="table"><h3><span class="label">Table 50</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab4/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab4_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab4_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab4_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab4_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab4_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab4_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab4_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab4_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab4_1_1_1_1" id="hd_h_ch12.appf.tab4_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab4_1_1_1_1" id="hd_h_ch12.appf.tab4_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab4_1_1_1_1" id="hd_h_ch12.appf.tab4_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab4_1_1_1_1" id="hd_h_ch12.appf.tab4_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab4_1_1_1_1" id="hd_h_ch12.appf.tab4_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab4_1_1_1_1" id="hd_h_ch12.appf.tab4_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab4_1_1_1_1" id="hd_h_ch12.appf.tab4_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab4_1_1_1_2" id="hd_h_ch12.appf.tab4_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional community services (routine)</th><th headers="hd_h_ch12.appf.tab4_1_1_1_2" id="hd_h_ch12.appf.tab4_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Aiken 2006)</th><th headers="hd_h_ch12.appf.tab4_1_1_1_3" id="hd_h_ch12.appf.tab4_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab4_1_1_1_3" id="hd_h_ch12.appf.tab4_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab4_1_1_1_1 hd_h_ch12.appf.tab4_1_1_2_1 hd_h_ch12.appf.tab4_1_1_2_2 hd_h_ch12.appf.tab4_1_1_2_3 hd_h_ch12.appf.tab4_1_1_2_4 hd_h_ch12.appf.tab4_1_1_2_5 hd_h_ch12.appf.tab4_1_1_2_6 hd_h_ch12.appf.tab4_1_1_2_7 hd_h_ch12.appf.tab4_1_1_1_2 hd_h_ch12.appf.tab4_1_1_2_8 hd_h_ch12.appf.tab4_1_1_2_9 hd_h_ch12.appf.tab4_1_1_1_3 hd_h_ch12.appf.tab4_1_1_2_10 hd_h_ch12.appf.tab4_1_1_2_11 hd_h_ch12.appf.tab4_1_1_1_4 hd_h_ch12.appf.tab4_1_1_1_5" id="hd_b_ch12.appf.tab4_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (ED visits) 6 months (follow-up mean 6 months; Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab4_1_1_1_1 hd_h_ch12.appf.tab4_1_1_2_1 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab4_1_1_1_1 hd_h_ch12.appf.tab4_1_1_2_2 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab4_1_1_1_1 hd_h_ch12.appf.tab4_1_1_2_3 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab4_1_1_1_1 hd_h_ch12.appf.tab4_1_1_2_4 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab4_1_1_1_1 hd_h_ch12.appf.tab4_1_1_2_5 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab4_1_1_1_1 hd_h_ch12.appf.tab4_1_1_2_6 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab4_1_1_1_1 hd_h_ch12.appf.tab4_1_1_2_7 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab4_1_1_1_2 hd_h_ch12.appf.tab4_1_1_2_8 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">101</td><td headers="hd_h_ch12.appf.tab4_1_1_1_2 hd_h_ch12.appf.tab4_1_1_2_9 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">91</td><td headers="hd_h_ch12.appf.tab4_1_1_1_3 hd_h_ch12.appf.tab4_1_1_2_10 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab4_1_1_1_3 hd_h_ch12.appf.tab4_1_1_2_11 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.01 higher (0.08 lower to 0.1 higher)</td><td headers="hd_h_ch12.appf.tab4_1_1_1_4 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁⨁◯◯</p>
|
|
<p>LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab4_1_1_1_5 hd_b_ch12.appf.tab4_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab4_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab5"><div id="ch12.appf.tab5" class="table"><h3><span class="label">Table 51</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab5/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab5_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab5_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab5_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab5_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab5_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab5_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab5_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab5_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab5_1_1_1_1" id="hd_h_ch12.appf.tab5_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab5_1_1_1_1" id="hd_h_ch12.appf.tab5_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab5_1_1_1_1" id="hd_h_ch12.appf.tab5_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab5_1_1_1_1" id="hd_h_ch12.appf.tab5_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab5_1_1_1_1" id="hd_h_ch12.appf.tab5_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab5_1_1_1_1" id="hd_h_ch12.appf.tab5_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab5_1_1_1_1" id="hd_h_ch12.appf.tab5_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab5_1_1_1_2" id="hd_h_ch12.appf.tab5_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional community services (routine)</th><th headers="hd_h_ch12.appf.tab5_1_1_1_2" id="hd_h_ch12.appf.tab5_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Bakitas 2009)</th><th headers="hd_h_ch12.appf.tab5_1_1_1_3" id="hd_h_ch12.appf.tab5_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab5_1_1_1_3" id="hd_h_ch12.appf.tab5_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab5_1_1_1_1 hd_h_ch12.appf.tab5_1_1_2_1 hd_h_ch12.appf.tab5_1_1_2_2 hd_h_ch12.appf.tab5_1_1_2_3 hd_h_ch12.appf.tab5_1_1_2_4 hd_h_ch12.appf.tab5_1_1_2_5 hd_h_ch12.appf.tab5_1_1_2_6 hd_h_ch12.appf.tab5_1_1_2_7 hd_h_ch12.appf.tab5_1_1_1_2 hd_h_ch12.appf.tab5_1_1_2_8 hd_h_ch12.appf.tab5_1_1_2_9 hd_h_ch12.appf.tab5_1_1_1_3 hd_h_ch12.appf.tab5_1_1_2_10 hd_h_ch12.appf.tab5_1_1_2_11 hd_h_ch12.appf.tab5_1_1_1_4 hd_h_ch12.appf.tab5_1_1_1_5" id="hd_b_ch12.appf.tab5_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of survival (mortality) at 14.6 months (follow-up mean 14.6 months)</th></tr><tr><td headers="hd_h_ch12.appf.tab5_1_1_1_1 hd_h_ch12.appf.tab5_1_1_2_1 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab5_1_1_1_1 hd_h_ch12.appf.tab5_1_1_2_2 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab5_1_1_1_1 hd_h_ch12.appf.tab5_1_1_2_3 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab5_1_1_1_1 hd_h_ch12.appf.tab5_1_1_2_4 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab5_1_1_1_1 hd_h_ch12.appf.tab5_1_1_2_5 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab5_1_1_1_1 hd_h_ch12.appf.tab5_1_1_2_6 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab5_1_1_1_1 hd_h_ch12.appf.tab5_1_1_2_7 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab5_1_1_1_2 hd_h_ch12.appf.tab5_1_1_2_8 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>112/161</p>
|
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<p>(69.6%)</p>
|
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</td><td headers="hd_h_ch12.appf.tab5_1_1_1_2 hd_h_ch12.appf.tab5_1_1_2_9 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>119/161</p>
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<p>(73.9%)</p>
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</td><td headers="hd_h_ch12.appf.tab5_1_1_1_3 hd_h_ch12.appf.tab5_1_1_2_10 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.94 (0.82 to 1.08)</td><td headers="hd_h_ch12.appf.tab5_1_1_1_3 hd_h_ch12.appf.tab5_1_1_2_11 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">44 fewer per 1000 (from 133 fewer to 59 more)</td><td headers="hd_h_ch12.appf.tab5_1_1_1_4 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab5_1_1_1_5 hd_b_ch12.appf.tab5_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab5_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab5_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab6"><div id="ch12.appf.tab6" class="table"><h3><span class="label">Table 52</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab6/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab6_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab6_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab6_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab6_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab6_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab6_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab6_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab6_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab6_1_1_1_1" id="hd_h_ch12.appf.tab6_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab6_1_1_1_1" id="hd_h_ch12.appf.tab6_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab6_1_1_1_1" id="hd_h_ch12.appf.tab6_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab6_1_1_1_1" id="hd_h_ch12.appf.tab6_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab6_1_1_1_1" id="hd_h_ch12.appf.tab6_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab6_1_1_1_1" id="hd_h_ch12.appf.tab6_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab6_1_1_1_1" id="hd_h_ch12.appf.tab6_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab6_1_1_1_2" id="hd_h_ch12.appf.tab6_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab6_1_1_1_2" id="hd_h_ch12.appf.tab6_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Bentur 2014)</th><th headers="hd_h_ch12.appf.tab6_1_1_1_3" id="hd_h_ch12.appf.tab6_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab6_1_1_1_3" id="hd_h_ch12.appf.tab6_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_1 hd_h_ch12.appf.tab6_1_1_2_2 hd_h_ch12.appf.tab6_1_1_2_3 hd_h_ch12.appf.tab6_1_1_2_4 hd_h_ch12.appf.tab6_1_1_2_5 hd_h_ch12.appf.tab6_1_1_2_6 hd_h_ch12.appf.tab6_1_1_2_7 hd_h_ch12.appf.tab6_1_1_1_2 hd_h_ch12.appf.tab6_1_1_2_8 hd_h_ch12.appf.tab6_1_1_2_9 hd_h_ch12.appf.tab6_1_1_1_3 hd_h_ch12.appf.tab6_1_1_2_10 hd_h_ch12.appf.tab6_1_1_2_11 hd_h_ch12.appf.tab6_1_1_1_4 hd_h_ch12.appf.tab6_1_1_1_5" id="hd_b_ch12.appf.tab6_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">ED visit (ED visit in the last 6 months of life) (follow-up mean 6 months)</th></tr><tr><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_1 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_2 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_3 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_4 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_5 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_6 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_7 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab6_1_1_1_2 hd_h_ch12.appf.tab6_1_1_2_8 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>21/40</p>
|
|
<p>(52.5%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab6_1_1_1_2 hd_h_ch12.appf.tab6_1_1_2_9 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>80/153</p>
|
|
<p>(52.3%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab6_1_1_1_3 hd_h_ch12.appf.tab6_1_1_2_10 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1 (0.72 to 1.4)</td><td headers="hd_h_ch12.appf.tab6_1_1_1_3 hd_h_ch12.appf.tab6_1_1_2_11 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">0 fewer per 1000 (from 146 fewer to 209 more)</td><td headers="hd_h_ch12.appf.tab6_1_1_1_4 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab6_1_1_1_5 hd_b_ch12.appf.tab6_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_1 hd_h_ch12.appf.tab6_1_1_2_2 hd_h_ch12.appf.tab6_1_1_2_3 hd_h_ch12.appf.tab6_1_1_2_4 hd_h_ch12.appf.tab6_1_1_2_5 hd_h_ch12.appf.tab6_1_1_2_6 hd_h_ch12.appf.tab6_1_1_2_7 hd_h_ch12.appf.tab6_1_1_1_2 hd_h_ch12.appf.tab6_1_1_2_8 hd_h_ch12.appf.tab6_1_1_2_9 hd_h_ch12.appf.tab6_1_1_1_3 hd_h_ch12.appf.tab6_1_1_2_10 hd_h_ch12.appf.tab6_1_1_2_11 hd_h_ch12.appf.tab6_1_1_1_4 hd_h_ch12.appf.tab6_1_1_1_5" id="hd_b_ch12.appf.tab6_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (hospitalisation in the last 6 months of life) (follow-up mean 6 months)</th></tr><tr><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_1 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_2 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_3 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_4 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_5 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_6 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_7 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab6_1_1_1_2 hd_h_ch12.appf.tab6_1_1_2_8 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>36/40</p>
|
|
<p>(90%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab6_1_1_1_2 hd_h_ch12.appf.tab6_1_1_2_9 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>127/153</p>
|
|
<p>(83%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab6_1_1_1_3 hd_h_ch12.appf.tab6_1_1_2_10 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.08 (0.96 to 1.23)</td><td headers="hd_h_ch12.appf.tab6_1_1_1_3 hd_h_ch12.appf.tab6_1_1_2_11 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">66 more per 1000 (from 33 fewer to 191 more)</td><td headers="hd_h_ch12.appf.tab6_1_1_1_4 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab6_1_1_1_5 hd_b_ch12.appf.tab6_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_1 hd_h_ch12.appf.tab6_1_1_2_2 hd_h_ch12.appf.tab6_1_1_2_3 hd_h_ch12.appf.tab6_1_1_2_4 hd_h_ch12.appf.tab6_1_1_2_5 hd_h_ch12.appf.tab6_1_1_2_6 hd_h_ch12.appf.tab6_1_1_2_7 hd_h_ch12.appf.tab6_1_1_1_2 hd_h_ch12.appf.tab6_1_1_2_8 hd_h_ch12.appf.tab6_1_1_2_9 hd_h_ch12.appf.tab6_1_1_1_3 hd_h_ch12.appf.tab6_1_1_2_10 hd_h_ch12.appf.tab6_1_1_2_11 hd_h_ch12.appf.tab6_1_1_1_4 hd_h_ch12.appf.tab6_1_1_1_5" id="hd_b_ch12.appf.tab6_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at home) (follow-up mean 6 months)</th></tr><tr><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_1 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_2 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_3 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_4 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_5 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>d</sup></td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_6 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab6_1_1_1_1 hd_h_ch12.appf.tab6_1_1_2_7 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab6_1_1_1_2 hd_h_ch12.appf.tab6_1_1_2_8 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>22/40</p>
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<p>(55%)</p>
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</td><td headers="hd_h_ch12.appf.tab6_1_1_1_2 hd_h_ch12.appf.tab6_1_1_2_9 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>40/153</p>
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<p>(26.1%)</p>
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</td><td headers="hd_h_ch12.appf.tab6_1_1_1_3 hd_h_ch12.appf.tab6_1_1_2_10 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 2.1 (1.43 to 3.1)</td><td headers="hd_h_ch12.appf.tab6_1_1_1_3 hd_h_ch12.appf.tab6_1_1_2_11 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">288 more per 1000 (from 112 more to 549 more)</td><td headers="hd_h_ch12.appf.tab6_1_1_1_4 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab6_1_1_1_5 hd_b_ch12.appf.tab6_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>1</dt><dd><div id="ch12.appf.tab6_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>2</dt><dd><div id="ch12.appf.tab6_2"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>3</dt><dd><div id="ch12.appf.tab6_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl><dl class="bkr_refwrap"><dt>4</dt><dd><div id="ch12.appf.tab6_4"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab7"><div id="ch12.appf.tab7" class="table"><h3><span class="label">Table 53</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab7/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab7_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab7_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab7_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab7_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab7_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab7_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab7_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab7_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab7_1_1_1_1" id="hd_h_ch12.appf.tab7_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab7_1_1_1_1" id="hd_h_ch12.appf.tab7_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab7_1_1_1_1" id="hd_h_ch12.appf.tab7_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab7_1_1_1_1" id="hd_h_ch12.appf.tab7_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab7_1_1_1_1" id="hd_h_ch12.appf.tab7_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab7_1_1_1_1" id="hd_h_ch12.appf.tab7_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab7_1_1_1_1" id="hd_h_ch12.appf.tab7_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab7_1_1_1_2" id="hd_h_ch12.appf.tab7_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab7_1_1_1_2" id="hd_h_ch12.appf.tab7_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Brian Cassel 2016)</th><th headers="hd_h_ch12.appf.tab7_1_1_1_3" id="hd_h_ch12.appf.tab7_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab7_1_1_1_3" id="hd_h_ch12.appf.tab7_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_h_ch12.appf.tab7_1_1_2_3 hd_h_ch12.appf.tab7_1_1_2_4 hd_h_ch12.appf.tab7_1_1_2_5 hd_h_ch12.appf.tab7_1_1_2_6 hd_h_ch12.appf.tab7_1_1_2_7 hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_h_ch12.appf.tab7_1_1_2_9 hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_h_ch12.appf.tab7_1_1_2_11 hd_h_ch12.appf.tab7_1_1_1_4 hd_h_ch12.appf.tab7_1_1_1_5" id="hd_b_ch12.appf.tab7_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (hospital - overall)</th></tr><tr><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_3 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_4 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_5 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_6 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_7 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>31/368</p>
|
|
<p>(8.4%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_9 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">57.2%</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.15 (0.1 to 0.21)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_11 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">486 fewer per 1000 (from 452 fewer to 515 fewer)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_4 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab7_1_1_1_5 hd_b_ch12.appf.tab7_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_h_ch12.appf.tab7_1_1_2_3 hd_h_ch12.appf.tab7_1_1_2_4 hd_h_ch12.appf.tab7_1_1_2_5 hd_h_ch12.appf.tab7_1_1_2_6 hd_h_ch12.appf.tab7_1_1_2_7 hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_h_ch12.appf.tab7_1_1_2_9 hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_h_ch12.appf.tab7_1_1_2_11 hd_h_ch12.appf.tab7_1_1_1_4 hd_h_ch12.appf.tab7_1_1_1_5" id="hd_b_ch12.appf.tab7_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Inappropriate/avoidable ICU admissions (people in ICU during admission) 30 d before death</th></tr><tr><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_3 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_4 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_5 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_6 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_7 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>43/368</p>
|
|
<p>(11.7%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_9 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">49.8%</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.23 (0.18 to 0.31)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_11 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">383 fewer per 1000 (from 344 fewer to 408 fewer)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_4 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab7_1_1_1_5 hd_b_ch12.appf.tab7_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_h_ch12.appf.tab7_1_1_2_3 hd_h_ch12.appf.tab7_1_1_2_4 hd_h_ch12.appf.tab7_1_1_2_5 hd_h_ch12.appf.tab7_1_1_2_6 hd_h_ch12.appf.tab7_1_1_2_7 hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_h_ch12.appf.tab7_1_1_2_9 hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_h_ch12.appf.tab7_1_1_2_11 hd_h_ch12.appf.tab7_1_1_1_4 hd_h_ch12.appf.tab7_1_1_1_5" id="hd_b_ch12.appf.tab7_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Unscheduled admissions (people admitted to hospital - overall) within 30 d of death</th></tr><tr><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_3 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_4 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_5 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_6 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_7 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>77/368</p>
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<p>(20.9%)</p>
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</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_9 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">70.7%</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.3 (0.24 to 0.36)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_11 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">495 fewer per 1000 (from 452 fewer to 537 fewer)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_4 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab7_1_1_1_5 hd_b_ch12.appf.tab7_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_h_ch12.appf.tab7_1_1_2_3 hd_h_ch12.appf.tab7_1_1_2_4 hd_h_ch12.appf.tab7_1_1_2_5 hd_h_ch12.appf.tab7_1_1_2_6 hd_h_ch12.appf.tab7_1_1_2_7 hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_h_ch12.appf.tab7_1_1_2_9 hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_h_ch12.appf.tab7_1_1_2_11 hd_h_ch12.appf.tab7_1_1_1_4 hd_h_ch12.appf.tab7_1_1_1_5" id="hd_b_ch12.appf.tab7_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (number of hospital days/month - cancer group) 1- 18 months before death (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_3 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_4 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_5 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_6 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_7 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">37</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_9 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">111</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_11 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 1.93 lower (2.8 to 1.06 lower)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_4 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab7_1_1_1_5 hd_b_ch12.appf.tab7_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_h_ch12.appf.tab7_1_1_2_3 hd_h_ch12.appf.tab7_1_1_2_4 hd_h_ch12.appf.tab7_1_1_2_5 hd_h_ch12.appf.tab7_1_1_2_6 hd_h_ch12.appf.tab7_1_1_2_7 hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_h_ch12.appf.tab7_1_1_2_9 hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_h_ch12.appf.tab7_1_1_2_11 hd_h_ch12.appf.tab7_1_1_1_4 hd_h_ch12.appf.tab7_1_1_1_5" id="hd_b_ch12.appf.tab7_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (number of hospital days/month - COPD group) 1- 18 months before death (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_3 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_4 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_5 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_6 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_7 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">65</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_9 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">189</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_11 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.99 lower (1.52 to 0.46 lower)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_4 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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|
</td><td headers="hd_h_ch12.appf.tab7_1_1_1_5 hd_b_ch12.appf.tab7_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_h_ch12.appf.tab7_1_1_2_3 hd_h_ch12.appf.tab7_1_1_2_4 hd_h_ch12.appf.tab7_1_1_2_5 hd_h_ch12.appf.tab7_1_1_2_6 hd_h_ch12.appf.tab7_1_1_2_7 hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_h_ch12.appf.tab7_1_1_2_9 hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_h_ch12.appf.tab7_1_1_2_11 hd_h_ch12.appf.tab7_1_1_1_4 hd_h_ch12.appf.tab7_1_1_1_5" id="hd_b_ch12.appf.tab7_1_1_11_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (number of hospital days/month - dementia group) 1- 18 months before death (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_3 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_4 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_5 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_6 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_7 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">92</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_9 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">276</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_11 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.93 lower (1.46 to 0.4 lower)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_4 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab7_1_1_1_5 hd_b_ch12.appf.tab7_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_h_ch12.appf.tab7_1_1_2_3 hd_h_ch12.appf.tab7_1_1_2_4 hd_h_ch12.appf.tab7_1_1_2_5 hd_h_ch12.appf.tab7_1_1_2_6 hd_h_ch12.appf.tab7_1_1_2_7 hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_h_ch12.appf.tab7_1_1_2_9 hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_h_ch12.appf.tab7_1_1_2_11 hd_h_ch12.appf.tab7_1_1_1_4 hd_h_ch12.appf.tab7_1_1_1_5" id="hd_b_ch12.appf.tab7_1_1_13_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (number of hospital days/month - HF group) 1- 18 months before death (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_3 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_4 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_5 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_6 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_7 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">174</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_9 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">499</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_11 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 1.45 lower (1.79 to 1.11 lower)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_4 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab7_1_1_1_5 hd_b_ch12.appf.tab7_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_h_ch12.appf.tab7_1_1_2_3 hd_h_ch12.appf.tab7_1_1_2_4 hd_h_ch12.appf.tab7_1_1_2_5 hd_h_ch12.appf.tab7_1_1_2_6 hd_h_ch12.appf.tab7_1_1_2_7 hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_h_ch12.appf.tab7_1_1_2_9 hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_h_ch12.appf.tab7_1_1_2_11 hd_h_ch12.appf.tab7_1_1_1_4 hd_h_ch12.appf.tab7_1_1_1_5" id="hd_b_ch12.appf.tab7_1_1_15_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">N of hospital visits (number of hospitalisation/month - cancer group) 1- 18 months before death (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_3 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_4 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_5 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_6 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_7 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">37</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_9 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">111</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_11 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.25 lower (0.38 to 0.12 lower)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_4 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab7_1_1_1_5 hd_b_ch12.appf.tab7_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_h_ch12.appf.tab7_1_1_2_3 hd_h_ch12.appf.tab7_1_1_2_4 hd_h_ch12.appf.tab7_1_1_2_5 hd_h_ch12.appf.tab7_1_1_2_6 hd_h_ch12.appf.tab7_1_1_2_7 hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_h_ch12.appf.tab7_1_1_2_9 hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_h_ch12.appf.tab7_1_1_2_11 hd_h_ch12.appf.tab7_1_1_1_4 hd_h_ch12.appf.tab7_1_1_1_5" id="hd_b_ch12.appf.tab7_1_1_17_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">N of hospital visits (number of hospitalisation/month - COPD group) 1- 18 months before death (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_3 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_4 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_5 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_6 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_7 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">65</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_9 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">189</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_11 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.2 lower (0.29 to 0.11 lower)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_4 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab7_1_1_1_5 hd_b_ch12.appf.tab7_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_h_ch12.appf.tab7_1_1_2_3 hd_h_ch12.appf.tab7_1_1_2_4 hd_h_ch12.appf.tab7_1_1_2_5 hd_h_ch12.appf.tab7_1_1_2_6 hd_h_ch12.appf.tab7_1_1_2_7 hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_h_ch12.appf.tab7_1_1_2_9 hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_h_ch12.appf.tab7_1_1_2_11 hd_h_ch12.appf.tab7_1_1_1_4 hd_h_ch12.appf.tab7_1_1_1_5" id="hd_b_ch12.appf.tab7_1_1_19_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">N of hospital visits (number of hospitalisation/month - dementia group) 1- 18 months before death (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_3 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_4 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_5 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_6 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_7 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">92</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_9 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">276</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_11 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.16 lower (0.23 to 0.09 lower)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_4 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab7_1_1_1_5 hd_b_ch12.appf.tab7_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_h_ch12.appf.tab7_1_1_2_3 hd_h_ch12.appf.tab7_1_1_2_4 hd_h_ch12.appf.tab7_1_1_2_5 hd_h_ch12.appf.tab7_1_1_2_6 hd_h_ch12.appf.tab7_1_1_2_7 hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_h_ch12.appf.tab7_1_1_2_9 hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_h_ch12.appf.tab7_1_1_2_11 hd_h_ch12.appf.tab7_1_1_1_4 hd_h_ch12.appf.tab7_1_1_1_5" id="hd_b_ch12.appf.tab7_1_1_21_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">N of hospital visits (number of hospitalisation/month - HF group) 1- 18 months before death (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_1 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_2 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_3 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_4 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_5 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_6 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab7_1_1_1_1 hd_h_ch12.appf.tab7_1_1_2_7 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_8 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">92</td><td headers="hd_h_ch12.appf.tab7_1_1_1_2 hd_h_ch12.appf.tab7_1_1_2_9 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">499</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_10 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab7_1_1_1_3 hd_h_ch12.appf.tab7_1_1_2_11 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.23 lower (0.29 to 0.17 lower)</td><td headers="hd_h_ch12.appf.tab7_1_1_1_4 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab7_1_1_1_5 hd_b_ch12.appf.tab7_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab7_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab7_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab7_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab8"><div id="ch12.appf.tab8" class="table"><h3><span class="label">Table 54</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab8/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab8_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab8_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab8_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab8_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab8_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab8_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab8_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab8_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab8_1_1_1_1" id="hd_h_ch12.appf.tab8_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab8_1_1_1_1" id="hd_h_ch12.appf.tab8_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab8_1_1_1_1" id="hd_h_ch12.appf.tab8_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab8_1_1_1_1" id="hd_h_ch12.appf.tab8_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab8_1_1_1_1" id="hd_h_ch12.appf.tab8_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab8_1_1_1_1" id="hd_h_ch12.appf.tab8_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab8_1_1_1_1" id="hd_h_ch12.appf.tab8_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab8_1_1_1_2" id="hd_h_ch12.appf.tab8_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional community service (routine)</th><th headers="hd_h_ch12.appf.tab8_1_1_1_2" id="hd_h_ch12.appf.tab8_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Brumley 2003)</th><th headers="hd_h_ch12.appf.tab8_1_1_1_3" id="hd_h_ch12.appf.tab8_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab8_1_1_1_3" id="hd_h_ch12.appf.tab8_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_1 hd_h_ch12.appf.tab8_1_1_2_2 hd_h_ch12.appf.tab8_1_1_2_3 hd_h_ch12.appf.tab8_1_1_2_4 hd_h_ch12.appf.tab8_1_1_2_5 hd_h_ch12.appf.tab8_1_1_2_6 hd_h_ch12.appf.tab8_1_1_2_7 hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_8 hd_h_ch12.appf.tab8_1_1_2_9 hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_10 hd_h_ch12.appf.tab8_1_1_2_11 hd_h_ch12.appf.tab8_1_1_1_4 hd_h_ch12.appf.tab8_1_1_1_5" id="hd_b_ch12.appf.tab8_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">People dying at home</th></tr><tr><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_1 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_2 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_3 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_4 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_5 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_6 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_7 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_8 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>138/159</p>
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<p>(86.8%)</p>
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</td><td headers="hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_9 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">56.8%</td><td headers="hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_10 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.53 (1.31 to 1.79)</td><td headers="hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_11 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">301 more per 1000 (from 176 more to 449 more)</td><td headers="hd_h_ch12.appf.tab8_1_1_1_4 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab8_1_1_1_5 hd_b_ch12.appf.tab8_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_1 hd_h_ch12.appf.tab8_1_1_2_2 hd_h_ch12.appf.tab8_1_1_2_3 hd_h_ch12.appf.tab8_1_1_2_4 hd_h_ch12.appf.tab8_1_1_2_5 hd_h_ch12.appf.tab8_1_1_2_6 hd_h_ch12.appf.tab8_1_1_2_7 hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_8 hd_h_ch12.appf.tab8_1_1_2_9 hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_10 hd_h_ch12.appf.tab8_1_1_2_11 hd_h_ch12.appf.tab8_1_1_1_4 hd_h_ch12.appf.tab8_1_1_1_5" id="hd_b_ch12.appf.tab8_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of hospital visits (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_1 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_2 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_3 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_4 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_5 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_6 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_7 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_8 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">161</td><td headers="hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_9 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">139</td><td headers="hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_10 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_11 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 6.99 lower (9.46 to 4.52 lower)</td><td headers="hd_h_ch12.appf.tab8_1_1_1_4 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab8_1_1_1_5 hd_b_ch12.appf.tab8_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_1 hd_h_ch12.appf.tab8_1_1_2_2 hd_h_ch12.appf.tab8_1_1_2_3 hd_h_ch12.appf.tab8_1_1_2_4 hd_h_ch12.appf.tab8_1_1_2_5 hd_h_ch12.appf.tab8_1_1_2_6 hd_h_ch12.appf.tab8_1_1_2_7 hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_8 hd_h_ch12.appf.tab8_1_1_2_9 hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_10 hd_h_ch12.appf.tab8_1_1_2_11 hd_h_ch12.appf.tab8_1_1_1_4 hd_h_ch12.appf.tab8_1_1_1_5" id="hd_b_ch12.appf.tab8_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of visits to accident and emergency (ED visits) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_1 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_2 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_3 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_4 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_5 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_6 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_7 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_8 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">161</td><td headers="hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_9 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">139</td><td headers="hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_10 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_11 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 1.37 lower (1.78 to 0.95 lower)</td><td headers="hd_h_ch12.appf.tab8_1_1_1_4 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab8_1_1_1_5 hd_b_ch12.appf.tab8_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_1 hd_h_ch12.appf.tab8_1_1_2_2 hd_h_ch12.appf.tab8_1_1_2_3 hd_h_ch12.appf.tab8_1_1_2_4 hd_h_ch12.appf.tab8_1_1_2_5 hd_h_ch12.appf.tab8_1_1_2_6 hd_h_ch12.appf.tab8_1_1_2_7 hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_8 hd_h_ch12.appf.tab8_1_1_2_9 hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_10 hd_h_ch12.appf.tab8_1_1_2_11 hd_h_ch12.appf.tab8_1_1_1_4 hd_h_ch12.appf.tab8_1_1_1_5" id="hd_b_ch12.appf.tab8_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (physicians visits) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_1 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_2 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_3 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_4 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_5 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_6 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_7 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_8 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">161</td><td headers="hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_9 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">139</td><td headers="hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_10 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_11 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 5.75 lower (8.9 to 2.6 lower)</td><td headers="hd_h_ch12.appf.tab8_1_1_1_4 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab8_1_1_1_5 hd_b_ch12.appf.tab8_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_1 hd_h_ch12.appf.tab8_1_1_2_2 hd_h_ch12.appf.tab8_1_1_2_3 hd_h_ch12.appf.tab8_1_1_2_4 hd_h_ch12.appf.tab8_1_1_2_5 hd_h_ch12.appf.tab8_1_1_2_6 hd_h_ch12.appf.tab8_1_1_2_7 hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_8 hd_h_ch12.appf.tab8_1_1_2_9 hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_10 hd_h_ch12.appf.tab8_1_1_2_11 hd_h_ch12.appf.tab8_1_1_1_4 hd_h_ch12.appf.tab8_1_1_1_5" id="hd_b_ch12.appf.tab8_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (skilled nursing care visits) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_1 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_2 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_3 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_4 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_5 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_6 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_7 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_8 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">161</td><td headers="hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_9 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">139</td><td headers="hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_10 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_11 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 3.72 lower (6.2 to 1.24 lower)</td><td headers="hd_h_ch12.appf.tab8_1_1_1_4 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab8_1_1_1_5 hd_b_ch12.appf.tab8_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_1 hd_h_ch12.appf.tab8_1_1_2_2 hd_h_ch12.appf.tab8_1_1_2_3 hd_h_ch12.appf.tab8_1_1_2_4 hd_h_ch12.appf.tab8_1_1_2_5 hd_h_ch12.appf.tab8_1_1_2_6 hd_h_ch12.appf.tab8_1_1_2_7 hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_8 hd_h_ch12.appf.tab8_1_1_2_9 hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_10 hd_h_ch12.appf.tab8_1_1_2_11 hd_h_ch12.appf.tab8_1_1_1_4 hd_h_ch12.appf.tab8_1_1_1_5" id="hd_b_ch12.appf.tab8_1_1_11_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (total home health visits) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_1 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_2 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_3 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_4 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_5 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_6 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab8_1_1_1_1 hd_h_ch12.appf.tab8_1_1_2_7 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_8 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">161</td><td headers="hd_h_ch12.appf.tab8_1_1_1_2 hd_h_ch12.appf.tab8_1_1_2_9 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">139</td><td headers="hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_10 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab8_1_1_1_3 hd_h_ch12.appf.tab8_1_1_2_11 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 21.8 higher (14.63 to 28.98 higher)</td><td headers="hd_h_ch12.appf.tab8_1_1_1_4 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab8_1_1_1_5 hd_b_ch12.appf.tab8_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab8_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab8_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab8_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab9"><div id="ch12.appf.tab9" class="table"><h3><span class="label">Table 55</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab9/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab9_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab9_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab9_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab9_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab9_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab9_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab9_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab9_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab9_1_1_1_1" id="hd_h_ch12.appf.tab9_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab9_1_1_1_1" id="hd_h_ch12.appf.tab9_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab9_1_1_1_1" id="hd_h_ch12.appf.tab9_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab9_1_1_1_1" id="hd_h_ch12.appf.tab9_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab9_1_1_1_1" id="hd_h_ch12.appf.tab9_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab9_1_1_1_1" id="hd_h_ch12.appf.tab9_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab9_1_1_1_1" id="hd_h_ch12.appf.tab9_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab9_1_1_1_2" id="hd_h_ch12.appf.tab9_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional community services (routine)</th><th headers="hd_h_ch12.appf.tab9_1_1_1_2" id="hd_h_ch12.appf.tab9_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Brumley 2007)</th><th headers="hd_h_ch12.appf.tab9_1_1_1_3" id="hd_h_ch12.appf.tab9_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab9_1_1_1_3" id="hd_h_ch12.appf.tab9_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_1 hd_h_ch12.appf.tab9_1_1_2_2 hd_h_ch12.appf.tab9_1_1_2_3 hd_h_ch12.appf.tab9_1_1_2_4 hd_h_ch12.appf.tab9_1_1_2_5 hd_h_ch12.appf.tab9_1_1_2_6 hd_h_ch12.appf.tab9_1_1_2_7 hd_h_ch12.appf.tab9_1_1_1_2 hd_h_ch12.appf.tab9_1_1_2_8 hd_h_ch12.appf.tab9_1_1_2_9 hd_h_ch12.appf.tab9_1_1_1_3 hd_h_ch12.appf.tab9_1_1_2_10 hd_h_ch12.appf.tab9_1_1_2_11 hd_h_ch12.appf.tab9_1_1_1_4 hd_h_ch12.appf.tab9_1_1_1_5" id="hd_b_ch12.appf.tab9_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (people hospitalised) - MDT (In-home palliative care service) versus usual care</th></tr><tr><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_1 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_2 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_3 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_4 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_5 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_6 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_7 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab9_1_1_1_2 hd_h_ch12.appf.tab9_1_1_2_8 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>52/145</p>
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<p>(35.9%)</p>
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</td><td headers="hd_h_ch12.appf.tab9_1_1_1_2 hd_h_ch12.appf.tab9_1_1_2_9 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">61.8%</td><td headers="hd_h_ch12.appf.tab9_1_1_1_3 hd_h_ch12.appf.tab9_1_1_2_10 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.58 (0.45 to 0.75)</td><td headers="hd_h_ch12.appf.tab9_1_1_1_3 hd_h_ch12.appf.tab9_1_1_2_11 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">260 fewer per 1000 (from 154 fewer to 340 fewer)</td><td headers="hd_h_ch12.appf.tab9_1_1_1_4 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁⨁◯</p>
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<p>MODERATE</p>
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</td><td headers="hd_h_ch12.appf.tab9_1_1_1_5 hd_b_ch12.appf.tab9_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_1 hd_h_ch12.appf.tab9_1_1_2_2 hd_h_ch12.appf.tab9_1_1_2_3 hd_h_ch12.appf.tab9_1_1_2_4 hd_h_ch12.appf.tab9_1_1_2_5 hd_h_ch12.appf.tab9_1_1_2_6 hd_h_ch12.appf.tab9_1_1_2_7 hd_h_ch12.appf.tab9_1_1_1_2 hd_h_ch12.appf.tab9_1_1_2_8 hd_h_ch12.appf.tab9_1_1_2_9 hd_h_ch12.appf.tab9_1_1_1_3 hd_h_ch12.appf.tab9_1_1_2_10 hd_h_ch12.appf.tab9_1_1_2_11 hd_h_ch12.appf.tab9_1_1_1_4 hd_h_ch12.appf.tab9_1_1_1_5" id="hd_b_ch12.appf.tab9_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">N of visits to A&E (people accessing Emergency dept.) - MDT (In-home palliative care service) versus usual care</th></tr><tr><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_1 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_2 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_3 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_4 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_5 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_6 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_7 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab9_1_1_1_2 hd_h_ch12.appf.tab9_1_1_2_8 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>29/145</p>
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<p>(20%)</p>
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</td><td headers="hd_h_ch12.appf.tab9_1_1_1_2 hd_h_ch12.appf.tab9_1_1_2_9 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">32.9%</td><td headers="hd_h_ch12.appf.tab9_1_1_1_3 hd_h_ch12.appf.tab9_1_1_2_10 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.61 (0.41 to 0.9)</td><td headers="hd_h_ch12.appf.tab9_1_1_1_3 hd_h_ch12.appf.tab9_1_1_2_11 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">128 fewer per 1000 (from 33 fewer to 194 fewer)</td><td headers="hd_h_ch12.appf.tab9_1_1_1_4 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab9_1_1_1_5 hd_b_ch12.appf.tab9_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_1 hd_h_ch12.appf.tab9_1_1_2_2 hd_h_ch12.appf.tab9_1_1_2_3 hd_h_ch12.appf.tab9_1_1_2_4 hd_h_ch12.appf.tab9_1_1_2_5 hd_h_ch12.appf.tab9_1_1_2_6 hd_h_ch12.appf.tab9_1_1_2_7 hd_h_ch12.appf.tab9_1_1_1_2 hd_h_ch12.appf.tab9_1_1_2_8 hd_h_ch12.appf.tab9_1_1_2_9 hd_h_ch12.appf.tab9_1_1_1_3 hd_h_ch12.appf.tab9_1_1_2_10 hd_h_ch12.appf.tab9_1_1_2_11 hd_h_ch12.appf.tab9_1_1_1_4 hd_h_ch12.appf.tab9_1_1_1_5" id="hd_b_ch12.appf.tab9_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of survival (days of survival after enrolment) (Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_1 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_2 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_3 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_4 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_5 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_6 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_7 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab9_1_1_1_2 hd_h_ch12.appf.tab9_1_1_2_8 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">145</td><td headers="hd_h_ch12.appf.tab9_1_1_1_2 hd_h_ch12.appf.tab9_1_1_2_9 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">152</td><td headers="hd_h_ch12.appf.tab9_1_1_1_3 hd_h_ch12.appf.tab9_1_1_2_10 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab9_1_1_1_3 hd_h_ch12.appf.tab9_1_1_2_11 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 46 lower (87.51 to 4.49 lower)</td><td headers="hd_h_ch12.appf.tab9_1_1_1_4 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁⨁◯</p>
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<p>MODERATE</p>
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</td><td headers="hd_h_ch12.appf.tab9_1_1_1_5 hd_b_ch12.appf.tab9_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_1 hd_h_ch12.appf.tab9_1_1_2_2 hd_h_ch12.appf.tab9_1_1_2_3 hd_h_ch12.appf.tab9_1_1_2_4 hd_h_ch12.appf.tab9_1_1_2_5 hd_h_ch12.appf.tab9_1_1_2_6 hd_h_ch12.appf.tab9_1_1_2_7 hd_h_ch12.appf.tab9_1_1_1_2 hd_h_ch12.appf.tab9_1_1_2_8 hd_h_ch12.appf.tab9_1_1_2_9 hd_h_ch12.appf.tab9_1_1_1_3 hd_h_ch12.appf.tab9_1_1_2_10 hd_h_ch12.appf.tab9_1_1_2_11 hd_h_ch12.appf.tab9_1_1_1_4 hd_h_ch12.appf.tab9_1_1_1_5" id="hd_b_ch12.appf.tab9_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (people enrolled in hospice) - MDT (In-home palliative care service) versus usual care</th></tr><tr><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_1 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_2 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_3 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_4 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_5 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_6 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab9_1_1_1_1 hd_h_ch12.appf.tab9_1_1_2_7 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab9_1_1_1_2 hd_h_ch12.appf.tab9_1_1_2_8 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>36/145</p>
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<p>(24.8%)</p>
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</td><td headers="hd_h_ch12.appf.tab9_1_1_1_2 hd_h_ch12.appf.tab9_1_1_2_9 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">36.2%</td><td headers="hd_h_ch12.appf.tab9_1_1_1_3 hd_h_ch12.appf.tab9_1_1_2_10 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.69 (0.48 to 0.98)</td><td headers="hd_h_ch12.appf.tab9_1_1_1_3 hd_h_ch12.appf.tab9_1_1_2_11 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">112 fewer per 1000 (from 7 fewer to 188 fewer)</td><td headers="hd_h_ch12.appf.tab9_1_1_1_4 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab9_1_1_1_5 hd_b_ch12.appf.tab9_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab9_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab9_2"><p class="no_margin">Downgraded by 1 increment because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab9_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab10"><div id="ch12.appf.tab10" class="table"><h3><span class="label">Table 56</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab10/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab10_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab10_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab10_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab10_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab10_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab10_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab10_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab10_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab10_1_1_1_1" id="hd_h_ch12.appf.tab10_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab10_1_1_1_1" id="hd_h_ch12.appf.tab10_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab10_1_1_1_1" id="hd_h_ch12.appf.tab10_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab10_1_1_1_1" id="hd_h_ch12.appf.tab10_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab10_1_1_1_1" id="hd_h_ch12.appf.tab10_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab10_1_1_1_1" id="hd_h_ch12.appf.tab10_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab10_1_1_1_1" id="hd_h_ch12.appf.tab10_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab10_1_1_1_2" id="hd_h_ch12.appf.tab10_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab10_1_1_1_2" id="hd_h_ch12.appf.tab10_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Chitnis 2013)</th><th headers="hd_h_ch12.appf.tab10_1_1_1_3" id="hd_h_ch12.appf.tab10_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab10_1_1_1_3" id="hd_h_ch12.appf.tab10_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_1 hd_h_ch12.appf.tab10_1_1_2_2 hd_h_ch12.appf.tab10_1_1_2_3 hd_h_ch12.appf.tab10_1_1_2_4 hd_h_ch12.appf.tab10_1_1_2_5 hd_h_ch12.appf.tab10_1_1_2_6 hd_h_ch12.appf.tab10_1_1_2_7 hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_8 hd_h_ch12.appf.tab10_1_1_2_9 hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_10 hd_h_ch12.appf.tab10_1_1_2_11 hd_h_ch12.appf.tab10_1_1_1_4 hd_h_ch12.appf.tab10_1_1_1_5" id="hd_b_ch12.appf.tab10_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (home)</th></tr><tr><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_1 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_2 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_3 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_4 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_5 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_6 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_7 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_8 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>22744/29538</p>
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<p>(77%)</p>
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</td><td headers="hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_9 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">35%</td><td headers="hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_10 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 2.2 (2.16 to 2.24)</td><td headers="hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_11 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">420 more per 1000 (from 406 more to 434 more)</td><td headers="hd_h_ch12.appf.tab10_1_1_1_4 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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|
</td><td headers="hd_h_ch12.appf.tab10_1_1_1_5 hd_b_ch12.appf.tab10_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_1 hd_h_ch12.appf.tab10_1_1_2_2 hd_h_ch12.appf.tab10_1_1_2_3 hd_h_ch12.appf.tab10_1_1_2_4 hd_h_ch12.appf.tab10_1_1_2_5 hd_h_ch12.appf.tab10_1_1_2_6 hd_h_ch12.appf.tab10_1_1_2_7 hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_8 hd_h_ch12.appf.tab10_1_1_2_9 hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_10 hd_h_ch12.appf.tab10_1_1_2_11 hd_h_ch12.appf.tab10_1_1_1_4 hd_h_ch12.appf.tab10_1_1_1_5" id="hd_b_ch12.appf.tab10_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (hospital)</th></tr><tr><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_1 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_2 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_3 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_4 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_5 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_6 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_7 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_8 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>2363/29538</p>
|
|
<p>(8%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_9 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">41%</td><td headers="hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_10 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.2 (0.19 to 0.2)</td><td headers="hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_11 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">328 fewer per 1000 (from 328 fewer to 332 fewer)</td><td headers="hd_h_ch12.appf.tab10_1_1_1_4 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab10_1_1_1_5 hd_b_ch12.appf.tab10_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_1 hd_h_ch12.appf.tab10_1_1_2_2 hd_h_ch12.appf.tab10_1_1_2_3 hd_h_ch12.appf.tab10_1_1_2_4 hd_h_ch12.appf.tab10_1_1_2_5 hd_h_ch12.appf.tab10_1_1_2_6 hd_h_ch12.appf.tab10_1_1_2_7 hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_8 hd_h_ch12.appf.tab10_1_1_2_9 hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_10 hd_h_ch12.appf.tab10_1_1_2_11 hd_h_ch12.appf.tab10_1_1_1_4 hd_h_ch12.appf.tab10_1_1_1_5" id="hd_b_ch12.appf.tab10_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">N of hospital visits (patients who attended outpatients) between first MCNS visit and death</th></tr><tr><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_1 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_2 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_3 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_4 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_5 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_6 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_7 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_8 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>2481/29538</p>
|
|
<p>(8.4%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_9 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">18.7%</td><td headers="hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_10 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.45 (0.43 to 0.47)</td><td headers="hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_11 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">103 fewer per 1000 (from 99 fewer to 107 fewer)</td><td headers="hd_h_ch12.appf.tab10_1_1_1_4 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab10_1_1_1_5 hd_b_ch12.appf.tab10_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_1 hd_h_ch12.appf.tab10_1_1_2_2 hd_h_ch12.appf.tab10_1_1_2_3 hd_h_ch12.appf.tab10_1_1_2_4 hd_h_ch12.appf.tab10_1_1_2_5 hd_h_ch12.appf.tab10_1_1_2_6 hd_h_ch12.appf.tab10_1_1_2_7 hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_8 hd_h_ch12.appf.tab10_1_1_2_9 hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_10 hd_h_ch12.appf.tab10_1_1_2_11 hd_h_ch12.appf.tab10_1_1_1_4 hd_h_ch12.appf.tab10_1_1_1_5" id="hd_b_ch12.appf.tab10_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">N of unscheduled admissions (people with emergency admissions) between first MCNS visit and death</th></tr><tr><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_1 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_2 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_3 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_4 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_5 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_6 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_7 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_8 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>3249/29538</p>
|
|
<p>(11%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_9 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">35%</td><td headers="hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_10 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.31 (0.3 to 0.33)</td><td headers="hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_11 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">241 fewer per 1000 (from 234 fewer to 245 fewer)</td><td headers="hd_h_ch12.appf.tab10_1_1_1_4 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab10_1_1_1_5 hd_b_ch12.appf.tab10_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_1 hd_h_ch12.appf.tab10_1_1_2_2 hd_h_ch12.appf.tab10_1_1_2_3 hd_h_ch12.appf.tab10_1_1_2_4 hd_h_ch12.appf.tab10_1_1_2_5 hd_h_ch12.appf.tab10_1_1_2_6 hd_h_ch12.appf.tab10_1_1_2_7 hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_8 hd_h_ch12.appf.tab10_1_1_2_9 hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_10 hd_h_ch12.appf.tab10_1_1_2_11 hd_h_ch12.appf.tab10_1_1_1_4 hd_h_ch12.appf.tab10_1_1_1_5" id="hd_b_ch12.appf.tab10_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">N of visits to A&E (people who attended A&E) between first MCNS visit and death</th></tr><tr><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_1 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_2 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_3 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_4 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_5 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_6 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab10_1_1_1_1 hd_h_ch12.appf.tab10_1_1_2_7 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_8 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>2334/29538</p>
|
|
<p>(7.9%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab10_1_1_1_2 hd_h_ch12.appf.tab10_1_1_2_9 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">28.6%</td><td headers="hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_10 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.28 (0.26 to 0.29)</td><td headers="hd_h_ch12.appf.tab10_1_1_1_3 hd_h_ch12.appf.tab10_1_1_2_11 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">206 fewer per 1000 (from 203 fewer to 212 fewer)</td><td headers="hd_h_ch12.appf.tab10_1_1_1_4 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
|
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab10_1_1_1_5 hd_b_ch12.appf.tab10_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab10_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab10_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab11"><div id="ch12.appf.tab11" class="table"><h3><span class="label">Table 57</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab11/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab11_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab11_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab11_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab11_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab11_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab11_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab11_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab11_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab11_1_1_1_1" id="hd_h_ch12.appf.tab11_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab11_1_1_1_1" id="hd_h_ch12.appf.tab11_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab11_1_1_1_1" id="hd_h_ch12.appf.tab11_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab11_1_1_1_1" id="hd_h_ch12.appf.tab11_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab11_1_1_1_1" id="hd_h_ch12.appf.tab11_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab11_1_1_1_1" id="hd_h_ch12.appf.tab11_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab11_1_1_1_1" id="hd_h_ch12.appf.tab11_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab11_1_1_1_2" id="hd_h_ch12.appf.tab11_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab11_1_1_1_2" id="hd_h_ch12.appf.tab11_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Gray 1987)</th><th headers="hd_h_ch12.appf.tab11_1_1_1_3" id="hd_h_ch12.appf.tab11_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab11_1_1_1_3" id="hd_h_ch12.appf.tab11_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab11_1_1_1_1 hd_h_ch12.appf.tab11_1_1_2_1 hd_h_ch12.appf.tab11_1_1_2_2 hd_h_ch12.appf.tab11_1_1_2_3 hd_h_ch12.appf.tab11_1_1_2_4 hd_h_ch12.appf.tab11_1_1_2_5 hd_h_ch12.appf.tab11_1_1_2_6 hd_h_ch12.appf.tab11_1_1_2_7 hd_h_ch12.appf.tab11_1_1_1_2 hd_h_ch12.appf.tab11_1_1_2_8 hd_h_ch12.appf.tab11_1_1_2_9 hd_h_ch12.appf.tab11_1_1_1_3 hd_h_ch12.appf.tab11_1_1_2_10 hd_h_ch12.appf.tab11_1_1_2_11 hd_h_ch12.appf.tab11_1_1_1_4 hd_h_ch12.appf.tab11_1_1_1_5" id="hd_b_ch12.appf.tab11_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (home) up to 2 years</th></tr><tr><td headers="hd_h_ch12.appf.tab11_1_1_1_1 hd_h_ch12.appf.tab11_1_1_2_1 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab11_1_1_1_1 hd_h_ch12.appf.tab11_1_1_2_2 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab11_1_1_1_1 hd_h_ch12.appf.tab11_1_1_2_3 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab11_1_1_1_1 hd_h_ch12.appf.tab11_1_1_2_4 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab11_1_1_1_1 hd_h_ch12.appf.tab11_1_1_2_5 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab11_1_1_1_1 hd_h_ch12.appf.tab11_1_1_2_6 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab11_1_1_1_1 hd_h_ch12.appf.tab11_1_1_2_7 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab11_1_1_1_2 hd_h_ch12.appf.tab11_1_1_2_8 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>59/98</p>
|
|
<p>(60.2%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab11_1_1_1_2 hd_h_ch12.appf.tab11_1_1_2_9 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">16.3%</td><td headers="hd_h_ch12.appf.tab11_1_1_1_3 hd_h_ch12.appf.tab11_1_1_2_10 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 3.69 (2.29 to 5.94)</td><td headers="hd_h_ch12.appf.tab11_1_1_1_3 hd_h_ch12.appf.tab11_1_1_2_11 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">438 more per 1000 (from 210 more to 805 more)</td><td headers="hd_h_ch12.appf.tab11_1_1_1_4 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab11_1_1_1_5 hd_b_ch12.appf.tab11_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab11_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab11_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab12"><div id="ch12.appf.tab12" class="table"><h3><span class="label">Table 58</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to other additional community service (routine)</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab12/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab12_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab12_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab12_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab12_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab12_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab12_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab12_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab12_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab12_1_1_1_1" id="hd_h_ch12.appf.tab12_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab12_1_1_1_1" id="hd_h_ch12.appf.tab12_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab12_1_1_1_1" id="hd_h_ch12.appf.tab12_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab12_1_1_1_1" id="hd_h_ch12.appf.tab12_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab12_1_1_1_1" id="hd_h_ch12.appf.tab12_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab12_1_1_1_1" id="hd_h_ch12.appf.tab12_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab12_1_1_1_1" id="hd_h_ch12.appf.tab12_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab12_1_1_1_2" id="hd_h_ch12.appf.tab12_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional community services (routine)</th><th headers="hd_h_ch12.appf.tab12_1_1_1_2" id="hd_h_ch12.appf.tab12_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other additional community services (routine) (Hughes 1992)</th><th headers="hd_h_ch12.appf.tab12_1_1_1_3" id="hd_h_ch12.appf.tab12_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab12_1_1_1_3" id="hd_h_ch12.appf.tab12_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_h_ch12.appf.tab12_1_1_2_3 hd_h_ch12.appf.tab12_1_1_2_4 hd_h_ch12.appf.tab12_1_1_2_5 hd_h_ch12.appf.tab12_1_1_2_6 hd_h_ch12.appf.tab12_1_1_2_7 hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_h_ch12.appf.tab12_1_1_2_9 hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_h_ch12.appf.tab12_1_1_2_11 hd_h_ch12.appf.tab12_1_1_1_4 hd_h_ch12.appf.tab12_1_1_1_5" id="hd_b_ch12.appf.tab12_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of survival (mortality at 6 months)</th></tr><tr><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_3 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_4 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_5 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_6 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_7 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>68/86</p>
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<p>(79.1%)</p>
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</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_9 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">77.7%</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.02 (0.87 to 1.19)</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_11 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">16 more per 1000 (from 101 fewer to 148 more)</td><td headers="hd_h_ch12.appf.tab12_1_1_1_4 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab12_1_1_1_5 hd_b_ch12.appf.tab12_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_h_ch12.appf.tab12_1_1_2_3 hd_h_ch12.appf.tab12_1_1_2_4 hd_h_ch12.appf.tab12_1_1_2_5 hd_h_ch12.appf.tab12_1_1_2_6 hd_h_ch12.appf.tab12_1_1_2_7 hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_h_ch12.appf.tab12_1_1_2_9 hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_h_ch12.appf.tab12_1_1_2_11 hd_h_ch12.appf.tab12_1_1_1_4 hd_h_ch12.appf.tab12_1_1_1_5" id="hd_b_ch12.appf.tab12_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of survival (Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_3 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_4 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_5 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_6 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_7 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_9 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">85</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_11 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 6.9 lower (27.17 lower to 13.37 higher)</td><td headers="hd_h_ch12.appf.tab12_1_1_1_4 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁⨁◯</p>
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<p>MODERATE</p>
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</td><td headers="hd_h_ch12.appf.tab12_1_1_1_5 hd_b_ch12.appf.tab12_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_h_ch12.appf.tab12_1_1_2_3 hd_h_ch12.appf.tab12_1_1_2_4 hd_h_ch12.appf.tab12_1_1_2_5 hd_h_ch12.appf.tab12_1_1_2_6 hd_h_ch12.appf.tab12_1_1_2_7 hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_h_ch12.appf.tab12_1_1_2_9 hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_h_ch12.appf.tab12_1_1_2_11 hd_h_ch12.appf.tab12_1_1_1_4 hd_h_ch12.appf.tab12_1_1_1_5" id="hd_b_ch12.appf.tab12_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of survival (survival of people who died) (Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_3 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_4 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_5 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_6 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_7 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">68</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_9 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">66</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_11 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 6.5 lower (21.94 lower to 8.94 higher)</td><td headers="hd_h_ch12.appf.tab12_1_1_1_4 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁⨁◯</p>
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<p>MODERATE</p>
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</td><td headers="hd_h_ch12.appf.tab12_1_1_1_5 hd_b_ch12.appf.tab12_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_h_ch12.appf.tab12_1_1_2_3 hd_h_ch12.appf.tab12_1_1_2_4 hd_h_ch12.appf.tab12_1_1_2_5 hd_h_ch12.appf.tab12_1_1_2_6 hd_h_ch12.appf.tab12_1_1_2_7 hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_h_ch12.appf.tab12_1_1_2_9 hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_h_ch12.appf.tab12_1_1_2_11 hd_h_ch12.appf.tab12_1_1_1_4 hd_h_ch12.appf.tab12_1_1_1_5" id="hd_b_ch12.appf.tab12_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - emergency room visits) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_3 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_4 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_5 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_6 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_7 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_9 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">85</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_11 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.15 lower (0.41 lower to 0.11 higher)</td><td headers="hd_h_ch12.appf.tab12_1_1_1_4 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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|
</td><td headers="hd_h_ch12.appf.tab12_1_1_1_5 hd_b_ch12.appf.tab12_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_h_ch12.appf.tab12_1_1_2_3 hd_h_ch12.appf.tab12_1_1_2_4 hd_h_ch12.appf.tab12_1_1_2_5 hd_h_ch12.appf.tab12_1_1_2_6 hd_h_ch12.appf.tab12_1_1_2_7 hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_h_ch12.appf.tab12_1_1_2_9 hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_h_ch12.appf.tab12_1_1_2_11 hd_h_ch12.appf.tab12_1_1_1_4 hd_h_ch12.appf.tab12_1_1_1_5" id="hd_b_ch12.appf.tab12_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - extended care days) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_3 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_4 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_5 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_6 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_7 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_9 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">85</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_11 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.38 higher (0.4 lower to 1.16 higher)</td><td headers="hd_h_ch12.appf.tab12_1_1_1_4 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab12_1_1_1_5 hd_b_ch12.appf.tab12_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_h_ch12.appf.tab12_1_1_2_3 hd_h_ch12.appf.tab12_1_1_2_4 hd_h_ch12.appf.tab12_1_1_2_5 hd_h_ch12.appf.tab12_1_1_2_6 hd_h_ch12.appf.tab12_1_1_2_7 hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_h_ch12.appf.tab12_1_1_2_9 hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_h_ch12.appf.tab12_1_1_2_11 hd_h_ch12.appf.tab12_1_1_1_4 hd_h_ch12.appf.tab12_1_1_1_5" id="hd_b_ch12.appf.tab12_1_1_11_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - general bed days) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_3 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_4 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_5 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_6 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<a class="bibr" href="#ch12.ref3" rid="ch12.ref3"><sup>3</sup></a></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_7 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_9 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">85</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_11 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 6.43 lower (10.29 to 2.57 lower)</td><td headers="hd_h_ch12.appf.tab12_1_1_1_4 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab12_1_1_1_5 hd_b_ch12.appf.tab12_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_h_ch12.appf.tab12_1_1_2_3 hd_h_ch12.appf.tab12_1_1_2_4 hd_h_ch12.appf.tab12_1_1_2_5 hd_h_ch12.appf.tab12_1_1_2_6 hd_h_ch12.appf.tab12_1_1_2_7 hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_h_ch12.appf.tab12_1_1_2_9 hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_h_ch12.appf.tab12_1_1_2_11 hd_h_ch12.appf.tab12_1_1_1_4 hd_h_ch12.appf.tab12_1_1_1_5" id="hd_b_ch12.appf.tab12_1_1_13_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - intensive care hospital days) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_3 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_4 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_5 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_6 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_7 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_9 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">85</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_11 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.32 lower (1.15 lower to 0.51 higher)</td><td headers="hd_h_ch12.appf.tab12_1_1_1_4 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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|
</td><td headers="hd_h_ch12.appf.tab12_1_1_1_5 hd_b_ch12.appf.tab12_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_h_ch12.appf.tab12_1_1_2_3 hd_h_ch12.appf.tab12_1_1_2_4 hd_h_ch12.appf.tab12_1_1_2_5 hd_h_ch12.appf.tab12_1_1_2_6 hd_h_ch12.appf.tab12_1_1_2_7 hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_h_ch12.appf.tab12_1_1_2_9 hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_h_ch12.appf.tab12_1_1_2_11 hd_h_ch12.appf.tab12_1_1_1_4 hd_h_ch12.appf.tab12_1_1_1_5" id="hd_b_ch12.appf.tab12_1_1_15_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - intermediate bed days) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_3 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_4 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_5 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_6 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_7 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_9 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">85</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_11 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 1.48 higher (0.9 lower to 3.86 higher)</td><td headers="hd_h_ch12.appf.tab12_1_1_1_4 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab12_1_1_1_5 hd_b_ch12.appf.tab12_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_h_ch12.appf.tab12_1_1_2_3 hd_h_ch12.appf.tab12_1_1_2_4 hd_h_ch12.appf.tab12_1_1_2_5 hd_h_ch12.appf.tab12_1_1_2_6 hd_h_ch12.appf.tab12_1_1_2_7 hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_h_ch12.appf.tab12_1_1_2_9 hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_h_ch12.appf.tab12_1_1_2_11 hd_h_ch12.appf.tab12_1_1_1_4 hd_h_ch12.appf.tab12_1_1_1_5" id="hd_b_ch12.appf.tab12_1_1_17_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - outpatient clinic visits) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_3 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_4 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_5 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_6 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_7 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_9 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">85</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_11 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 1.86 lower (3.22 to 0.5 lower)</td><td headers="hd_h_ch12.appf.tab12_1_1_1_4 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab12_1_1_1_5 hd_b_ch12.appf.tab12_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_h_ch12.appf.tab12_1_1_2_3 hd_h_ch12.appf.tab12_1_1_2_4 hd_h_ch12.appf.tab12_1_1_2_5 hd_h_ch12.appf.tab12_1_1_2_6 hd_h_ch12.appf.tab12_1_1_2_7 hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_h_ch12.appf.tab12_1_1_2_9 hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_h_ch12.appf.tab12_1_1_2_11 hd_h_ch12.appf.tab12_1_1_1_4 hd_h_ch12.appf.tab12_1_1_1_5" id="hd_b_ch12.appf.tab12_1_1_19_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - rehabilitation days) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_3 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_4 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_5 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_6 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_7 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_9 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">85</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_11 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 1.86 lower (3.22 to 0.5 lower)</td><td headers="hd_h_ch12.appf.tab12_1_1_1_4 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab12_1_1_1_5 hd_b_ch12.appf.tab12_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_h_ch12.appf.tab12_1_1_2_3 hd_h_ch12.appf.tab12_1_1_2_4 hd_h_ch12.appf.tab12_1_1_2_5 hd_h_ch12.appf.tab12_1_1_2_6 hd_h_ch12.appf.tab12_1_1_2_7 hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_h_ch12.appf.tab12_1_1_2_9 hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_h_ch12.appf.tab12_1_1_2_11 hd_h_ch12.appf.tab12_1_1_1_4 hd_h_ch12.appf.tab12_1_1_1_5" id="hd_b_ch12.appf.tab12_1_1_21_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (VA services - total days) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_1 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_2 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_3 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_4 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_5 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_6 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab12_1_1_1_1 hd_h_ch12.appf.tab12_1_1_2_7 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_8 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">86</td><td headers="hd_h_ch12.appf.tab12_1_1_1_2 hd_h_ch12.appf.tab12_1_1_2_9 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">85</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_10 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab12_1_1_1_3 hd_h_ch12.appf.tab12_1_1_2_11 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 5.92 lower (11.03 to 0.81 lower)</td><td headers="hd_h_ch12.appf.tab12_1_1_1_4 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab12_1_1_1_5 hd_b_ch12.appf.tab12_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab12_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab12_2"><p class="no_margin">Downgraded by 1 increment because the majority of the evidence had indirect outcomes (not a measure of length of survival)</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab12_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab13"><div id="ch12.appf.tab13" class="table"><h3><span class="label">Table 59</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab13/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab13_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab13_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab13_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab13_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab13_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab13_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab13_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab13_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab13_1_1_1_1" id="hd_h_ch12.appf.tab13_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab13_1_1_1_1" id="hd_h_ch12.appf.tab13_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab13_1_1_1_1" id="hd_h_ch12.appf.tab13_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab13_1_1_1_1" id="hd_h_ch12.appf.tab13_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab13_1_1_1_1" id="hd_h_ch12.appf.tab13_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab13_1_1_1_1" id="hd_h_ch12.appf.tab13_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab13_1_1_1_1" id="hd_h_ch12.appf.tab13_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab13_1_1_1_2" id="hd_h_ch12.appf.tab13_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab13_1_1_1_2" id="hd_h_ch12.appf.tab13_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Kim 2009)</th><th headers="hd_h_ch12.appf.tab13_1_1_1_3" id="hd_h_ch12.appf.tab13_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab13_1_1_1_3" id="hd_h_ch12.appf.tab13_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_1 hd_h_ch12.appf.tab13_1_1_2_2 hd_h_ch12.appf.tab13_1_1_2_3 hd_h_ch12.appf.tab13_1_1_2_4 hd_h_ch12.appf.tab13_1_1_2_5 hd_h_ch12.appf.tab13_1_1_2_6 hd_h_ch12.appf.tab13_1_1_2_7 hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_8 hd_h_ch12.appf.tab13_1_1_2_9 hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_10 hd_h_ch12.appf.tab13_1_1_2_11 hd_h_ch12.appf.tab13_1_1_1_4 hd_h_ch12.appf.tab13_1_1_1_5" id="hd_b_ch12.appf.tab13_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Quality of life: QUAL-E - Physical symptoms (1-5, higher scores indicate a better QoL) (follow-up mean 36 months; range of scores: 1-5; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_1 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_2 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_3 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias<sup>a</sup></td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_4 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_5 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_6 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_7 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_8 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">30</td><td headers="hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_9 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">46</td><td headers="hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_10 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_11 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.52 higher (0.07 to 0.97 higher)</td><td headers="hd_h_ch12.appf.tab13_1_1_1_4 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab13_1_1_1_5 hd_b_ch12.appf.tab13_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_1 hd_h_ch12.appf.tab13_1_1_2_2 hd_h_ch12.appf.tab13_1_1_2_3 hd_h_ch12.appf.tab13_1_1_2_4 hd_h_ch12.appf.tab13_1_1_2_5 hd_h_ch12.appf.tab13_1_1_2_6 hd_h_ch12.appf.tab13_1_1_2_7 hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_8 hd_h_ch12.appf.tab13_1_1_2_9 hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_10 hd_h_ch12.appf.tab13_1_1_2_11 hd_h_ch12.appf.tab13_1_1_1_4 hd_h_ch12.appf.tab13_1_1_1_5" id="hd_b_ch12.appf.tab13_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Quality of life: QUAL-E - Social relationships (1-5, higher scores indicate a better QoL) (follow-up mean 36 months; range of scores: 1-5; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_1 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_2 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_3 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias<sup>a</sup></td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_4 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_5 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_6 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_7 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_8 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">30</td><td headers="hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_9 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">46</td><td headers="hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_10 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_11 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.19 higher (0.15 lower to 0.53 higher)</td><td headers="hd_h_ch12.appf.tab13_1_1_1_4 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab13_1_1_1_5 hd_b_ch12.appf.tab13_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_1 hd_h_ch12.appf.tab13_1_1_2_2 hd_h_ch12.appf.tab13_1_1_2_3 hd_h_ch12.appf.tab13_1_1_2_4 hd_h_ch12.appf.tab13_1_1_2_5 hd_h_ch12.appf.tab13_1_1_2_6 hd_h_ch12.appf.tab13_1_1_2_7 hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_8 hd_h_ch12.appf.tab13_1_1_2_9 hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_10 hd_h_ch12.appf.tab13_1_1_2_11 hd_h_ch12.appf.tab13_1_1_1_4 hd_h_ch12.appf.tab13_1_1_1_5" id="hd_b_ch12.appf.tab13_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Quality of life: QUAL-E - Preparation (1-5, higher scores indicate a better QoL) (follow-up mean 36 months; range of scores: 1-5; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_1 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_2 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_3 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias<sup>a</sup></td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_4 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_5 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_6 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_7 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_8 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">30</td><td headers="hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_9 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">46</td><td headers="hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_10 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_11 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.12 lower (0.5 lower to 0.26 higher)</td><td headers="hd_h_ch12.appf.tab13_1_1_1_4 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab13_1_1_1_5 hd_b_ch12.appf.tab13_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_1 hd_h_ch12.appf.tab13_1_1_2_2 hd_h_ch12.appf.tab13_1_1_2_3 hd_h_ch12.appf.tab13_1_1_2_4 hd_h_ch12.appf.tab13_1_1_2_5 hd_h_ch12.appf.tab13_1_1_2_6 hd_h_ch12.appf.tab13_1_1_2_7 hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_8 hd_h_ch12.appf.tab13_1_1_2_9 hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_10 hd_h_ch12.appf.tab13_1_1_2_11 hd_h_ch12.appf.tab13_1_1_1_4 hd_h_ch12.appf.tab13_1_1_1_5" id="hd_b_ch12.appf.tab13_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Quality of life: QUAL-E - Control (1-5, higher scores indicate a better QoL) (follow-up mean 36 months; range of scores: 1-5; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_1 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_2 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_3 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias<sup>a</sup></td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_4 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_5 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_6 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_7 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_8 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">30</td><td headers="hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_9 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">46</td><td headers="hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_10 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_11 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.01 higher (0.24 lower to 0.26 higher)</td><td headers="hd_h_ch12.appf.tab13_1_1_1_4 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab13_1_1_1_5 hd_b_ch12.appf.tab13_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_1 hd_h_ch12.appf.tab13_1_1_2_2 hd_h_ch12.appf.tab13_1_1_2_3 hd_h_ch12.appf.tab13_1_1_2_4 hd_h_ch12.appf.tab13_1_1_2_5 hd_h_ch12.appf.tab13_1_1_2_6 hd_h_ch12.appf.tab13_1_1_2_7 hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_8 hd_h_ch12.appf.tab13_1_1_2_9 hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_10 hd_h_ch12.appf.tab13_1_1_2_11 hd_h_ch12.appf.tab13_1_1_1_4 hd_h_ch12.appf.tab13_1_1_1_5" id="hd_b_ch12.appf.tab13_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Quality of life: QUAL-E - Completion (1-5, higher scores indicate a better QoL) (follow-up mean 36 months; range of scores: 1-5; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_1 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_2 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_3 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias<sup>a</sup></td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_4 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_5 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_6 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_7 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_8 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">30</td><td headers="hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_9 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">46</td><td headers="hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_10 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_11 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.17 higher (0.15 lower to 0.49 higher)</td><td headers="hd_h_ch12.appf.tab13_1_1_1_4 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab13_1_1_1_5 hd_b_ch12.appf.tab13_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_1 hd_h_ch12.appf.tab13_1_1_2_2 hd_h_ch12.appf.tab13_1_1_2_3 hd_h_ch12.appf.tab13_1_1_2_4 hd_h_ch12.appf.tab13_1_1_2_5 hd_h_ch12.appf.tab13_1_1_2_6 hd_h_ch12.appf.tab13_1_1_2_7 hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_8 hd_h_ch12.appf.tab13_1_1_2_9 hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_10 hd_h_ch12.appf.tab13_1_1_2_11 hd_h_ch12.appf.tab13_1_1_1_4 hd_h_ch12.appf.tab13_1_1_1_5" id="hd_b_ch12.appf.tab13_1_1_11_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (admission days in last 6 months) (follow-up mean 36 months; Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_1 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_2 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_3 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias<sup>a</sup></td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_4 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_5 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_6 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab13_1_1_1_1 hd_h_ch12.appf.tab13_1_1_2_7 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_8 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">30</td><td headers="hd_h_ch12.appf.tab13_1_1_1_2 hd_h_ch12.appf.tab13_1_1_2_9 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">46</td><td headers="hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_10 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab13_1_1_1_3 hd_h_ch12.appf.tab13_1_1_2_11 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 3.42 higher (19.61 lower to 26.45 higher)</td><td headers="hd_h_ch12.appf.tab13_1_1_1_4 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab13_1_1_1_5 hd_b_ch12.appf.tab13_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab13_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab14"><div id="ch12.appf.tab14" class="table"><h3><span class="label">Table 60</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to other additional community service</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab14/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab14_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab14_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab14_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab14_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab14_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab14_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab14_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab14_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab14_1_1_1_1" id="hd_h_ch12.appf.tab14_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab14_1_1_1_1" id="hd_h_ch12.appf.tab14_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab14_1_1_1_1" id="hd_h_ch12.appf.tab14_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab14_1_1_1_1" id="hd_h_ch12.appf.tab14_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab14_1_1_1_1" id="hd_h_ch12.appf.tab14_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab14_1_1_1_1" id="hd_h_ch12.appf.tab14_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab14_1_1_1_1" id="hd_h_ch12.appf.tab14_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab14_1_1_1_2" id="hd_h_ch12.appf.tab14_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab14_1_1_1_2" id="hd_h_ch12.appf.tab14_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other additional CommServ (Leppert 2012)</th><th headers="hd_h_ch12.appf.tab14_1_1_1_3" id="hd_h_ch12.appf.tab14_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab14_1_1_1_3" id="hd_h_ch12.appf.tab14_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_1 hd_h_ch12.appf.tab14_1_1_2_2 hd_h_ch12.appf.tab14_1_1_2_3 hd_h_ch12.appf.tab14_1_1_2_4 hd_h_ch12.appf.tab14_1_1_2_5 hd_h_ch12.appf.tab14_1_1_2_6 hd_h_ch12.appf.tab14_1_1_2_7 hd_h_ch12.appf.tab14_1_1_1_2 hd_h_ch12.appf.tab14_1_1_2_8 hd_h_ch12.appf.tab14_1_1_2_9 hd_h_ch12.appf.tab14_1_1_1_3 hd_h_ch12.appf.tab14_1_1_2_10 hd_h_ch12.appf.tab14_1_1_2_11 hd_h_ch12.appf.tab14_1_1_1_4 hd_h_ch12.appf.tab14_1_1_1_5" id="hd_b_ch12.appf.tab14_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">QoL (EORTOC QLQ-C30 global) 14 days (range of scores: 0-100; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_1 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_2 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_3 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_4 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_5 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_6 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_7 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab14_1_1_1_2 hd_h_ch12.appf.tab14_1_1_2_8 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">25</td><td headers="hd_h_ch12.appf.tab14_1_1_1_2 hd_h_ch12.appf.tab14_1_1_2_9 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">25</td><td headers="hd_h_ch12.appf.tab14_1_1_1_3 hd_h_ch12.appf.tab14_1_1_2_10 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab14_1_1_1_3 hd_h_ch12.appf.tab14_1_1_2_11 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 4.33 lower (13.73 lower to 5.07 higher)</td><td headers="hd_h_ch12.appf.tab14_1_1_1_4 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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|
</td><td headers="hd_h_ch12.appf.tab14_1_1_1_5 hd_b_ch12.appf.tab14_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_1 hd_h_ch12.appf.tab14_1_1_2_2 hd_h_ch12.appf.tab14_1_1_2_3 hd_h_ch12.appf.tab14_1_1_2_4 hd_h_ch12.appf.tab14_1_1_2_5 hd_h_ch12.appf.tab14_1_1_2_6 hd_h_ch12.appf.tab14_1_1_2_7 hd_h_ch12.appf.tab14_1_1_1_2 hd_h_ch12.appf.tab14_1_1_2_8 hd_h_ch12.appf.tab14_1_1_2_9 hd_h_ch12.appf.tab14_1_1_1_3 hd_h_ch12.appf.tab14_1_1_2_10 hd_h_ch12.appf.tab14_1_1_2_11 hd_h_ch12.appf.tab14_1_1_1_4 hd_h_ch12.appf.tab14_1_1_1_5" id="hd_b_ch12.appf.tab14_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">QoL (EORTOC QLQ-C30 global) 28 days (range of scores: 0-100; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_1 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_2 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_3 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_4 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_5 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_6 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab14_1_1_1_1 hd_h_ch12.appf.tab14_1_1_2_7 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab14_1_1_1_2 hd_h_ch12.appf.tab14_1_1_2_8 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">25</td><td headers="hd_h_ch12.appf.tab14_1_1_1_2 hd_h_ch12.appf.tab14_1_1_2_9 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">25</td><td headers="hd_h_ch12.appf.tab14_1_1_1_3 hd_h_ch12.appf.tab14_1_1_2_10 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab14_1_1_1_3 hd_h_ch12.appf.tab14_1_1_2_11 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 1.33 lower (9.51 lower to 6.85 higher)</td><td headers="hd_h_ch12.appf.tab14_1_1_1_4 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab14_1_1_1_5 hd_b_ch12.appf.tab14_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab14_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab14_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab15"><div id="ch12.appf.tab15" class="table"><h3><span class="label">Table 61</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to other additional community service</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab15/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab15_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab15_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab15_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab15_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab15_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab15_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab15_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab15_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab15_1_1_1_1" id="hd_h_ch12.appf.tab15_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab15_1_1_1_1" id="hd_h_ch12.appf.tab15_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab15_1_1_1_1" id="hd_h_ch12.appf.tab15_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab15_1_1_1_1" id="hd_h_ch12.appf.tab15_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab15_1_1_1_1" id="hd_h_ch12.appf.tab15_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab15_1_1_1_1" id="hd_h_ch12.appf.tab15_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab15_1_1_1_1" id="hd_h_ch12.appf.tab15_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab15_1_1_1_2" id="hd_h_ch12.appf.tab15_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab15_1_1_1_2" id="hd_h_ch12.appf.tab15_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other additional CommServ (Leppert 2012)</th><th headers="hd_h_ch12.appf.tab15_1_1_1_3" id="hd_h_ch12.appf.tab15_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab15_1_1_1_3" id="hd_h_ch12.appf.tab15_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab15_1_1_1_1 hd_h_ch12.appf.tab15_1_1_2_1 hd_h_ch12.appf.tab15_1_1_2_2 hd_h_ch12.appf.tab15_1_1_2_3 hd_h_ch12.appf.tab15_1_1_2_4 hd_h_ch12.appf.tab15_1_1_2_5 hd_h_ch12.appf.tab15_1_1_2_6 hd_h_ch12.appf.tab15_1_1_2_7 hd_h_ch12.appf.tab15_1_1_1_2 hd_h_ch12.appf.tab15_1_1_2_8 hd_h_ch12.appf.tab15_1_1_2_9 hd_h_ch12.appf.tab15_1_1_1_3 hd_h_ch12.appf.tab15_1_1_2_10 hd_h_ch12.appf.tab15_1_1_2_11 hd_h_ch12.appf.tab15_1_1_1_4 hd_h_ch12.appf.tab15_1_1_1_5" id="hd_b_ch12.appf.tab15_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">QoL (EORTOC QLQ-C15 PAL global) 7 days (follow-up mean 7 days; range of scores: 0-100; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab15_1_1_1_1 hd_h_ch12.appf.tab15_1_1_2_1 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab15_1_1_1_1 hd_h_ch12.appf.tab15_1_1_2_2 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<a class="bibr" href="#ch12.ref1" rid="ch12.ref1"><sup>1</sup></a></td><td headers="hd_h_ch12.appf.tab15_1_1_1_1 hd_h_ch12.appf.tab15_1_1_2_3 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup><sup>,</sup><sup>b</sup></td><td headers="hd_h_ch12.appf.tab15_1_1_1_1 hd_h_ch12.appf.tab15_1_1_2_4 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab15_1_1_1_1 hd_h_ch12.appf.tab15_1_1_2_5 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab15_1_1_1_1 hd_h_ch12.appf.tab15_1_1_2_6 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab15_1_1_1_1 hd_h_ch12.appf.tab15_1_1_2_7 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab15_1_1_1_2 hd_h_ch12.appf.tab15_1_1_2_8 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">51</td><td headers="hd_h_ch12.appf.tab15_1_1_1_2 hd_h_ch12.appf.tab15_1_1_2_9 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">51</td><td headers="hd_h_ch12.appf.tab15_1_1_1_3 hd_h_ch12.appf.tab15_1_1_2_10 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab15_1_1_1_3 hd_h_ch12.appf.tab15_1_1_2_11 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 1.64 lower (5.44 lower to 2.16 higher)</td><td headers="hd_h_ch12.appf.tab15_1_1_1_4 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab15_1_1_1_5 hd_b_ch12.appf.tab15_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab15_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab15_2"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab16"><div id="ch12.appf.tab16" class="table"><h3><span class="label">Table 62</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to other additional community service</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab16/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab16_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab16_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab16_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab16_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab16_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab16_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab16_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab16_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab16_1_1_1_1" id="hd_h_ch12.appf.tab16_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab16_1_1_1_1" id="hd_h_ch12.appf.tab16_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab16_1_1_1_1" id="hd_h_ch12.appf.tab16_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab16_1_1_1_1" id="hd_h_ch12.appf.tab16_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab16_1_1_1_1" id="hd_h_ch12.appf.tab16_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab16_1_1_1_1" id="hd_h_ch12.appf.tab16_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab16_1_1_1_1" id="hd_h_ch12.appf.tab16_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab16_1_1_1_2" id="hd_h_ch12.appf.tab16_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab16_1_1_1_2" id="hd_h_ch12.appf.tab16_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other additional CommServ (Leppert 2012)</th><th headers="hd_h_ch12.appf.tab16_1_1_1_3" id="hd_h_ch12.appf.tab16_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab16_1_1_1_3" id="hd_h_ch12.appf.tab16_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab16_1_1_1_1 hd_h_ch12.appf.tab16_1_1_2_1 hd_h_ch12.appf.tab16_1_1_2_2 hd_h_ch12.appf.tab16_1_1_2_3 hd_h_ch12.appf.tab16_1_1_2_4 hd_h_ch12.appf.tab16_1_1_2_5 hd_h_ch12.appf.tab16_1_1_2_6 hd_h_ch12.appf.tab16_1_1_2_7 hd_h_ch12.appf.tab16_1_1_1_2 hd_h_ch12.appf.tab16_1_1_2_8 hd_h_ch12.appf.tab16_1_1_2_9 hd_h_ch12.appf.tab16_1_1_1_3 hd_h_ch12.appf.tab16_1_1_2_10 hd_h_ch12.appf.tab16_1_1_2_11 hd_h_ch12.appf.tab16_1_1_1_4 hd_h_ch12.appf.tab16_1_1_1_5" id="hd_b_ch12.appf.tab16_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">QoL (EORTOC QLQ-C15 PAL global) 7 days (follow-up mean 7 days; range of scores: 0-100; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab16_1_1_1_1 hd_h_ch12.appf.tab16_1_1_2_1 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab16_1_1_1_1 hd_h_ch12.appf.tab16_1_1_2_2 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab16_1_1_1_1 hd_h_ch12.appf.tab16_1_1_2_3 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup><sup>,</sup><sup>b</sup></td><td headers="hd_h_ch12.appf.tab16_1_1_1_1 hd_h_ch12.appf.tab16_1_1_2_4 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab16_1_1_1_1 hd_h_ch12.appf.tab16_1_1_2_5 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab16_1_1_1_1 hd_h_ch12.appf.tab16_1_1_2_6 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab16_1_1_1_1 hd_h_ch12.appf.tab16_1_1_2_7 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab16_1_1_1_2 hd_h_ch12.appf.tab16_1_1_2_8 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">51</td><td headers="hd_h_ch12.appf.tab16_1_1_1_2 hd_h_ch12.appf.tab16_1_1_2_9 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">27</td><td headers="hd_h_ch12.appf.tab16_1_1_1_3 hd_h_ch12.appf.tab16_1_1_2_10 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab16_1_1_1_3 hd_h_ch12.appf.tab16_1_1_2_11 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 13.8 lower (18.74 to 8.86 lower)</td><td headers="hd_h_ch12.appf.tab16_1_1_1_4 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁◯◯◯</p>
|
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<p>VERY LOW</p>
|
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</td><td headers="hd_h_ch12.appf.tab16_1_1_1_5 hd_b_ch12.appf.tab16_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab16_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab16_2"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab17"><div id="ch12.appf.tab17" class="table"><h3><span class="label">Table 63</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to other additional community service</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab17/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab17_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab17_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab17_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab17_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab17_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab17_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab17_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab17_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab17_1_1_1_1" id="hd_h_ch12.appf.tab17_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab17_1_1_1_1" id="hd_h_ch12.appf.tab17_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab17_1_1_1_1" id="hd_h_ch12.appf.tab17_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab17_1_1_1_1" id="hd_h_ch12.appf.tab17_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab17_1_1_1_1" id="hd_h_ch12.appf.tab17_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab17_1_1_1_1" id="hd_h_ch12.appf.tab17_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab17_1_1_1_1" id="hd_h_ch12.appf.tab17_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab17_1_1_1_2" id="hd_h_ch12.appf.tab17_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab17_1_1_1_2" id="hd_h_ch12.appf.tab17_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other additional CommServ (Leppert 2012)</th><th headers="hd_h_ch12.appf.tab17_1_1_1_3" id="hd_h_ch12.appf.tab17_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab17_1_1_1_3" id="hd_h_ch12.appf.tab17_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab17_1_1_1_1 hd_h_ch12.appf.tab17_1_1_2_1 hd_h_ch12.appf.tab17_1_1_2_2 hd_h_ch12.appf.tab17_1_1_2_3 hd_h_ch12.appf.tab17_1_1_2_4 hd_h_ch12.appf.tab17_1_1_2_5 hd_h_ch12.appf.tab17_1_1_2_6 hd_h_ch12.appf.tab17_1_1_2_7 hd_h_ch12.appf.tab17_1_1_1_2 hd_h_ch12.appf.tab17_1_1_2_8 hd_h_ch12.appf.tab17_1_1_2_9 hd_h_ch12.appf.tab17_1_1_1_3 hd_h_ch12.appf.tab17_1_1_2_10 hd_h_ch12.appf.tab17_1_1_2_11 hd_h_ch12.appf.tab17_1_1_1_4 hd_h_ch12.appf.tab17_1_1_1_5" id="hd_b_ch12.appf.tab17_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">QoL (EORTOC QLQ-C15 PAL global) 7 days (follow-up mean 7 days; range of scores: 0-100; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab17_1_1_1_1 hd_h_ch12.appf.tab17_1_1_2_1 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab17_1_1_1_1 hd_h_ch12.appf.tab17_1_1_2_2 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab17_1_1_1_1 hd_h_ch12.appf.tab17_1_1_2_3 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup><sup>,</sup><sup>b</sup></td><td headers="hd_h_ch12.appf.tab17_1_1_1_1 hd_h_ch12.appf.tab17_1_1_2_4 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab17_1_1_1_1 hd_h_ch12.appf.tab17_1_1_2_5 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab17_1_1_1_1 hd_h_ch12.appf.tab17_1_1_2_6 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab17_1_1_1_1 hd_h_ch12.appf.tab17_1_1_2_7 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab17_1_1_1_2 hd_h_ch12.appf.tab17_1_1_2_8 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">51</td><td headers="hd_h_ch12.appf.tab17_1_1_1_2 hd_h_ch12.appf.tab17_1_1_2_9 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">27</td><td headers="hd_h_ch12.appf.tab17_1_1_1_3 hd_h_ch12.appf.tab17_1_1_2_10 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab17_1_1_1_3 hd_h_ch12.appf.tab17_1_1_2_11 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 12.16 lower (16.63 to 7.69 lower)</td><td headers="hd_h_ch12.appf.tab17_1_1_1_4 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab17_1_1_1_5 hd_b_ch12.appf.tab17_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab17_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab17_2"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab18"><div id="ch12.appf.tab18" class="table"><h3><span class="label">Table 64</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab18/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab18_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab18_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab18_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab18_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab18_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab18_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab18_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab18_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab18_1_1_1_1" id="hd_h_ch12.appf.tab18_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab18_1_1_1_1" id="hd_h_ch12.appf.tab18_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab18_1_1_1_1" id="hd_h_ch12.appf.tab18_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab18_1_1_1_1" id="hd_h_ch12.appf.tab18_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab18_1_1_1_1" id="hd_h_ch12.appf.tab18_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab18_1_1_1_1" id="hd_h_ch12.appf.tab18_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab18_1_1_1_1" id="hd_h_ch12.appf.tab18_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab18_1_1_1_2" id="hd_h_ch12.appf.tab18_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab18_1_1_1_2" id="hd_h_ch12.appf.tab18_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Lustbader 2017)</th><th headers="hd_h_ch12.appf.tab18_1_1_1_3" id="hd_h_ch12.appf.tab18_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab18_1_1_1_3" id="hd_h_ch12.appf.tab18_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_1 hd_h_ch12.appf.tab18_1_1_2_2 hd_h_ch12.appf.tab18_1_1_2_3 hd_h_ch12.appf.tab18_1_1_2_4 hd_h_ch12.appf.tab18_1_1_2_5 hd_h_ch12.appf.tab18_1_1_2_6 hd_h_ch12.appf.tab18_1_1_2_7 hd_h_ch12.appf.tab18_1_1_1_2 hd_h_ch12.appf.tab18_1_1_2_8 hd_h_ch12.appf.tab18_1_1_2_9 hd_h_ch12.appf.tab18_1_1_1_3 hd_h_ch12.appf.tab18_1_1_2_10 hd_h_ch12.appf.tab18_1_1_2_11 hd_h_ch12.appf.tab18_1_1_1_4 hd_h_ch12.appf.tab18_1_1_1_5" id="hd_b_ch12.appf.tab18_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of hospital admissions (follow-up mean 18 months)</th></tr><tr><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_1 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_2 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_3 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias<sup>a</sup></td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_4 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_5 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_6 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_7 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab18_1_1_1_2 hd_h_ch12.appf.tab18_1_1_2_8 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>3037/1000</p>
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<p>(303.7%)</p>
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</td><td headers="hd_h_ch12.appf.tab18_1_1_1_2 hd_h_ch12.appf.tab18_1_1_2_9 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>4634/1000</p>
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<p>(463.4%)</p>
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</td><td headers="hd_h_ch12.appf.tab18_1_1_1_3 hd_h_ch12.appf.tab18_1_1_2_10 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">Rate Ratio 0.66 (0.63 to 0.69)</td><td headers="hd_h_ch12.appf.tab18_1_1_1_3 hd_h_ch12.appf.tab18_1_1_2_11 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">1000 fewer per 1000 (from 1000 fewer to 1000 fewer)</td><td headers="hd_h_ch12.appf.tab18_1_1_1_4 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab18_1_1_1_5 hd_b_ch12.appf.tab18_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_1 hd_h_ch12.appf.tab18_1_1_2_2 hd_h_ch12.appf.tab18_1_1_2_3 hd_h_ch12.appf.tab18_1_1_2_4 hd_h_ch12.appf.tab18_1_1_2_5 hd_h_ch12.appf.tab18_1_1_2_6 hd_h_ch12.appf.tab18_1_1_2_7 hd_h_ch12.appf.tab18_1_1_1_2 hd_h_ch12.appf.tab18_1_1_2_8 hd_h_ch12.appf.tab18_1_1_2_9 hd_h_ch12.appf.tab18_1_1_1_3 hd_h_ch12.appf.tab18_1_1_2_10 hd_h_ch12.appf.tab18_1_1_2_11 hd_h_ch12.appf.tab18_1_1_1_4 hd_h_ch12.appf.tab18_1_1_1_5" id="hd_b_ch12.appf.tab18_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of ED visits (follow-up mean 18 months)</th></tr><tr><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_1 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_2 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_3 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias<sup>a</sup></td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_4 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_5 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_6 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_7 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab18_1_1_1_2 hd_h_ch12.appf.tab18_1_1_2_8 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>878/1000</p>
|
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<p>(87.8%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab18_1_1_1_2 hd_h_ch12.appf.tab18_1_1_2_9 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>1097/1000</p>
|
|
<p>(109.7%)</p>
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</td><td headers="hd_h_ch12.appf.tab18_1_1_1_3 hd_h_ch12.appf.tab18_1_1_2_10 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">Rate Ratio 0.8 (0.73 to 0.87)</td><td headers="hd_h_ch12.appf.tab18_1_1_1_3 hd_h_ch12.appf.tab18_1_1_2_11 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">219 fewer per 1000 (from 143 fewer to 296 fewer)</td><td headers="hd_h_ch12.appf.tab18_1_1_1_4 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab18_1_1_1_5 hd_b_ch12.appf.tab18_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_1 hd_h_ch12.appf.tab18_1_1_2_2 hd_h_ch12.appf.tab18_1_1_2_3 hd_h_ch12.appf.tab18_1_1_2_4 hd_h_ch12.appf.tab18_1_1_2_5 hd_h_ch12.appf.tab18_1_1_2_6 hd_h_ch12.appf.tab18_1_1_2_7 hd_h_ch12.appf.tab18_1_1_1_2 hd_h_ch12.appf.tab18_1_1_2_8 hd_h_ch12.appf.tab18_1_1_2_9 hd_h_ch12.appf.tab18_1_1_1_3 hd_h_ch12.appf.tab18_1_1_2_10 hd_h_ch12.appf.tab18_1_1_2_11 hd_h_ch12.appf.tab18_1_1_1_4 hd_h_ch12.appf.tab18_1_1_1_5" id="hd_b_ch12.appf.tab18_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Hospice enrollment (follow-up mean 18 months)</th></tr><tr><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_1 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_2 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_3 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias<sup>a</sup></td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_4 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_5 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_6 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab18_1_1_1_1 hd_h_ch12.appf.tab18_1_1_2_7 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab18_1_1_1_2 hd_h_ch12.appf.tab18_1_1_2_8 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>47/82</p>
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<p>(57.3%)</p>
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|
</td><td headers="hd_h_ch12.appf.tab18_1_1_1_2 hd_h_ch12.appf.tab18_1_1_2_9 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>211/569</p>
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<p>(37.1%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab18_1_1_1_3 hd_h_ch12.appf.tab18_1_1_2_10 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">OR 2.28 (1.42 to 3.64)</td><td headers="hd_h_ch12.appf.tab18_1_1_1_3 hd_h_ch12.appf.tab18_1_1_2_11 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">203 more per 1000 (from 85 more to 311 more)</td><td headers="hd_h_ch12.appf.tab18_1_1_1_4 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab18_1_1_1_5 hd_b_ch12.appf.tab18_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab18_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab18_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab19"><div id="ch12.appf.tab19" class="table"><h3><span class="label">Table 65</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab19/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab19_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab19_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab19_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab19_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab19_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab19_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab19_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab19_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab19_1_1_1_1" id="hd_h_ch12.appf.tab19_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab19_1_1_1_1" id="hd_h_ch12.appf.tab19_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab19_1_1_1_1" id="hd_h_ch12.appf.tab19_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab19_1_1_1_1" id="hd_h_ch12.appf.tab19_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab19_1_1_1_1" id="hd_h_ch12.appf.tab19_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab19_1_1_1_1" id="hd_h_ch12.appf.tab19_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab19_1_1_1_1" id="hd_h_ch12.appf.tab19_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab19_1_1_1_2" id="hd_h_ch12.appf.tab19_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab19_1_1_1_2" id="hd_h_ch12.appf.tab19_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Noble 2015)</th><th headers="hd_h_ch12.appf.tab19_1_1_1_3" id="hd_h_ch12.appf.tab19_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab19_1_1_1_3" id="hd_h_ch12.appf.tab19_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab19_1_1_1_1 hd_h_ch12.appf.tab19_1_1_2_1 hd_h_ch12.appf.tab19_1_1_2_2 hd_h_ch12.appf.tab19_1_1_2_3 hd_h_ch12.appf.tab19_1_1_2_4 hd_h_ch12.appf.tab19_1_1_2_5 hd_h_ch12.appf.tab19_1_1_2_6 hd_h_ch12.appf.tab19_1_1_2_7 hd_h_ch12.appf.tab19_1_1_1_2 hd_h_ch12.appf.tab19_1_1_2_8 hd_h_ch12.appf.tab19_1_1_2_9 hd_h_ch12.appf.tab19_1_1_1_3 hd_h_ch12.appf.tab19_1_1_2_10 hd_h_ch12.appf.tab19_1_1_2_11 hd_h_ch12.appf.tab19_1_1_1_4 hd_h_ch12.appf.tab19_1_1_1_5" id="hd_b_ch12.appf.tab19_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (home)</th></tr><tr><td headers="hd_h_ch12.appf.tab19_1_1_1_1 hd_h_ch12.appf.tab19_1_1_2_1 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab19_1_1_1_1 hd_h_ch12.appf.tab19_1_1_2_2 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab19_1_1_1_1 hd_h_ch12.appf.tab19_1_1_2_3 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab19_1_1_1_1 hd_h_ch12.appf.tab19_1_1_2_4 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab19_1_1_1_1 hd_h_ch12.appf.tab19_1_1_2_5 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab19_1_1_1_1 hd_h_ch12.appf.tab19_1_1_2_6 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab19_1_1_1_1 hd_h_ch12.appf.tab19_1_1_2_7 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab19_1_1_1_2 hd_h_ch12.appf.tab19_1_1_2_8 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>143/201</p>
|
|
<p>(71.1%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab19_1_1_1_2 hd_h_ch12.appf.tab19_1_1_2_9 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">70%</td><td headers="hd_h_ch12.appf.tab19_1_1_1_3 hd_h_ch12.appf.tab19_1_1_2_10 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.02 (0.92 to 1.12)</td><td headers="hd_h_ch12.appf.tab19_1_1_1_3 hd_h_ch12.appf.tab19_1_1_2_11 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">14 more per 1000 (from 56 fewer to 84 more)</td><td headers="hd_h_ch12.appf.tab19_1_1_1_4 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab19_1_1_1_5 hd_b_ch12.appf.tab19_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab19_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab19_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab20"><div id="ch12.appf.tab20" class="table"><h3><span class="label">Table 66</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab20/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab20_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab20_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab20_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab20_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab20_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab20_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab20_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab20_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab20_1_1_1_1" id="hd_h_ch12.appf.tab20_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab20_1_1_1_1" id="hd_h_ch12.appf.tab20_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab20_1_1_1_1" id="hd_h_ch12.appf.tab20_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab20_1_1_1_1" id="hd_h_ch12.appf.tab20_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab20_1_1_1_1" id="hd_h_ch12.appf.tab20_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab20_1_1_1_1" id="hd_h_ch12.appf.tab20_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab20_1_1_1_1" id="hd_h_ch12.appf.tab20_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab20_1_1_1_2" id="hd_h_ch12.appf.tab20_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab20_1_1_1_2" id="hd_h_ch12.appf.tab20_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Ng 2017/Wong 2017)</th><th headers="hd_h_ch12.appf.tab20_1_1_1_3" id="hd_h_ch12.appf.tab20_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab20_1_1_1_3" id="hd_h_ch12.appf.tab20_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_h_ch12.appf.tab20_1_1_2_3 hd_h_ch12.appf.tab20_1_1_2_4 hd_h_ch12.appf.tab20_1_1_2_5 hd_h_ch12.appf.tab20_1_1_2_6 hd_h_ch12.appf.tab20_1_1_2_7 hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_h_ch12.appf.tab20_1_1_2_9 hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_h_ch12.appf.tab20_1_1_2_11 hd_h_ch12.appf.tab20_1_1_1_4 hd_h_ch12.appf.tab20_1_1_1_5" id="hd_b_ch12.appf.tab20_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Quality of life: MQOL-HK - Global score (0-10, higher scores indicate a better QoL) (follow-up mean 12 weeks; range of scores: 0-10; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_3 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_4 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_5 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_6 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_7 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">43</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_9 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">41</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_11 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.88 higher (0.34 to 1.42 higher)</td><td headers="hd_h_ch12.appf.tab20_1_1_1_4 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab20_1_1_1_5 hd_b_ch12.appf.tab20_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_h_ch12.appf.tab20_1_1_2_3 hd_h_ch12.appf.tab20_1_1_2_4 hd_h_ch12.appf.tab20_1_1_2_5 hd_h_ch12.appf.tab20_1_1_2_6 hd_h_ch12.appf.tab20_1_1_2_7 hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_h_ch12.appf.tab20_1_1_2_9 hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_h_ch12.appf.tab20_1_1_2_11 hd_h_ch12.appf.tab20_1_1_1_4 hd_h_ch12.appf.tab20_1_1_1_5" id="hd_b_ch12.appf.tab20_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Quality of life: CHQ-C - Total score (1-7, higher scores indicate a better QoL) (follow-up mean 12 weeks; range of scores: 1-7; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_3 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_4 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_5 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_6 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_7 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">43</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_9 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">41</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_11 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.1 higher (0.95 lower to 1.15 higher)</td><td headers="hd_h_ch12.appf.tab20_1_1_1_4 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab20_1_1_1_5 hd_b_ch12.appf.tab20_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_h_ch12.appf.tab20_1_1_2_3 hd_h_ch12.appf.tab20_1_1_2_4 hd_h_ch12.appf.tab20_1_1_2_5 hd_h_ch12.appf.tab20_1_1_2_6 hd_h_ch12.appf.tab20_1_1_2_7 hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_h_ch12.appf.tab20_1_1_2_9 hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_h_ch12.appf.tab20_1_1_2_11 hd_h_ch12.appf.tab20_1_1_1_4 hd_h_ch12.appf.tab20_1_1_1_5" id="hd_b_ch12.appf.tab20_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Patient satisfaction: PSQ (1-5, higher scores indicate greater satisfaction) (follow-up mean 12 weeks; range of scores: 1-5; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_3 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_4 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_5 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_6 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_7 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">37</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_9 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">30</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_11 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 1.24 higher (0.35 to 2.13 higher)</td><td headers="hd_h_ch12.appf.tab20_1_1_1_4 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab20_1_1_1_5 hd_b_ch12.appf.tab20_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_h_ch12.appf.tab20_1_1_2_3 hd_h_ch12.appf.tab20_1_1_2_4 hd_h_ch12.appf.tab20_1_1_2_5 hd_h_ch12.appf.tab20_1_1_2_6 hd_h_ch12.appf.tab20_1_1_2_7 hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_h_ch12.appf.tab20_1_1_2_9 hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_h_ch12.appf.tab20_1_1_2_11 hd_h_ch12.appf.tab20_1_1_1_4 hd_h_ch12.appf.tab20_1_1_1_5" id="hd_b_ch12.appf.tab20_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Quality of life: SF-6D (0-1, higher scores indicate a better QoL) (follow-up mean 12 weeks; range of scores: 0-1; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_3 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_4 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_5 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_6 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_7 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">43</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_9 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">41</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_11 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.01 higher (0.06 lower to 0.08 higher)</td><td headers="hd_h_ch12.appf.tab20_1_1_1_4 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁⨁◯</p>
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<p>MODERATE</p>
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|
</td><td headers="hd_h_ch12.appf.tab20_1_1_1_5 hd_b_ch12.appf.tab20_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_h_ch12.appf.tab20_1_1_2_3 hd_h_ch12.appf.tab20_1_1_2_4 hd_h_ch12.appf.tab20_1_1_2_5 hd_h_ch12.appf.tab20_1_1_2_6 hd_h_ch12.appf.tab20_1_1_2_7 hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_h_ch12.appf.tab20_1_1_2_9 hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_h_ch12.appf.tab20_1_1_2_11 hd_h_ch12.appf.tab20_1_1_1_4 hd_h_ch12.appf.tab20_1_1_1_5" id="hd_b_ch12.appf.tab20_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Quality of life: QALY (0-1, higher scores indicate a better QoL) (follow-up mean 12 weeks; range of scores: 0-1; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_3 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_4 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_5 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_6 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_7 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">43</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_9 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">41</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_11 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.01 higher (0 to 0.02 higher)</td><td headers="hd_h_ch12.appf.tab20_1_1_1_4 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁⨁◯</p>
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<p>MODERATE</p>
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</td><td headers="hd_h_ch12.appf.tab20_1_1_1_5 hd_b_ch12.appf.tab20_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_h_ch12.appf.tab20_1_1_2_3 hd_h_ch12.appf.tab20_1_1_2_4 hd_h_ch12.appf.tab20_1_1_2_5 hd_h_ch12.appf.tab20_1_1_2_6 hd_h_ch12.appf.tab20_1_1_2_7 hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_h_ch12.appf.tab20_1_1_2_9 hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_h_ch12.appf.tab20_1_1_2_11 hd_h_ch12.appf.tab20_1_1_1_4 hd_h_ch12.appf.tab20_1_1_1_5" id="hd_b_ch12.appf.tab20_1_1_11_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of ED visits (follow-up mean 12 weeks)</th></tr><tr><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_3 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_4 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_5 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_6 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_7 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>31/43</p>
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|
<p>(72.1%)</p>
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</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_9 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>59/41</p>
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|
<p>(143.9%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">Rate Ratio 0.55 (0.36 to 0.85)</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_11 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">648 fewer per 1000 (from 216 fewer to 921 fewer)</td><td headers="hd_h_ch12.appf.tab20_1_1_1_4 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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|
</td><td headers="hd_h_ch12.appf.tab20_1_1_1_5 hd_b_ch12.appf.tab20_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_h_ch12.appf.tab20_1_1_2_3 hd_h_ch12.appf.tab20_1_1_2_4 hd_h_ch12.appf.tab20_1_1_2_5 hd_h_ch12.appf.tab20_1_1_2_6 hd_h_ch12.appf.tab20_1_1_2_7 hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_h_ch12.appf.tab20_1_1_2_9 hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_h_ch12.appf.tab20_1_1_2_11 hd_h_ch12.appf.tab20_1_1_1_4 hd_h_ch12.appf.tab20_1_1_1_5" id="hd_b_ch12.appf.tab20_1_1_13_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of hospital stay (per patient mean) (follow-up mean 12 weeks; Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_1 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_2 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_3 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_4 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_5 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_6 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab20_1_1_1_1 hd_h_ch12.appf.tab20_1_1_2_7 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_8 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">43</td><td headers="hd_h_ch12.appf.tab20_1_1_1_2 hd_h_ch12.appf.tab20_1_1_2_9 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">41</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_10 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab20_1_1_1_3 hd_h_ch12.appf.tab20_1_1_2_11 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 6.7 lower (12.27 to 1.13 lower)</td><td headers="hd_h_ch12.appf.tab20_1_1_1_4 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁⨁◯◯</p>
|
|
<p>LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab20_1_1_1_5 hd_b_ch12.appf.tab20_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab20_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab20_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab21"><div id="ch12.appf.tab21" class="table"><h3><span class="label">Table 67</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab21/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab21_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab21_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab21_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab21_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab21_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab21_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab21_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab21_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab21_1_1_1_1" id="hd_h_ch12.appf.tab21_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab21_1_1_1_1" id="hd_h_ch12.appf.tab21_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab21_1_1_1_1" id="hd_h_ch12.appf.tab21_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab21_1_1_1_1" id="hd_h_ch12.appf.tab21_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab21_1_1_1_1" id="hd_h_ch12.appf.tab21_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab21_1_1_1_1" id="hd_h_ch12.appf.tab21_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab21_1_1_1_1" id="hd_h_ch12.appf.tab21_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab21_1_1_1_2" id="hd_h_ch12.appf.tab21_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab21_1_1_1_2" id="hd_h_ch12.appf.tab21_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Pattenden 2013))</th><th headers="hd_h_ch12.appf.tab21_1_1_1_3" id="hd_h_ch12.appf.tab21_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab21_1_1_1_3" id="hd_h_ch12.appf.tab21_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_1 hd_h_ch12.appf.tab21_1_1_2_2 hd_h_ch12.appf.tab21_1_1_2_3 hd_h_ch12.appf.tab21_1_1_2_4 hd_h_ch12.appf.tab21_1_1_2_5 hd_h_ch12.appf.tab21_1_1_2_6 hd_h_ch12.appf.tab21_1_1_2_7 hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_8 hd_h_ch12.appf.tab21_1_1_2_9 hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_10 hd_h_ch12.appf.tab21_1_1_2_11 hd_h_ch12.appf.tab21_1_1_1_4 hd_h_ch12.appf.tab21_1_1_1_5" id="hd_b_ch12.appf.tab21_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of unscheduled admissions (N of patients admitted)</th></tr><tr><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_1 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_2 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_3 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_4 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_5 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_6 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_7 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_8 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>41/99</p>
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<p>(41.4%)</p>
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</td><td headers="hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_9 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">64.3%</td><td headers="hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_10 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.64 (0.49 to 0.85)</td><td headers="hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_11 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">231 fewer per 1000 (from 96 fewer to 328 fewer)</td><td headers="hd_h_ch12.appf.tab21_1_1_1_4 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab21_1_1_1_5 hd_b_ch12.appf.tab21_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_1 hd_h_ch12.appf.tab21_1_1_2_2 hd_h_ch12.appf.tab21_1_1_2_3 hd_h_ch12.appf.tab21_1_1_2_4 hd_h_ch12.appf.tab21_1_1_2_5 hd_h_ch12.appf.tab21_1_1_2_6 hd_h_ch12.appf.tab21_1_1_2_7 hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_8 hd_h_ch12.appf.tab21_1_1_2_9 hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_10 hd_h_ch12.appf.tab21_1_1_2_11 hd_h_ch12.appf.tab21_1_1_1_4 hd_h_ch12.appf.tab21_1_1_1_5" id="hd_b_ch12.appf.tab21_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (Bradford) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_1 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_2 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_3 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_4 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_5 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_6 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_7 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_8 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">62</td><td headers="hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_9 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">76</td><td headers="hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_10 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_11 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 2.4 lower (5.69 lower to 0.89 higher)</td><td headers="hd_h_ch12.appf.tab21_1_1_1_4 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab21_1_1_1_5 hd_b_ch12.appf.tab21_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_1 hd_h_ch12.appf.tab21_1_1_2_2 hd_h_ch12.appf.tab21_1_1_2_3 hd_h_ch12.appf.tab21_1_1_2_4 hd_h_ch12.appf.tab21_1_1_2_5 hd_h_ch12.appf.tab21_1_1_2_6 hd_h_ch12.appf.tab21_1_1_2_7 hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_8 hd_h_ch12.appf.tab21_1_1_2_9 hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_10 hd_h_ch12.appf.tab21_1_1_2_11 hd_h_ch12.appf.tab21_1_1_1_4 hd_h_ch12.appf.tab21_1_1_1_5" id="hd_b_ch12.appf.tab21_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (Poole) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_1 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_2 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_3 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_4 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_5 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_6 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_7 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_8 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">37</td><td headers="hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_9 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">22</td><td headers="hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_10 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_11 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 1 higher (6.02 lower to 8.02 higher)</td><td headers="hd_h_ch12.appf.tab21_1_1_1_4 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab21_1_1_1_5 hd_b_ch12.appf.tab21_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_1 hd_h_ch12.appf.tab21_1_1_2_2 hd_h_ch12.appf.tab21_1_1_2_3 hd_h_ch12.appf.tab21_1_1_2_4 hd_h_ch12.appf.tab21_1_1_2_5 hd_h_ch12.appf.tab21_1_1_2_6 hd_h_ch12.appf.tab21_1_1_2_7 hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_8 hd_h_ch12.appf.tab21_1_1_2_9 hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_10 hd_h_ch12.appf.tab21_1_1_2_11 hd_h_ch12.appf.tab21_1_1_1_4 hd_h_ch12.appf.tab21_1_1_1_5" id="hd_b_ch12.appf.tab21_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">N of unscheduled admissions (N of admissions per patient - Bradford) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_1 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_2 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_3 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_4 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_5 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_6 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_7 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_8 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">62</td><td headers="hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_9 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">76</td><td headers="hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_10 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_11 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.3 lower (0.85 lower to 0.25 higher)</td><td headers="hd_h_ch12.appf.tab21_1_1_1_4 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab21_1_1_1_5 hd_b_ch12.appf.tab21_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_1 hd_h_ch12.appf.tab21_1_1_2_2 hd_h_ch12.appf.tab21_1_1_2_3 hd_h_ch12.appf.tab21_1_1_2_4 hd_h_ch12.appf.tab21_1_1_2_5 hd_h_ch12.appf.tab21_1_1_2_6 hd_h_ch12.appf.tab21_1_1_2_7 hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_8 hd_h_ch12.appf.tab21_1_1_2_9 hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_10 hd_h_ch12.appf.tab21_1_1_2_11 hd_h_ch12.appf.tab21_1_1_1_4 hd_h_ch12.appf.tab21_1_1_1_5" id="hd_b_ch12.appf.tab21_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">N of unscheduled admissions (N of admissions per patient - Poole) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_1 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_2 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_3 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_4 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_5 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_6 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<a class="bibr" href="#ch12.ref3" rid="ch12.ref3"><sup>3</sup></a></td><td headers="hd_h_ch12.appf.tab21_1_1_1_1 hd_h_ch12.appf.tab21_1_1_2_7 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_8 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">37</td><td headers="hd_h_ch12.appf.tab21_1_1_1_2 hd_h_ch12.appf.tab21_1_1_2_9 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">22</td><td headers="hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_10 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab21_1_1_1_3 hd_h_ch12.appf.tab21_1_1_2_11 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 1 lower (1.54 to 0.46 lower)</td><td headers="hd_h_ch12.appf.tab21_1_1_1_4 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab21_1_1_1_5 hd_b_ch12.appf.tab21_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab21_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab21_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab21_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab22"><div id="ch12.appf.tab22" class="table"><h3><span class="label">Table 68</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab22/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab22_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab22_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab22_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab22_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab22_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab22_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab22_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab22_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab22_1_1_1_1" id="hd_h_ch12.appf.tab22_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab22_1_1_1_1" id="hd_h_ch12.appf.tab22_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab22_1_1_1_1" id="hd_h_ch12.appf.tab22_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab22_1_1_1_1" id="hd_h_ch12.appf.tab22_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab22_1_1_1_1" id="hd_h_ch12.appf.tab22_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab22_1_1_1_1" id="hd_h_ch12.appf.tab22_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab22_1_1_1_1" id="hd_h_ch12.appf.tab22_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab22_1_1_1_2" id="hd_h_ch12.appf.tab22_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional community services (routine)</th><th headers="hd_h_ch12.appf.tab22_1_1_1_2" id="hd_h_ch12.appf.tab22_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Riolfi 2014)</th><th headers="hd_h_ch12.appf.tab22_1_1_1_3" id="hd_h_ch12.appf.tab22_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab22_1_1_1_3" id="hd_h_ch12.appf.tab22_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_1 hd_h_ch12.appf.tab22_1_1_2_2 hd_h_ch12.appf.tab22_1_1_2_3 hd_h_ch12.appf.tab22_1_1_2_4 hd_h_ch12.appf.tab22_1_1_2_5 hd_h_ch12.appf.tab22_1_1_2_6 hd_h_ch12.appf.tab22_1_1_2_7 hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_8 hd_h_ch12.appf.tab22_1_1_2_9 hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_10 hd_h_ch12.appf.tab22_1_1_2_11 hd_h_ch12.appf.tab22_1_1_1_4 hd_h_ch12.appf.tab22_1_1_1_5" id="hd_b_ch12.appf.tab22_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - hospital) - Palliative home care service versus usual care</th></tr><tr><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_1 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_2 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_3 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_4 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_5 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>b</sup><sup>,</sup><sup>c</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_6 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_7 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_8 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>37/160</p>
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<p>(23.1%)</p>
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</td><td headers="hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_9 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">73.6%</td><td headers="hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_10 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.31 (0.23 to 0.42)</td><td headers="hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_11 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">508 fewer per 1000 (from 427 fewer to 567 fewer)</td><td headers="hd_h_ch12.appf.tab22_1_1_1_4 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab22_1_1_1_5 hd_b_ch12.appf.tab22_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_1 hd_h_ch12.appf.tab22_1_1_2_2 hd_h_ch12.appf.tab22_1_1_2_3 hd_h_ch12.appf.tab22_1_1_2_4 hd_h_ch12.appf.tab22_1_1_2_5 hd_h_ch12.appf.tab22_1_1_2_6 hd_h_ch12.appf.tab22_1_1_2_7 hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_8 hd_h_ch12.appf.tab22_1_1_2_9 hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_10 hd_h_ch12.appf.tab22_1_1_2_11 hd_h_ch12.appf.tab22_1_1_1_4 hd_h_ch12.appf.tab22_1_1_1_5" id="hd_b_ch12.appf.tab22_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - country hospital) - Palliative home care service versus usual care</th></tr><tr><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_1 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_2 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_3 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_4 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_5 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>b</sup><sup>,</sup><sup>c</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_6 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_7 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_8 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>24/160</p>
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<p>(15%)</p>
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</td><td headers="hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_9 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">6.2%</td><td headers="hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_10 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 2.42 (1.31 to 4.47)</td><td headers="hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_11 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">88 more per 1000 (from 19 more to 215 more)</td><td headers="hd_h_ch12.appf.tab22_1_1_1_4 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab22_1_1_1_5 hd_b_ch12.appf.tab22_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_1 hd_h_ch12.appf.tab22_1_1_2_2 hd_h_ch12.appf.tab22_1_1_2_3 hd_h_ch12.appf.tab22_1_1_2_4 hd_h_ch12.appf.tab22_1_1_2_5 hd_h_ch12.appf.tab22_1_1_2_6 hd_h_ch12.appf.tab22_1_1_2_7 hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_8 hd_h_ch12.appf.tab22_1_1_2_9 hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_10 hd_h_ch12.appf.tab22_1_1_2_11 hd_h_ch12.appf.tab22_1_1_1_4 hd_h_ch12.appf.tab22_1_1_1_5" id="hd_b_ch12.appf.tab22_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - home) - Palliative home care service versus usual care</th></tr><tr><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_1 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_2 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_3 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_4 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_5 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>b</sup><sup>,</sup><sup>c</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_6 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_7 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_8 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>86/160</p>
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<p>(53.8%)</p>
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|
</td><td headers="hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_9 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">7.9%</td><td headers="hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_10 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 6.85 (4.34 to 10.79)</td><td headers="hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_11 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">462 more per 1000 (from 264 more to 773 more)</td><td headers="hd_h_ch12.appf.tab22_1_1_1_4 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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|
</td><td headers="hd_h_ch12.appf.tab22_1_1_1_5 hd_b_ch12.appf.tab22_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_1 hd_h_ch12.appf.tab22_1_1_2_2 hd_h_ch12.appf.tab22_1_1_2_3 hd_h_ch12.appf.tab22_1_1_2_4 hd_h_ch12.appf.tab22_1_1_2_5 hd_h_ch12.appf.tab22_1_1_2_6 hd_h_ch12.appf.tab22_1_1_2_7 hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_8 hd_h_ch12.appf.tab22_1_1_2_9 hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_10 hd_h_ch12.appf.tab22_1_1_2_11 hd_h_ch12.appf.tab22_1_1_1_4 hd_h_ch12.appf.tab22_1_1_1_5" id="hd_b_ch12.appf.tab22_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - nursing home) - Palliative home care service versus usual care</th></tr><tr><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_1 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_2 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_3 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_4 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_5 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>b</sup><sup>,</sup><sup>c</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_6 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>d</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_7 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_8 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>13/160</p>
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<p>(8.1%)</p>
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|
</td><td headers="hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_9 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">12.4%</td><td headers="hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_10 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.66 (0.35 to 1.22)</td><td headers="hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_11 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">42 fewer per 1000 (from 81 fewer to 27 more)</td><td headers="hd_h_ch12.appf.tab22_1_1_1_4 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab22_1_1_1_5 hd_b_ch12.appf.tab22_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_1 hd_h_ch12.appf.tab22_1_1_2_2 hd_h_ch12.appf.tab22_1_1_2_3 hd_h_ch12.appf.tab22_1_1_2_4 hd_h_ch12.appf.tab22_1_1_2_5 hd_h_ch12.appf.tab22_1_1_2_6 hd_h_ch12.appf.tab22_1_1_2_7 hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_8 hd_h_ch12.appf.tab22_1_1_2_9 hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_10 hd_h_ch12.appf.tab22_1_1_2_11 hd_h_ch12.appf.tab22_1_1_1_4 hd_h_ch12.appf.tab22_1_1_1_5" id="hd_b_ch12.appf.tab22_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (number of hospitalisations in last 2 months of life) - Palliative home care service versus usual care (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_1 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_2 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_3 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_4 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_5 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_6 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_7 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_8 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">160</td><td headers="hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_9 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">242</td><td headers="hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_10 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_11 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.9 lower (1.07 to 0.73 lower)</td><td headers="hd_h_ch12.appf.tab22_1_1_1_4 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab22_1_1_1_5 hd_b_ch12.appf.tab22_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_1 hd_h_ch12.appf.tab22_1_1_2_2 hd_h_ch12.appf.tab22_1_1_2_3 hd_h_ch12.appf.tab22_1_1_2_4 hd_h_ch12.appf.tab22_1_1_2_5 hd_h_ch12.appf.tab22_1_1_2_6 hd_h_ch12.appf.tab22_1_1_2_7 hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_8 hd_h_ch12.appf.tab22_1_1_2_9 hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_10 hd_h_ch12.appf.tab22_1_1_2_11 hd_h_ch12.appf.tab22_1_1_1_4 hd_h_ch12.appf.tab22_1_1_1_5" id="hd_b_ch12.appf.tab22_1_1_11_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (time spent in hospital in the last 2 months of life) - Palliative home care service versus usual care (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_1 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_2 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_3 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_4 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_5 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_6 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab22_1_1_1_1 hd_h_ch12.appf.tab22_1_1_2_7 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_8 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">160</td><td headers="hd_h_ch12.appf.tab22_1_1_1_2 hd_h_ch12.appf.tab22_1_1_2_9 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">242</td><td headers="hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_10 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab22_1_1_1_3 hd_h_ch12.appf.tab22_1_1_2_11 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 15.2 lower (18.08 to 12.32 lower)</td><td headers="hd_h_ch12.appf.tab22_1_1_1_4 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab22_1_1_1_5 hd_b_ch12.appf.tab22_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab22_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab22_2"><p class="no_margin">The majority of the evidence had indirect outcomes (preferred place of death not reported)</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab22_3"><p class="no_margin">The majority of the evidence was based on indirect intervention.</p></div></dd></dl><dl class="bkr_refwrap"><dt>d</dt><dd><div id="ch12.appf.tab22_4"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or downgraded by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab23"><div id="ch12.appf.tab23" class="table"><h3><span class="label">Table 69</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab23/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab23_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab23_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab23_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab23_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab23_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab23_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab23_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab23_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab23_1_1_1_1" id="hd_h_ch12.appf.tab23_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab23_1_1_1_1" id="hd_h_ch12.appf.tab23_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab23_1_1_1_1" id="hd_h_ch12.appf.tab23_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab23_1_1_1_1" id="hd_h_ch12.appf.tab23_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab23_1_1_1_1" id="hd_h_ch12.appf.tab23_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab23_1_1_1_1" id="hd_h_ch12.appf.tab23_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab23_1_1_1_1" id="hd_h_ch12.appf.tab23_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab23_1_1_1_2" id="hd_h_ch12.appf.tab23_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab23_1_1_1_2" id="hd_h_ch12.appf.tab23_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Seow 2008)</th><th headers="hd_h_ch12.appf.tab23_1_1_1_3" id="hd_h_ch12.appf.tab23_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab23_1_1_1_3" id="hd_h_ch12.appf.tab23_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_1 hd_h_ch12.appf.tab23_1_1_2_2 hd_h_ch12.appf.tab23_1_1_2_3 hd_h_ch12.appf.tab23_1_1_2_4 hd_h_ch12.appf.tab23_1_1_2_5 hd_h_ch12.appf.tab23_1_1_2_6 hd_h_ch12.appf.tab23_1_1_2_7 hd_h_ch12.appf.tab23_1_1_1_2 hd_h_ch12.appf.tab23_1_1_2_8 hd_h_ch12.appf.tab23_1_1_2_9 hd_h_ch12.appf.tab23_1_1_1_3 hd_h_ch12.appf.tab23_1_1_2_10 hd_h_ch12.appf.tab23_1_1_2_11 hd_h_ch12.appf.tab23_1_1_1_4 hd_h_ch12.appf.tab23_1_1_1_5" id="hd_b_ch12.appf.tab23_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of survival (deaths since referral (120+ days))</th></tr><tr><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_1 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_2 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_3 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_4 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_5 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_6 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_7 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab23_1_1_1_2 hd_h_ch12.appf.tab23_1_1_2_8 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>21/69</p>
|
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<p>(30.4%)</p>
|
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</td><td headers="hd_h_ch12.appf.tab23_1_1_1_2 hd_h_ch12.appf.tab23_1_1_2_9 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">45%</td><td headers="hd_h_ch12.appf.tab23_1_1_1_3 hd_h_ch12.appf.tab23_1_1_2_10 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.68 (0.37 to 1.23)</td><td headers="hd_h_ch12.appf.tab23_1_1_1_3 hd_h_ch12.appf.tab23_1_1_2_11 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">144 fewer per 1000 (from 283 fewer to 104 more)</td><td headers="hd_h_ch12.appf.tab23_1_1_1_4 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab23_1_1_1_5 hd_b_ch12.appf.tab23_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_1 hd_h_ch12.appf.tab23_1_1_2_2 hd_h_ch12.appf.tab23_1_1_2_3 hd_h_ch12.appf.tab23_1_1_2_4 hd_h_ch12.appf.tab23_1_1_2_5 hd_h_ch12.appf.tab23_1_1_2_6 hd_h_ch12.appf.tab23_1_1_2_7 hd_h_ch12.appf.tab23_1_1_1_2 hd_h_ch12.appf.tab23_1_1_2_8 hd_h_ch12.appf.tab23_1_1_2_9 hd_h_ch12.appf.tab23_1_1_1_3 hd_h_ch12.appf.tab23_1_1_2_10 hd_h_ch12.appf.tab23_1_1_2_11 hd_h_ch12.appf.tab23_1_1_1_4 hd_h_ch12.appf.tab23_1_1_1_5" id="hd_b_ch12.appf.tab23_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of survival (deaths since referral (31-120 days))</th></tr><tr><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_1 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_2 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_3 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_4 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_5 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_6 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_7 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab23_1_1_1_2 hd_h_ch12.appf.tab23_1_1_2_8 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>20/69</p>
|
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<p>(29%)</p>
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</td><td headers="hd_h_ch12.appf.tab23_1_1_1_2 hd_h_ch12.appf.tab23_1_1_2_9 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">40%</td><td headers="hd_h_ch12.appf.tab23_1_1_1_3 hd_h_ch12.appf.tab23_1_1_2_10 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.72 (0.38 to 1.39)</td><td headers="hd_h_ch12.appf.tab23_1_1_1_3 hd_h_ch12.appf.tab23_1_1_2_11 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">112 fewer per 1000 (from 248 fewer to 156 more)</td><td headers="hd_h_ch12.appf.tab23_1_1_1_4 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab23_1_1_1_5 hd_b_ch12.appf.tab23_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_1 hd_h_ch12.appf.tab23_1_1_2_2 hd_h_ch12.appf.tab23_1_1_2_3 hd_h_ch12.appf.tab23_1_1_2_4 hd_h_ch12.appf.tab23_1_1_2_5 hd_h_ch12.appf.tab23_1_1_2_6 hd_h_ch12.appf.tab23_1_1_2_7 hd_h_ch12.appf.tab23_1_1_1_2 hd_h_ch12.appf.tab23_1_1_2_8 hd_h_ch12.appf.tab23_1_1_2_9 hd_h_ch12.appf.tab23_1_1_1_3 hd_h_ch12.appf.tab23_1_1_2_10 hd_h_ch12.appf.tab23_1_1_2_11 hd_h_ch12.appf.tab23_1_1_1_4 hd_h_ch12.appf.tab23_1_1_1_5" id="hd_b_ch12.appf.tab23_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of survival (deaths since referral (8-30 days))</th></tr><tr><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_1 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_2 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_3 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_4 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_5 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_6 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<a class="bibr" href="#ch12.ref2" rid="ch12.ref2"><sup>2</sup></a></td><td headers="hd_h_ch12.appf.tab23_1_1_1_1 hd_h_ch12.appf.tab23_1_1_2_7 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab23_1_1_1_2 hd_h_ch12.appf.tab23_1_1_2_8 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>28/69</p>
|
|
<p>(40.6%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab23_1_1_1_2 hd_h_ch12.appf.tab23_1_1_2_9 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">15%</td><td headers="hd_h_ch12.appf.tab23_1_1_1_3 hd_h_ch12.appf.tab23_1_1_2_10 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 2.71 (0.92 to 7.98)</td><td headers="hd_h_ch12.appf.tab23_1_1_1_3 hd_h_ch12.appf.tab23_1_1_2_11 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">257 more per 1000 (from 12 fewer to 1000 more)</td><td headers="hd_h_ch12.appf.tab23_1_1_1_4 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab23_1_1_1_5 hd_b_ch12.appf.tab23_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab23_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab23_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab24"><div id="ch12.appf.tab24" class="table"><h3><span class="label">Table 70</span><span class="title">Clinical evidence profile: Additional community service (routine) versus usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab24/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab24_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab24_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab24_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab24_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab24_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab24_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab24_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab24_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab24_1_1_1_1" id="hd_h_ch12.appf.tab24_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab24_1_1_1_1" id="hd_h_ch12.appf.tab24_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab24_1_1_1_1" id="hd_h_ch12.appf.tab24_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab24_1_1_1_1" id="hd_h_ch12.appf.tab24_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab24_1_1_1_1" id="hd_h_ch12.appf.tab24_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab24_1_1_1_1" id="hd_h_ch12.appf.tab24_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab24_1_1_1_1" id="hd_h_ch12.appf.tab24_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab24_1_1_1_2" id="hd_h_ch12.appf.tab24_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (emergency) - SPC team</th><th headers="hd_h_ch12.appf.tab24_1_1_1_2" id="hd_h_ch12.appf.tab24_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Seow 2014)</th><th headers="hd_h_ch12.appf.tab24_1_1_1_3" id="hd_h_ch12.appf.tab24_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab24_1_1_1_3" id="hd_h_ch12.appf.tab24_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_1 hd_h_ch12.appf.tab24_1_1_2_2 hd_h_ch12.appf.tab24_1_1_2_3 hd_h_ch12.appf.tab24_1_1_2_4 hd_h_ch12.appf.tab24_1_1_2_5 hd_h_ch12.appf.tab24_1_1_2_6 hd_h_ch12.appf.tab24_1_1_2_7 hd_h_ch12.appf.tab24_1_1_1_2 hd_h_ch12.appf.tab24_1_1_2_8 hd_h_ch12.appf.tab24_1_1_2_9 hd_h_ch12.appf.tab24_1_1_1_3 hd_h_ch12.appf.tab24_1_1_2_10 hd_h_ch12.appf.tab24_1_1_2_11 hd_h_ch12.appf.tab24_1_1_1_4 hd_h_ch12.appf.tab24_1_1_1_5" id="hd_b_ch12.appf.tab24_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - hospital) - Specialist palliative care team versus usual care</th></tr><tr><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_1 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_2 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_3 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_4 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_5 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_6 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_7 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab24_1_1_1_2 hd_h_ch12.appf.tab24_1_1_2_8 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>503/3109</p>
|
|
<p>(16.2%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab24_1_1_1_2 hd_h_ch12.appf.tab24_1_1_2_9 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">28.5%</td><td headers="hd_h_ch12.appf.tab24_1_1_1_3 hd_h_ch12.appf.tab24_1_1_2_10 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.57 (0.51 to 0.63)</td><td headers="hd_h_ch12.appf.tab24_1_1_1_3 hd_h_ch12.appf.tab24_1_1_2_11 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">123 fewer per 1000 (from 105 fewer to 140 fewer)</td><td headers="hd_h_ch12.appf.tab24_1_1_1_4 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
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</td><td headers="hd_h_ch12.appf.tab24_1_1_1_5 hd_b_ch12.appf.tab24_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_1 hd_h_ch12.appf.tab24_1_1_2_2 hd_h_ch12.appf.tab24_1_1_2_3 hd_h_ch12.appf.tab24_1_1_2_4 hd_h_ch12.appf.tab24_1_1_2_5 hd_h_ch12.appf.tab24_1_1_2_6 hd_h_ch12.appf.tab24_1_1_2_7 hd_h_ch12.appf.tab24_1_1_1_2 hd_h_ch12.appf.tab24_1_1_2_8 hd_h_ch12.appf.tab24_1_1_2_9 hd_h_ch12.appf.tab24_1_1_1_3 hd_h_ch12.appf.tab24_1_1_2_10 hd_h_ch12.appf.tab24_1_1_2_11 hd_h_ch12.appf.tab24_1_1_1_4 hd_h_ch12.appf.tab24_1_1_1_5" id="hd_b_ch12.appf.tab24_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (last 2 weeks of life) - Specialist palliative care team versus usual care</th></tr><tr><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_1 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_2 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_3 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_4 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_5 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_6 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_7 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab24_1_1_1_2 hd_h_ch12.appf.tab24_1_1_2_8 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>970/3109</p>
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<p>(31.2%)</p>
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</td><td headers="hd_h_ch12.appf.tab24_1_1_1_2 hd_h_ch12.appf.tab24_1_1_2_9 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">39.2%</td><td headers="hd_h_ch12.appf.tab24_1_1_1_3 hd_h_ch12.appf.tab24_1_1_2_10 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.80 (0.74 to 0.85)</td><td headers="hd_h_ch12.appf.tab24_1_1_1_3 hd_h_ch12.appf.tab24_1_1_2_11 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">78 fewer per 1000 (from 59 fewer to 102 fewer)</td><td headers="hd_h_ch12.appf.tab24_1_1_1_4 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab24_1_1_1_5 hd_b_ch12.appf.tab24_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_1 hd_h_ch12.appf.tab24_1_1_2_2 hd_h_ch12.appf.tab24_1_1_2_3 hd_h_ch12.appf.tab24_1_1_2_4 hd_h_ch12.appf.tab24_1_1_2_5 hd_h_ch12.appf.tab24_1_1_2_6 hd_h_ch12.appf.tab24_1_1_2_7 hd_h_ch12.appf.tab24_1_1_1_2 hd_h_ch12.appf.tab24_1_1_2_8 hd_h_ch12.appf.tab24_1_1_2_9 hd_h_ch12.appf.tab24_1_1_1_3 hd_h_ch12.appf.tab24_1_1_2_10 hd_h_ch12.appf.tab24_1_1_2_11 hd_h_ch12.appf.tab24_1_1_1_4 hd_h_ch12.appf.tab24_1_1_1_5" id="hd_b_ch12.appf.tab24_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (last two weeks of life) - Specialist palliative care team versus usual care</th></tr><tr><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_1 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_2 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_3 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_4 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_5 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_6 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab24_1_1_1_1 hd_h_ch12.appf.tab24_1_1_2_7 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab24_1_1_1_2 hd_h_ch12.appf.tab24_1_1_2_8 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>896/3109</p>
|
|
<p>(28.8%)</p>
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|
</td><td headers="hd_h_ch12.appf.tab24_1_1_1_2 hd_h_ch12.appf.tab24_1_1_2_9 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">34.4%</td><td headers="hd_h_ch12.appf.tab24_1_1_1_3 hd_h_ch12.appf.tab24_1_1_2_10 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.84 (0.78 to 0.9)</td><td headers="hd_h_ch12.appf.tab24_1_1_1_3 hd_h_ch12.appf.tab24_1_1_2_11 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">55 fewer per 1000 (from 34 fewer to 76 fewer)</td><td headers="hd_h_ch12.appf.tab24_1_1_1_4 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab24_1_1_1_5 hd_b_ch12.appf.tab24_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab24_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab24_2"><p class="no_margin">The majority of the evidence had indirect outcomes (preferred place of death not reported)</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab24_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or downgraded by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab25"><div id="ch12.appf.tab25" class="table"><h3><span class="label">Table 71</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab25/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab25_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab25_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab25_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab25_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab25_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab25_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab25_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab25_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab25_1_1_1_1" id="hd_h_ch12.appf.tab25_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab25_1_1_1_1" id="hd_h_ch12.appf.tab25_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab25_1_1_1_1" id="hd_h_ch12.appf.tab25_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab25_1_1_1_1" id="hd_h_ch12.appf.tab25_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab25_1_1_1_1" id="hd_h_ch12.appf.tab25_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab25_1_1_1_1" id="hd_h_ch12.appf.tab25_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab25_1_1_1_1" id="hd_h_ch12.appf.tab25_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab25_1_1_1_2" id="hd_h_ch12.appf.tab25_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab25_1_1_1_2" id="hd_h_ch12.appf.tab25_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Sessa 1996)</th><th headers="hd_h_ch12.appf.tab25_1_1_1_3" id="hd_h_ch12.appf.tab25_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab25_1_1_1_3" id="hd_h_ch12.appf.tab25_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_1 hd_h_ch12.appf.tab25_1_1_2_2 hd_h_ch12.appf.tab25_1_1_2_3 hd_h_ch12.appf.tab25_1_1_2_4 hd_h_ch12.appf.tab25_1_1_2_5 hd_h_ch12.appf.tab25_1_1_2_6 hd_h_ch12.appf.tab25_1_1_2_7 hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_8 hd_h_ch12.appf.tab25_1_1_2_9 hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_10 hd_h_ch12.appf.tab25_1_1_2_11 hd_h_ch12.appf.tab25_1_1_1_4 hd_h_ch12.appf.tab25_1_1_1_5" id="hd_b_ch12.appf.tab25_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at home)</th></tr><tr><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_1 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_2 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_3 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_4 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_5 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_6 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_7 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_8 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>138/317</p>
|
|
<p>(43.5%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_9 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">11%</td><td headers="hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_10 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 3.98 (3.1 to 5.1)</td><td headers="hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_11 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">328 more per 1000 (from 231 more to 451 more)</td><td headers="hd_h_ch12.appf.tab25_1_1_1_4 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab25_1_1_1_5 hd_b_ch12.appf.tab25_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_1 hd_h_ch12.appf.tab25_1_1_2_2 hd_h_ch12.appf.tab25_1_1_2_3 hd_h_ch12.appf.tab25_1_1_2_4 hd_h_ch12.appf.tab25_1_1_2_5 hd_h_ch12.appf.tab25_1_1_2_6 hd_h_ch12.appf.tab25_1_1_2_7 hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_8 hd_h_ch12.appf.tab25_1_1_2_9 hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_10 hd_h_ch12.appf.tab25_1_1_2_11 hd_h_ch12.appf.tab25_1_1_1_4 hd_h_ch12.appf.tab25_1_1_1_5" id="hd_b_ch12.appf.tab25_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at hospital)</th></tr><tr><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_1 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_2 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_3 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_4 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_5 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_6 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_7 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_8 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>162/317</p>
|
|
<p>(51.1%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_9 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">74.6%</td><td headers="hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_10 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.69 (0.61 to 0.77)</td><td headers="hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_11 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">231 fewer per 1000 (from 172 fewer to 291 fewer)</td><td headers="hd_h_ch12.appf.tab25_1_1_1_4 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab25_1_1_1_5 hd_b_ch12.appf.tab25_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_1 hd_h_ch12.appf.tab25_1_1_2_2 hd_h_ch12.appf.tab25_1_1_2_3 hd_h_ch12.appf.tab25_1_1_2_4 hd_h_ch12.appf.tab25_1_1_2_5 hd_h_ch12.appf.tab25_1_1_2_6 hd_h_ch12.appf.tab25_1_1_2_7 hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_8 hd_h_ch12.appf.tab25_1_1_2_9 hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_10 hd_h_ch12.appf.tab25_1_1_2_11 hd_h_ch12.appf.tab25_1_1_1_4 hd_h_ch12.appf.tab25_1_1_1_5" id="hd_b_ch12.appf.tab25_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at nursing home or private clinic)</th></tr><tr><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_1 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_2 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_3 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_4 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_5 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_6 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_7 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_8 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>16/317</p>
|
|
<p>(5%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_9 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">13.5%</td><td headers="hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_10 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.37 (0.22 to 0.63)</td><td headers="hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_11 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">85 fewer per 1000 (from 50 fewer to 105 fewer)</td><td headers="hd_h_ch12.appf.tab25_1_1_1_4 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab25_1_1_1_5 hd_b_ch12.appf.tab25_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_1 hd_h_ch12.appf.tab25_1_1_2_2 hd_h_ch12.appf.tab25_1_1_2_3 hd_h_ch12.appf.tab25_1_1_2_4 hd_h_ch12.appf.tab25_1_1_2_5 hd_h_ch12.appf.tab25_1_1_2_6 hd_h_ch12.appf.tab25_1_1_2_7 hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_8 hd_h_ch12.appf.tab25_1_1_2_9 hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_10 hd_h_ch12.appf.tab25_1_1_2_11 hd_h_ch12.appf.tab25_1_1_1_4 hd_h_ch12.appf.tab25_1_1_1_5" id="hd_b_ch12.appf.tab25_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">N of unscheduled admissions (people with >3 hospitalisations) 3 months before death</th></tr><tr><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_1 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_2 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_3 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_4 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_5 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_6 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_7 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_8 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>38/317</p>
|
|
<p>(12%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_9 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">13%</td><td headers="hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_10 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.92 (0.64 to 1.31)</td><td headers="hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_11 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">10 fewer per 1000 (from 47 fewer to 40 more)</td><td headers="hd_h_ch12.appf.tab25_1_1_1_4 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab25_1_1_1_5 hd_b_ch12.appf.tab25_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_1 hd_h_ch12.appf.tab25_1_1_2_2 hd_h_ch12.appf.tab25_1_1_2_3 hd_h_ch12.appf.tab25_1_1_2_4 hd_h_ch12.appf.tab25_1_1_2_5 hd_h_ch12.appf.tab25_1_1_2_6 hd_h_ch12.appf.tab25_1_1_2_7 hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_8 hd_h_ch12.appf.tab25_1_1_2_9 hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_10 hd_h_ch12.appf.tab25_1_1_2_11 hd_h_ch12.appf.tab25_1_1_1_4 hd_h_ch12.appf.tab25_1_1_1_5" id="hd_b_ch12.appf.tab25_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">N of unscheduled admissions (people with 1-2 hospitalisations) 3 months before death</th></tr><tr><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_1 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_2 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_3 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_4 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_5 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_6 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab25_1_1_1_1 hd_h_ch12.appf.tab25_1_1_2_7 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_8 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>216/317</p>
|
|
<p>(68.1%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab25_1_1_1_2 hd_h_ch12.appf.tab25_1_1_2_9 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">78%</td><td headers="hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_10 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.87 (0.8 to 0.95)</td><td headers="hd_h_ch12.appf.tab25_1_1_1_3 hd_h_ch12.appf.tab25_1_1_2_11 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">101 fewer per 1000 (from 39 fewer to 156 fewer)</td><td headers="hd_h_ch12.appf.tab25_1_1_1_4 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab25_1_1_1_5 hd_b_ch12.appf.tab25_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab25_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab25_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab25_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab26"><div id="ch12.appf.tab26" class="table"><h3><span class="label">Table 72</span><span class="title">Clinical evidence profile: Additional community services (routine) compared to usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab26/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab26_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab26_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab26_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab26_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab26_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab26_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab26_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab26_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab26_1_1_1_1" id="hd_h_ch12.appf.tab26_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab26_1_1_1_1" id="hd_h_ch12.appf.tab26_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab26_1_1_1_1" id="hd_h_ch12.appf.tab26_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab26_1_1_1_1" id="hd_h_ch12.appf.tab26_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab26_1_1_1_1" id="hd_h_ch12.appf.tab26_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab26_1_1_1_1" id="hd_h_ch12.appf.tab26_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab26_1_1_1_1" id="hd_h_ch12.appf.tab26_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab26_1_1_1_2" id="hd_h_ch12.appf.tab26_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab26_1_1_1_2" id="hd_h_ch12.appf.tab26_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Smeenk 1998))</th><th headers="hd_h_ch12.appf.tab26_1_1_1_3" id="hd_h_ch12.appf.tab26_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab26_1_1_1_3" id="hd_h_ch12.appf.tab26_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_1 hd_h_ch12.appf.tab26_1_1_2_2 hd_h_ch12.appf.tab26_1_1_2_3 hd_h_ch12.appf.tab26_1_1_2_4 hd_h_ch12.appf.tab26_1_1_2_5 hd_h_ch12.appf.tab26_1_1_2_6 hd_h_ch12.appf.tab26_1_1_2_7 hd_h_ch12.appf.tab26_1_1_1_2 hd_h_ch12.appf.tab26_1_1_2_8 hd_h_ch12.appf.tab26_1_1_2_9 hd_h_ch12.appf.tab26_1_1_1_3 hd_h_ch12.appf.tab26_1_1_2_10 hd_h_ch12.appf.tab26_1_1_2_11 hd_h_ch12.appf.tab26_1_1_1_4 hd_h_ch12.appf.tab26_1_1_1_5" id="hd_b_ch12.appf.tab26_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at home)</th></tr><tr><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_1 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_2 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_3 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_4 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_5 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_6 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_7 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab26_1_1_1_2 hd_h_ch12.appf.tab26_1_1_2_8 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>64/79</p>
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<p>(81%)</p>
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</td><td headers="hd_h_ch12.appf.tab26_1_1_1_2 hd_h_ch12.appf.tab26_1_1_2_9 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">64.9%</td><td headers="hd_h_ch12.appf.tab26_1_1_1_3 hd_h_ch12.appf.tab26_1_1_2_10 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.25 (0.96 to 1.62)</td><td headers="hd_h_ch12.appf.tab26_1_1_1_3 hd_h_ch12.appf.tab26_1_1_2_11 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">162 more per 1000 (from 26 fewer to 402 more)</td><td headers="hd_h_ch12.appf.tab26_1_1_1_4 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab26_1_1_1_5 hd_b_ch12.appf.tab26_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_1 hd_h_ch12.appf.tab26_1_1_2_2 hd_h_ch12.appf.tab26_1_1_2_3 hd_h_ch12.appf.tab26_1_1_2_4 hd_h_ch12.appf.tab26_1_1_2_5 hd_h_ch12.appf.tab26_1_1_2_6 hd_h_ch12.appf.tab26_1_1_2_7 hd_h_ch12.appf.tab26_1_1_1_2 hd_h_ch12.appf.tab26_1_1_2_8 hd_h_ch12.appf.tab26_1_1_2_9 hd_h_ch12.appf.tab26_1_1_1_3 hd_h_ch12.appf.tab26_1_1_2_10 hd_h_ch12.appf.tab26_1_1_2_11 hd_h_ch12.appf.tab26_1_1_1_4 hd_h_ch12.appf.tab26_1_1_1_5" id="hd_b_ch12.appf.tab26_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay (days in hospital at rehospitalisation) (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_1 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_2 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_3 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_4 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_5 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_6 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_7 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab26_1_1_1_2 hd_h_ch12.appf.tab26_1_1_2_8 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">79</td><td headers="hd_h_ch12.appf.tab26_1_1_1_2 hd_h_ch12.appf.tab26_1_1_2_9 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">37</td><td headers="hd_h_ch12.appf.tab26_1_1_1_3 hd_h_ch12.appf.tab26_1_1_2_10 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab26_1_1_1_3 hd_h_ch12.appf.tab26_1_1_2_11 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 5.7 lower (11.89 lower to 0.49 higher)</td><td headers="hd_h_ch12.appf.tab26_1_1_1_4 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab26_1_1_1_5 hd_b_ch12.appf.tab26_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_1 hd_h_ch12.appf.tab26_1_1_2_2 hd_h_ch12.appf.tab26_1_1_2_3 hd_h_ch12.appf.tab26_1_1_2_4 hd_h_ch12.appf.tab26_1_1_2_5 hd_h_ch12.appf.tab26_1_1_2_6 hd_h_ch12.appf.tab26_1_1_2_7 hd_h_ch12.appf.tab26_1_1_1_2 hd_h_ch12.appf.tab26_1_1_2_8 hd_h_ch12.appf.tab26_1_1_2_9 hd_h_ch12.appf.tab26_1_1_1_3 hd_h_ch12.appf.tab26_1_1_2_10 hd_h_ch12.appf.tab26_1_1_2_11 hd_h_ch12.appf.tab26_1_1_1_4 hd_h_ch12.appf.tab26_1_1_1_5" id="hd_b_ch12.appf.tab26_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of survival (days of survival) (Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_1 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_2 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_3 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_4 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_5 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_6 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab26_1_1_1_1 hd_h_ch12.appf.tab26_1_1_2_7 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab26_1_1_1_2 hd_h_ch12.appf.tab26_1_1_2_8 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">79</td><td headers="hd_h_ch12.appf.tab26_1_1_1_2 hd_h_ch12.appf.tab26_1_1_2_9 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">37</td><td headers="hd_h_ch12.appf.tab26_1_1_1_3 hd_h_ch12.appf.tab26_1_1_2_10 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab26_1_1_1_3 hd_h_ch12.appf.tab26_1_1_2_11 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 32.4 higher (8.59 lower to 73.39 higher)</td><td headers="hd_h_ch12.appf.tab26_1_1_1_4 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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|
</td><td headers="hd_h_ch12.appf.tab26_1_1_1_5 hd_b_ch12.appf.tab26_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab26_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design. Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab26_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab26_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab27"><div id="ch12.appf.tab27" class="table"><h3><span class="label">Table 73</span><span class="title">Clinical evidence profile: Additional community service (routine) versus usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab27/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab27_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab27_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab27_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab27_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab27_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab27_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab27_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab27_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab27_1_1_1_1" id="hd_h_ch12.appf.tab27_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab27_1_1_1_1" id="hd_h_ch12.appf.tab27_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab27_1_1_1_1" id="hd_h_ch12.appf.tab27_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab27_1_1_1_1" id="hd_h_ch12.appf.tab27_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab27_1_1_1_1" id="hd_h_ch12.appf.tab27_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab27_1_1_1_1" id="hd_h_ch12.appf.tab27_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab27_1_1_1_1" id="hd_h_ch12.appf.tab27_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab27_1_1_1_2" id="hd_h_ch12.appf.tab27_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (routine)</th><th headers="hd_h_ch12.appf.tab27_1_1_1_2" id="hd_h_ch12.appf.tab27_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Youens 2017)</th><th headers="hd_h_ch12.appf.tab27_1_1_1_3" id="hd_h_ch12.appf.tab27_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab27_1_1_1_3" id="hd_h_ch12.appf.tab27_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_1 hd_h_ch12.appf.tab27_1_1_2_2 hd_h_ch12.appf.tab27_1_1_2_3 hd_h_ch12.appf.tab27_1_1_2_4 hd_h_ch12.appf.tab27_1_1_2_5 hd_h_ch12.appf.tab27_1_1_2_6 hd_h_ch12.appf.tab27_1_1_2_7 hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_8 hd_h_ch12.appf.tab27_1_1_2_9 hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_10 hd_h_ch12.appf.tab27_1_1_2_11 hd_h_ch12.appf.tab27_1_1_1_4 hd_h_ch12.appf.tab27_1_1_1_5" id="hd_b_ch12.appf.tab27_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying in hospital) (follow-up 10 years)</th></tr><tr><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_1 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_2 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_3 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_4 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_5 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_6 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_7 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_8 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>8421/16530</p>
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<p>(50.9%)</p>
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</td><td headers="hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_9 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>9130/12031</p>
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<p>(75.9%)</p>
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</td><td headers="hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_10 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.67 (0.66 to 0.68)</td><td headers="hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_11 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">250 fewer per 1000 (from 243 fewer to 258 fewer)</td><td headers="hd_h_ch12.appf.tab27_1_1_1_4 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab27_1_1_1_5 hd_b_ch12.appf.tab27_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_1 hd_h_ch12.appf.tab27_1_1_2_2 hd_h_ch12.appf.tab27_1_1_2_3 hd_h_ch12.appf.tab27_1_1_2_4 hd_h_ch12.appf.tab27_1_1_2_5 hd_h_ch12.appf.tab27_1_1_2_6 hd_h_ch12.appf.tab27_1_1_2_7 hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_8 hd_h_ch12.appf.tab27_1_1_2_9 hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_10 hd_h_ch12.appf.tab27_1_1_2_11 hd_h_ch12.appf.tab27_1_1_1_4 hd_h_ch12.appf.tab27_1_1_1_5" id="hd_b_ch12.appf.tab27_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying out of hospital) (follow-up 10 years)</th></tr><tr><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_1 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_2 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_3 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_4 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_5 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_6 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_7 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_8 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>8109/16530</p>
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<p>(49.1%)</p>
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</td><td headers="hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_9 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>2901/12031</p>
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<p>(24.1%)</p>
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</td><td headers="hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_10 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 2.03 (1.96 to 2.11)</td><td headers="hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_11 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">248 more per 1000 (from 231 more to 268 more)</td><td headers="hd_h_ch12.appf.tab27_1_1_1_4 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab27_1_1_1_5 hd_b_ch12.appf.tab27_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_1 hd_h_ch12.appf.tab27_1_1_2_2 hd_h_ch12.appf.tab27_1_1_2_3 hd_h_ch12.appf.tab27_1_1_2_4 hd_h_ch12.appf.tab27_1_1_2_5 hd_h_ch12.appf.tab27_1_1_2_6 hd_h_ch12.appf.tab27_1_1_2_7 hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_8 hd_h_ch12.appf.tab27_1_1_2_9 hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_10 hd_h_ch12.appf.tab27_1_1_2_11 hd_h_ch12.appf.tab27_1_1_1_4 hd_h_ch12.appf.tab27_1_1_1_5" id="hd_b_ch12.appf.tab27_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Hospitalisation (hospitalisation in the last 12 months of life) (follow-up 10 years)</th></tr><tr><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_1 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_2 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_3 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_4 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_5 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_6 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_7 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_8 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_9 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_10 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">Not estimable</td><td headers="hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_11 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab27_1_1_1_4 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab27_1_1_1_5 hd_b_ch12.appf.tab27_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_1 hd_h_ch12.appf.tab27_1_1_2_2 hd_h_ch12.appf.tab27_1_1_2_3 hd_h_ch12.appf.tab27_1_1_2_4 hd_h_ch12.appf.tab27_1_1_2_5 hd_h_ch12.appf.tab27_1_1_2_6 hd_h_ch12.appf.tab27_1_1_2_7 hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_8 hd_h_ch12.appf.tab27_1_1_2_9 hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_10 hd_h_ch12.appf.tab27_1_1_2_11 hd_h_ch12.appf.tab27_1_1_1_4 hd_h_ch12.appf.tab27_1_1_1_5" id="hd_b_ch12.appf.tab27_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Unplanned hospitalisation (in the last 12 months of life) (follow-up 10 years)</th></tr><tr><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_1 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_2 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_3 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_4 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_5 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_6 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_7 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_8 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_9 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_10 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">Not estimable</td><td headers="hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_11 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab27_1_1_1_4 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab27_1_1_1_5 hd_b_ch12.appf.tab27_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_1 hd_h_ch12.appf.tab27_1_1_2_2 hd_h_ch12.appf.tab27_1_1_2_3 hd_h_ch12.appf.tab27_1_1_2_4 hd_h_ch12.appf.tab27_1_1_2_5 hd_h_ch12.appf.tab27_1_1_2_6 hd_h_ch12.appf.tab27_1_1_2_7 hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_8 hd_h_ch12.appf.tab27_1_1_2_9 hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_10 hd_h_ch12.appf.tab27_1_1_2_11 hd_h_ch12.appf.tab27_1_1_1_4 hd_h_ch12.appf.tab27_1_1_1_5" id="hd_b_ch12.appf.tab27_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">ED presentation (in the last 12 months of life) (follow-up 10 years)</th></tr><tr><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_1 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_2 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_3 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_4 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_5 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_6 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_7 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_8 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_9 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_10 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">Not estimable</td><td headers="hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_11 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab27_1_1_1_4 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁⨁◯◯</p>
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<p>LOW</p>
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</td><td headers="hd_h_ch12.appf.tab27_1_1_1_5 hd_b_ch12.appf.tab27_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_1 hd_h_ch12.appf.tab27_1_1_2_2 hd_h_ch12.appf.tab27_1_1_2_3 hd_h_ch12.appf.tab27_1_1_2_4 hd_h_ch12.appf.tab27_1_1_2_5 hd_h_ch12.appf.tab27_1_1_2_6 hd_h_ch12.appf.tab27_1_1_2_7 hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_8 hd_h_ch12.appf.tab27_1_1_2_9 hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_10 hd_h_ch12.appf.tab27_1_1_2_11 hd_h_ch12.appf.tab27_1_1_1_4 hd_h_ch12.appf.tab27_1_1_1_5" id="hd_b_ch12.appf.tab27_1_1_11_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Length of stay for inpatient hospitalisation (last 12 months of life) (follow-up 10 years; Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_1 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_2 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_3 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_4 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_5 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_6 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab27_1_1_1_1 hd_h_ch12.appf.tab27_1_1_2_7 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_8 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">16530</td><td headers="hd_h_ch12.appf.tab27_1_1_1_2 hd_h_ch12.appf.tab27_1_1_2_9 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">12031</td><td headers="hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_10 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab27_1_1_1_3 hd_h_ch12.appf.tab27_1_1_2_11 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 4.19 lower (4.58 to 3.8 lower)</td><td headers="hd_h_ch12.appf.tab27_1_1_1_4 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁⨁◯◯</p>
|
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<p>LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab27_1_1_1_5 hd_b_ch12.appf.tab27_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab27_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab27_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab28"><div id="ch12.appf.tab28" class="table"><h3><span class="label">Table 74</span><span class="title">Clinical evidence profile: Additional community service (acute/emergency basis) – RRS available versus usual care – RRS not available</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab28/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab28_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab28_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab28_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab28_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab28_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab28_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab28_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab28_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab28_1_1_1_1" id="hd_h_ch12.appf.tab28_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab28_1_1_1_1" id="hd_h_ch12.appf.tab28_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab28_1_1_1_1" id="hd_h_ch12.appf.tab28_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab28_1_1_1_1" id="hd_h_ch12.appf.tab28_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab28_1_1_1_1" id="hd_h_ch12.appf.tab28_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab28_1_1_1_1" id="hd_h_ch12.appf.tab28_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab28_1_1_1_1" id="hd_h_ch12.appf.tab28_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab28_1_1_1_2" id="hd_h_ch12.appf.tab28_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (emergency)</th><th headers="hd_h_ch12.appf.tab28_1_1_1_2" id="hd_h_ch12.appf.tab28_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Casarette 2015)</th><th headers="hd_h_ch12.appf.tab28_1_1_1_3" id="hd_h_ch12.appf.tab28_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab28_1_1_1_3" id="hd_h_ch12.appf.tab28_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab28_1_1_1_1 hd_h_ch12.appf.tab28_1_1_2_1 hd_h_ch12.appf.tab28_1_1_2_2 hd_h_ch12.appf.tab28_1_1_2_3 hd_h_ch12.appf.tab28_1_1_2_4 hd_h_ch12.appf.tab28_1_1_2_5 hd_h_ch12.appf.tab28_1_1_2_6 hd_h_ch12.appf.tab28_1_1_2_7 hd_h_ch12.appf.tab28_1_1_1_2 hd_h_ch12.appf.tab28_1_1_2_8 hd_h_ch12.appf.tab28_1_1_2_9 hd_h_ch12.appf.tab28_1_1_1_3 hd_h_ch12.appf.tab28_1_1_2_10 hd_h_ch12.appf.tab28_1_1_2_11 hd_h_ch12.appf.tab28_1_1_1_4 hd_h_ch12.appf.tab28_1_1_1_5" id="hd_b_ch12.appf.tab28_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying in inpatient hospice)</th></tr><tr><td headers="hd_h_ch12.appf.tab28_1_1_1_1 hd_h_ch12.appf.tab28_1_1_2_1 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab28_1_1_1_1 hd_h_ch12.appf.tab28_1_1_2_2 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies<sup>a</sup></td><td headers="hd_h_ch12.appf.tab28_1_1_1_1 hd_h_ch12.appf.tab28_1_1_2_3 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious risk of bias</td><td headers="hd_h_ch12.appf.tab28_1_1_1_1 hd_h_ch12.appf.tab28_1_1_2_4 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab28_1_1_1_1 hd_h_ch12.appf.tab28_1_1_2_5 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab28_1_1_1_1 hd_h_ch12.appf.tab28_1_1_2_6 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab28_1_1_1_1 hd_h_ch12.appf.tab28_1_1_2_7 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab28_1_1_1_2 hd_h_ch12.appf.tab28_1_1_2_8 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>350/8524</p>
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|
<p>(4.1%)</p>
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|
</td><td headers="hd_h_ch12.appf.tab28_1_1_1_2 hd_h_ch12.appf.tab28_1_1_2_9 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>2030/16134</p>
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<p>(12.6%)</p>
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</td><td headers="hd_h_ch12.appf.tab28_1_1_1_3 hd_h_ch12.appf.tab28_1_1_2_10 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.33 (0.29 to 0.36)</td><td headers="hd_h_ch12.appf.tab28_1_1_1_3 hd_h_ch12.appf.tab28_1_1_2_11 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">84 fewer per 1000 (from 81 fewer to 89 fewer)</td><td headers="hd_h_ch12.appf.tab28_1_1_1_4 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab28_1_1_1_5 hd_b_ch12.appf.tab28_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab28_1"><p class="no_margin">Downgraded by 2 increments if the majority of the evidence was from studies with observational/non-randomised study design.</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab28_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab29"><div id="ch12.appf.tab29" class="table"><h3><span class="label">Table 75</span><span class="title">Clinical evidence profile: Additional community service (acute/emergency basis) – RRS available versus usual care – RRS not available</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab29/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab29_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab29_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab29_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab29_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab29_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab29_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab29_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab29_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab29_1_1_1_1" id="hd_h_ch12.appf.tab29_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab29_1_1_1_1" id="hd_h_ch12.appf.tab29_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab29_1_1_1_1" id="hd_h_ch12.appf.tab29_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab29_1_1_1_1" id="hd_h_ch12.appf.tab29_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab29_1_1_1_1" id="hd_h_ch12.appf.tab29_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab29_1_1_1_1" id="hd_h_ch12.appf.tab29_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab29_1_1_1_1" id="hd_h_ch12.appf.tab29_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab29_1_1_1_2" id="hd_h_ch12.appf.tab29_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (emergency) - RRS available</th><th headers="hd_h_ch12.appf.tab29_1_1_1_2" id="hd_h_ch12.appf.tab29_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (RRS not available) (Gage 2015 - Holdsworth 2015)</th><th headers="hd_h_ch12.appf.tab29_1_1_1_3" id="hd_h_ch12.appf.tab29_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab29_1_1_1_3" id="hd_h_ch12.appf.tab29_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_1 hd_h_ch12.appf.tab29_1_1_2_2 hd_h_ch12.appf.tab29_1_1_2_3 hd_h_ch12.appf.tab29_1_1_2_4 hd_h_ch12.appf.tab29_1_1_2_5 hd_h_ch12.appf.tab29_1_1_2_6 hd_h_ch12.appf.tab29_1_1_2_7 hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_8 hd_h_ch12.appf.tab29_1_1_2_9 hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_10 hd_h_ch12.appf.tab29_1_1_2_11 hd_h_ch12.appf.tab29_1_1_1_4 hd_h_ch12.appf.tab29_1_1_1_5" id="hd_b_ch12.appf.tab29_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Carers quality of life (EQ5D) 8 months - Rapid response service available versus rapid response service not available (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_1 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_2 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_3 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_4 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_5 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_6 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_7 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_8 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">48</td><td headers="hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_9 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">16</td><td headers="hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_10 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_11 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.05 lower (0.12 lower to 0.02 higher)</td><td headers="hd_h_ch12.appf.tab29_1_1_1_4 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab29_1_1_1_5 hd_b_ch12.appf.tab29_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_1 hd_h_ch12.appf.tab29_1_1_2_2 hd_h_ch12.appf.tab29_1_1_2_3 hd_h_ch12.appf.tab29_1_1_2_4 hd_h_ch12.appf.tab29_1_1_2_5 hd_h_ch12.appf.tab29_1_1_2_6 hd_h_ch12.appf.tab29_1_1_2_7 hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_8 hd_h_ch12.appf.tab29_1_1_2_9 hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_10 hd_h_ch12.appf.tab29_1_1_2_11 hd_h_ch12.appf.tab29_1_1_1_4 hd_h_ch12.appf.tab29_1_1_1_5" id="hd_b_ch12.appf.tab29_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Carers quality of life (SF12 Physical) 8 months - Rapid response service available versus rapid response service not available (range of scores: 0-100; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_1 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_2 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_3 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_4 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_5 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_6 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_7 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_8 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">48</td><td headers="hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_9 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">16</td><td headers="hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_10 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_11 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 1.86 higher (0.99 lower to 4.71 higher)</td><td headers="hd_h_ch12.appf.tab29_1_1_1_4 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab29_1_1_1_5 hd_b_ch12.appf.tab29_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_1 hd_h_ch12.appf.tab29_1_1_2_2 hd_h_ch12.appf.tab29_1_1_2_3 hd_h_ch12.appf.tab29_1_1_2_4 hd_h_ch12.appf.tab29_1_1_2_5 hd_h_ch12.appf.tab29_1_1_2_6 hd_h_ch12.appf.tab29_1_1_2_7 hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_8 hd_h_ch12.appf.tab29_1_1_2_9 hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_10 hd_h_ch12.appf.tab29_1_1_2_11 hd_h_ch12.appf.tab29_1_1_1_4 hd_h_ch12.appf.tab29_1_1_1_5" id="hd_b_ch12.appf.tab29_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Carers quality of life (SF12 Mental) 8 months - Rapid response service available versus rapid response service not available (range of scores: 0-100; Better indicated by higher values)</th></tr><tr><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_1 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_2 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_3 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_4 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_5 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_6 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_7 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_8 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">48</td><td headers="hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_9 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">16</td><td headers="hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_10 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_11 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 4.93 lower (8 to 1.86 lower)</td><td headers="hd_h_ch12.appf.tab29_1_1_1_4 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab29_1_1_1_5 hd_b_ch12.appf.tab29_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_1 hd_h_ch12.appf.tab29_1_1_2_2 hd_h_ch12.appf.tab29_1_1_2_3 hd_h_ch12.appf.tab29_1_1_2_4 hd_h_ch12.appf.tab29_1_1_2_5 hd_h_ch12.appf.tab29_1_1_2_6 hd_h_ch12.appf.tab29_1_1_2_7 hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_8 hd_h_ch12.appf.tab29_1_1_2_9 hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_10 hd_h_ch12.appf.tab29_1_1_2_11 hd_h_ch12.appf.tab29_1_1_1_4 hd_h_ch12.appf.tab29_1_1_1_5" id="hd_b_ch12.appf.tab29_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Achieved (initial) place of death) - Rapid response service available versus rapid response service not available</th></tr><tr><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_1 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_2 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_3 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_4 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_5 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_6 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_7 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_8 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>429/688</p>
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<p>(62.4%)</p>
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</td><td headers="hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_9 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">61.9%</td><td headers="hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_10 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.01 (0.9 to 1.13)</td><td headers="hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_11 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">6 more per 1000 (from 62 fewer to 80 more)</td><td headers="hd_h_ch12.appf.tab29_1_1_1_4 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab29_1_1_1_5 hd_b_ch12.appf.tab29_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_1 hd_h_ch12.appf.tab29_1_1_2_2 hd_h_ch12.appf.tab29_1_1_2_3 hd_h_ch12.appf.tab29_1_1_2_4 hd_h_ch12.appf.tab29_1_1_2_5 hd_h_ch12.appf.tab29_1_1_2_6 hd_h_ch12.appf.tab29_1_1_2_7 hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_8 hd_h_ch12.appf.tab29_1_1_2_9 hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_10 hd_h_ch12.appf.tab29_1_1_2_11 hd_h_ch12.appf.tab29_1_1_1_4 hd_h_ch12.appf.tab29_1_1_1_5" id="hd_b_ch12.appf.tab29_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Achieved (final) place of death) - Rapid response service available versus rapid response service not available</th></tr><tr><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_1 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_2 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_3 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_4 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_5 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_6 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab29_1_1_1_1 hd_h_ch12.appf.tab29_1_1_2_7 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_8 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>454/688</p>
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<p>(66%)</p>
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</td><td headers="hd_h_ch12.appf.tab29_1_1_1_2 hd_h_ch12.appf.tab29_1_1_2_9 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">69.8%</td><td headers="hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_10 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.95 (0.86 to 1.04)</td><td headers="hd_h_ch12.appf.tab29_1_1_1_3 hd_h_ch12.appf.tab29_1_1_2_11 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">35 fewer per 1000 (from 98 fewer to 28 more)</td><td headers="hd_h_ch12.appf.tab29_1_1_1_4 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab29_1_1_1_5 hd_b_ch12.appf.tab29_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab29_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab29_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or downgraded by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab30"><div id="ch12.appf.tab30" class="table"><h3><span class="label">Table 76</span><span class="title">Clinical evidence profile: Additional community service (acute/emergency basis) – RRS users versus usual care – RRS non-users</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab30/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab30_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab30_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab30_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab30_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab30_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab30_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab30_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab30_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab30_1_1_1_1" id="hd_h_ch12.appf.tab30_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab30_1_1_1_1" id="hd_h_ch12.appf.tab30_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab30_1_1_1_1" id="hd_h_ch12.appf.tab30_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab30_1_1_1_1" id="hd_h_ch12.appf.tab30_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab30_1_1_1_1" id="hd_h_ch12.appf.tab30_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab30_1_1_1_1" id="hd_h_ch12.appf.tab30_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab30_1_1_1_1" id="hd_h_ch12.appf.tab30_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab30_1_1_1_2" id="hd_h_ch12.appf.tab30_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (emergency) - RRS users</th><th headers="hd_h_ch12.appf.tab30_1_1_1_2" id="hd_h_ch12.appf.tab30_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (RRS non-users) (Gage 2015 - Holdsworth 2015)</th><th headers="hd_h_ch12.appf.tab30_1_1_1_3" id="hd_h_ch12.appf.tab30_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab30_1_1_1_3" id="hd_h_ch12.appf.tab30_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_h_ch12.appf.tab30_1_1_2_3 hd_h_ch12.appf.tab30_1_1_2_4 hd_h_ch12.appf.tab30_1_1_2_5 hd_h_ch12.appf.tab30_1_1_2_6 hd_h_ch12.appf.tab30_1_1_2_7 hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_h_ch12.appf.tab30_1_1_2_9 hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_h_ch12.appf.tab30_1_1_2_11 hd_h_ch12.appf.tab30_1_1_1_4 hd_h_ch12.appf.tab30_1_1_1_5" id="hd_b_ch12.appf.tab30_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Achieved (initial) place of death) - Rapid response service users versus rapid response service non-users)</th></tr><tr><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_3 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_4 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_5 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_6 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_7 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>171/247</p>
|
|
<p>(69.2%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_9 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">59.2%</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.17 (1.04 to 1.31)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_11 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">101 more per 1000 (from 24 more to 184 more)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_4 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_5 hd_b_ch12.appf.tab30_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_h_ch12.appf.tab30_1_1_2_3 hd_h_ch12.appf.tab30_1_1_2_4 hd_h_ch12.appf.tab30_1_1_2_5 hd_h_ch12.appf.tab30_1_1_2_6 hd_h_ch12.appf.tab30_1_1_2_7 hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_h_ch12.appf.tab30_1_1_2_9 hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_h_ch12.appf.tab30_1_1_2_11 hd_h_ch12.appf.tab30_1_1_1_4 hd_h_ch12.appf.tab30_1_1_1_5" id="hd_b_ch12.appf.tab30_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (N with >1 contact with acute care) - Rapid response service users versus Rapid response service non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_3 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_4 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_5 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_6 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_7 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>129/247</p>
|
|
<p>(52.2%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_9 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">56.5%</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.92 (0.8 to 1.07)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_11 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">45 fewer per 1000 (from 113 fewer to 40 more)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_4 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁◯◯◯</p>
|
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_5 hd_b_ch12.appf.tab30_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_h_ch12.appf.tab30_1_1_2_3 hd_h_ch12.appf.tab30_1_1_2_4 hd_h_ch12.appf.tab30_1_1_2_5 hd_h_ch12.appf.tab30_1_1_2_6 hd_h_ch12.appf.tab30_1_1_2_7 hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_h_ch12.appf.tab30_1_1_2_9 hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_h_ch12.appf.tab30_1_1_2_11 hd_h_ch12.appf.tab30_1_1_1_4 hd_h_ch12.appf.tab30_1_1_1_5" id="hd_b_ch12.appf.tab30_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (N with >1 contact with GP/primary care) - Rapid response service users versus Rapid response service non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_3 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_4 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_5 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_6 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_7 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>139/159</p>
|
|
<p>(87.4%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_9 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">71.9%</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.22 (1.11 to 1.34)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_11 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">158 more per 1000 (from 79 more to 244 more)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_4 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_5 hd_b_ch12.appf.tab30_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_h_ch12.appf.tab30_1_1_2_3 hd_h_ch12.appf.tab30_1_1_2_4 hd_h_ch12.appf.tab30_1_1_2_5 hd_h_ch12.appf.tab30_1_1_2_6 hd_h_ch12.appf.tab30_1_1_2_7 hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_h_ch12.appf.tab30_1_1_2_9 hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_h_ch12.appf.tab30_1_1_2_11 hd_h_ch12.appf.tab30_1_1_1_4 hd_h_ch12.appf.tab30_1_1_1_5" id="hd_b_ch12.appf.tab30_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (N with>1 contact with community care) - Rapid response service users versus Rapid response service non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_3 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_4 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_5 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_6 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_7 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>223/247</p>
|
|
<p>(90.3%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_9 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">69.4%</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.3 (1.21 to 1.4)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_11 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">208 more per 1000 (from 146 more to 278 more)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_4 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_5 hd_b_ch12.appf.tab30_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_h_ch12.appf.tab30_1_1_2_3 hd_h_ch12.appf.tab30_1_1_2_4 hd_h_ch12.appf.tab30_1_1_2_5 hd_h_ch12.appf.tab30_1_1_2_6 hd_h_ch12.appf.tab30_1_1_2_7 hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_h_ch12.appf.tab30_1_1_2_9 hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_h_ch12.appf.tab30_1_1_2_11 hd_h_ch12.appf.tab30_1_1_1_4 hd_h_ch12.appf.tab30_1_1_1_5" id="hd_b_ch12.appf.tab30_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (N with >1 contact with Marie Curie visits) - Rapid response service users versus Rapid response service non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_3 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_4 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_5 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_6 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_7 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>33/247</p>
|
|
<p>(13.4%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_9 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">1.4%</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 9.82 (4.17 to 23.11)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_11 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">123 more per 1000 (from 44 more to 310 more)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_4 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_5 hd_b_ch12.appf.tab30_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_h_ch12.appf.tab30_1_1_2_3 hd_h_ch12.appf.tab30_1_1_2_4 hd_h_ch12.appf.tab30_1_1_2_5 hd_h_ch12.appf.tab30_1_1_2_6 hd_h_ch12.appf.tab30_1_1_2_7 hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_h_ch12.appf.tab30_1_1_2_9 hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_h_ch12.appf.tab30_1_1_2_11 hd_h_ch12.appf.tab30_1_1_1_4 hd_h_ch12.appf.tab30_1_1_1_5" id="hd_b_ch12.appf.tab30_1_1_11_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (N with >1 contact with out of hours services) - Rapid response service users versus Rapid response service non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_3 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_4 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_5 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_6 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_7 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>99/247</p>
|
|
<p>(40.1%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_9 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">19.1%</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 2.1 (1.65 to 2.69)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_11 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">210 more per 1000 (from 124 more to 323 more)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_4 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_5 hd_b_ch12.appf.tab30_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_h_ch12.appf.tab30_1_1_2_3 hd_h_ch12.appf.tab30_1_1_2_4 hd_h_ch12.appf.tab30_1_1_2_5 hd_h_ch12.appf.tab30_1_1_2_6 hd_h_ch12.appf.tab30_1_1_2_7 hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_h_ch12.appf.tab30_1_1_2_9 hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_h_ch12.appf.tab30_1_1_2_11 hd_h_ch12.appf.tab30_1_1_1_4 hd_h_ch12.appf.tab30_1_1_1_5" id="hd_b_ch12.appf.tab30_1_1_13_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (N with >1 contact with hospice) - Rapid response service users versus Rapid response service non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_3 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_4 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_5 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_6 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_7 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>247/247</p>
|
|
<p>(100%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_9 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">100%</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1 (0.99 to 1.01)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_11 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">0 fewer per 1000 (from 10 fewer to 10 more)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_4 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_5 hd_b_ch12.appf.tab30_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_h_ch12.appf.tab30_1_1_2_3 hd_h_ch12.appf.tab30_1_1_2_4 hd_h_ch12.appf.tab30_1_1_2_5 hd_h_ch12.appf.tab30_1_1_2_6 hd_h_ch12.appf.tab30_1_1_2_7 hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_h_ch12.appf.tab30_1_1_2_9 hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_h_ch12.appf.tab30_1_1_2_11 hd_h_ch12.appf.tab30_1_1_1_4 hd_h_ch12.appf.tab30_1_1_1_5" id="hd_b_ch12.appf.tab30_1_1_15_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Use of community services (N receiving >1 social service) - Rapid response service users versus Rapid response service non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_1 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_2 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_3 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_4 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_5 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_6 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab30_1_1_1_1 hd_h_ch12.appf.tab30_1_1_2_7 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_8 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>40/247</p>
|
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<p>(16.2%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_2 hd_h_ch12.appf.tab30_1_1_2_9 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">13.6%</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_10 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.19 (0.82 to 1.72)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_3 hd_h_ch12.appf.tab30_1_1_2_11 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">26 more per 1000 (from 24 fewer to 98 more)</td><td headers="hd_h_ch12.appf.tab30_1_1_1_4 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁◯◯◯</p>
|
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab30_1_1_1_5 hd_b_ch12.appf.tab30_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab30_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab30_2"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or downgraded by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab31"><div id="ch12.appf.tab31" class="table"><h3><span class="label">Table 77</span><span class="title">Clinical evidence profile: Additional community service (acute/emergency basis) versus usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab31/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab31_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab31_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab31_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab31_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab31_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab31_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab31_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab31_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab31_1_1_1_1" id="hd_h_ch12.appf.tab31_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab31_1_1_1_1" id="hd_h_ch12.appf.tab31_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab31_1_1_1_1" id="hd_h_ch12.appf.tab31_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab31_1_1_1_1" id="hd_h_ch12.appf.tab31_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab31_1_1_1_1" id="hd_h_ch12.appf.tab31_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab31_1_1_1_1" id="hd_h_ch12.appf.tab31_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab31_1_1_1_1" id="hd_h_ch12.appf.tab31_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab31_1_1_1_2" id="hd_h_ch12.appf.tab31_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (emergency)</th><th headers="hd_h_ch12.appf.tab31_1_1_1_2" id="hd_h_ch12.appf.tab31_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (McCaffrey 2013)</th><th headers="hd_h_ch12.appf.tab31_1_1_1_3" id="hd_h_ch12.appf.tab31_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab31_1_1_1_3" id="hd_h_ch12.appf.tab31_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab31_1_1_1_1 hd_h_ch12.appf.tab31_1_1_2_1 hd_h_ch12.appf.tab31_1_1_2_2 hd_h_ch12.appf.tab31_1_1_2_3 hd_h_ch12.appf.tab31_1_1_2_4 hd_h_ch12.appf.tab31_1_1_2_5 hd_h_ch12.appf.tab31_1_1_2_6 hd_h_ch12.appf.tab31_1_1_2_7 hd_h_ch12.appf.tab31_1_1_1_2 hd_h_ch12.appf.tab31_1_1_2_8 hd_h_ch12.appf.tab31_1_1_2_9 hd_h_ch12.appf.tab31_1_1_1_3 hd_h_ch12.appf.tab31_1_1_2_10 hd_h_ch12.appf.tab31_1_1_2_11 hd_h_ch12.appf.tab31_1_1_1_4 hd_h_ch12.appf.tab31_1_1_1_5" id="hd_b_ch12.appf.tab31_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (people dying at home) 28 days</th></tr><tr><td headers="hd_h_ch12.appf.tab31_1_1_1_1 hd_h_ch12.appf.tab31_1_1_2_1 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab31_1_1_1_1 hd_h_ch12.appf.tab31_1_1_2_2 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">randomised trials</td><td headers="hd_h_ch12.appf.tab31_1_1_1_1 hd_h_ch12.appf.tab31_1_1_2_3 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab31_1_1_1_1 hd_h_ch12.appf.tab31_1_1_2_4 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab31_1_1_1_1 hd_h_ch12.appf.tab31_1_1_2_5 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab31_1_1_1_1 hd_h_ch12.appf.tab31_1_1_2_6 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">very serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab31_1_1_1_1 hd_h_ch12.appf.tab31_1_1_2_7 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab31_1_1_1_2 hd_h_ch12.appf.tab31_1_1_2_8 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>9/16</p>
|
|
<p>(56.3%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab31_1_1_1_2 hd_h_ch12.appf.tab31_1_1_2_9 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">80%</td><td headers="hd_h_ch12.appf.tab31_1_1_1_3 hd_h_ch12.appf.tab31_1_1_2_10 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.7 (0.38 to 1.3)</td><td headers="hd_h_ch12.appf.tab31_1_1_1_3 hd_h_ch12.appf.tab31_1_1_2_11 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">240 fewer per 1000 (from 496 fewer to 240 more)</td><td headers="hd_h_ch12.appf.tab31_1_1_1_4 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab31_1_1_1_5 hd_b_ch12.appf.tab31_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab31_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab31_2"><p class="no_margin">Downgraded by 1 or 2 increments because the majority of the evidence had indirect outcomes</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab31_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="table-wrap" id="figobch12appftab32"><div id="ch12.appf.tab32" class="table"><h3><span class="label">Table 78</span><span class="title">Clinical evidence profile: Additional community service (acute/emergency basis) versus usual care</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appf.tab32/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appf.tab32_lrgtbl__"><table class="no_bottom_margin"><thead><tr><th id="hd_h_ch12.appf.tab32_1_1_1_1" colspan="7" rowspan="1" style="text-align:center;vertical-align:middle;">Quality assessment</th><th id="hd_h_ch12.appf.tab32_1_1_1_2" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">No of patients</th><th id="hd_h_ch12.appf.tab32_1_1_1_3" colspan="2" rowspan="1" style="text-align:center;vertical-align:middle;">Effect</th><th id="hd_h_ch12.appf.tab32_1_1_1_4" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab32_1_1_1_4" style="text-align:center;vertical-align:middle;">Quality</th><th id="hd_h_ch12.appf.tab32_1_1_1_5" rowspan="2" colspan="1" headers="hd_h_ch12.appf.tab32_1_1_1_5" style="text-align:center;vertical-align:middle;">Importance</th></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1" id="hd_h_ch12.appf.tab32_1_1_2_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">No of studies</th><th headers="hd_h_ch12.appf.tab32_1_1_1_1" id="hd_h_ch12.appf.tab32_1_1_2_2" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Design</th><th headers="hd_h_ch12.appf.tab32_1_1_1_1" id="hd_h_ch12.appf.tab32_1_1_2_3" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Risk of bias</th><th headers="hd_h_ch12.appf.tab32_1_1_1_1" id="hd_h_ch12.appf.tab32_1_1_2_4" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Inconsistency</th><th headers="hd_h_ch12.appf.tab32_1_1_1_1" id="hd_h_ch12.appf.tab32_1_1_2_5" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Indirectness</th><th headers="hd_h_ch12.appf.tab32_1_1_1_1" id="hd_h_ch12.appf.tab32_1_1_2_6" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Imprecision</th><th headers="hd_h_ch12.appf.tab32_1_1_1_1" id="hd_h_ch12.appf.tab32_1_1_2_7" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Other considerations</th><th headers="hd_h_ch12.appf.tab32_1_1_1_2" id="hd_h_ch12.appf.tab32_1_1_2_8" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Additional CommServ (emergency) - DCP with OOH</th><th headers="hd_h_ch12.appf.tab32_1_1_1_2" id="hd_h_ch12.appf.tab32_1_1_2_9" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Usual care (Purdy 2015)</th><th headers="hd_h_ch12.appf.tab32_1_1_1_3" id="hd_h_ch12.appf.tab32_1_1_2_10" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Relative (95% CI)</th><th headers="hd_h_ch12.appf.tab32_1_1_1_3" id="hd_h_ch12.appf.tab32_1_1_2_11" rowspan="1" colspan="1" style="text-align:center;vertical-align:middle;">Absolute</th></tr></thead><tbody><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_1_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - acute hospital) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>84/616</p>
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<p>(13.6%)</p>
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</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">42.7%</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.32 (0.26 to 0.39)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">290 fewer per 1000 (from 260 fewer to 316 fewer)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_1_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_3_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - community hospital) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>31/616</p>
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<p>(5%)</p>
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</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">1.6%</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 3.18 (1.95 to 5.18)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">35 more per 1000 (from 15 more to 67 more)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>⨁◯◯◯</p>
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<p>VERY LOW</p>
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|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_3_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_5_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - home) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) nonusers</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>337/616</p>
|
|
<p>(54.7%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">39.8%</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.37 (1.26 to 1.5)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">147 more per 1000 (from 103 more to 199 more)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_5_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_7_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - care home) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
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<p>58/616</p>
|
|
<p>(9.4%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">8.8%</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 1.06 (0.8 to 1.41)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">5 more per 1000 (from 18 fewer to 36 more)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_7_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_9_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - hospice) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) nonusers</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>98/616</p>
|
|
<p>(15.9%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">2.8%</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 5.66 (4.12 to 7.77)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">130 more per 1000 (from 87 more to 190 more)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_9_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_11_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Preferred and actual place of death (Place of death - elsewhere) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>b</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>8/616</p>
|
|
<p>(1.3%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">0.6%</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 2.12 (0.87 to 5.15)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">7 more per 1000 (from 1 fewer to 25 more)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_11_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">CRITICAL</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_13_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of hospital visits (patients with one or more emergency admissions <30 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>233/616</p>
|
|
<p>(37.8%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">44.7%</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.85 (0.76 to 0.95)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">67 fewer per 1000 (from 22 fewer to 107 fewer)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_13_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_15_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of hospital visits (patients with one or more emergency admissions <7 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>60/616</p>
|
|
<p>(9.7%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">23.9%</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.41 (0.32 to 0.53)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">141 fewer per 1000 (from 112 fewer to 163 fewer)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_15_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_17_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of hospital visits (mean emergency admissions per patient <30 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">616</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">1956</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.08 higher (0.02 to 0.14 higher)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁◯◯◯</p>
|
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_17_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_19_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of hospital visits (mean emergency admissions per patient <7 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">616</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">1956</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.14 lower (0.17 to 0.11 lower)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_19_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_21_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (patients with one or more ED attendance <30 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>159/616</p>
|
|
<p>(25.8%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">36.4%</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.71 (0.61 to 0.82)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">106 fewer per 1000 (from 66 fewer to 142 fewer)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
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<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_21_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_23_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (patients with one or more ED attendance <7 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>43/616</p>
|
|
<p>(7%)</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">22.1%</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">RR 0.32 (0.23 to 0.43)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">150 fewer per 1000 (from 126 fewer to 170 fewer)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_23_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_25_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (mean ED attendance per patient <30 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious imprecision</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">616</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">1956</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.02 lower (0.07 lower to 0.03 higher)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
|
<p>⨁◯◯◯</p>
|
|
<p>VERY LOW</p>
|
|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_25_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr><tr><th headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_h_ch12.appf.tab32_1_1_2_3 hd_h_ch12.appf.tab32_1_1_2_4 hd_h_ch12.appf.tab32_1_1_2_5 hd_h_ch12.appf.tab32_1_1_2_6 hd_h_ch12.appf.tab32_1_1_2_7 hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_h_ch12.appf.tab32_1_1_2_9 hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_h_ch12.appf.tab32_1_1_2_11 hd_h_ch12.appf.tab32_1_1_1_4 hd_h_ch12.appf.tab32_1_1_1_5" id="hd_b_ch12.appf.tab32_1_1_27_1" colspan="13" rowspan="1" style="text-align:left;vertical-align:top;">Number of visits to A&E (mean ED attendance per patient <7 days) - Delivering Choice Programme (with out of hours) users versus Delivering Choice Programme (with out of hours) non-users (Better indicated by lower values)</th></tr><tr><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_1 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">1</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_2 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">observational studies</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_3 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>a</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_4 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious inconsistency</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_5 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">no serious indirectness</td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_6 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">serious<sup>c</sup></td><td headers="hd_h_ch12.appf.tab32_1_1_1_1 hd_h_ch12.appf.tab32_1_1_2_7 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">none</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_8 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">616</td><td headers="hd_h_ch12.appf.tab32_1_1_1_2 hd_h_ch12.appf.tab32_1_1_2_9 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">1956</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_10 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">-</td><td headers="hd_h_ch12.appf.tab32_1_1_1_3 hd_h_ch12.appf.tab32_1_1_2_11 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">MD 0.19 lower (0.22 to 0.16 lower)</td><td headers="hd_h_ch12.appf.tab32_1_1_1_4 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">
|
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<p>⨁◯◯◯</p>
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|
<p>VERY LOW</p>
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|
</td><td headers="hd_h_ch12.appf.tab32_1_1_1_5 hd_b_ch12.appf.tab32_1_1_27_1" rowspan="1" colspan="1" style="text-align:center;vertical-align:top;">IMPORTANT</td></tr></tbody></table></div><div class="tblwrap-foot"><div><dl class="temp-labeled-list small"><dl class="bkr_refwrap"><dt>a</dt><dd><div id="ch12.appf.tab32_1"><p class="no_margin">Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias</p></div></dd></dl><dl class="bkr_refwrap"><dt>b</dt><dd><div id="ch12.appf.tab32_2"><p class="no_margin">The majority of the evidence had indirect outcomes (preferred place of death not reported)</p></div></dd></dl><dl class="bkr_refwrap"><dt>c</dt><dd><div id="ch12.appf.tab32_3"><p class="no_margin">Downgraded by 1 increment if the confidence interval crossed 1 MID or downgraded by 2 increments if the confidence interval crossed both MIDs</p></div></dd></dl></dl></div></div></div></article><article data-type="fig" id="figobch12appgfig1"><div id="ch12.appg.fig1" class="figure bk_fig"><div class="graphic"><a href="/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Figure%20155.%20Flow%20chart%20of%20health%20economic%20study%20selection%20for%20the%20guideline.&p=BOOKS&id=558770_ch12appgf1.jpg" target="tileshopwindow" class="inline_block pmc_inline_block ts_canvas img_link" title="Click on image to zoom"><div class="ts_bar small" title="Click on image to zoom"></div><img data-src="/books/NBK558770/bin/ch12appgf1.jpg" alt="Figure 155. Flow chart of health economic study selection for the guideline." class="tileshop" title="Click on image to zoom" /></a></div><h3><span class="label">Figure 155</span><span class="title">Flow chart of health economic study selection for the guideline</span></h3><div class="caption"><p>* Non-relevant population, intervention, comparison, design or setting; non-English language</p></div></div></article><article data-type="table-wrap" id="figobch12appjtab1"><div id="ch12.appj.tab1" class="table"><h3><span class="label">Table 80</span><span class="title">Studies excluded from the clinical review on the availability of additional community services on a regular/routine basis</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appj.tab1/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appj.tab1_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Study</th><th id="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Exclusion reason</th></tr></thead><tbody><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Adib-Hajbaghery 2013<a class="bibr" href="#ch12.ref3" rid="ch12.ref3"><sup>3</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Aimonino Ricauda 2008<a class="bibr" href="#ch12.ref6" rid="ch12.ref6"><sup>6</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Anonymous 2005<a class="bibr" href="#ch12.ref7" rid="ch12.ref7"><sup>7</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Applebaum 1980<a class="bibr" href="#ch12.ref10" rid="ch12.ref10"><sup>10</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Arris 2015<a class="bibr" href="#ch12.ref11" rid="ch12.ref11"><sup>11</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ausserhofer 2016<a class="bibr" href="#ch12.ref12" rid="ch12.ref12"><sup>12</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Axelsson 1998<a class="bibr" href="#ch12.ref13" rid="ch12.ref13"><sup>13</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Back 2005<a class="bibr" href="#ch12.ref14" rid="ch12.ref14"><sup>14</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Backus 2002<a class="bibr" href="#ch12.ref15" rid="ch12.ref15"><sup>15</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bakitas 2015<a class="bibr" href="#ch12.ref18" rid="ch12.ref18"><sup>18</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Barlow 2007<a class="bibr" href="#ch12.ref19" rid="ch12.ref19"><sup>19</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Barrett 2010<a class="bibr" href="#ch12.ref20" rid="ch12.ref20"><sup>20</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bekkema 2015<a class="bibr" href="#ch12.ref21" rid="ch12.ref21"><sup>21</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Berkowitz 2005<a class="bibr" href="#ch12.ref23" rid="ch12.ref23"><sup>23</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bernabei 1998<a class="bibr" href="#ch12.ref24" rid="ch12.ref24"><sup>24</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Biese 2014<a class="bibr" href="#ch12.ref25" rid="ch12.ref25"><sup>25</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bower 2011<a class="bibr" href="#ch12.ref26" rid="ch12.ref26"><sup>26</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bowles 2011<a class="bibr" href="#ch12.ref27" rid="ch12.ref27"><sup>27</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Brandi 2004<a class="bibr" href="#ch12.ref28" rid="ch12.ref28"><sup>28</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Brooks 2014<a class="bibr" href="#ch12.ref31" rid="ch12.ref31"><sup>31</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Burke 2015<a class="bibr" href="#ch12.ref34" rid="ch12.ref34"><sup>34</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Butler 2012<a class="bibr" href="#ch12.ref35" rid="ch12.ref35"><sup>35</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Buurman 2010<a class="bibr" href="#ch12.ref36" rid="ch12.ref36"><sup>36</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Byron 2007<a class="bibr" href="#ch12.ref37" rid="ch12.ref37"><sup>37</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Candy 2011<a class="bibr" href="#ch12.ref38" rid="ch12.ref38"><sup>38</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Caplan 2004<a class="bibr" href="#ch12.ref39" rid="ch12.ref39"><sup>39</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Carr 2008<a class="bibr" href="#ch12.ref40" rid="ch12.ref40"><sup>40</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Chae 2001<a class="bibr" href="#ch12.ref42" rid="ch12.ref42"><sup>42</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Chen 2010<a class="bibr" href="#ch12.ref43" rid="ch12.ref43"><sup>43</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Cherofsky 2011<a class="bibr" href="#ch12.ref44" rid="ch12.ref44"><sup>44</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Chiang 2016</td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate intervention</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Chumbler 2005<a class="bibr" href="#ch12.ref48" rid="ch12.ref48"><sup>48</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Chumbler 2009<a class="bibr" href="#ch12.ref47" rid="ch12.ref47"><sup>47</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Clark 2000<a class="bibr" href="#ch12.ref49" rid="ch12.ref49"><sup>49</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Cleland 2005<a class="bibr" href="#ch12.ref50" rid="ch12.ref50"><sup>50</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Coleman 2004<a class="bibr" href="#ch12.ref51" rid="ch12.ref51"><sup>51</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Condelius 2010<a class="bibr" href="#ch12.ref52" rid="ch12.ref52"><sup>52</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Corrie 2013<a class="bibr" href="#ch12.ref53" rid="ch12.ref53"><sup>53</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Crisp 2014<a class="bibr" href="#ch12.ref55" rid="ch12.ref55"><sup>55</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Cummings 1990<a class="bibr" href="#ch12.ref57" rid="ch12.ref57"><sup>57</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Cummings 2012<a class="bibr" href="#ch12.ref56" rid="ch12.ref56"><sup>56</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Damiani 2009<a class="bibr" href="#ch12.ref58" rid="ch12.ref58"><sup>58</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Darkins 2015<a class="bibr" href="#ch12.ref59" rid="ch12.ref59"><sup>59</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">De Almeida mello 2016<a class="bibr" href="#ch12.ref60" rid="ch12.ref60"><sup>60</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">De Conno 1996<a class="bibr" href="#ch12.ref61" rid="ch12.ref61"><sup>61</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">De Graaf 2016<a class="bibr" href="#ch12.ref62" rid="ch12.ref62"><sup>62</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">De Luca 2016<a class="bibr" href="#ch12.ref63" rid="ch12.ref63"><sup>63</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">De Toledo 2006<a class="bibr" href="#ch12.ref64" rid="ch12.ref64"><sup>64</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design. Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Dellasega 2001<a class="bibr" href="#ch12.ref65" rid="ch12.ref65"><sup>65</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Devlin 2009<a class="bibr" href="#ch12.ref66" rid="ch12.ref66"><sup>66</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Dhiliwal 2015<a class="bibr" href="#ch12.ref67" rid="ch12.ref67"><sup>67</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Dougherty 2015<a class="bibr" href="#ch12.ref68" rid="ch12.ref68"><sup>68</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population. Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Downar 2013<a class="bibr" href="#ch12.ref69" rid="ch12.ref69"><sup>69</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Drame 2012<a class="bibr" href="#ch12.ref70" rid="ch12.ref70"><sup>70</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Dunagan 2005<a class="bibr" href="#ch12.ref71" rid="ch12.ref71"><sup>71</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Eklund 2013<a class="bibr" href="#ch12.ref72" rid="ch12.ref72"><sup>72</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Feltner 2014<a class="bibr" href="#ch12.ref73" rid="ch12.ref73"><sup>73</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Fernandes 2010<a class="bibr" href="#ch12.ref74" rid="ch12.ref74"><sup>74</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ferrell 1998<a class="bibr" href="#ch12.ref75" rid="ch12.ref75"><sup>75</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Finkelstein 2004<a class="bibr" href="#ch12.ref76" rid="ch12.ref76"><sup>76</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Finlay 2002<a class="bibr" href="#ch12.ref77" rid="ch12.ref77"><sup>77</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Fontecha 2013<a class="bibr" href="#ch12.ref78" rid="ch12.ref78"><sup>78</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions. Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Fowell 2002<a class="bibr" href="#ch12.ref79" rid="ch12.ref79"><sup>79</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Franks 2004<a class="bibr" href="#ch12.ref80" rid="ch12.ref80"><sup>80</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Garåsen 2007<a class="bibr" href="#ch12.ref82" rid="ch12.ref82"><sup>82</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gardner-Nix 1995<a class="bibr" href="#ch12.ref83" rid="ch12.ref83"><sup>83</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gibson 2016<a class="bibr" href="#ch12.ref84" rid="ch12.ref84"><sup>84</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Golbeck 2011<a class="bibr" href="#ch12.ref85" rid="ch12.ref85"><sup>85</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Goldman 2014<a class="bibr" href="#ch12.ref86" rid="ch12.ref86"><sup>86</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gomes 2013<a class="bibr" href="#ch12.ref87" rid="ch12.ref87"><sup>87</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gonseth 2004<a class="bibr" href="#ch12.ref88" rid="ch12.ref88"><sup>88</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gott 2013<a class="bibr" href="#ch12.ref89" rid="ch12.ref89"><sup>89</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Grabowski 2014<a class="bibr" href="#ch12.ref90" rid="ch12.ref90"><sup>90</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Grady 2003<a class="bibr" href="#ch12.ref91" rid="ch12.ref91"><sup>91</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Graham 2005<a class="bibr" href="#ch12.ref92" rid="ch12.ref92"><sup>92</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Grande 2000<a class="bibr" href="#ch12.ref93" rid="ch12.ref93"><sup>93</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population. Not Adults (aged 18 yrs. or over) with progressive life limiting conditions thought to be entering their last year of life</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Greer 1986<a class="bibr" href="#ch12.ref95" rid="ch12.ref95"><sup>95</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate intervention</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Haggerty 1991<a class="bibr" href="#ch12.ref96" rid="ch12.ref96"><sup>96</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hagglund 2015<a class="bibr" href="#ch12.ref97" rid="ch12.ref97"><sup>97</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Herber 2013<a class="bibr" href="#ch12.ref98" rid="ch12.ref98"><sup>98</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hex 2015<a class="bibr" href="#ch12.ref99" rid="ch12.ref99"><sup>99</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Higginson 2002<a class="bibr" href="#ch12.ref100" rid="ch12.ref100"><sup>100</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hopp 2006<a class="bibr" href="#ch12.ref102" rid="ch12.ref102"><sup>102</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Howell 2011<a class="bibr" href="#ch12.ref103" rid="ch12.ref103"><sup>103</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hughes 1990<a class="bibr" href="#ch12.ref105" rid="ch12.ref105"><sup>105</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hui 2001<a class="bibr" href="#ch12.ref107" rid="ch12.ref107"><sup>107</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ingleton 2011<a class="bibr" href="#ch12.ref108" rid="ch12.ref108"><sup>108</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inglis 2015<a class="bibr" href="#ch12.ref109" rid="ch12.ref109"><sup>109</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ishani 2016<a class="bibr" href="#ch12.ref110" rid="ch12.ref110"><sup>110</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lupati 2016<a class="bibr" href="#ch12.ref111" rid="ch12.ref111"><sup>111</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Jocham 2009</td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate intervention</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Johnson 1988<a class="bibr" href="#ch12.ref113" rid="ch12.ref113"><sup>113</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kane 1984</td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kao 2015<a class="bibr" href="#ch12.ref116" rid="ch12.ref116"><sup>116</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Keating 2008<a class="bibr" href="#ch12.ref117" rid="ch12.ref117"><sup>117</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kenny 2010<a class="bibr" href="#ch12.ref118" rid="ch12.ref118"><sup>118</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population. Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kidd 2010<a class="bibr" href="#ch12.ref119" rid="ch12.ref119"><sup>119</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Knies 2015<a class="bibr" href="#ch12.ref121" rid="ch12.ref121"><sup>121</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kohri 2013<a class="bibr" href="#ch12.ref122" rid="ch12.ref122"><sup>122</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kronman 2008<a class="bibr" href="#ch12.ref123" rid="ch12.ref123"><sup>123</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kuo 2013<a class="bibr" href="#ch12.ref124" rid="ch12.ref124"><sup>124</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kuzuya 2006<a class="bibr" href="#ch12.ref125" rid="ch12.ref125"><sup>125</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Low 2011<a class="bibr" href="#ch12.ref135" rid="ch12.ref135"><sup>135</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Laila 2008<a class="bibr" href="#ch12.ref126" rid="ch12.ref126"><sup>126</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lakasing 2009<a class="bibr" href="#ch12.ref127" rid="ch12.ref127"><sup>127</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lee 2000<a class="bibr" href="#ch12.ref129" rid="ch12.ref129"><sup>129</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lee 2014<a class="bibr" href="#ch12.ref128" rid="ch12.ref128"><sup>128</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Liddy 2008<a class="bibr" href="#ch12.ref132" rid="ch12.ref132"><sup>132</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lin 2015<a class="bibr" href="#ch12.ref133" rid="ch12.ref133"><sup>133</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Livingston 2013<a class="bibr" href="#ch12.ref134" rid="ch12.ref134"><sup>134</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Luckett 2013<a class="bibr" href="#ch12.ref136" rid="ch12.ref136"><sup>136</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lutz 2009<a class="bibr" href="#ch12.ref139" rid="ch12.ref139"><sup>139</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mader 2008<a class="bibr" href="#ch12.ref140" rid="ch12.ref140"><sup>140</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Maliakkal 2014<a class="bibr" href="#ch12.ref141" rid="ch12.ref141"><sup>141</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mani 2014<a class="bibr" href="#ch12.ref142" rid="ch12.ref142"><sup>142</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Martin 1994<a class="bibr" href="#ch12.ref143" rid="ch12.ref143"><sup>143</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mason 2007<a class="bibr" href="#ch12.ref144" rid="ch12.ref144"><sup>144</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mayor 2008<a class="bibr" href="#ch12.ref145" rid="ch12.ref145"><sup>145</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">McCaffrey 2013<a class="bibr" href="#ch12.ref146" rid="ch12.ref146"><sup>146</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">McCauley 2006<a class="bibr" href="#ch12.ref147" rid="ch12.ref147"><sup>147</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">McCusker 2003<a class="bibr" href="#ch12.ref148" rid="ch12.ref148"><sup>148</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">McHugh 2013<a class="bibr" href="#ch12.ref149" rid="ch12.ref149"><sup>149</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">McLoughlin 2015<a class="bibr" href="#ch12.ref150" rid="ch12.ref150"><sup>150</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">McNamara 2013<a class="bibr" href="#ch12.ref151" rid="ch12.ref151"><sup>151</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Melis 2010<a class="bibr" href="#ch12.ref153" rid="ch12.ref153"><sup>153</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Menon 2015<a class="bibr" href="#ch12.ref154" rid="ch12.ref154"><sup>154</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mitchell 2004<a class="bibr" href="#ch12.ref155" rid="ch12.ref155"><sup>155</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Molina 2013<a class="bibr" href="#ch12.ref157" rid="ch12.ref157"><sup>157</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Monroe 2010<a class="bibr" href="#ch12.ref158" rid="ch12.ref158"><sup>158</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Montgomery 2003<a class="bibr" href="#ch12.ref159" rid="ch12.ref159"><sup>159</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Moriarty 2007<a class="bibr" href="#ch12.ref160" rid="ch12.ref160"><sup>160</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Morris 2013<a class="bibr" href="#ch12.ref161" rid="ch12.ref161"><sup>161</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mottram 2002<a class="bibr" href="#ch12.ref162" rid="ch12.ref162"><sup>162</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Nielsen 2003<a class="bibr" href="#ch12.ref166" rid="ch12.ref166"><sup>166</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Nikmat 2015<a class="bibr" href="#ch12.ref167" rid="ch12.ref167"><sup>167</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Noble 2015<a class="bibr" href="#ch12.ref168" rid="ch12.ref168"><sup>168</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Noel 2000<a class="bibr" href="#ch12.ref169" rid="ch12.ref169"><sup>169</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Nowels 1999<a class="bibr" href="#ch12.ref170" rid="ch12.ref170"><sup>170</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">O’Brien 2010<a class="bibr" href="#ch12.ref171" rid="ch12.ref171"><sup>171</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Oliver 2012<a class="bibr" href="#ch12.ref172" rid="ch12.ref172"><sup>172</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ong 2011<a class="bibr" href="#ch12.ref173" rid="ch12.ref173"><sup>173</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ouslander 2009<a class="bibr" href="#ch12.ref176" rid="ch12.ref176"><sup>176</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions. Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ouslander 2011<a class="bibr" href="#ch12.ref175" rid="ch12.ref175"><sup>175</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Pare 2009<a class="bibr" href="#ch12.ref178" rid="ch12.ref178"><sup>178</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Pare 2013<a class="bibr" href="#ch12.ref177" rid="ch12.ref177"><sup>177</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Parker 2009<a class="bibr" href="#ch12.ref179" rid="ch12.ref179"><sup>179</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Phelan 2015<a class="bibr" href="#ch12.ref182" rid="ch12.ref182"><sup>182</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Porter 2015<a class="bibr" href="#ch12.ref183" rid="ch12.ref183"><sup>183</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Pouliot 2015<a class="bibr" href="#ch12.ref184" rid="ch12.ref184"><sup>184</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Raftery 1996<a class="bibr" href="#ch12.ref187" rid="ch12.ref187"><sup>187</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ranganathan 2013<a class="bibr" href="#ch12.ref188" rid="ch12.ref188"><sup>188</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Rich 1993<a class="bibr" href="#ch12.ref189" rid="ch12.ref189"><sup>189</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sabesan 2012<a class="bibr" href="#ch12.ref191" rid="ch12.ref191"><sup>191</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Samii 2006<a class="bibr" href="#ch12.ref193" rid="ch12.ref193"><sup>193</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Saugo 2008<a class="bibr" href="#ch12.ref194" rid="ch12.ref194"><sup>194</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Schectman 2014<a class="bibr" href="#ch12.ref195" rid="ch12.ref195"><sup>195</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Schneider 2016<a class="bibr" href="#ch12.ref196" rid="ch12.ref196"><sup>196</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Seamark 1998<a class="bibr" href="#ch12.ref197" rid="ch12.ref197"><sup>197</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Segelman 2014<a class="bibr" href="#ch12.ref198" rid="ch12.ref198"><sup>198</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Seibert 2008<a class="bibr" href="#ch12.ref199" rid="ch12.ref199"><sup>199</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sejr Kirring 2013<a class="bibr" href="#ch12.ref200" rid="ch12.ref200"><sup>200</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Shepperd 1998<a class="bibr" href="#ch12.ref205" rid="ch12.ref205"><sup>205</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Shepperd 2016<a class="bibr" href="#ch12.ref204" rid="ch12.ref204"><sup>204</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Shepperd 2016<a class="bibr" href="#ch12.ref206" rid="ch12.ref206"><sup>206</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Smeenk 1998<a class="bibr" href="#ch12.ref208" rid="ch12.ref208"><sup>208</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Stall 2014<a class="bibr" href="#ch12.ref209" rid="ch12.ref209"><sup>209</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Stephens 2014<a class="bibr" href="#ch12.ref210" rid="ch12.ref210"><sup>210</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sulistio 2015<a class="bibr" href="#ch12.ref211" rid="ch12.ref211"><sup>211</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Taft 2005<a class="bibr" href="#ch12.ref212" rid="ch12.ref212"><sup>212</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Takahashi 2012<a class="bibr" href="#ch12.ref213" rid="ch12.ref213"><sup>213</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Tam 2014<a class="bibr" href="#ch12.ref214" rid="ch12.ref214"><sup>214</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Terol 2001<a class="bibr" href="#ch12.ref215" rid="ch12.ref215"><sup>215</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Teunissen 2007<a class="bibr" href="#ch12.ref216" rid="ch12.ref216"><sup>216</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Tieman 2016<a class="bibr" href="#ch12.ref217" rid="ch12.ref217"><sup>217</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Tiernan 2002<a class="bibr" href="#ch12.ref218" rid="ch12.ref218"><sup>218</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Trahan 2016<a class="bibr" href="#ch12.ref219" rid="ch12.ref219"><sup>219</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Travers 2002<a class="bibr" href="#ch12.ref220" rid="ch12.ref220"><sup>220</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Treloar 2009<a class="bibr" href="#ch12.ref221" rid="ch12.ref221"><sup>221</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Tsamandouraki 1992</td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Venning 1990<a class="bibr" href="#ch12.ref223" rid="ch12.ref223"><sup>223</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ventura 2014<a class="bibr" href="#ch12.ref224" rid="ch12.ref224"><sup>224</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Vuorinen 2014<a class="bibr" href="#ch12.ref225" rid="ch12.ref225"><sup>225</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wakefield 2008<a class="bibr" href="#ch12.ref226" rid="ch12.ref226"><sup>226</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wales 1984</td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">While 2013<a class="bibr" href="#ch12.ref228" rid="ch12.ref228"><sup>228</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Whitten 2009<a class="bibr" href="#ch12.ref229" rid="ch12.ref229"><sup>229</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wong 2005<a class="bibr" href="#ch12.ref231" rid="ch12.ref231"><sup>231</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wootton 2009<a class="bibr" href="#ch12.ref233" rid="ch12.ref233"><sup>233</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wootton 2010<a class="bibr" href="#ch12.ref234" rid="ch12.ref234"><sup>234</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wray 2010<a class="bibr" href="#ch12.ref235" rid="ch12.ref235"><sup>235</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wysocki 2014<a class="bibr" href="#ch12.ref236" rid="ch12.ref236"><sup>236</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions. Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Yost 1995<a class="bibr" href="#ch12.ref237" rid="ch12.ref237"><sup>237</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Young 2010<a class="bibr" href="#ch12.ref239" rid="ch12.ref239"><sup>239</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Young 2011<a class="bibr" href="#ch12.ref240" rid="ch12.ref240"><sup>240</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Zheng 2016<a class="bibr" href="#ch12.ref241" rid="ch12.ref241"><sup>241</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Zhou 2012<a class="bibr" href="#ch12.ref242" rid="ch12.ref242"><sup>242</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab1_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Zimmer 1985<a class="bibr" href="#ch12.ref243" rid="ch12.ref243"><sup>243</sup></a></td><td headers="hd_h_ch12.appj.tab1_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr></tbody></table></div></div></article><article data-type="table-wrap" id="figobch12appjtab2"><div id="ch12.appj.tab2" class="table"><h3><span class="label">Table 81</span><span class="title">Studies excluded from the clinical review on the availability of additional community services in an acute/emergency scenario</span></h3><p class="large-table-link" style="display:none"><span class="right"><a href="/books/NBK558770/table/ch12.appj.tab2/?report=objectonly" target="object">View in own window</a></span></p><div class="large_tbl" id="__ch12.appj.tab2_lrgtbl__"><table><thead><tr><th id="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Study</th><th id="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Exclusion reason</th></tr></thead><tbody><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Addington-Hall 1992<a class="bibr" href="#ch12.ref2" rid="ch12.ref2"><sup>2</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Adib-Hajbaghery 2013<a class="bibr" href="#ch12.ref3" rid="ch12.ref3"><sup>3</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ahlner-Elmqvist 2004<a class="bibr" href="#ch12.ref4" rid="ch12.ref4"><sup>4</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Aiken 2006<a class="bibr" href="#ch12.ref5" rid="ch12.ref5"><sup>5</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Aimonino Ricauda 2008<a class="bibr" href="#ch12.ref6" rid="ch12.ref6"><sup>6</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Anonymous 2005<a class="bibr" href="#ch12.ref7" rid="ch12.ref7"><sup>7</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Applebaum 1980<a class="bibr" href="#ch12.ref10" rid="ch12.ref10"><sup>10</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Arris 2015<a class="bibr" href="#ch12.ref11" rid="ch12.ref11"><sup>11</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ausserhofer 2016<a class="bibr" href="#ch12.ref12" rid="ch12.ref12"><sup>12</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Axelsson 1998<a class="bibr" href="#ch12.ref13" rid="ch12.ref13"><sup>13</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Back 2005<a class="bibr" href="#ch12.ref14" rid="ch12.ref14"><sup>14</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Backus 2002<a class="bibr" href="#ch12.ref15" rid="ch12.ref15"><sup>15</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bakitas 2009<a class="bibr" href="#ch12.ref17" rid="ch12.ref17"><sup>17</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bakitas 2015<a class="bibr" href="#ch12.ref18" rid="ch12.ref18"><sup>18</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Barlow 2007<a class="bibr" href="#ch12.ref19" rid="ch12.ref19"><sup>19</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Barrett 2010<a class="bibr" href="#ch12.ref20" rid="ch12.ref20"><sup>20</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bekkema 2015<a class="bibr" href="#ch12.ref21" rid="ch12.ref21"><sup>21</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Berkowitz 2005<a class="bibr" href="#ch12.ref23" rid="ch12.ref23"><sup>23</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bernabei 1998<a class="bibr" href="#ch12.ref24" rid="ch12.ref24"><sup>24</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Biese 2014<a class="bibr" href="#ch12.ref25" rid="ch12.ref25"><sup>25</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bower 2011<a class="bibr" href="#ch12.ref26" rid="ch12.ref26"><sup>26</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Bowles 2011<a class="bibr" href="#ch12.ref27" rid="ch12.ref27"><sup>27</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Brandi 2004<a class="bibr" href="#ch12.ref28" rid="ch12.ref28"><sup>28</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Brian Cassel 2016<a class="bibr" href="#ch12.ref30" rid="ch12.ref30"><sup>30</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Brooks 2014<a class="bibr" href="#ch12.ref31" rid="ch12.ref31"><sup>31</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Brumley 2003<a class="bibr" href="#ch12.ref33" rid="ch12.ref33"><sup>33</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Brumley 2007<a class="bibr" href="#ch12.ref32" rid="ch12.ref32"><sup>32</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Burke 2015<a class="bibr" href="#ch12.ref34" rid="ch12.ref34"><sup>34</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Butler 2012<a class="bibr" href="#ch12.ref35" rid="ch12.ref35"><sup>35</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Buurman 2010<a class="bibr" href="#ch12.ref36" rid="ch12.ref36"><sup>36</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Byron 2007<a class="bibr" href="#ch12.ref37" rid="ch12.ref37"><sup>37</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Candy 2011<a class="bibr" href="#ch12.ref38" rid="ch12.ref38"><sup>38</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Caplan 2004<a class="bibr" href="#ch12.ref39" rid="ch12.ref39"><sup>39</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Carr 2008<a class="bibr" href="#ch12.ref40" rid="ch12.ref40"><sup>40</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Chae 2001<a class="bibr" href="#ch12.ref42" rid="ch12.ref42"><sup>42</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Chen 2010<a class="bibr" href="#ch12.ref43" rid="ch12.ref43"><sup>43</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Cherofsky 2011<a class="bibr" href="#ch12.ref44" rid="ch12.ref44"><sup>44</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Chiang 2016<a class="bibr" href="#ch12.ref45" rid="ch12.ref45"><sup>45</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Chitnis 2013<a class="bibr" href="#ch12.ref46" rid="ch12.ref46"><sup>46</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Chumbler 2005<a class="bibr" href="#ch12.ref48" rid="ch12.ref48"><sup>48</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Chumbler 2009<a class="bibr" href="#ch12.ref47" rid="ch12.ref47"><sup>47</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Clark 2000<a class="bibr" href="#ch12.ref49" rid="ch12.ref49"><sup>49</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Cleland 2005<a class="bibr" href="#ch12.ref50" rid="ch12.ref50"><sup>50</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Coleman 2004<a class="bibr" href="#ch12.ref51" rid="ch12.ref51"><sup>51</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Condelius 2010<a class="bibr" href="#ch12.ref52" rid="ch12.ref52"><sup>52</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Corrie 2013<a class="bibr" href="#ch12.ref53" rid="ch12.ref53"><sup>53</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Costantini 2003<a class="bibr" href="#ch12.ref54" rid="ch12.ref54"><sup>54</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Crisp 2014<a class="bibr" href="#ch12.ref55" rid="ch12.ref55"><sup>55</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Cummings 1990<a class="bibr" href="#ch12.ref57" rid="ch12.ref57"><sup>57</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Cummings 2012<a class="bibr" href="#ch12.ref56" rid="ch12.ref56"><sup>56</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design. Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Damiani 2009<a class="bibr" href="#ch12.ref58" rid="ch12.ref58"><sup>58</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Darkins 2015<a class="bibr" href="#ch12.ref59" rid="ch12.ref59"><sup>59</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">De Almeida Mello 2016<a class="bibr" href="#ch12.ref60" rid="ch12.ref60"><sup>60</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">De Conno 1996<a class="bibr" href="#ch12.ref61" rid="ch12.ref61"><sup>61</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">De Graaf 2016<a class="bibr" href="#ch12.ref62" rid="ch12.ref62"><sup>62</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">De Luca 2016<a class="bibr" href="#ch12.ref63" rid="ch12.ref63"><sup>63</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">De Toledo 2006<a class="bibr" href="#ch12.ref64" rid="ch12.ref64"><sup>64</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design. Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Dellasega 2001<a class="bibr" href="#ch12.ref65" rid="ch12.ref65"><sup>65</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Devlin 2009<a class="bibr" href="#ch12.ref66" rid="ch12.ref66"><sup>66</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Dhiliwal 2015<a class="bibr" href="#ch12.ref67" rid="ch12.ref67"><sup>67</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Dougherty 2015<a class="bibr" href="#ch12.ref68" rid="ch12.ref68"><sup>68</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design. Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Downar 2013<a class="bibr" href="#ch12.ref69" rid="ch12.ref69"><sup>69</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Drame 2012<a class="bibr" href="#ch12.ref70" rid="ch12.ref70"><sup>70</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Dunagan 2005<a class="bibr" href="#ch12.ref71" rid="ch12.ref71"><sup>71</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Eklund 2013<a class="bibr" href="#ch12.ref72" rid="ch12.ref72"><sup>72</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Feltner 2014<a class="bibr" href="#ch12.ref73" rid="ch12.ref73"><sup>73</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Fernandes 2010<a class="bibr" href="#ch12.ref74" rid="ch12.ref74"><sup>74</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ferrell 1998<a class="bibr" href="#ch12.ref75" rid="ch12.ref75"><sup>75</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Finkelstein 2004<a class="bibr" href="#ch12.ref76" rid="ch12.ref76"><sup>76</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Finlay 2002<a class="bibr" href="#ch12.ref77" rid="ch12.ref77"><sup>77</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Fontecha 2013<a class="bibr" href="#ch12.ref78" rid="ch12.ref78"><sup>78</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions. Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Fowell 2002<a class="bibr" href="#ch12.ref79" rid="ch12.ref79"><sup>79</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Franks 2004<a class="bibr" href="#ch12.ref80" rid="ch12.ref80"><sup>80</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Garåsen 2007<a class="bibr" href="#ch12.ref82" rid="ch12.ref82"><sup>82</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gardner-Nix 1995<a class="bibr" href="#ch12.ref83" rid="ch12.ref83"><sup>83</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gibson 2016<a class="bibr" href="#ch12.ref84" rid="ch12.ref84"><sup>84</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Golbeck 2011<a class="bibr" href="#ch12.ref85" rid="ch12.ref85"><sup>85</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Goldman 2014<a class="bibr" href="#ch12.ref86" rid="ch12.ref86"><sup>86</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gomes 2013<a class="bibr" href="#ch12.ref87" rid="ch12.ref87"><sup>87</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gonseth 2004<a class="bibr" href="#ch12.ref88" rid="ch12.ref88"><sup>88</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gott 2013<a class="bibr" href="#ch12.ref89" rid="ch12.ref89"><sup>89</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Grabowski 2014<a class="bibr" href="#ch12.ref90" rid="ch12.ref90"><sup>90</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Grady 2003<a class="bibr" href="#ch12.ref91" rid="ch12.ref91"><sup>91</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Graham 2005<a class="bibr" href="#ch12.ref92" rid="ch12.ref92"><sup>92</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Grande 2000<a class="bibr" href="#ch12.ref93" rid="ch12.ref93"><sup>93</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Gray 1987<a class="bibr" href="#ch12.ref94" rid="ch12.ref94"><sup>94</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Greer 1986<a class="bibr" href="#ch12.ref95" rid="ch12.ref95"><sup>95</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Haggerty 1991<a class="bibr" href="#ch12.ref96" rid="ch12.ref96"><sup>96</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hagglund 2015<a class="bibr" href="#ch12.ref97" rid="ch12.ref97"><sup>97</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Herber 2013<a class="bibr" href="#ch12.ref98" rid="ch12.ref98"><sup>98</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hex 2015<a class="bibr" href="#ch12.ref99" rid="ch12.ref99"><sup>99</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Higginson 2002<a class="bibr" href="#ch12.ref100" rid="ch12.ref100"><sup>100</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hopp 2006<a class="bibr" href="#ch12.ref102" rid="ch12.ref102"><sup>102</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Howell 2011<a class="bibr" href="#ch12.ref103" rid="ch12.ref103"><sup>103</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hughes 1990<a class="bibr" href="#ch12.ref105" rid="ch12.ref105"><sup>105</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hughes 2000<a class="bibr" href="#ch12.ref106" rid="ch12.ref106"><sup>106</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Hui 2001<a class="bibr" href="#ch12.ref107" rid="ch12.ref107"><sup>107</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ingleton 2011<a class="bibr" href="#ch12.ref108" rid="ch12.ref108"><sup>108</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inglis 2015<a class="bibr" href="#ch12.ref109" rid="ch12.ref109"><sup>109</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ishani 2016<a class="bibr" href="#ch12.ref110" rid="ch12.ref110"><sup>110</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Iupati 2016<a class="bibr" href="#ch12.ref111" rid="ch12.ref111"><sup>111</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Jocham 2009<a class="bibr" href="#ch12.ref112" rid="ch12.ref112"><sup>112</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Johnson 1988<a class="bibr" href="#ch12.ref113" rid="ch12.ref113"><sup>113</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Jordhoy 2000<a class="bibr" href="#ch12.ref114" rid="ch12.ref114"><sup>114</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kane 1984<a class="bibr" href="#ch12.ref115" rid="ch12.ref115"><sup>115</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kao 2015<a class="bibr" href="#ch12.ref116" rid="ch12.ref116"><sup>116</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Keating 2008<a class="bibr" href="#ch12.ref117" rid="ch12.ref117"><sup>117</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kenny 2010<a class="bibr" href="#ch12.ref118" rid="ch12.ref118"><sup>118</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design. Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kidd 2010<a class="bibr" href="#ch12.ref119" rid="ch12.ref119"><sup>119</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Knies 2015<a class="bibr" href="#ch12.ref121" rid="ch12.ref121"><sup>121</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kohri 2013<a class="bibr" href="#ch12.ref122" rid="ch12.ref122"><sup>122</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kronman 2008<a class="bibr" href="#ch12.ref123" rid="ch12.ref123"><sup>123</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kuo 2013<a class="bibr" href="#ch12.ref124" rid="ch12.ref124"><sup>124</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Kuzuya 2006<a class="bibr" href="#ch12.ref125" rid="ch12.ref125"><sup>125</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Low 2011<a class="bibr" href="#ch12.ref135" rid="ch12.ref135"><sup>135</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Laila 2008<a class="bibr" href="#ch12.ref126" rid="ch12.ref126"><sup>126</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lakasing 2009<a class="bibr" href="#ch12.ref127" rid="ch12.ref127"><sup>127</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lee 2000<a class="bibr" href="#ch12.ref129" rid="ch12.ref129"><sup>129</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lee 2014<a class="bibr" href="#ch12.ref128" rid="ch12.ref128"><sup>128</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Leppert 2012<a class="bibr" href="#ch12.ref131" rid="ch12.ref131"><sup>131</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Liddy 2008<a class="bibr" href="#ch12.ref132" rid="ch12.ref132"><sup>132</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lin 2015<a class="bibr" href="#ch12.ref133" rid="ch12.ref133"><sup>133</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Livingston 2013<a class="bibr" href="#ch12.ref134" rid="ch12.ref134"><sup>134</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Luckett 2013<a class="bibr" href="#ch12.ref136" rid="ch12.ref136"><sup>136</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Lutz 2009<a class="bibr" href="#ch12.ref139" rid="ch12.ref139"><sup>139</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mader 2008<a class="bibr" href="#ch12.ref140" rid="ch12.ref140"><sup>140</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Maliakkal 2014<a class="bibr" href="#ch12.ref141" rid="ch12.ref141"><sup>141</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mani 2014<a class="bibr" href="#ch12.ref142" rid="ch12.ref142"><sup>142</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Martin 1994<a class="bibr" href="#ch12.ref143" rid="ch12.ref143"><sup>143</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mason 2007<a class="bibr" href="#ch12.ref144" rid="ch12.ref144"><sup>144</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mayor 2008<a class="bibr" href="#ch12.ref145" rid="ch12.ref145"><sup>145</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">McCauley 2006<a class="bibr" href="#ch12.ref147" rid="ch12.ref147"><sup>147</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">McCusker 2003<a class="bibr" href="#ch12.ref148" rid="ch12.ref148"><sup>148</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">McHugh 2013<a class="bibr" href="#ch12.ref149" rid="ch12.ref149"><sup>149</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">McLoughlin 2015<a class="bibr" href="#ch12.ref150" rid="ch12.ref150"><sup>150</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">McNamara 2013<a class="bibr" href="#ch12.ref151" rid="ch12.ref151"><sup>151</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Melin-Johansson 2010<a class="bibr" href="#ch12.ref152" rid="ch12.ref152"><sup>152</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Melis 2010<a class="bibr" href="#ch12.ref153" rid="ch12.ref153"><sup>153</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Menon 2015<a class="bibr" href="#ch12.ref154" rid="ch12.ref154"><sup>154</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mitchell 2004<a class="bibr" href="#ch12.ref155" rid="ch12.ref155"><sup>155</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Moinpour 1989<a class="bibr" href="#ch12.ref156" rid="ch12.ref156"><sup>156</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Molina 2013<a class="bibr" href="#ch12.ref157" rid="ch12.ref157"><sup>157</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Monroe 2010<a class="bibr" href="#ch12.ref158" rid="ch12.ref158"><sup>158</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Montgomery 2003<a class="bibr" href="#ch12.ref159" rid="ch12.ref159"><sup>159</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Moriarty 2007<a class="bibr" href="#ch12.ref160" rid="ch12.ref160"><sup>160</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Morris 2013<a class="bibr" href="#ch12.ref161" rid="ch12.ref161"><sup>161</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Mottram 2002<a class="bibr" href="#ch12.ref162" rid="ch12.ref162"><sup>162</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Nielsen 2003<a class="bibr" href="#ch12.ref166" rid="ch12.ref166"><sup>166</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Nikmat 2015<a class="bibr" href="#ch12.ref167" rid="ch12.ref167"><sup>167</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Noble 2015<a class="bibr" href="#ch12.ref168" rid="ch12.ref168"><sup>168</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Noel 2000<a class="bibr" href="#ch12.ref169" rid="ch12.ref169"><sup>169</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Nowels 1999<a class="bibr" href="#ch12.ref170" rid="ch12.ref170"><sup>170</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">O’Brien 2010<a class="bibr" href="#ch12.ref171" rid="ch12.ref171"><sup>171</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Oliver 2012<a class="bibr" href="#ch12.ref172" rid="ch12.ref172"><sup>172</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ong 2011<a class="bibr" href="#ch12.ref173" rid="ch12.ref173"><sup>173</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ouslander 2009<a class="bibr" href="#ch12.ref176" rid="ch12.ref176"><sup>176</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population. Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ouslander 2011<a class="bibr" href="#ch12.ref175" rid="ch12.ref175"><sup>175</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Pare 2009<a class="bibr" href="#ch12.ref178" rid="ch12.ref178"><sup>178</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Pare 2013<a class="bibr" href="#ch12.ref177" rid="ch12.ref177"><sup>177</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Parker 2009<a class="bibr" href="#ch12.ref179" rid="ch12.ref179"><sup>179</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Phelan 2015<a class="bibr" href="#ch12.ref182" rid="ch12.ref182"><sup>182</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Porter 2015<a class="bibr" href="#ch12.ref183" rid="ch12.ref183"><sup>183</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Pouliot 2015<a class="bibr" href="#ch12.ref184" rid="ch12.ref184"><sup>184</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Raftery 1996<a class="bibr" href="#ch12.ref187" rid="ch12.ref187"><sup>187</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ranganathan 2013<a class="bibr" href="#ch12.ref188" rid="ch12.ref188"><sup>188</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Rich 1993<a class="bibr" href="#ch12.ref189" rid="ch12.ref189"><sup>189</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Riolfi 2014<a class="bibr" href="#ch12.ref190" rid="ch12.ref190"><sup>190</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sabesan 2012<a class="bibr" href="#ch12.ref191" rid="ch12.ref191"><sup>191</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sahlen 2016<a class="bibr" href="#ch12.ref192" rid="ch12.ref192"><sup>192</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Samii 2006<a class="bibr" href="#ch12.ref193" rid="ch12.ref193"><sup>193</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Saugo 2008<a class="bibr" href="#ch12.ref194" rid="ch12.ref194"><sup>194</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Schectman 2014<a class="bibr" href="#ch12.ref195" rid="ch12.ref195"><sup>195</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Schneider 2016<a class="bibr" href="#ch12.ref196" rid="ch12.ref196"><sup>196</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population. Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Seamark 1998<a class="bibr" href="#ch12.ref197" rid="ch12.ref197"><sup>197</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Segelman 2014<a class="bibr" href="#ch12.ref198" rid="ch12.ref198"><sup>198</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Seibert 2008<a class="bibr" href="#ch12.ref199" rid="ch12.ref199"><sup>199</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sejr Kirring 2013<a class="bibr" href="#ch12.ref200" rid="ch12.ref200"><sup>200</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Seow 2008<a class="bibr" href="#ch12.ref202" rid="ch12.ref202"><sup>202</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Seow 2014</td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect intervention</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sessa 1996<a class="bibr" href="#ch12.ref203" rid="ch12.ref203"><sup>203</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Shepperd 1998<a class="bibr" href="#ch12.ref205" rid="ch12.ref205"><sup>205</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Shepperd 2016<a class="bibr" href="#ch12.ref206" rid="ch12.ref206"><sup>206</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Smeenk 1998<a class="bibr" href="#ch12.ref207" rid="ch12.ref207"><sup>207</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Stall 2014<a class="bibr" href="#ch12.ref209" rid="ch12.ref209"><sup>209</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Stephens 2014<a class="bibr" href="#ch12.ref210" rid="ch12.ref210"><sup>210</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Sulistio 2015<a class="bibr" href="#ch12.ref211" rid="ch12.ref211"><sup>211</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Taft 2005<a class="bibr" href="#ch12.ref212" rid="ch12.ref212"><sup>212</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Takahashi 2012<a class="bibr" href="#ch12.ref213" rid="ch12.ref213"><sup>213</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Tam 2014<a class="bibr" href="#ch12.ref214" rid="ch12.ref214"><sup>214</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Terol 2001<a class="bibr" href="#ch12.ref215" rid="ch12.ref215"><sup>215</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Teunissen 2007<a class="bibr" href="#ch12.ref216" rid="ch12.ref216"><sup>216</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Tieman 2016<a class="bibr" href="#ch12.ref217" rid="ch12.ref217"><sup>217</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Tiernan 2002<a class="bibr" href="#ch12.ref218" rid="ch12.ref218"><sup>218</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Trahan 2016<a class="bibr" href="#ch12.ref219" rid="ch12.ref219"><sup>219</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Travers 2002<a class="bibr" href="#ch12.ref220" rid="ch12.ref220"><sup>220</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Treloar 2009<a class="bibr" href="#ch12.ref221" rid="ch12.ref221"><sup>221</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Tsamandouraki 1992<a class="bibr" href="#ch12.ref222" rid="ch12.ref222"><sup>222</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Venning 1990<a class="bibr" href="#ch12.ref223" rid="ch12.ref223"><sup>223</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Ventura 2014<a class="bibr" href="#ch12.ref224" rid="ch12.ref224"><sup>224</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Vuorinen 2014<a class="bibr" href="#ch12.ref225" rid="ch12.ref225"><sup>225</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wakefield 2008<a class="bibr" href="#ch12.ref226" rid="ch12.ref226"><sup>226</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wales 1983<a class="bibr" href="#ch12.ref227" rid="ch12.ref227"><sup>227</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">While 2013<a class="bibr" href="#ch12.ref228" rid="ch12.ref228"><sup>228</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Whitten 2009<a class="bibr" href="#ch12.ref229" rid="ch12.ref229"><sup>229</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wong 2005<a class="bibr" href="#ch12.ref231" rid="ch12.ref231"><sup>231</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wong 2013<a class="bibr" href="#ch12.ref232" rid="ch12.ref232"><sup>232</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wootton 2009<a class="bibr" href="#ch12.ref233" rid="ch12.ref233"><sup>233</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wootton 2010<a class="bibr" href="#ch12.ref234" rid="ch12.ref234"><sup>234</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wray 2010<a class="bibr" href="#ch12.ref235" rid="ch12.ref235"><sup>235</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Wysocki 2014<a class="bibr" href="#ch12.ref236" rid="ch12.ref236"><sup>236</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population. Incorrect interventions</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Yost 1995<a class="bibr" href="#ch12.ref237" rid="ch12.ref237"><sup>237</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Young 2010<a class="bibr" href="#ch12.ref239" rid="ch12.ref239"><sup>239</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Young 2011<a class="bibr" href="#ch12.ref240" rid="ch12.ref240"><sup>240</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Zheng 2016<a class="bibr" href="#ch12.ref241" rid="ch12.ref241"><sup>241</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Systematic review is not relevant to review question or unclear PICO</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Zhou 2012<a class="bibr" href="#ch12.ref242" rid="ch12.ref242"><sup>242</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Inappropriate study design</td></tr><tr><td headers="hd_h_ch12.appj.tab2_1_1_1_1" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Zimmer 1985<a class="bibr" href="#ch12.ref243" rid="ch12.ref243"><sup>243</sup></a></td><td headers="hd_h_ch12.appj.tab2_1_1_1_2" rowspan="1" colspan="1" style="text-align:left;vertical-align:top;">Not review population</td></tr></tbody></table></div></div></article></div><div id="jr-scripts"><script src="/corehtml/pmc/jatsreader/ptpmc_3.22/js/libs.min.js"> </script><script src="/corehtml/pmc/jatsreader/ptpmc_3.22/js/jr.min.js"> </script></div></div>
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