Palliative Care Need in India: A Systematic Review and Meta-analysis.

Background: To achieve sustainable development goal 3.8, countries must prioritise the provision of palliative care. We aimed to estimate the prevalence of palliative care needs in India. Methods: A systematic literature search was conducted in databases of PubMed, Cochrane, Embase, Web of Science,...

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Publicado en:Indian Journal of Palliative Care Vol. 29; no. 4; pp. 375 - 388
Autores principales: Chandra, Ankit, Debnath, Aninda, Nongkynrih, Baridalyne
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Scientific Scholar LLC Oct-Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct-Dec2023
      vid: 29
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      pub: Scientific Scholar LLC
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        atl: Palliative Care Need in India: A Systematic Review and Meta-analysis.
      aug:
        au:
          Chandra, Ankit
          Debnath, Aninda
          Nongkynrih, Baridalyne
        affil: Centre for Community Medicine, All India Institute of Medical Sciences, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
      sug:
        subj:
          Palliative Care Statistics and Numerical Data
          Needs Assessment
          Prevalence Evaluation
          Human
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          India
          Systematic Review
          Meta Analysis
          PubMed
          Cochrane Library
          Embase
          Quality Assessment
          Urban Areas
          Rural Areas
          Publication Bias
          Terminal Care
          Community Health Services
          Confidence Intervals
          Descriptive Statistics
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: To achieve sustainable development goal 3.8, countries must prioritise the provision of palliative care. We aimed to estimate the prevalence of palliative care needs in India. Methods: A systematic literature search was conducted in databases of PubMed, Cochrane, Embase, Web of Science, and EBSCO Host. We included community-based studies published in English between inception and April 30, 2023. We excluded hospital-based studies that were conducted solely including diseased patients. Data were extracted independently, and a quality assessment was performed. To estimate the pooled prevalence and 95% confidence intervals (CI), we used the random-effects model. Heterogeneity was assessed using the Q statistic and I2 test. Subgroup analyses were conducted based on the study site, urban--rural distribution, gender, and age groups. Publication bias was evaluated using a funnel plot and Egger test. STATA software was used for data analysis. Results: Out of the 2632 articles identified, 8 cross-sectional studies were included. Using the random-effects model, the pooled estimate of palliative care needs was found to be 6.21/1000 population (95% CI: 2.42--11.64). The southern region showed a prevalence of 10.83/1000 compared to 2.24/1000 in the northern region. Urban areas had a prevalence of 3.34/1000, while rural areas had a prevalence of 7.69/1000. Among females, the prevalence was 9.64/1000, compared to 6.77/1000 among males. Notably, individuals aged over 60 years had a higher prevalence of palliative care needs, with a rate of 37.86/1000 population. Conclusion: This systematic review and meta-analysis highlight a substantial need for palliative care in India, with a prevalence of 6.21 individuals/1000 population.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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