TY - JOUR
T1 - Effect of Home-Based Palliative Care on Quality of Life in Patients With Cancer
T2 - A Systematic Review and Meta-analysis of Randomized Controlled Trials
AU - Rupang, Ernita Rante
AU - Kurniawati, Ninuk Dian
AU - Tzeng, Huey Ming
AU - Tarihoran, Dame Elysabeth Tuty Arna Uly
AU - Saragih, Ice Septriani
AU - Saragih, Ita Daryanti
N1 - Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
PY - 2025
Y1 - 2025
N2 - Background: The implementation of home-based palliative care for patients with cancer aims to relieve suffering and improve quality of life, regardless of disease stage. However, outcomes of such interventions have been inconclusive. Objective: This study investigated the effect of home-based palliative care on the quality of life in patients with cancer. Interventions/Methods: Six databases (CINAHL, Cochrane Library, EMBASE, MEDLINE, PubMed, Web of Science) were searched for relevant studies up to June 9, 2024. Randomized trials involving patients with cancer receiving home-based palliative care were included. A forest plot was generated using the DerSimonian and Laird random-effects model. Results: A total of 8 studies were included in the final analysis. Home-based palliative care appeared to enhance the quality of life of patients with cancer (pooled standard mean difference, 0.45 [95% confidence interval, 0.04-0.86]; P =.03). Conclusion: Home-based palliative care improves the quality of life for patients with cancer. Further research with larger sample sizes and more rigorous methodologies is needed. Implication for practice: The findings highlight the value of home-based palliative care as a model to address the needs of patients with cancer at home, improving their quality of life, similar to hospital-based care.
AB - Background: The implementation of home-based palliative care for patients with cancer aims to relieve suffering and improve quality of life, regardless of disease stage. However, outcomes of such interventions have been inconclusive. Objective: This study investigated the effect of home-based palliative care on the quality of life in patients with cancer. Interventions/Methods: Six databases (CINAHL, Cochrane Library, EMBASE, MEDLINE, PubMed, Web of Science) were searched for relevant studies up to June 9, 2024. Randomized trials involving patients with cancer receiving home-based palliative care were included. A forest plot was generated using the DerSimonian and Laird random-effects model. Results: A total of 8 studies were included in the final analysis. Home-based palliative care appeared to enhance the quality of life of patients with cancer (pooled standard mean difference, 0.45 [95% confidence interval, 0.04-0.86]; P =.03). Conclusion: Home-based palliative care improves the quality of life for patients with cancer. Further research with larger sample sizes and more rigorous methodologies is needed. Implication for practice: The findings highlight the value of home-based palliative care as a model to address the needs of patients with cancer at home, improving their quality of life, similar to hospital-based care.
KW - Cancer
KW - Home-based palliative care
KW - Meta-analysis
KW - Quality of life
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U2 - 10.1097/NCC.0000000000001512
DO - 10.1097/NCC.0000000000001512
M3 - Article
AN - SCOPUS:105003939151
SN - 0162-220X
JO - Cancer Nursing
JF - Cancer Nursing
M1 - 10.1097/NCC.0000000000001512
ER -