[ { "id": "1", "kind": "peer", "tier": 2, "year": "2023", "title": "Krakauer EL, Kwete XJ, Rassouli M, Arreola-Ornelas H, Ashrafizadeh H, Bhadelia A, et al.", "detail": "Palliative care need in the Eastern Mediterranean Region and human resource requirements for effective response. PLOS Global Public Health 2023;3(11):e0001980. DOI 10.1371/journal.pgph.0001980. Estimates for 2015 using the Lancet Commission serious health-related suffering method: about 3.2 million people in need across the region and about 869,000 in Pakistan. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10624269/", "doi": "10.1371/journal.pgph.0001980", "pmid": "37922240", "accessed": "2026-09-25" }, { "id": "2", "kind": "official", "tier": 1, "year": "2025", "title": "WHO Eastern Mediterranean Regional Office.", "detail": "Palliative care in the Eastern Mediterranean Region: from challenges to solutions. Regional Committee materials, 2025. With Worldwide Hospice Palliative Care Alliance country statements.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "3", "kind": "peer", "tier": 2, "year": "2022", "title": "Ju C, Wei L, Man KKC, et al.", "detail": "Global, regional and national trends in opioid analgesic consumption, 2015 to 2019. Lancet Public Health 2022;7:e335-46. DOI 10.1016/S2468-2667(22)00013-5.", "url": null, "doi": "10.1016/S2468-2667(22)00013-5", "pmid": "35366408", "accessed": "2026-09-25" }, { "id": "4", "kind": "peer", "tier": 2, "year": "2017", "title": "Mapping levels of palliative care development: a global view.", "detail": "2017 update. Group 3 service-to-population ratio range, including Pakistan.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "5", "kind": "institutional", "tier": 1, "year": null, "title": "Shaukat Khanum Memorial Cancer Hospital and Research Centres.", "detail": "Palliative care in Pakistan: healing hearts and communities. Institutional publication confirming the CPSP-approved two-year program.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "6", "kind": "peer", "tier": 2, "year": "2022", "title": "Development of palliative care services at a tertiary care teaching hospital in Pakistan.", "detail": "Journal of Pain and Symptom Management, 2022. Article S0885-3924(22)00650-9. 3,747 patients, 2017 to 2019.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "7", "kind": "institutional", "tier": 1, "year": "2021", "title": "National University of Medical Sciences.", "detail": "Postgraduate Certificate in Palliative Care, with the Shaheen Palliative Care Project. Admissions materials and national press coverage, 2021 and 2025.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "8", "kind": "official", "tier": 3, "year": "2025", "title": "KFF.", "detail": "The foreign aid review and reorganization of US global health programs, 2025. USAID dissolution July 2025; roughly 80 percent of 770 awards terminated; $12.7 billion unobligated.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "9", "kind": "official", "tier": 1, "year": "2026", "title": "US Department of State.", "detail": "Pakistan Travel Advisory, Level 3, minor update March 4, 2026. Ordered departure from Consulates Lahore and Karachi announced March 3, 2026.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "10", "kind": "news", "tier": 4, "year": "2024", "title": "Reporting on Pakistan's national firewall,", "detail": "Deployed at cable landing stations from 2024, with sustained slowdowns and industry loss estimates above $300 million.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "11", "kind": "institutional", "tier": 3, "year": null, "title": "Pallium India,", "detail": "Guidelines for stocking and dispensing Essential Narcotic Drugs, with International Drug Policy Consortium analysis of the 2014 NDPS amendment.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "12", "kind": "peer", "tier": 2, "year": "2019", "title": "Merriman A, Mwebesa E, Zirimenya L.", "detail": "Improving access to palliative care for patients with cancer in Africa: 25 years of Hospice Africa. Ecancermedicalscience 2019;13:946. DOI 10.3332/ecancer.2019.946. Nurse and clinical officer prescribing authority; free government oral morphine; local manufacture from 2011.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6722241/", "doi": "10.3332/ecancer.2019.946", "pmid": "31552119", "accessed": "2026-09-25" }, { "id": "13", "kind": "primary", "tier": 1, "year": "2023", "title": "Pakistan Bureau of Statistics.", "detail": "Seventh Population and Housing Census, 2023. Population 241,499,431; rural 61.12 percent; Muslim 96.35 percent.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "14", "kind": "official", "tier": 1, "year": "2024", "title": "International Agency for Research on Cancer,", "detail": "Global Cancer Observatory. Pakistan fact sheet, GLOBOCAN 2024 estimates, released July 2026.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "15", "kind": "peer", "tier": 2, "year": "2026", "title": "Bhojwani KM, Raheem A, Khan UT, Javid F, Tanweer D, Rehmani N, et al.", "detail": "Trends in cancer burden in Pakistan: a 30-year analysis from the Global Burden of Disease Study (1990-2019). Ecancermedicalscience 2026;20:2060. DOI 10.3332/ecancer.2026.2060. The introduction cites GLOBOCAN-based analyses giving South Asia, including Pakistan, a mortality to incidence ratio near 0.65 against about 0.52 globally. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12950877/", "doi": "10.3332/ecancer.2026.2060", "pmid": "41777412", "accessed": "2026-09-25" }, { "id": "16", "kind": "official", "tier": 1, "year": "2018", "title": "World Health Organization.", "detail": "Noncommunicable Diseases Country Profile, Pakistan, 2018. NCDs 58 percent of all deaths, with an explicit uncertainty caveat on mortality registration.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "17", "kind": "official", "tier": 1, "year": "2023", "title": "World Bank and UN Inter-agency Group for Child Mortality Estimation.", "detail": "Under-five mortality 58.5 per 1,000 live births, 2023.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "18", "kind": "official", "tier": 1, "year": "2021-22", "title": "Pakistan National Health Accounts 2021-22.", "detail": "Health expenditure 2.91 percent of GDP. World Bank current health expenditure per capita $38.77, 2022.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "19", "kind": "official", "tier": 1, "year": "2020", "title": "WHO Global Health Expenditure Database.", "detail": "Out-of-pocket spending 54.3 percent of current health expenditure, 2020.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "20", "kind": "official", "tier": 3, "year": null, "title": "NCBI Bookshelf NBK586388,", "detail": "On licit opium production. India accounted for 98.4 percent of global raw opium gum in 2017; poppy straw morphine-equivalent output is dominated by Australia, France, Spain and Turkiye.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "21", "kind": "news", "tier": 4, "year": "2025", "title": "Business Recorder,", "detail": "2025, on hardship-category drug shortages including oral morphine for palliative care, and delayed approval of recommended price revisions.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "22", "kind": "official", "tier": 1, "year": null, "title": "Drug Regulatory Authority of Pakistan,", "detail": "Regulatory updates. Industry e-reporting system for safety reports, November 2024. Digital licensing system for medical devices, July 2025.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "23", "kind": "peer", "tier": 2, "year": "2023", "title": "Impact of an outpatient palliative care consultation and symptom clusters in terminal patients at a tertiary care center in Pakistan,", "detail": "2023. PMC10283303. Documents the current service landscape and hospice provision.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10283303/", "doi": null, "pmid": null, "accessed": null }, { "id": "24", "kind": "peer", "tier": 2, "year": "2025", "title": "Tripodoro VA, Fidalgo JFL, Pons JJ, Connor SR, Garralda E, Bastos F, et al.", "detail": "First-ever global ranking of palliative care: 2025 world map under the new WHO framework. Journal of Pain and Symptom Management 2025;70(5):447-458. DOI 10.1016/j.jpainsymman.2025.07.026. Classifies 201 countries into four levels (Emerging, Progressing, Established, Advanced). Abstract read; the abstract does not name Pakistan.", "url": null, "doi": "10.1016/j.jpainsymman.2025.07.026", "pmid": "40782892", "accessed": "2026-09-25" }, { "id": "25", "kind": "peer", "tier": 2, "year": "2022", "title": "Letter: palliative care needs assessment for Pakistan.", "detail": "Journal of Palliative Medicine, 2022. PMC9248331. Cites nine palliative and pain fellowship programs on CPSP listings.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9248331/", "doi": null, "pmid": null, "accessed": null }, { "id": "26", "kind": "manufacturer", "tier": 3, "year": "2025", "title": "Vertex Pharmaceuticals.", "detail": "FDA approval of suzetrigine for moderate to severe acute pain, January 30, 2025. Acute indication only; US list price $15.50 per 50 mg pill.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "27", "kind": "peer", "tier": 2, "year": null, "title": "The Medical Letter on Drugs and Therapeutics.", "detail": "Suzetrigine, a sodium channel blocker for acute pain. Not superior to hydrocodone with acetaminophen in the pivotal trials.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "28", "kind": "peer", "tier": 2, "year": null, "title": "Palliative care in Pakistan.", "detail": "Indian Journal of Medical Ethics. Source for the intention doctrine in Islamic pain management and for the 2012 access figures that circulate widely in secondary literature.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "29", "kind": "official", "tier": 3, "year": "2022", "title": "Commonwealth Fund,", "detail": "International Health Policy Center, Pakistan country profile. Sehat Sahulat coverage near PKR 460,000 per family; approximately 44.6 million households by 2022.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "30", "kind": "news", "tier": 4, "year": "2025", "title": "Reporting on Punjab's suspension", "detail": "Of the Sehat Card program in public hospitals from July 1, 2025, and the pivot to targeted high-cost programs.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "31", "kind": "peer", "tier": 2, "year": null, "title": "Palliative care policy and practice in Kerala, India.", "detail": "PMC12149619. Kerala's 2008 policy, the first in Asia; roughly 1,000 local self-government units engaged.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12149619/", "doi": null, "pmid": null, "accessed": null }, { "id": "32", "kind": "institutional", "tier": 1, "year": null, "title": "College of Physicians and Surgeons Pakistan.", "detail": "Fellowship program listings: 75 fellowship specialties, 22 membership specialties, approximately 263 accredited institutions.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "33", "kind": "institutional", "tier": 1, "year": null, "title": "Shaheen Palliative Care Project.", "detail": "UK and Pakistan clinician network training doctors, nurses and carers. Institutional materials.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "34", "kind": "primary", "tier": 1, "year": "2004", "title": "Republic of Uganda, Statutory Instruments 2004 No. 24.", "detail": "National Drug Authority (Prescription and Supply of Certain Narcotic Analgesic Drugs) Regulations, made under the National Drug Policy and Authority Statute 1993. Rule 4 authorises a clinical officer or nurse holding a certificate in specialist palliative care to prescribe and supply listed morphine preparations. Full text hosted by the Palliative Care Association of Uganda.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "35", "kind": "peer", "tier": 2, "year": "2022", "title": "Kagarmanova A, Mwesiga MD, Sisk ML, et al.", "detail": "Palliative care in Uganda: quantitative descriptive study of key palliative care indicators 2018 to 2020. BMC Palliative Care 2022;21:55. DOI 10.1186/s12904-022-00930-7. Accredited facility and district counts, population coverage against the 2014 census, and the public-sector share of facilities.", "url": null, "doi": "10.1186/s12904-022-00930-7", "pmid": null, "accessed": null }, { "id": "36", "kind": "peer", "tier": 2, "year": "2019", "title": "Amandua J, Kimaro MS, Mwebesa E, Taremwa IM, Atuhairwe C.", "detail": "The financing of stand-alone palliative care services in Uganda: analysis of the implications for sustainability. BMC Palliative Care 2019;18(1):48. DOI 10.1186/s12904-019-0434-5. External share of donations, income-generating share, and the government contribution in medicines, training and tax exemption rather than cash.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6551873/", "doi": "10.1186/s12904-019-0434-5", "pmid": "31167656", "accessed": "2026-09-25" }, { "id": "37", "kind": "institutional", "tier": 1, "year": "2022", "title": "Institute of Hospice and Palliative Care in Africa, Hospice Africa Uganda.", "detail": "Diploma in Clinical Palliative Care: a twelve month programme open to registered nurses and clinical officers, whose graduates may prescribe oral liquid morphine under Statutory Instrument 2004 No. 24. Programme materials and partner reporting, with the first advanced diploma nursing cohort graduating in 2022.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "38", "kind": "primary", "tier": 1, "year": "2015", "title": "Turkish Ministry of Health, General Directorate of Health Services.", "detail": "Palyatif Bakim Hizmetlerinin Uygulama Usul ve Esaslari Hakkinda Yonerge, the directive on procedures and principles for palliative care services, dated 8 July 2015. Restructured inpatient palliative units and linked family physicians to home care.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "39", "kind": "peer", "tier": 2, "year": "2021", "title": "Kutluk T, Ahmed F, Cemaloğlu M, Aydın B, Şengelen M, Kirazlı M, et al.", "detail": "Progress in palliative care for cancer in Turkey: a review of the literature. Ecancermedicalscience 2021;15:1321. DOI 10.3332/ecancer.2021.1321. PubMed Central PMC8723752. Service counts by year, including the February 2020 national position on centres, beds, staff and provinces.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8723752/", "doi": "10.3332/ecancer.2021.1321", "pmid": "35047072", "accessed": "2026-09-25" }, { "id": "40", "kind": "institutional", "tier": 3, "year": "2025", "title": "European Association for Palliative Care.", "detail": "Atlas of Palliative Care in the European Region 2025, Turkiye country report, University of Navarra. Specialised service count and rate per 100,000 inhabitants; 2014 Social Security Institution reimbursement of inpatient palliative care through the healthcare implementation notification rather than a dedicated statute; palliative medicine not recognised as an independent specialty or subspecialty.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "41", "kind": "primary", "tier": 1, "year": "2018", "title": "Government of Bangladesh, Narcotics Control Act 2018 (Act No. 63 of 2018).", "detail": "Superseded the 1990 Act. Establishes the Department of Narcotics Control under the Ministry of Home Affairs and a licence, permit and pass system governing production, possession and dispensing of narcotics. The administrative steps a hospital follows to obtain a stocking licence are not set out in the Act text.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "42", "kind": "peer", "tier": 2, "year": "2021", "title": "Chowdhury MK, Ahmad N, Biswas FN, Farheen N, Ferdous L, Akter KM, Connor SR.", "detail": "Program evaluation: improving the quality of life of older people in an urban slum in Bangladesh. Palliative Care and Social Practice 2021;15:26323524211063217. DOI 10.1177/26323524211063217. Evaluation of the Compassionate Korail community programme run by the Centre for Palliative Care at Bangabandhu Sheikh Mujib Medical University with the Worldwide Hospice Palliative Care Alliance, begun in 2015.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8689427/", "doi": "10.1177/26323524211063217", "pmid": "34950874", "accessed": "2026-09-25" }, { "id": "43", "kind": "news", "tier": 4, "year": "2018", "title": "ehospice.", "detail": "UK Aid Direct funded project trains community members to provide compassionate care in Narayanganj City Corporation, Bangladesh, 10 August 2018. Eighteen community members completed a three day palliative care volunteer training programme on 30 June 2018 at the Narayanganj community palliative care hub.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "44", "kind": "institutional", "tier": 3, "year": "2010", "title": "Pham Thi Hoang Anh, Ngo Thi Thanh Thuy, Trinh Huu Vach, et al.", "detail": "Report on current situation of palliative care service provision for cancer patients in Vietnam. HealthBridge Foundation of Canada with the Research Center for Rural Population and Health, Hanoi, August 2010. Quotes the operative Ministry of Health instruments: Decision 3483/QD-BYT of 15 June 2006 promulgating the national palliative care guideline for cancer and AIDS patients; Decision 04/2008/QD-BYT of 1 February 2008 setting outpatient opioid prescribing limits; and Circular 10/2010/TT-BYT of 29 April 2010, whose Article 14 permits retail pharmacies meeting Good Pharmacy Practice standards to dispense addictive drugs to outpatients.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "45", "kind": "institutional", "tier": 1, "year": null, "title": "National Specialist Register of Malaysia and the Malaysian Hospice Palliative Care Council.", "detail": "Specialist registration criteria list palliative medicine as a distinct subspecialty entry, and registrant records carry it alongside internal medicine. The council states that doctors intending to train in palliative medicine undertake basic specialist training in internal medicine first. No gazette notice giving a recognition year was located in either source.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "46", "kind": "peer", "tier": 2, "year": "2021", "title": "Sivalingam N, Lim RBL, Rampal L.", "detail": "Palliative care in Malaysia: the need to do much more. Medical Journal of Malaysia 2021;76(3):279-283. Reports the field dating from 1991 and the service counts set out in the National Palliative Care Policy and Strategic Plan 2019 to 2030: seven Ministry of Health hospitals with resident palliative medicine specialists, four of them with inpatient units, four public teaching hospitals and five private hospitals with specialist services.", "url": null, "doi": null, "pmid": "34031323", "accessed": "2026-09-25" }, { "id": "47", "kind": "peer", "tier": 2, "year": "2023", "title": "Segarmurthy MV, Lim RB, Yeat CL, Ong YX, Othman S, Taher SW, et al.", "detail": "Mapping palliative care availability and accessibility: a first step to eradicating access deserts in low- and middle-income settings. Journal of Palliative Care 2023;39(4):255-263. DOI 10.1177/08258597231214485. Counts 29 registered community-based palliative care teams nationally, 25 of them under the Malaysian Hospice Council, and reports the share of public primary care clinics offering domiciliary palliative care.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11102529/", "doi": "10.1177/08258597231214485", "pmid": "37981855", "accessed": "2026-09-25" }, { "id": "48", "kind": "official", "tier": 1, "year": "2021", "title": "WHO Regional Office for the Eastern Mediterranean and ICS, Universidad de Navarra.", "detail": "Assessing palliative care in the Eastern Mediterranean Region, 2021. Jordan country profile and regional tables: home care teams, inpatient units, hospital support teams, inpatient hospice and outpatient facilities; opioid consumption in morphine equivalent per head; palliative care included in the basic package and in the national health budget. The consumption figure is reported in the 2021 atlas against 2019 population data; the underlying consumption year is not labelled in the atlas text.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "49", "kind": "peer", "tier": 2, "year": "2022", "title": "Sanchez-Cardenas MA, Pourghazian N, Garralda E, et al.", "detail": "Palliative care in the Eastern Mediterranean: comparative analysis using specific indicators. BMC Palliative Care 2022;21:168. DOI 10.1186/s12904-022-01047-7. Expert survey of 12 EMR countries, including Iran, Jordan, Egypt, Morocco and Pakistan. Iran and Jordan are among the countries reported to have a national palliative care strategy, a designated Ministry of Health officer for palliative care and palliative care recognised as a subspecialty; recognition years are not given. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9528121/", "doi": "10.1186/s12904-022-01047-7", "pmid": "36184640", "accessed": "2026-09-25" }, { "id": "50", "kind": "primary", "tier": 1, "year": "2015", "title": "Narcotic Drugs and Psychotropic Substances (Third Amendment) Rules, 2015.", "detail": "G.S.R. 359(E), Ministry of Finance, Department of Revenue, Gazette of India, 5 May 2015, made under the 2014 amendment. Defines a registered medical practitioner for essential narcotic drugs as a practitioner registered under existing medical or dental registration law who has additionally completed training in pain relief and palliative care, or in opioid substitution therapy. Rules 52A and 52F place possession, dispensing and sale with the recognised medical institution.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "51", "kind": "peer", "tier": 2, "year": null, "title": "Oral morphine use in South India: a population-based study.", "detail": "PMC5735973. Describes the rules in operation: morphine is dispensed by an approved provider affiliated with a recognised medical institution, physicians may prescribe oral morphine only after completing ten days of hands-on training in pain relief and palliative care, and each institution reports annual consumption to the Office of the Drugs Controller.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5735973/", "doi": null, "pmid": null, "accessed": null }, { "id": "52", "kind": "peer", "tier": 2, "year": "2025", "title": "Shrestha R, Shrestha S, Shrestha S, Shrestha A, Paudel BD, Munday D.", "detail": "Opioid accessibility for palliative care in Nepal: a review of achievement and remaining challenges. Indian Journal of Palliative Care 2025;31(1):74-78. DOI 10.25259/IJPC_118_2024. Oral morphine licensed for domestic manufacture since 2009 and produced by a single manufacturer that imports all raw material from Europe; prescribing limited to registered medical practitioners; national morphine consumption and fentanyl patch cost against the minimum daily wage.", "url": null, "doi": "10.25259/IJPC_118_2024", "pmid": null, "accessed": null }, { "id": "53", "kind": "peer", "tier": 2, "year": "2021", "title": "Gautam D, Adhikari S.", "detail": "Palliative care services for cancer patients in Nepal, a lower-middle-income country. Palliative Care and Social Practice 2021;15:26323524211021105. DOI 10.1177/26323524211021105. Inventory of hospices and hospital palliative care units by year, location and beds; training programme history and counts; government cancer treatment support and the Health Insurance Board palliative care allowance; WHO category 3a (isolated provision).", "url": null, "doi": "10.1177/26323524211021105", "pmid": null, "accessed": null }, { "id": "54", "kind": "peer", "tier": 2, "year": "2018", "title": "Gongal RN, Upadhyay SK, Baral KP, Watson M, Kernohan GW.", "detail": "Providing palliative care in rural Nepal: perceptions of mid-level health workers. Indian Journal of Palliative Care 2018;24(2):150-155. DOI 10.4103/IJPC.IJPC_196_17. Focus groups with mid-level health workers in Makwanpur district, who state they are not permitted to prescribe morphine and cite the Ugandan nurse prescriber model.", "url": null, "doi": "10.4103/IJPC.IJPC_196_17", "pmid": null, "accessed": null }, { "id": "55", "kind": "peer", "tier": 2, "year": "2024", "title": "Shrestha R, Hayes B, Poudel A, Munday D.", "detail": "Availability and affordability of essential palliative care medicines in Nepal: a cross-sectional study. Journal of Pain and Symptom Management 2024;68(1):61-68. DOI 10.1016/j.jpainsymman.2024.03.026. Abstract read. Measures availability and affordability against the 2017 National Strategy for Palliative Care; opioids were on neither the free nor the fixed-price medicines list.", "url": null, "doi": "10.1016/j.jpainsymman.2024.03.026", "pmid": null, "accessed": null }, { "id": "56", "kind": "peer", "tier": 2, "year": "2015", "title": "Paudel BD, Ryan KM, Brown MS, Krakauer EL, Rajagopal MR, Maurer MA, Cleary JF.", "detail": "Opioid availability and palliative care in Nepal: influence of an international pain policy fellowship. Journal of Pain and Symptom Management 2015;49(1):110-116. DOI 10.1016/j.jpainsymman.2014.02.011. Abstract read. Describes the fellowship work that led to domestic manufacture of oral morphine formulations.", "url": null, "doi": "10.1016/j.jpainsymman.2014.02.011", "pmid": null, "accessed": null }, { "id": "57", "kind": "peer", "tier": 2, "year": "2017", "title": "Grant L, Downing J, Luyirika E, Murphy M, Namukwaya L, Kiyange F, et al.", "detail": "Integrating palliative care into national health systems in Africa: a multi-country intervention study. Journal of Global Health 2017;7(1):010419. DOI 10.7189/jogh.07.010419. Twelve-hospital intervention across Kenya, Rwanda, Uganda and Zambia, 2012 to 2014, including three Rwandan hospitals. Reports hospital oral morphine consumption, patients identified for palliative care, Rwanda's strict sequential referral from village to national level, and a national morphine procurement and prescribing training initiative directed at doctors and pharmacists.", "url": null, "doi": "10.7189/jogh.07.010419", "pmid": "28685037", "accessed": null }, { "id": "58", "kind": "peer", "tier": 2, "year": "2018", "title": "Krakauer EL, Muhimpundu MA, Mukasahaha D, Tayari JC, Ntizimira C, et al.", "detail": "Palliative care in Rwanda: aiming for universal access. Journal of Pain and Symptom Management 2018;55(2S):S77-S80. DOI 10.1016/j.jpainsymman.2017.03.037. Abstract read. In 2011 the Ministry of Health set a goal of universal access to palliative care and began training a new cadre of home-based care practitioners.", "url": null, "doi": "10.1016/j.jpainsymman.2017.03.037", "pmid": null, "accessed": null }, { "id": "59", "kind": "peer", "tier": 2, "year": "2020", "title": "Mukundiyukuri JP, Irakiza JJ, Nyirahabimana N, Ng'ang'a L, Park PH, Ngoga G, et al.", "detail": "Availability, costs and stock-outs of essential NCD drugs in three rural Rwandan districts. Annals of Global Health 2020;86(1):123. DOI 10.5334/aogh.2729. Community-based health insurance (Mutuelle de Sante) enrolment and drug cost cover in districts supported by Partners In Health with the Ministry of Health. Concerns chronic disease medicines, not opioids.", "url": null, "doi": "10.5334/aogh.2729", "pmid": null, "accessed": null }, { "id": "60", "kind": "peer", "tier": 2, "year": "2022", "title": "Elias H, Dow LA, Boit J, Asirwa CF, Cornetta K.", "detail": "Developing palliative medicine as an accredited medical specialty in Kenya. JCO Global Oncology 2022;8:e2200025. DOI 10.1200/GO.22.00025. A higher diploma in palliative medicine for clinical officers at Moi Teaching and Referral Hospital College, recognition of palliative medicine as a specialty by the Clinical Officers Council, devolution making counties reluctant to release staff for training, and the national palliative care policy launched in October 2021.", "url": null, "doi": "10.1200/GO.22.00025", "pmid": null, "accessed": null }, { "id": "61", "kind": "peer", "tier": 2, "year": "2016", "title": "Ali Z.", "detail": "Kenya Hospices and Palliative Care Association: integrating palliative care in public hospitals in Kenya. ecancermedicalscience 2016;10:655. DOI 10.3332/ecancer.2016.655. A 2010 Ministry of Health circular directed provincial hospitals to establish palliative care units with the association; staff trained, patients served, morphine powder supplied through the national medical supplies agency, and extension to further county hospitals.", "url": null, "doi": "10.3332/ecancer.2016.655", "pmid": null, "accessed": null }, { "id": "62", "kind": "peer", "tier": 2, "year": "2023", "title": "Cartmell KB, Doherty EA, Gikaara N, Ali Z, Qanungo S, Melikam ES, Powell RA.", "detail": "Kenyan palliative care providers' and leaders' perceptions of palliative care research needs and support to facilitate rigorous research. BMC Palliative Care 2023;22:135. DOI 10.1186/s12904-023-01199-0. Focus groups held in 2018 describing high county-level variation after devolution and morphine distribution as a persistent problem.", "url": null, "doi": "10.1186/s12904-023-01199-0", "pmid": null, "accessed": null }, { "id": "63", "kind": "peer", "tier": 2, "year": "2024", "title": "Bastos F, Garralda E, Montero A, Rhee JY, Arias-Casais N, Luyirika E, et al.", "detail": "Comprehensive scoping review of palliative care development in Africa: recent advances and persistent gaps. Frontiers in Health Services 2024;4:1425353. DOI 10.3389/frhs.2024.1425353. Country tables covering literature from 2017 to 2023: service counts and ratios, countries where nurses may prescribe morphine, and national production of oral morphine solution.", "url": null, "doi": "10.3389/frhs.2024.1425353", "pmid": null, "accessed": null }, { "id": "64", "kind": "peer", "tier": 2, "year": "2017", "title": "Zubairi H, Tulshian P, Villegas S, Nelson BD, Ouma K, Burke TF.", "detail": "Assessment of palliative care services in western Kenya. Annals of Palliative Medicine 2017;6(2):153-158. DOI 10.21037/apm.2017.01.02. Abstract read. Key informant survey at facilities in Siaya County, 2015 to 2016.", "url": null, "doi": "10.21037/apm.2017.01.02", "pmid": null, "accessed": null }, { "id": "65", "kind": "peer", "tier": 2, "year": "2025", "title": "Olasinde T, Onyeka T, Adenipekun A, Otene S, Kajang V, Soyannwo O.", "detail": "Decoding the palliative care landscape in Nigeria: progress, challenges, and the road ahead. Palliative and Supportive Care 2025;23:e123. DOI 10.1017/S1478951525100321. Dates the National Policy and Strategic Plan for Hospice and Palliative Care to 2021; reports that the National Policy for Controlled Medicines allows community health officers and extension workers to prescribe controlled medicines at primary health centres where no doctor is present; palliative medicines outside the national health insurance benefit package; no dedicated national budget line; a palliative care fellowship through family medicine still in development.", "url": null, "doi": "10.1017/S1478951525100321", "pmid": null, "accessed": null }, { "id": "66", "kind": "peer", "tier": 2, "year": "2025", "title": "Ogbenna AA, Caputo M, Onyeka TC, et al.", "detail": "Organizational models and patient-reported outcomes for palliative care across five tertiary hospitals in Nigeria: an environmental scan. PLOS Global Public Health 2025;5(6):e0004638. DOI 10.1371/journal.pgph.0004638. Survey of five hospital palliative care units in Enugu, Ilorin, Lagos, Port Harcourt and Abeokuta in 2023; the national association, founded in 2007, had facilitated centres at tertiary institutions and emerging sites by 2016; dates the national hospice and palliative care policy to 2021.", "url": null, "doi": "10.1371/journal.pgph.0004638", "pmid": null, "accessed": null }, { "id": "67", "kind": "peer", "tier": 2, "year": "2019", "title": "Scholten WK, Christensen AE, Olesen AE, Drewes AM.", "detail": "Quantifying the adequacy of opioid analgesic consumption globally: an updated method and early findings. American Journal of Public Health 2019;109(1):52-57. DOI 10.2105/AJPH.2018.304753. Abstract read. Adequacy of Opioid Consumption index across eighteen controlled opioid medicines, with the 2015 extremes reported as Germany and Nigeria.", "url": null, "doi": "10.2105/AJPH.2018.304753", "pmid": null, "accessed": null }, { "id": "68", "kind": "peer", "tier": 2, "year": "2018", "title": "O'Brien M, Schwartz A, Plattner L.", "detail": "Treat the Pain program. Journal of Pain and Symptom Management 2018;55(2S):S135-S139. DOI 10.1016/j.jpainsymman.2017.03.033. Abstract read. The American Cancer Society programme partnered with governments including Nigeria to expand locally produced oral morphine solution.", "url": null, "doi": "10.1016/j.jpainsymman.2017.03.033", "pmid": null, "accessed": null }, { "id": "69", "kind": "peer", "tier": 2, "year": "2026", "title": "Prima A, Gayatri D, Afiyanti Y, Effendy C.", "detail": "Integrating palliative care into the Indonesia health system: a policy brief to enhance accessibility, quality, and sustainability. F1000Research 2026;14:1324. DOI 10.12688/f1000research.171110.2. Traces the move from a non-binding 2007 ministerial decree to a mandate under Law No. 17 of 2023 and a 2023 ministerial decree introducing community palliative homes; reports that Presidential Regulation No. 59 of 2024 defined no palliative benefits package, eligibility or tariff under national health insurance; describes services concentrated in a few cities and proposes a tiered model from primary health centres upward.", "url": null, "doi": "10.12688/f1000research.171110.2", "pmid": null, "accessed": null }, { "id": "70", "kind": "peer", "tier": 2, "year": "2020", "title": "Zin CS.", "detail": "Ten years of strong opioid analgesics consumption in Malaysia and other Southeast Asian countries. Journal of Pharmacy and Bioallied Sciences 2020;12(Suppl 2):S846-S851. DOI 10.4103/jpbs.JPBS_252_19. Strong opioid consumption from 2005 to 2014 in defined daily doses per 1,000 inhabitants per day, from Pain and Policy Studies Group data drawing on INCB reports; fentanyl, then pethidine, then morphine in Indonesia.", "url": null, "doi": "10.4103/jpbs.JPBS_252_19", "pmid": null, "accessed": null }, { "id": "71", "kind": "peer", "tier": 2, "year": "2023", "title": "Eng V, Sudoyo AW, Nuhonni SA, Hendrianto K.", "detail": "Indonesia's unique social system as key to successful implementation of community- and home-based palliative care. JCO Global Oncology 2023;9:e2200290. DOI 10.1200/GO.22.00290. The Indonesian Cancer Foundation network and training, the Jakarta primary health centre programme, Surabaya's city team from 1992, and the community health volunteer system; states that reporting is concentrated in Java and Sumatra cities.", "url": null, "doi": "10.1200/GO.22.00290", "pmid": null, "accessed": null }, { "id": "72", "kind": "peer", "tier": 2, "year": "2022", "title": "Effendy C, Silva JFDS, Padmawati RS.", "detail": "Identifying palliative care needs of patients with non-communicable diseases in Indonesia using the SPICT tool: a descriptive cross-sectional study. BMC Palliative Care 2022;21:13. DOI 10.1186/s12904-021-00881-5. Single hospital in Yogyakarta, 2019.", "url": null, "doi": "10.1186/s12904-021-00881-5", "pmid": null, "accessed": null }, { "id": "73", "kind": "peer", "tier": 2, "year": "2015", "title": "Setiabudy R, Irawan C, Sudoyo AW.", "detail": "Opioid use in cancer pain management in Indonesia: a call for attention. Acta Medica Indonesiana 2015;47(3):244-250. Abstract read. Attributes extremely low opioid use to poor pain assessment, dosing failure, fear of addiction and overly tight regulation.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "74", "kind": "peer", "tier": 2, "year": "2025", "title": "Nisahan B, Raviraj S, Navaratnam S, Nadarajah R.", "detail": "Physicians' views of the use of morphine in palliative care: a cross-sectional survey from a tertiary care centre in Northern Sri Lanka. BMC Research Notes 2025;18:165. DOI 10.1186/s13104-025-07247-7. Survey of physicians at Teaching Hospital Jaffna in 2024: share who had prescribed morphine, reasons for not prescribing, and views on the national regulations.", "url": null, "doi": "10.1186/s13104-025-07247-7", "pmid": null, "accessed": null }, { "id": "75", "kind": "peer", "tier": 2, "year": "2026", "title": "Senadheera L, Priyanthi N, Warnasekara J.", "detail": "The scope of public health nursing practice in Sri Lanka: a cross-sectional study. BMC Nursing 2026;25. DOI 10.1186/s12912-026-04398-1. National sample of public health nursing officers: palliative home visits, administration of prescribed analgesics including morphine, and national headcounts for public health nurses and midwives. States that these nurses are not legally permitted to prescribe.", "url": null, "doi": "10.1186/s12912-026-04398-1", "pmid": null, "accessed": null }, { "id": "76", "kind": "peer", "tier": 2, "year": "2026", "title": "Deduwela RS, Athauda LK, Sirribaddana PA.", "detail": "Patients' and healthcare providers' perceptions in outpatient palliative cancer care services at a tertiary care hospital in Sri Lanka: prospects for adoption of a digital health intervention. BMC Health Services Research 2026;26. DOI 10.1186/s12913-026-14528-9. Palliative outpatient clinic at the national cancer hospital; cites the National Strategic Framework for Palliative Care Development 2019 to 2023 and describes travel cost and lost income as the burden on patients and families.", "url": null, "doi": "10.1186/s12913-026-14528-9", "pmid": null, "accessed": null }, { "id": "77", "kind": "peer", "tier": 2, "year": "2021", "title": "Jayarajah U, Abeygunasekera AM.", "detail": "Cancer services in Sri Lanka: current status and future directions. Journal of the Egyptian National Cancer Institute 2021;33:13. DOI 10.1186/s43046-021-00070-8. The state sector provides free universal care and most inpatient care; oral morphine described as restricted for fear of abuse.", "url": null, "doi": "10.1186/s43046-021-00070-8", "pmid": null, "accessed": null }, { "id": "78", "kind": "peer", "tier": 2, "year": "2019", "title": "Fernando GVMC, Prathapan S.", "detail": "What do young doctors know of palliative care; how do they expect the concept to work? BMC Research Notes 2019;12:419. DOI 10.1186/s13104-019-4462-2. National survey of the 2017 graduating cohort; reports no registered academic palliative care departments, specialists or programmes in any medical school.", "url": null, "doi": "10.1186/s13104-019-4462-2", "pmid": null, "accessed": null }, { "id": "79", "kind": "peer", "tier": 2, "year": "2026", "title": "Monzon-Llamas L, Carpen T, Hamzah E, Wang Y, Corvera R, Bausa-Claudio AB, Kim S, Centeno C.", "detail": "How national laws enhance palliative care integration: lessons from the Philippines, South Korea, and Taiwan. Journal of Global Health 2026;16:04230. DOI 10.7189/jogh.16.04230. Legal document analysis to April 2025. No standalone hospice and palliative care act has been enacted; the bill drafted in 2015 passed the lower house and stalled in the Senate. Palliative provisions sit in the Universal Health Care Act and the National Integrated Cancer Control Act of 2019, with a Department of Health administrative order and a 2021 manual of operations. Reports restrictive drug enforcement rules, too few licensed prescribers and fragmented financing, and that few medical schools require palliative care as a core subject.", "url": null, "doi": "10.7189/jogh.16.04230", "pmid": null, "accessed": null }, { "id": "80", "kind": "peer", "tier": 2, "year": "2022", "title": "Eala MAB, Maslog EAS, Dee EC, Ting FIL, Toral JAB, Dofitas RB, Co HCS, Canal JPA.", "detail": "Geographic distribution of cancer care providers in the Philippines. JCO Global Oncology 2022;8:e2200138. DOI 10.1200/GO.22.00138. Specialty society rosters matched to regional population: hospice and palliative medicine specialists, their density, regions with none, and residency programmes.", "url": null, "doi": "10.1200/GO.22.00138", "pmid": null, "accessed": null }, { "id": "81", "kind": "peer", "tier": 2, "year": "2026", "title": "Sabeniano MR, Gaw KC, Umali MJPS.", "detail": "Geographic distribution of hospice and palliative medicine specialists and services in the Philippines. Journal of Palliative Care 2026;41(4):369-376. DOI 10.1177/08258597261469748. Abstract read. Survey of society fellows in 2025: active specialists, density, and the regions and provinces with none.", "url": null, "doi": "10.1177/08258597261469748", "pmid": null, "accessed": null }, { "id": "82", "kind": "peer", "tier": 2, "year": "2024", "title": "Andres EB, Yo V, Balasubramanian I, Poco L, Ozdemir S, Manalo MF, et al.", "detail": "Opioid access among advanced cancer patients in low- and middle-income countries in Asia. Journal of Pain and Symptom Management 2024;68(4):352-359. DOI 10.1016/j.jpainsymman.2024.06.020. Abstract read. Seven-country study including a Philippine site: longer prescription validity and more physician palliative training were associated with patient opioid access.", "url": null, "doi": "10.1016/j.jpainsymman.2024.06.020", "pmid": null, "accessed": null }, { "id": "83", "kind": "peer", "tier": 2, "year": "2025", "title": "Corpuz JCG.", "detail": "Palliative care and sustainable development in the Philippines: learning from Kerala's community model. Palliative Care and Social Practice 2025;19:26323524251363270. DOI 10.1177/26323524251363270. Letter. Palliative and hospice care was formally integrated across the health system in 2021, but access remains fragmented and concentrated in urban hospital settings.", "url": null, "doi": "10.1177/26323524251363270", "pmid": null, "accessed": null }, { "id": "84", "kind": "peer", "tier": 2, "year": "2023", "title": "Sanchez-Cardenas MA, Aguilar-Obregon L, Bernal-Tovar M, Gomez-Serrano K, Rubiano-Albarracin A, Tarazona-Alvarez M, Vanegas-Gutierrez D, Fuentes-Bermudez GP.", "detail": "Politica publica en cuidados paliativos y sus implicaciones sobre servicios, opioides y educacion en Colombia. Revista Cuidarte 2023;14(2):e02. DOI 10.15649/cuidarte.2501. Mixed-methods evaluation of the 2014 palliative care law across 2010, 2014 and 2019: registered palliative and pain services, opioid consumption in morphine equivalent per person drawn from Fondo Nacional de Estupefacientes reporting, departments with no service, schools teaching palliative care, and interviews with palliative care professionals describing insurer barriers and training concentrated in two cities.", "url": null, "doi": "10.15649/cuidarte.2501", "pmid": null, "accessed": null }, { "id": "85", "kind": "peer", "tier": 2, "year": "2022", "title": "Pastrana T, De Lima L, Knaul F, Arreola-Ornelas H, Rodriguez NM.", "detail": "How universal is palliative care in Colombia? A health policy and systems analysis. Journal of Pain and Symptom Management 2022;63(1):e124-e133. DOI 10.1016/j.jpainsymman.2021.07.007. Abstract read. Describes Colombia as the first Latin American country to accredit palliative medicine as a specialty, and too few services for the estimated adult need.", "url": null, "doi": "10.1016/j.jpainsymman.2021.07.007", "pmid": null, "accessed": null }, { "id": "86", "kind": "peer", "tier": 2, "year": "2022", "title": "Valladales-Restrepo LF, Rubio-Londono S, Poveda-Martinez LF, Machado-Alba JE.", "detail": "Prescribing pattern of analgesics in Colombia. Are there differences between capital cities and municipalities? A cross-sectional study. Drugs - Real World Outcomes 2022;9(3):487-501. DOI 10.1007/s40801-022-00318-2. Dispensing database covering contributory and subsidised regime affiliates in 2020; opioid dispensing more likely in capital cities; medicines in the benefit plan dispensed at no cost beyond a small co-payment.", "url": null, "doi": "10.1007/s40801-022-00318-2", "pmid": null, "accessed": null }, { "id": "87", "kind": "peer", "tier": 2, "year": "2024", "title": "Hamdoune M, Jounaidi K, Ghafili A, Gantare A.", "detail": "A general overview of palliative care in Morocco: needs far beyond means. Journal of Palliative Care 2024;39(4):266-270. DOI 10.1177/08258597241278399. Abstract read. Describes an almost complete scarcity of laws and regulations specific to palliative care.", "url": null, "doi": "10.1177/08258597241278399", "pmid": null, "accessed": null }, { "id": "88", "kind": "peer", "tier": 2, "year": "2025", "title": "AlMarri AS, Eltayeb NS.", "detail": "Physicians' knowledge and barriers to opioid prescribing for cancer pain at a tertiary hospital in the Eastern Province, Saudi Arabia: a cross-sectional study. Acta Informatica Medica 2025;33(3):237-242. DOI 10.5455/aim.2025.33.237-242. Survey of physicians in 2025 on access to Raqeeb, the Ministry of Health platform that records narcotic prescribing and dispensing, alongside the Saudi Food and Drug Authority controlled drugs system; excessive regulation and lack of training reported as system barriers.", "url": null, "doi": "10.5455/aim.2025.33.237-242", "pmid": null, "accessed": null }, { "id": "89", "kind": "peer", "tier": 2, "year": "2026", "title": "Eid T, Alyahya NM, Alodhailah AM, Almutairy BM, Alshaibany FF, Alshehri WM.", "detail": "Economic disparities in palliative care utilization among cancer patients in Saudi Arabia: a socioeconomic stratification analysis. Current Oncology 2026;33(4). DOI 10.3390/curroncol33040218. Cancer patients in Riyadh stratified by income; access concentrated in central tertiary settings.", "url": null, "doi": "10.3390/curroncol33040218", "pmid": null, "accessed": null }, { "id": "90", "kind": "peer", "tier": 2, "year": "2011", "title": "Alsirafy SA, El-Mesidi SM, El-Sherief WA, Galal KM, Abou-Elela EN, Aklan NA.", "detail": "Opioid needs of patients with advanced cancer and the morphine dose-limiting law in Egypt. Journal of Palliative Medicine 2011;14(1):51-54. DOI 10.1089/jpm.2010.0220. Abstract read. Record review at the first palliative care unit in Egypt: the narcotics control law caps the morphine in a single prescription, and a single weekly prescription would adequately supply only a minority of patients needing strong opioids.", "url": null, "doi": "10.1089/jpm.2010.0220", "pmid": null, "accessed": null }, { "id": "91", "kind": "peer", "tier": 2, "year": "2024", "title": "Osman A, Horvick SG, Dias N.", "detail": "Health care providers' perspectives on the need for palliative care in Upper Egypt: a descriptive exploratory study including children and adult patients. BMC Palliative Care 2024;23:152. DOI 10.1186/s12904-024-01469-5. Survey of nurses and physicians at an oncology centre in Qena Governorate; four recognised palliative care centres nationally, all in Cairo; no institutional end-of-life policy at the study site.", "url": null, "doi": "10.1186/s12904-024-01469-5", "pmid": null, "accessed": null }, { "id": "92", "kind": "peer", "tier": 2, "year": "2021", "title": "Khaled HM, Soliman AS.", "detail": "Medical oncology education in Egypt over the past 50 years: the experience of the National Cancer Institute of Cairo University. Journal of Cancer Education 2021;36(Suppl 1):87-94. DOI 10.1007/s13187-021-02038-7. Oncology training capacity: oncology departments in every public university and ministry oncology centres in the provinces.", "url": null, "doi": "10.1007/s13187-021-02038-7", "pmid": null, "accessed": null }, { "id": "93", "kind": "peer", "tier": 2, "year": "2007", "title": "Davaasuren O, Stjernsward J, Callaway M, Tsetsegdary G, Hagan R, Govind S, et al.", "detail": "Mongolia: establishing a national palliative care program. Journal of Pain and Symptom Management 2007;33(5):568-572. DOI 10.1016/j.jpainsymman.2007.02.017. Abstract read. Generic low-cost opioids made available, prescription regulations changed to allow opioid use according to good medical practice, and palliative care education added to undergraduate curricula for doctors, nurses and social workers, with postgraduate training begun.", "url": null, "doi": "10.1016/j.jpainsymman.2007.02.017", "pmid": null, "accessed": null }, { "id": "94", "kind": "peer", "tier": 2, "year": "2018", "title": "Davaasuren O, Ferris FD.", "detail": "Palliative care development in Mongolia. Journal of Pain and Symptom Management 2018;55(2S):S59-S66. DOI 10.1016/j.jpainsymman.2017.02.022. Abstract read. Development began in 2000 with a national society and a palliative care department; palliative care written into the Health Law, Health Insurance Law and Social Welfare Law and national cancer and NCD programmes; hospice units and beds in the capital and in every district and province; a domestic manufacturer producing morphine and other opioids; essential palliative drugs available since 2015.", "url": null, "doi": "10.1016/j.jpainsymman.2017.02.022", "pmid": "28797863", "accessed": "2026-09-25" }, { "id": "95", "kind": "peer", "tier": 2, "year": "2021", "title": "Goodman-Meza D, Friedman J, Kalmin MM, Aguilar-Posada E, Seamans MJ, Velazquez-Moreno S, et al.", "detail": "Geographical and socioeconomic disparities in opioid access in Mexico, 2015-19: a retrospective analysis of surveillance data. Lancet Public Health 2021;6(2):e88-e96. DOI 10.1016/S2468-2667(20)30260-7. National dispensing surveillance data from the federal health regulator, 2015 to 2019. Describes the 2015 reform: an electronic system for obtaining prescriptions and tracking dispensing, a QR code on prescriptions, a shorter wait, and a higher per-provider prescription limit; Seguro Popular adding opioid coverage; dispensing rates and their disparities by state socioeconomic status.", "url": null, "doi": "10.1016/S2468-2667(20)30260-7", "pmid": null, "accessed": null }, { "id": "96", "kind": "peer", "tier": 2, "year": "2021", "title": "Pastrana T, De Lima L, Stoltenberg M, Peters H.", "detail": "Palliative medicine specialization in Latin America: a comparative analysis. Journal of Pain and Symptom Management 2021;62(5):960-967. DOI 10.1016/j.jpainsymman.2021.04.014. Abstract read. Mexico is among the Latin American countries reporting palliative medicine as a medical specialty.", "url": null, "doi": "10.1016/j.jpainsymman.2021.04.014", "pmid": null, "accessed": null }, { "id": "97", "kind": "peer", "tier": 2, "year": "2023", "title": "Knaul FM, Arreola-Ornelas H, Touchton M, McDonald T, Blofield M, Avila Burgos L, et al.", "detail": "Setbacks in the quest for universal health coverage in Mexico: polarised politics, policy upheaval, and pandemic disruption. Lancet 2023;402(10403):731-746. DOI 10.1016/S0140-6736(23)00777-8. Abstract read. Closure of Seguro Popular in 2020 and the disruption that followed.", "url": null, "doi": "10.1016/S0140-6736(23)00777-8", "pmid": null, "accessed": null }, { "id": "98", "kind": "peer", "tier": 2, "year": "2023", "title": "Nikoo M, Kianpoor K, Nikoo N, Javidanbardan S, Kazemi A, Choi F, et al.", "detail": "Opium tincture versus methadone for opioid agonist treatment: a randomized controlled trial. Addiction 2023;118(2):284-294. DOI 10.1111/add.16030. Abstract read. Four-clinic trial in Iran comparing domestically produced oral opium tincture with methadone for opioid use disorder.", "url": null, "doi": "10.1111/add.16030", "pmid": null, "accessed": null }, { "id": "99", "kind": "peer", "tier": 2, "year": "2021", "title": "Noroozi A, Kebriaeezadeh A, Mirrahimi B, Armoon B, Ahounbar E, Narenjiha H, et al.", "detail": "Opium tincture-assisted treatment for opioid use disorder: a systematic review. Journal of Substance Abuse Treatment 2021;129:108519. DOI 10.1016/j.jsat.2021.108519. Abstract read. Opium tincture is approved in Iran for treating opioid use disorder.", "url": null, "doi": "10.1016/j.jsat.2021.108519", "pmid": null, "accessed": null }, { "id": "100", "kind": "peer", "tier": 2, "year": "2014", "title": "Hartwig K, Dean M, Hartwig K, Mmbando PZ, Sayed A, de Vries E.", "detail": "Where there is no morphine: the challenge and hope of palliative care delivery in Tanzania. African Journal of Primary Health Care and Family Medicine 2014;6(1):E1-8. DOI 10.4102/phcfm.v6i1.549. A church hospital network's palliative programme across rural hospitals; morphine dispensing licensed hospital by hospital through the Tanzania Food and Drug Authority; nurses trained in morphine delivery but gated by facility licences and pharmacy restrictions; counts of licensed facilities from 2010 to 2012. Full text read.", "url": null, "doi": "10.4102/phcfm.v6i1.549", "pmid": null, "accessed": null }, { "id": "101", "kind": "peer", "tier": 2, "year": "2022", "title": "Luyirika E, Lohman D, Ali Z, Atieno M, Mahenge A, Mmbando P, et al.", "detail": "Progress update: palliative care development between 2017 and 2020 in five African countries. Journal of Pain and Symptom Management 2022;63(5):729-736. DOI 10.1016/j.jpainsymman.2021.12.026. Abstract read. Tanzania's government had not yet committed to publicly funded palliative care as of 2021.", "url": null, "doi": "10.1016/j.jpainsymman.2021.12.026", "pmid": null, "accessed": null }, { "id": "102", "kind": "peer", "tier": 2, "year": "2017", "title": "Rhee JY, Garralda E, Torrado C, Blanco S, Ayala I, Namisango E, et al.", "detail": "Palliative care in Africa: a scoping review from 2005-16. Lancet Oncology 2017;18(9):e522-e531. DOI 10.1016/S1470-2045(17)30420-5. Abstract read. Standalone palliative care policies in six countries including Tanzania; postgraduate palliative care diplomas available in Kenya, South Africa, Uganda and Tanzania.", "url": null, "doi": "10.1016/S1470-2045(17)30420-5", "pmid": null, "accessed": null }, { "id": "103", "kind": "peer", "tier": 2, "year": "2023", "title": "Palumbo N, Tilly A, Namisango E, Ntizimira C, Thambo L, Chikasema M, Rodin G.", "detail": "Palliative care in Malawi: a scoping review. BMC Palliative Care 2023;22(1):146. DOI 10.1186/s12904-023-01264-8. National policy of 2014; opioid barriers identified in 2013 and the Narcotics Act of 1957 reportedly unamended; nurse prescribing only in emergencies under an informal Ministry of Health agreement despite endorsement by the medical and nursing councils; morphine consumption for 2009 and 2013; central procurement and continuing stockouts; an accredited five-day introductory course from 2006 and a Bachelor of Science in Palliative Care from 2018. Full text read.", "url": null, "doi": "10.1186/s12904-023-01264-8", "pmid": null, "accessed": null }, { "id": "104", "kind": "peer", "tier": 2, "year": "2024", "title": "Kiyange F, Atieno M, Luyirika EBK, Ali Z, Musau H, Thambo L, et al.", "detail": "Measuring palliative care integration in Malawi through service provision, access, and training indicators: the Waterloo Coalition Initiative. BMC Palliative Care 2024;23(1):17. DOI 10.1186/s12904-023-01331-0. Thirteen hospitals and health centres in the southern region: staff trained, services established, patients on morphine and referrals, against baseline. Full text read.", "url": null, "doi": "10.1186/s12904-023-01331-0", "pmid": null, "accessed": null }, { "id": "105", "kind": "peer", "tier": 2, "year": "2017", "title": "Mukhula V, Sibale D, Tarmahomed L, Dzamalala C, Msyamboza K, Chasimpha S.", "detail": "Characterising cancer burden and quality of care at two palliative care clinics in Malawi. Malawi Medical Journal 2017;29(2):130-135. DOI 10.4314/mmj.v29i2.10. Clinics at Queen Elizabeth Central Hospital and Mzuzu Central Hospital provide services free of charge. Full text read.", "url": null, "doi": "10.4314/mmj.v29i2.10", "pmid": null, "accessed": null }, { "id": "106", "kind": "peer", "tier": 2, "year": "2023", "title": "Perez-Cruz PE, Undurraga E, Arreola-Ornelas H, Corsi O, Jiang Kwete XX, Krakauer EL, et al.", "detail": "Bridging gaps to universal palliative care access in Chile: serious health-related suffering and the cost of expanding the package of care services. Lancet Regional Health - Americas 2023;19:100425. DOI 10.1016/j.lana.2022.100425. Palliative care access in 2019 under the explicit health guarantee for advanced cancer, the coverage gap concentrated in non-cancer conditions, the modelled cost of extending the essential package to all in need, and the 2021 universal palliative care law. Full text read.", "url": null, "doi": "10.1016/j.lana.2022.100425", "pmid": null, "accessed": null }, { "id": "107", "kind": "peer", "tier": 2, "year": "2025", "title": "Palma A, Perez-Cruz PE, Pettus K, Pastrana T.", "detail": "Opioid use in Latin America: a vital challenge for health systems. Journal of Global Health 2025;15:03030. DOI 10.7189/jogh.15.03030. Response to a warning about rising Chilean opioid use: distributed opioids in morphine equivalent against palliative need, and national drug survey prevalence of non-medical opioid use in 2002, 2018 and 2022 to 2023. Full text read.", "url": null, "doi": "10.7189/jogh.15.03030", "pmid": null, "accessed": null }, { "id": "108", "kind": "peer", "tier": 2, "year": "2024", "title": "Leon PJ, Altermatt FR, Vega EA, Elgueta MF, Leniz J.", "detail": "Opioid use in Latin America: chronicle of a death foretold? Journal of Global Health 2024;14:03040. DOI 10.7189/jogh.14.03040. INCB-derived consumption for Chile, the highest in Latin America, and an eightfold rise since 2000, framed as an early warning. Full text read.", "url": null, "doi": "10.7189/jogh.14.03040", "pmid": null, "accessed": null }, { "id": "109", "kind": "peer", "tier": 2, "year": "2019", "title": "Vargas V, Leopold C, Castillo-Riquelme M, Darrow JJ.", "detail": "Expanding coverage of oncology drugs in an aging, upper-middle-income country: analyses of public and private expenditures in Chile. Journal of Global Oncology 2019;5:1-17. DOI 10.1200/JGO.19.00223. The explicit guarantees programme from 2005 covering cancer types with associated palliative care; the public insurer covers most of the population; central public procurement contained drug price growth better than private insurers. Full text read.", "url": null, "doi": "10.1200/JGO.19.00223", "pmid": null, "accessed": null }, { "id": "110", "kind": "peer", "tier": 2, "year": "2022", "title": "Gallastegui-Brana A, Parra-Giordano D, Perez-Cruz P.", "detail": "Training in palliative care in nursing and medical schools in Chile [translated title]. Revista Medica de Chile 2022;150(4):541-548. DOI 10.4067/S0034-98872022000400541. Abstract read. Gaps in mandatory palliative care hours and teaching methods, linked to a shortage of qualified faculty.", "url": null, "doi": "10.4067/S0034-98872022000400541", "pmid": null, "accessed": null }, { "id": "111", "kind": "peer", "tier": 2, "year": "2014", "title": "Thongkhamcharoen R, Phungrassami T, Atthakul N.", "detail": "Regulation of opioid drugs in Thai government hospitals: Thailand national survey 2012. Indian Journal of Palliative Care 2014;20(1):6-11. DOI 10.4103/0973-1075.125548. Survey of government hospitals in 2012: a 2006 ministerial notification raising the opioids a hospital may hold; physicians prescribing oral morphine on their own judgement without registration; hospital-level rules on special forms, amounts, nurse prescribing and caregiver collection; oral morphine dispensed only at hospital pharmacies; immediate-release oral morphine produced by the Government Pharmaceutical Organization and endorsed by the Thai FDA since 2010. Full text read.", "url": null, "doi": "10.4103/0973-1075.125548", "pmid": null, "accessed": null }, { "id": "112", "kind": "peer", "tier": 2, "year": "2013", "title": "Phungrassami T, Thongkhamcharoen R, Atthakul N.", "detail": "Palliative care personnel and services: a national survey in Thailand 2012. Journal of Palliative Care 2013;29(3):133-139. Abstract read. Share of government hospitals with trained palliative staff and services.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "113", "kind": "peer", "tier": 2, "year": "2013", "title": "Srisawang P, Harun-Or-Rashid M, Hirosawa T, Sakamoto J.", "detail": "Knowledge, attitudes and barriers of physicians, policy makers/regulators regarding use of opioids for cancer pain management in Thailand. Nagoya Journal of Medical Science 2013;75(3-4):201-212. Morphine consumption per person from 1999 to 2010, and knowledge and attitude gaps among physicians and narcotics regulators in 2011. Full text read.", "url": null, "doi": null, "pmid": null, "accessed": null }, { "id": "114", "kind": "peer", "tier": 2, "year": "2019", "title": "Sumriddetchkajorn K, Shimazaki K, Ono T, Kusaba T, Sato K, Kobayashi N.", "detail": "Universal health coverage and primary care, Thailand. Bulletin of the World Health Organization 2019;97(6):415-422. DOI 10.2471/BLT.18.223693. The Universal Coverage Scheme launched in 2002 under the National Health Security Office. Full text read.", "url": null, "doi": "10.2471/BLT.18.223693", "pmid": null, "accessed": null }, { "id": "115", "kind": "peer", "tier": 2, "year": "2018", "title": "Kitreerawutiwong N, Mekrungrengwong S, Keeratisiroj O.", "detail": "The development of the community-based palliative care model in a district health system, Phitsanulok Province, Thailand. Indian Journal of Palliative Care 2018;24(4):436-445. DOI 10.4103/IJPC.IJPC_34_18. The 2014 Ministry of Public Health palliative care policy and National Health Security Office funding of district health system palliative networks from 2015. Full text read.", "url": null, "doi": "10.4103/IJPC.IJPC_34_18", "pmid": null, "accessed": null }, { "id": "116", "kind": "peer", "tier": 2, "year": "2026", "title": "Tonboot S, Singkheaw P, Raksasataya A, Poonpipat N, Phrawong S, Rintra W, et al.", "detail": "Community caregivers and innovative financing: a qualitative analysis of Thailand's Ubolratana Hospital model using the consolidated framework for implementation research. Health Policy and Planning 2026;41(8):1375-1387. DOI 10.1093/heapol/czag091. A single hospital's community caregiver programme with blended public and philanthropic funding, an extended training curriculum including palliative care, and scale-up since 2020. Full text read.", "url": null, "doi": "10.1093/heapol/czag091", "pmid": null, "accessed": null }, { "id": "117", "kind": "peer", "tier": 2, "year": "2026", "title": "Mitra S, Sarkar AK.", "detail": "Assessment of training need for National Program for Palliative Care and digital legacy planning among medical officers of an eastern state of India. Indian Journal of Palliative Care 2026;32(1):60-64. DOI 10.25259/IJPC_86_2025. The national programme launched in 2012 and trains district medical officers through a cascade model; West Bengal began phased rollout only in 2017 to 2018; substantial unmet training need after a training day. Full text read.", "url": null, "doi": "10.25259/IJPC_86_2025", "pmid": null, "accessed": null }, { "id": "118", "kind": "peer", "tier": 2, "year": "2024", "title": "Atreya S, Butola S, Bhatnagar S, Kumar D, Muckaden M, Kuraikose J, et al.", "detail": "Integration of palliative care into primary care: a collaborative effort between the Indian Association of Palliative Care and the Indian Association of Preventive and Social Medicine. Indian Journal of Community Medicine 2024;49(Suppl 2):S234-S239. DOI 10.4103/ijcm.ijcm_858_24. Position paper: poor allocation and use of government funds for palliative care, and little insurance cover for home and outpatient palliative care. Full text read.", "url": null, "doi": "10.4103/ijcm.ijcm_858_24", "pmid": null, "accessed": null }, { "id": "119", "kind": "peer", "tier": 2, "year": "2025", "title": "Bouothmani A, Gutierrez R, Lamrous A, Burza S, Maixenchs M, Richardson K.", "detail": "Access to opioids for palliative care in humanitarian settings: two case studies of Medecins Sans Frontieres experience in India and Bangladesh. BMC Palliative Care 2025;24(1):90. DOI 10.1186/s12904-025-01673-x. Interviews on a project in Patna, Bihar, 2020 to 2022: limited availability, burdensome regulatory processes, dispensing confined to hospital pharmacies in several states, and lack of prescriber training. Full text read.", "url": null, "doi": "10.1186/s12904-025-01673-x", "pmid": null, "accessed": null }, { "id": "120", "kind": "peer", "tier": 2, "year": "2025", "title": "Gore S, Mhamane S, Jadhav S, Padvi N, Mhatre A, Joshi P, et al.", "detail": "Implementation challenges of government-funded health schemes for cancer treatment at Tata Memorial Centre. Journal of Cancer Policy 2025;43:100564. DOI 10.1016/j.jcpo.2025.100564. Abstract read. Low beneficiary awareness of the national insurance scheme and a call to add supportive and palliative care to benefit packages.", "url": null, "doi": "10.1016/j.jcpo.2025.100564", "pmid": null, "accessed": null }, { "id": "121", "kind": "peer", "tier": 2, "year": "2020", "title": "Lijimol AS, Krishnan A, Rajagopal MR, Gopal BK, Booth CM.", "detail": "Improving access and quality of palliative care in Kerala: a cross-sectional study of providers in routine practice. Indian Journal of Palliative Care 2020;26(4):500-505. DOI 10.4103/IJPC.IJPC_17_20. Telephone survey of government and non-government palliative care providers in Kerala: trained physicians, pain documentation, and ability to prescribe oral morphine. Abstract read.", "url": null, "doi": "10.4103/IJPC.IJPC_17_20", "pmid": null, "accessed": null }, { "id": "122", "kind": "peer", "tier": 2, "year": "2023", "title": "Panda SK, Panda D, Behera RR, Panda SC, Munda A, Sahu PR.", "detail": "Assessment of functioning of health and wellness centers of Western Odisha: a cross-sectional study. Cureus 2023;15(4):e37665. DOI 10.7759/cureus.37665. Palliative care services inadequate at the primary care centres studied. Full text read.", "url": null, "doi": "10.7759/cureus.37665", "pmid": null, "accessed": null }, { "id": "123", "kind": "peer", "tier": 2, "year": "2007", "title": "Kumar SK.", "detail": "Kerala, India: a regional community-based palliative care model. Journal of Pain and Symptom Management 2007;33(5):623-627. DOI 10.1016/j.jpainsymman.2007.02.005. Abstract read. The Neighbourhood Network in Palliative Care as a community-owned network of units in north Kerala.", "url": null, "doi": "10.1016/j.jpainsymman.2007.02.005", "pmid": null, "accessed": null }, { "id": "124", "kind": "peer", "tier": 2, "year": "2022", "title": "Banerjee D.", "detail": "Culture, communication and community in palliative cancer care: a view from India. ecancermedicalscience 2022;16:ed120. DOI 10.3332/ecancer.2022.ed120. Kerala's network built on the 1996 decentralisation reforms, and a 2008 count of palliative care delivery points nationally, most of them in Kerala. Full text read.", "url": null, "doi": "10.3332/ecancer.2022.ed120", "pmid": null, "accessed": null }, { "id": "125", "kind": "peer", "tier": 2, "year": "2025", "title": "Chaudhary SR, Thomas A.", "detail": "Palliative care models in primary health care system of India: a scoping review. BMC Palliative Care 2025;24(1):221. DOI 10.1186/s12904-025-01859-3. Replication of Kerala's local government-led governance elsewhere in India has faced hurdles of administrative capacity, political will and community participation. Full text read.", "url": null, "doi": "10.1186/s12904-025-01859-3", "pmid": null, "accessed": null }, { "id": "126", "kind": "peer", "tier": 2, "year": "2024", "title": "Kochuvilayil A, Varma RP.", "detail": "Understanding caregiver burden and quality of life in Kerala's primary palliative care program: a mixed methods study from caregivers and providers' perspectives. International Journal for Equity in Health 2024;23(1):92. DOI 10.1186/s12939-024-02155-x. Local governments fund the palliative care nurse's wages, travel, equipment and home-care drugs from their annual budgets, with community donations as top-up; older caregivers carry a heavy burden without systematic support. Full text read.", "url": null, "doi": "10.1186/s12939-024-02155-x", "pmid": null, "accessed": null }, { "id": "127", "kind": "peer", "tier": 2, "year": "2025", "title": "John A, Varughese CS, Vijayan V, Thomas N, Viswan L, Varghese CG, et al.", "detail": "Voices from homes: a mixed methods study on gaps in palliative care for patients and their families in rural Alappuzha, Kerala. International Journal for Quality in Health Care 2025;37(3). DOI 10.1093/intqhc/mzaf079. Infrequent visits, volunteer shortages and weak intersectoral coordination in two rural wards. Full text read.", "url": null, "doi": "10.1093/intqhc/mzaf079", "pmid": null, "accessed": null }, { "id": "128", "kind": "peer", "tier": 2, "year": "2015", "title": "Singh T, Harding R.", "detail": "Palliative care in South Asia: a systematic review of the evidence for care models, interventions, and outcomes. BMC Research Notes 2015;8:172. DOI 10.1186/s13104-015-1102-3. Most South Asian evidence comes from in and around Kerala, a state with among the highest literacy in India. Full text read.", "url": null, "doi": "10.1186/s13104-015-1102-3", "pmid": null, "accessed": null }, { "id": "129", "kind": "peer", "tier": 2, "year": "2018", "title": "Gendari AH, Ameen HA, Ramzi ZS, Amin AF, Mohammed SA, Majeed SS, et al.", "detail": "Geriatric radiotherapy in a war-torn country: experience from Iraq. Journal of Geriatric Oncology 2018;9(4):346-351. DOI 10.1016/j.jgo.2018.03.006. Abstract read. Records of older patients at the only radiotherapy centre in Sulaimani, Kurdistan Region, in 2015: share treated with palliative intent, wait from referral to palliative treatment, and refusals among patients living far from the centre.", "url": null, "doi": "10.1016/j.jgo.2018.03.006", "pmid": null, "accessed": null }, { "id": "130", "kind": "peer", "tier": 2, "year": "2026", "title": "Arendse JO, Zweigenthal V, Gwyther L.", "detail": "Integration of palliative care into South Africa's health system: a before and after implementation study. Health SA Gesondheid 2026;31:3242. DOI 10.4102/hsag.v31i0.3242. Implementation of the 2017 National Policy Framework and Strategy for Palliative Care in the Cape Metro District, 2019 against 2021: training of district health professionals, NGO intermediate care beds funded by the provincial department, referrals; cites national morphine consumption and access figures from secondary sources. Full text read.", "url": null, "doi": "10.4102/hsag.v31i0.3242", "pmid": null, "accessed": null }, { "id": "131", "kind": "peer", "tier": 2, "year": "2025", "title": "Pilime S, Ratshikana M, Ojifinni O, Ibisomi L.", "detail": "Barriers to and enablers of availability and integration of palliative care into routine services at Charlotte Maxeke Johannesburg Academic Hospital, South Africa. BMC Palliative Care 2025;24(1):155. DOI 10.1186/s12904-025-01778-3. The hospital's palliative unit runs on a foundation grant with no provincial or hospital budget line, and an earlier project collapsed through over-reliance on donors. Full text read.", "url": null, "doi": "10.1186/s12904-025-01778-3", "pmid": null, "accessed": null }, { "id": "132", "kind": "peer", "tier": 2, "year": "2024", "title": "Crowley T, Gray AL, Geyer N.", "detail": "Nurse prescribing and dispensing in South Africa: gaps in the current legislative framework. Health SA Gesondheid 2024;29:2582. DOI 10.4102/hsag.v29i0.2582. Section 56 of the Nursing Act and section 22A of the Medicines Act; a 1984 regulation still in force limits nurse prescribing to Schedules 0 to 4, excluding Schedules 5 and 6, which include morphine. Full text read.", "url": null, "doi": "10.4102/hsag.v29i0.2582", "pmid": null, "accessed": null }, { "id": "133", "kind": "peer", "tier": 2, "year": "2018", "title": "Drenth C, Sithole Z, Pudule E, Wust S, GunnClark N, Gwyther L.", "detail": "Palliative care in South Africa. Journal of Pain and Symptom Management 2018;55(2S):S170-S177. DOI 10.1016/j.jpainsymman.2017.04.024. Abstract read. The Hospice Palliative Care Association of South Africa, founded in 1987, and its mentorship of accredited hospice services.", "url": null, "doi": "10.1016/j.jpainsymman.2017.04.024", "pmid": null, "accessed": null }, { "id": "134", "kind": "peer", "tier": 2, "year": "2023", "title": "Fentie AM, Belete A, Selam MN.", "detail": "Challenges of access to oral morphine medicine: palliative care at a crossroads for cancer patients in Ethiopia. Journal of Pain Research 2023;16:1829-1833. DOI 10.2147/JPR.S410944. A 2009 technical working group of the health ministry, supply agency, regulator and industry; local oral morphine syrup produced from 2009 until the manufacturer stopped in 2012; stock ran out by 2014; imports insufficient; expansion of cancer care to many oncology centres. Full text read.", "url": null, "doi": "10.2147/JPR.S410944", "pmid": null, "accessed": null }, { "id": "135", "kind": "peer", "tier": 2, "year": "2023", "title": "Aregay A, O'Connor M, Stow J, Ayers N, Lee S.", "detail": "Perceptions of barriers to using opioid analgesics: a mixed methods study. Palliative Medicine Reports 2023;4(1):249-256. DOI 10.1089/pmr.2023.0021. Survey and interviews with nurses in one region in 2018: only physicians may prescribe morphine, even where no physician is present, in contrast to Uganda and Tanzania. Full text read.", "url": null, "doi": "10.1089/pmr.2023.0021", "pmid": null, "accessed": null }, { "id": "136", "kind": "peer", "tier": 2, "year": "2023", "title": "Aregay A, O'Connor M, Stow J, Ayers N, Lee S.", "detail": "Perceived policy-related barriers to palliative care implementation: a qualitative descriptive study. Palliative Care and Social Practice 2023;17:26323524231198542. DOI 10.1177/26323524231198542. A national palliative care guideline, palliative care as a pillar of the health sector transformation plan, a target of palliative care in half of public facilities by 2020, and front-line staff unaware of the guideline. Full text read.", "url": null, "doi": "10.1177/26323524231198542", "pmid": null, "accessed": null }, { "id": "137", "kind": "peer", "tier": 2, "year": "2020", "title": "Abdi S, Dmitrovsky E.", "detail": "Building an interdisciplinary pain medicine and palliative care program in Ethiopia. Journal of Global Health 2020;10(1):010317. DOI 10.7189/jogh.10.010317. A two-year pain medicine, palliative care and hospice fellowship piloted at Ayder Specialty Hospital, Mekelle, with a first class of physicians and plans to expand to other university hospitals. Full text read.", "url": null, "doi": "10.7189/jogh.10.010317", "pmid": null, "accessed": null }, { "id": "138", "kind": "peer", "tier": 2, "year": "2026", "title": "Deribe KS, Shewaye S, Habtamu NS, Wondimagegnehu A, Azmera YM, Addissie A, et al.", "detail": "Multi-level determinants of comprehensive palliative care delivery for breast and cervical cancer patients in Ethiopia: using the socio-ecological model as an analytical framework. BMC Palliative Care 2026;25(1). DOI 10.1186/s12904-026-02300-z. Abstract read. Donor-dependent services, unaffordable private home care and community-based health insurance as an enabler of access.", "url": null, "doi": "10.1186/s12904-026-02300-z", "pmid": null, "accessed": null }, { "id": "139", "kind": "peer", "tier": 2, "year": "2013", "title": "Yamout R, Ayoub E, Naccache N, Abou Zeid H, Matar MT, Antakly MC.", "detail": "Opioid drugs: what is next for Lebanon? Journal Medical Libanais 2013;61(4):210-215. DOI 10.12816/0001464. Abstract read. The Ministry of Health's Narcotic Department adjusted opioid prescription regulations and registered new opioid drugs in 2012 to improve access.", "url": null, "doi": "10.12816/0001464", "pmid": null, "accessed": null }, { "id": "140", "kind": "peer", "tier": 2, "year": "2013", "title": "Cleary J, Silbermann M, Scholten W, Radbruch L, Torode J, Cherny NI.", "detail": "Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in the Middle East: a report from the Global Opioid Policy Initiative (GOPI). Annals of Oncology 2013;24(Suppl 11):xi51-xi59. DOI 10.1093/annonc/mdt503. Abstract read. Lebanon among Middle Eastern countries with severe formulary deficiencies and over-regulation.", "url": null, "doi": "10.1093/annonc/mdt503", "pmid": null, "accessed": null }, { "id": "141", "kind": "peer", "tier": 2, "year": "2026", "title": "Demachkieh F, Kassab A, Darwich M, Chaiban L, Kasir D, Naji YR, et al.", "detail": "Awareness and knowledge of palliative care in Tripoli, Lebanon: a cross-sectional study in a disadvantaged population. Palliative Care and Social Practice 2026;20:26323524261449268. DOI 10.1177/26323524261449268. Crisis since 2019 with health worker migration, financing cuts and medicine shortages; services concentrated in the capital, none in Tripoli at the time; awareness survey in 2023; lack of reimbursement as a barrier; home hospice length of stay. Full text read.", "url": null, "doi": "10.1177/26323524261449268", "pmid": null, "accessed": null }, { "id": "142", "kind": "peer", "tier": 2, "year": "2014", "title": "Pastrana T, Torres-Vigil I, De Lima L.", "detail": "Palliative care development in Latin America: an analysis using macro indicators. Palliative Medicine 2014;28(10):1231-1238. DOI 10.1177/0269216314538893. Latin American atlas indicators for 2011 to 2012 across nineteen countries: Costa Rica had the highest composite development index and the second highest service density, and was among the few countries with more than one postgraduate palliative programme for physicians. Full text read.", "url": null, "doi": "10.1177/0269216314538893", "pmid": null, "accessed": null }, { "id": "143", "kind": "peer", "tier": 2, "year": "2026", "title": "Zavaleta-Monestel E, Arguedas-Chacon S, Mora-Jimenez J, Wu-Chin C, Rodriguez-Miranda R.", "detail": "Nationwide trends in opioid consumption in Costa Rica, 2017-2024: implications for regulatory policy and public health. Pharmacoepidemiology and Drug Safety 2026;35(7):e70421. DOI 10.1002/pds.70421. Abstract read. Ministry of Health narcotics registry: national opioid consumption peaked in 2018 and fell by about seventy percent to 2023, with morphine and methadone falling most, alongside stronger regulatory oversight including a national digital prescription system for controlled substances.", "url": null, "doi": "10.1002/pds.70421", "pmid": null, "accessed": null }, { "id": "144", "kind": "peer", "tier": 2, "year": "2013", "title": "Cleary J, De Lima L, Eisenchlas J, Radbruch L, Torode J, Cherny NI.", "detail": "Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in Latin America and the Caribbean: a report from the Global Opioid Policy Initiative (GOPI). Annals of Oncology 2013;24(Suppl 11):xi41-xi50. DOI 10.1093/annonc/mdt502. Abstract read. Costa Rica among the countries with moderate consumption by international standards, with over-regulation common across the region.", "url": null, "doi": "10.1093/annonc/mdt502", "pmid": null, "accessed": null }, { "id": "145", "kind": "peer", "tier": 2, "year": "2010", "title": "Krakauer EL, Cham NTP, Khue LN.", "detail": "Vietnam's palliative care initiative: successes and challenges in the first five years. Journal of Pain and Symptom Management 2010;40(1):27-30. DOI 10.1016/j.jpainsymman.2010.04.009. Abstract read. A 2005 situation analysis, 2006 national guidelines, 2008 revised opioid prescribing regulations, and palliative care training for physicians using curricula written for Vietnam.", "url": null, "doi": "10.1016/j.jpainsymman.2010.04.009", "pmid": null, "accessed": null }, { "id": "146", "kind": "peer", "tier": 2, "year": "2015", "title": "Krakauer EL, Nguyen TPC, Husain SA, Nguyen THY, Joranson DE, Luong NK, et al.", "detail": "Toward safe accessibility of opioid pain medicines in Vietnam and other developing countries: a balanced policy method. Journal of Pain and Symptom Management 2015;49(5):916-922. DOI 10.1016/j.jpainsymman.2014.10.012. Abstract read. Morphine consumption rose every year and the number of hospitals offering palliative care grew after the balanced policy reforms.", "url": null, "doi": "10.1016/j.jpainsymman.2014.10.012", "pmid": null, "accessed": null }, { "id": "147", "kind": "peer", "tier": 2, "year": "2018", "title": "Krakauer EL, Thinh DHQ, Khanh QT, Huyen HTM, Tuan TD, The THN, et al.", "detail": "Palliative care in Vietnam: long-term partnerships yield increasing access. Journal of Pain and Symptom Management 2018;55(2S):S92-S95. DOI 10.1016/j.jpainsymman.2017.03.038. Abstract read. Training extended to physicians and nurses; community-based palliative care not covered by government health insurance and therefore almost unavailable; a project testing insurance coverage of home care.", "url": null, "doi": "10.1016/j.jpainsymman.2017.03.038", "pmid": null, "accessed": null }, { "id": "148", "kind": "peer", "tier": 2, "year": "2019", "title": "Tsao L, Slater SE, Doyle KP, Cuong DD, Khanh QT, Maurer R, et al.", "detail": "Palliative care-related knowledge, attitudes, and self-assessment among physicians in Vietnam. Journal of Pain and Symptom Management 2019;58(6):1015-1022.e10. DOI 10.1016/j.jpainsymman.2019.08.001. Abstract read. Baseline survey of physicians before training, 2007 to 2014: few felt adequately trained, most had prescribed an opioid, and most reported restrictions on morphine.", "url": null, "doi": "10.1016/j.jpainsymman.2019.08.001", "pmid": null, "accessed": null }, { "id": "149", "kind": "peer", "tier": 2, "year": "2024", "title": "Nguyen T, Dam A, Nguyen D, Tran P, Truong NLT, Nguyen H, et al.", "detail": "Opioid therapy for cancer pain in Vietnam: knowledge, attitudes, and perceived barriers among health care professionals, policymakers, and regulators. JCO Global Oncology 2024;10:e2300463. DOI 10.1200/GO.23.00463. Abstract read. Survey in 2022: poor opioid knowledge among professionals and regulators; barriers include no national pain policy, inadequate training and excessively restrictive pharmacy dispensing rules.", "url": null, "doi": "10.1200/GO.23.00463", "pmid": null, "accessed": null }, { "id": "150", "kind": "peer", "tier": 2, "year": "2008", "title": "Lim R.", "detail": "Improving cancer pain management in Malaysia. Oncology 2008;74(Suppl 1):24-34. DOI 10.1159/000143215. Abstract read. Government survey data: a minority of cancer pain patients receiving regular opioid analgesia, and physicians reporting knowledge gaps and fear of respiratory depression.", "url": null, "doi": "10.1159/000143215", "pmid": null, "accessed": null }, { "id": "151", "kind": "peer", "tier": 2, "year": "2023", "title": "Lim RBL, Yeat CL, Vighneshvaran R, Kasinathan N, Ahmad Subki SZ, Singh AHS, et al.", "detail": "Mapping levels of palliative care service development in Malaysian public hospitals using the WHO public health model of palliative care. Journal of Pain and Symptom Management 2023;66(3):221-229. DOI 10.1016/j.jpainsymman.2023.05.017. Abstract read. National survey of Ministry of Health hospitals: share with formal palliative services and share with oral morphine available.", "url": null, "doi": "10.1016/j.jpainsymman.2023.05.017", "pmid": null, "accessed": null }, { "id": "152", "kind": "peer", "tier": 2, "year": "2018", "title": "Kiknadze N, Dzotsenidze P.", "detail": "Palliative care development in Georgia. Journal of Pain and Symptom Management 2018;55(2S):S25-S29. DOI 10.1016/j.jpainsymman.2017.03.021. Abstract read. Legislation amended; palliative care a subspecialty in several disciplines; all physicians may prescribe and a prescription now lasts seven days instead of three; patients must still collect opioids from pharmacies in police stations; opioids free for cancer patients.", "url": null, "doi": "10.1016/j.jpainsymman.2017.03.021", "pmid": null, "accessed": null }, { "id": "153", "kind": "peer", "tier": 2, "year": "2018", "title": "Dzotsenidze P, Lekashvili T, Chikhladze N, Jorbenadze M, Abesadze I, Kordzaia D.", "detail": "Impact of ambiguous and restrictive regulations on opioid-prescribing practice in Georgia. Journal of Pain and Symptom Management 2018;56(1):63-71. DOI 10.1016/j.jpainsymman.2018.03.018. Abstract read. Survey of primary care physicians: many avoid prescribing opioids, few know or follow the liberalised legislation, and those who apply it are investigated by legal authorities three to five times more than those who do not.", "url": null, "doi": "10.1016/j.jpainsymman.2018.03.018", "pmid": null, "accessed": null }, { "id": "154", "kind": "peer", "tier": 2, "year": "2026", "title": "Bulia T, Beruchashvili T, Abesadze I, Gamkrelidze A, Dzotsenidze P, Dalal K.", "detail": "Benchmarking Georgia's palliative care system, using WHO's new actionable indicators: alignment with the European Association for Palliative Care (EAPC) 2025 atlas. Frontiers in Health Services 2026;6:1837167. DOI 10.3389/frhs.2026.1837167. Assessment for 2021 to 2024: share of need met, inpatient facilities and beds concentrated in Tbilisi, few outpatient units, falling home care, INCB morphine consumption in the very low band, half of primary care doctors in palliative programmes authorised to prescribe morphine, a 2000 joint health and interior ministry order behind police-station dispensing, later amendments widening prescribing to any physician, and a state programme with reimbursement rates unchanged since 2004. Full text read.", "url": null, "doi": "10.3389/frhs.2026.1837167", "pmid": null, "accessed": null }, { "id": "155", "kind": "peer", "tier": 2, "year": "2018", "title": "Papikyan A, Connor SR, Amiryan D.", "detail": "Development of palliative care in Armenia. Journal of Pain and Symptom Management 2018;55(2S):S19-S24. DOI 10.1016/j.jpainsymman.2017.02.023. Abstract read. National needs assessment, standards, a concept paper, palliative care a subspecialty, a national strategy and 2017 to 2019 action plan; oral morphine on the essential list but unavailable, with restrictive regulations in force; four Global Fund pilot programmes reduced to one provider.", "url": null, "doi": "10.1016/j.jpainsymman.2017.02.023", "pmid": null, "accessed": null }, { "id": "156", "kind": "peer", "tier": 2, "year": "2017", "title": "Barros de Luca G, Zopunyan V, Burke-Shyne N, Papikyan A, Amiryan D.", "detail": "Palliative care and human rights in patient care: an Armenia case study. Public Health Reviews 2017;38:18. DOI 10.1186/s40985-017-0062-7. Prescribing requiring signatures from several officials with police oversight of prescribers and storage; a single specialised pharmacy in Yerevan; pilot services from 2011 to 2013; subspecialty recognised in 2014; trained oncologists increased morphine prescribing at a training centre. Full text read.", "url": null, "doi": "10.1186/s40985-017-0062-7", "pmid": null, "accessed": null }, { "id": "157", "kind": "peer", "tier": 2, "year": "2020", "title": "Arias-Casais N, Lopez-Fidalgo J, Garralda E, Pons JJ, Rhee JY, Radbruch L, et al.", "detail": "Trends analysis of specialized palliative care services in 51 countries of the WHO European region in the last 14 years. Palliative Medicine 2020;34(8):1044-1056. DOI 10.1177/0269216320931341. Country counts of home care teams, hospital support teams and inpatient services in 2005, 2012 and 2019. Full text read.", "url": null, "doi": "10.1177/0269216320931341", "pmid": null, "accessed": null }, { "id": "158", "kind": "peer", "tier": 2, "year": "2017", "title": "Jacob A, Mathew A.", "detail": "End-of-life care and opioid use in India: challenges and opportunities. Journal of Global Oncology 2017;3(6):683-686. DOI 10.1200/JGO.2016.008490. States that morphine use fell from 716 kg in 1985 to 18 kg by 1997 (INCB consumption data compiled by the Pain and Policy Studies Group) and that total consumption was 278 kg in 2014; after the 2014 amendment a single licence suffices to procure and dispense morphine. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5735975/", "doi": "10.1200/JGO.2016.008490", "pmid": "29244980", "accessed": "2026-09-25" }, { "id": "159", "kind": "peer", "tier": 2, "year": "2024", "title": "Chidwick K, Bharat C, Gisev N, et al.", "detail": "Trends in prescription opioid analgesic use in Australia from 2015 to 2022. International Journal on Drug Policy 2024;135:104666. National IQVIA sales and PBS claims: total use fell, a quarter of the PBS fall offset by private and hospital use; most opioids PBS-subsidized for severe pain. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12021341/", "doi": "10.1016/j.drugpo.2024.104666", "pmid": "39644755", "accessed": "2026-09-26" }, { "id": "160", "kind": "peer", "tier": 2, "year": "2026", "title": "Power J, Luckett T, McNeill R, et al.", "detail": "Essential medications in palliative care: an updated survey of Australian and New Zealand medical practitioners practising palliative care. Internal Medicine Journal 2026;56(8):1361-1368. Essential medicines readily available in hospitals, several hard to access in the community; the earlier survey contributed to the PBS palliative care section. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13458243/", "doi": "10.1111/imj.70473", "pmid": "42272325", "accessed": "2026-09-26" }, { "id": "161", "kind": "peer", "tier": 2, "year": "2025", "title": "Tait P, Aylmer K, Christie L, et al.", "detail": "A National Core Community Palliative Care Medicines List for managing end-of-life symptoms. Australian Journal of General Practice 2025;54(9):643-646. Development of the national core list; GPs coordinate with pharmacists. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/40908607/", "doi": "10.31128/AJGP-06-24-7327", "pmid": "40908607", "accessed": "2026-09-26" }, { "id": "162", "kind": "peer", "tier": 2, "year": "2023", "title": "Xia T, Picco L, Lalic S, et al.", "detail": "Determining the Impact of Opioid Policy on Substance Use and Mental Health-Related Harms: Protocol for a Data Linkage Study. JMIR Research Protocols 2023;12:e51825. Describes the 2018 codeine rescheduling, state real-time prescription monitoring (mandatory in Victoria from April 2020) and 2020 PBS opioid restrictions. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10618880/", "doi": "10.2196/51825", "pmid": "37847553", "accessed": "2026-09-26" }, { "id": "163", "kind": "peer", "tier": 2, "year": "2023", "title": "Nielsen S, Picco L, Russell G, et al.", "detail": "Changes in opioid and other analgesic prescribing following voluntary and mandatory prescription drug monitoring program implementation: A time series analysis of early outcomes. International Journal on Drug Policy 2023;117:104053. Monitoring did not reduce high-dose prescribing in general practice. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/37209441/", "doi": "10.1016/j.drugpo.2023.104053", "pmid": "37209441", "accessed": "2026-09-26" }, { "id": "164", "kind": "peer", "tier": 2, "year": "2016", "title": "Mitchell GK, Senior HE, Bibo MP, et al.", "detail": "Evaluation of a pilot of nurse practitioner led, GP supported rural palliative care provision. BMC Palliative Care 2016;15(1):93. Nurse practitioner prescribing in a rural pilot; service cost exceeded national insurance income. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5103592/", "doi": "10.1186/s12904-016-0163-y", "pmid": "27829425", "accessed": "2026-09-26" }, { "id": "165", "kind": "peer", "tier": 2, "year": "2025", "title": "Clapham S, Clark K, Draper K, et al.", "detail": "A National Quality Initiative to Improve Palliative Care Outcomes: Identifying Enabling Factors that Drive Quality Improvement. Palliative Medicine Reports 2025;6(1):241-250. PCOC, established 2005 and government funded, voluntary; care funded mainly through Medicare across settings. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12410334/", "doi": "10.1089/pmr.2024.0092", "pmid": "40919558", "accessed": "2026-09-26" }, { "id": "166", "kind": "peer", "tier": 2, "year": "2026", "title": "Johnson CE, Dai Y, Bryce L, et al.", "detail": "The Palliative Aged Care Outcomes Program (PACOP): establishing a national framework to improve palliative care in long-term care facilities for older people. BMC Geriatrics 2026;26(1). Program established 2021 with government funding; partial uptake by 2025. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12951925/", "doi": "10.1186/s12877-026-07009-5", "pmid": "41618204", "accessed": "2026-09-26" }, { "id": "167", "kind": "peer", "tier": 2, "year": "2025", "title": "Oh SN, Kim SH, Lee MA, et al.", "detail": "The Hospice and Palliative Medicine Physicians Certification Programs across Countries/Regions. Journal of Hospice and Palliative Care 2025;28(2):31-39. Review of certification in the United States, United Kingdom, Australia, Japan, Taiwan, Hong Kong and South Korea. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12138587/", "doi": "10.14475/jhpc.2025.28.2.31", "pmid": "40485853", "accessed": "2026-09-26" }, { "id": "168", "kind": "peer", "tier": 2, "year": "2025", "title": "Disler R, Madhuvu A, Ly L, et al.", "detail": "Palliative Care Training Gaps Remain in Chronic Disease Management Post-COVID-19. Journal of Pain and Symptom Management 2025;69(6):569-580. Specialist clinicians report lack of training for chronic non-cancer conditions. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39971214/", "doi": "10.1016/j.jpainsymman.2025.02.011", "pmid": "39971214", "accessed": "2026-09-26" }, { "id": "169", "kind": "peer", "tier": 2, "year": "2026", "title": "Scholle OHF, Jobski K, Viebrock J, et al.", "detail": "Prescribing of Opioid Analgesics in Germany: Opposite Trends When Different Quantification Measures are Used. Clinical Epidemiology 2026;18:580510. Outpatient prescribing prevalence fell from 2005 while morphine-equivalent volume rose until 2016, then both declined. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13048061/", "doi": "10.2147/CLEP.S580510", "pmid": "41940077", "accessed": "2026-09-26" }, { "id": "170", "kind": "peer", "tier": 2, "year": "2021", "title": "Richards GC, Aronson JK, Mahtani KR, et al.", "detail": "Global, regional, and national consumption of controlled opioids: a cross-sectional study of 214 countries and non-metropolitan territories. British Journal of Pain 2022;16(1):34-40. INCB data for 2015 to 2017; Germany highest per-person consumption. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8801686/", "doi": "10.1177/20494637211013052", "pmid": "35111312", "accessed": "2026-09-26" }, { "id": "171", "kind": "peer", "tier": 2, "year": "2024", "title": "Kasdorf A, Voltz R, Strupp J.", "detail": "Dying at home: What is needed? Findings from a nationwide retrospective cross-sectional online survey of bereaved people in Germany. Palliative and Supportive Care 2024:1-9. Caregivers needed support with out-of-hours care and pain management. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38533612/", "doi": "10.1017/S1478951524000440", "pmid": "38533612", "accessed": "2026-09-26" }, { "id": "172", "kind": "peer", "tier": 2, "year": "2019", "title": "Rosner B, Neicun J, Yang JC, et al.", "detail": "Opioid prescription patterns in Germany and the global opioid epidemic: Systematic review of available evidence. PLoS One 2019;14(8):e0221153. Narcotic Drugs Prescription Ordinance and Narcotic Drugs Act; special prescription form; physician, dentist or veterinarian prescribing. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6713321/", "doi": "10.1371/journal.pone.0221153", "pmid": "31461466", "accessed": "2026-09-26" }, { "id": "173", "kind": "peer", "tier": 2, "year": "2025", "title": "Mueller E, Gahr S, Schnell A, et al.", "detail": "Challenges in opioid therapy implementation: national survey of palliative care consultation services. BMC Palliative Care 2025;24(1):262. Consultation services mostly recommend rather than prescribe; ward staff inexperience the most cited barrier. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12539157/", "doi": "10.1186/s12904-025-01921-0", "pmid": "41116152", "accessed": "2026-09-26" }, { "id": "174", "kind": "peer", "tier": 2, "year": "2023", "title": "Jansky M, Heyl L, Hach M, et al.", "detail": "Structural characteristics and contractual terms of specialist palliative homecare in Germany. BMC Palliative Care 2023;22(1):166. Specialist palliative home care introduced 2007 in Social Code Book V; teams of physicians and nurses with a 24/7 call service; fully insured; regional reimbursement contracts; certified staff required. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10617175/", "doi": "10.1186/s12904-023-01274-6", "pmid": "37904160", "accessed": "2026-09-26" }, { "id": "175", "kind": "peer", "tier": 2, "year": "2024", "title": "van Baal K, Hemmerling M, Stahmeyer JT, et al.", "detail": "End-of-life care in Germany between 2016 and 2020: A repeated cross-sectional analysis of statutory health insurance data. BMC Palliative Care 2024;23(1):105. Generalist outpatient care since 2013, specialist since 2007; 2015 act made palliative care standard insured care; outpatient palliative care did not increase 2016 to 2020 (Lower Saxony claims). Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11031961/", "doi": "10.1186/s12904-024-01387-6", "pmid": "38643167", "accessed": "2026-09-26" }, { "id": "176", "kind": "peer", "tier": 2, "year": "2026", "title": "Zimmer M, Sahm A.", "detail": "Palliative care for the people without medical insurance in Germany: an empirical ethical approach. BMC Medicine 2026;24(1). Hospice bed costs mostly insured with the remainder from donations; facilities do not regularly treat uninsured patients. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13255302/", "doi": "10.1186/s12916-026-04992-9", "pmid": "42277859", "accessed": "2026-09-26" }, { "id": "177", "kind": "peer", "tier": 2, "year": "2026", "title": "Röwer HAA, Doctor E, Buck C, et al.", "detail": "State of development of regional hospice and palliative care networks in Germany and a descriptive comparison of the role of coordination: results of an online survey using a maturity model. BMC Palliative Care 2026;25(1). Insurers can co-fund network coordination with municipal match; financing the least mature dimension. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13480089/", "doi": "10.1186/s12904-026-02279-7", "pmid": "42608685", "accessed": "2026-09-26" }, { "id": "178", "kind": "peer", "tier": 2, "year": "2024", "title": "Dronia MC, Dillen K, Elsner F, et al.", "detail": "Palliative care education and knowledge transfer into practice: a multicenter survey among medical students and resident physicians in Germany using a mixed-methods design. GMS Journal for Medical Education 2024;41(3):Doc27. Palliative care mandatory in the medical curriculum since 2009. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11310786/", "doi": "10.3205/zma001682", "pmid": "39131897", "accessed": "2026-09-26" }, { "id": "179", "kind": "peer", "tier": 2, "year": "2026", "title": "Li M, Liu X, Ye D, et al.", "detail": "Opioid Consumption and Unmet Need in China, 2013-2024: a Longitudinal National Study. Journal of Pain and Symptom Management 2026 (epub August 2026). National opioid consumption rose but stayed low against estimated need. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42567370/", "doi": "10.1016/j.jpainsymman.2026.07.038", "pmid": "42567370", "accessed": "2026-09-26" }, { "id": "180", "kind": "peer", "tier": 2, "year": "2026", "title": "Fan Y, Ye Z, Jiang M, et al.", "detail": "Opioid consumption, availability, and policy alignment in primary hospice and palliative care in China: a multicomponent comparative analysis. Supportive Care in Cancer 2026;34(3). Consumption below the Asian average; fewer than half of primary care hospice units stocked strong opioids; national essential medicines list includes only morphine; strict narcotic classification. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12956922/", "doi": "10.1007/s00520-026-10484-6", "pmid": "41776106", "accessed": "2026-09-26" }, { "id": "181", "kind": "peer", "tier": 2, "year": "2017", "title": "Yin Z, Li J, Ma K, et al.", "detail": "Development of Palliative Care in China: A Tale of Three Cities. The Oncologist 2017;22(11):1362-1367. Prescription duration limits; few hospitals offering palliative care; many services outside national insurance; palliative care not an accredited specialty. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5679827/", "doi": "10.1634/theoncologist.2017-0128", "pmid": "28739870", "accessed": "2026-09-26" }, { "id": "182", "kind": "peer", "tier": 2, "year": "2025", "title": "Li L, Gong X.", "detail": "Developing supportive policy environments for hospice care in China: a quantitative policy evaluation based on the PMC-Index model. BMC Palliative Care 2025;24(1):248. First national hospice programme and guidelines in 2017, three batches of national pilots, delivery design left to local governments, no dedicated insurance payment scheme. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12505614/", "doi": "10.1186/s12904-025-01877-1", "pmid": "41063137", "accessed": "2026-09-26" }, { "id": "183", "kind": "peer", "tier": 2, "year": "2025", "title": "Zhang S, Wang J, Song S, et al.", "detail": "Disparities in hospice and palliative care services: evidence of healthcare provider practice in various regions of China. BMC Public Health 2025;25(1):4064. National Health Commission pilots from 2017, expanded 2019; substantial regional disparities in provider practice. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12632044/", "doi": "10.1186/s12889-025-25331-2", "pmid": "41267058", "accessed": "2026-09-26" }, { "id": "184", "kind": "peer", "tier": 2, "year": "2012", "title": "Logie DE, Harding R.", "detail": "An evaluation of a public health advocacy strategy to enhance palliative care provision in Zambia. BMJ Supportive and Palliative Care 2012;2(3):264-269. Ministry and association morphine pilot raised availability while use stayed low; part-funded hospices expanded services 2009 to 2011. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/24654199/", "doi": "10.1136/bmjspcare-2012-000232", "pmid": "24654199", "accessed": "2026-09-26" }, { "id": "186", "kind": "peer", "tier": 2, "year": "2022", "title": "Rosa WE, Ahmed E, Chaila MJ, et al.", "detail": "Can You Hear Us Now? Equity in Global Advocacy for Palliative Care. Journal of Pain and Symptom Management 2022;64(4):e217-e226. First National Palliative Care Strategic Plan launched May 2021; national association inactive for lack of funding; training often outsourced abroad; University of Zambia master's curriculum. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9482940/", "doi": "10.1016/j.jpainsymman.2022.07.004", "pmid": "35850443", "accessed": "2026-09-26" }, { "id": "187", "kind": "peer", "tier": 2, "year": "2020", "title": "Robertson E, Bambala A, Kalungia AC, et al.", "detail": "Prescribers' experiences of, and attitudes to, use of morphine for palliative care at a tertiary hospital in Zambia. Hospital Practice 2020;48(2):86-91. Single-site study: morphine largely restricted to cancer and sickle cell disease. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/32078406/", "doi": "10.1080/21548331.2020.1733318", "pmid": "32078406", "accessed": "2026-09-26" }, { "id": "188", "kind": "peer", "tier": 2, "year": "2018", "title": "Rhee JY, Garralda E, Namisango E, et al.", "detail": "An Analysis of Palliative Care Development in Africa: A Ranking Based on Region-Specific Macroindicators. Journal of Pain and Symptom Management 2018;56(2):230-238. Zambia among the leading African countries on education indicators. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29772280/", "doi": "10.1016/j.jpainsymman.2018.05.005", "pmid": "29772280", "accessed": "2026-09-26" }, { "id": "189", "kind": "peer", "tier": 2, "year": "2017", "title": "Mosoiu D, Mitrea N, Dumitrescu M.", "detail": "Palliative Care in Romania. Journal of Pain and Symptom Management 2018;55(2S):S67-S76. NGO pioneer since 1992; specialist services mostly inpatient units by 2015; insurance reimbursement mechanism, opioid policy review and quality standards; strategy partly funded by a World Bank loan; subspecialty since 2000, master's program since 2010, mandatory nursing modules. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/28823641/", "doi": "10.1016/j.jpainsymman.2017.03.036", "pmid": "28823641", "accessed": "2026-09-26" }, { "id": "190", "kind": "peer", "tier": 2, "year": "2007", "title": "Mosoiu D, Mungiu OC, Gigore B, et al.", "detail": "Romania: changing the regulatory environment. Journal of Pain and Symptom Management 2007;33(5):610-614. 2005 law replaced 1969 opioid legislation using WHO balanced-policy guidelines, with a national education program. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/17482056/", "doi": "10.1016/j.jpainsymman.2007.02.023", "pmid": "17482056", "accessed": "2026-09-26" }, { "id": "191", "kind": "peer", "tier": 2, "year": "2006", "title": "Mosoiu D, Ryan KM, Joranson DE, et al.", "detail": "Reform of drug control policy for palliative care in Romania. Lancet 2006;367(9528):2110-2117. Old rules restricted prescribing authority and outpatient access; new law to simplify prescribing. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/16798394/", "doi": "10.1016/S0140-6736(06)68482-1", "pmid": "16798394", "accessed": "2026-09-26" }, { "id": "192", "kind": "peer", "tier": 2, "year": "2014", "title": "Mosoiu D, Dumitrescu M, Connor SR.", "detail": "Developing a costing framework for palliative care services. Journal of Pain and Symptom Management 2014;48(4):719-729. Costing used to advocate a consistent national payment system. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/24709365/", "doi": "10.1016/j.jpainsymman.2013.11.017", "pmid": "24709365", "accessed": "2026-09-26" }, { "id": "193", "kind": "peer", "tier": 2, "year": "2021", "title": "Pacurari N, De Clercq E, Dragomir M, et al.", "detail": "Challenges of paediatric palliative care in Romania: a focus groups study. BMC Palliative Care 2021;20(1):178. 2018 Ministry of Health regulation on organizing palliative services; home care largely missing; care provided mainly by charities. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8598931/", "doi": "10.1186/s12904-021-00871-7", "pmid": "34794399", "accessed": "2026-09-26" }, { "id": "194", "kind": "peer", "tier": 2, "year": "2026", "title": "Karavska A, Kizub D, Kovalchuk N, et al.", "detail": "Cancer care in wartime Ukraine: disruption, resilience and recovery. BMJ Oncology 2026;5(1):e000943. Very limited pre-war opioid access for palliative care; war worsened pain relief and damaged community services; health system dependent on international grants and loans. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12933798/", "doi": "10.1136/bmjonc-2025-000943", "pmid": "41757334", "accessed": "2026-09-26" }, { "id": "195", "kind": "peer", "tier": 2, "year": "2020", "title": "Paal P, Brandstötter C, Bükki J, et al.", "detail": "One-week multidisciplinary post-graduate palliative care training: an outcome-based program evaluation. BMC Medical Education 2020;20(1):276. Palliative care began through NGOs with international donor grants; high out-of-pocket payments; training mainly through NGO courses. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7437175/", "doi": "10.1186/s12909-020-02200-7", "pmid": "32811498", "accessed": "2026-09-26" }, { "id": "196", "kind": "peer", "tier": 2, "year": "2019", "title": "Shevchuk O, Trofymenko V, Martynovskyi V, et al.", "detail": "Realization of the human right to palliative care in Ukraine: problems and legal issues (review). Georgian Medical News 2019;(289):168-173. Painkillers, including narcotic drugs, not provided in full volume. Abstract read. National-journal review; lower certainty.", "url": "https://pubmed.ncbi.nlm.nih.gov/31215901/", "doi": null, "pmid": "31215901", "accessed": "2026-09-26" }, { "id": "197", "kind": "peer", "tier": 2, "year": "2024", "title": "Tsarenko AV, Kovtun OO, Maksymova ZV.", "detail": "Modelling business processes in palliative care management: ways to optimise resource management. Wiadomosci Lekarskie 2024;77(11):2271-2276. National Health Service of Ukraine base rates for mobile palliative teams judged below actual costs. Abstract read. National-journal study; lower certainty.", "url": "https://pubmed.ncbi.nlm.nih.gov/39715128/", "doi": "10.36740/WLek/197110", "pmid": "39715128", "accessed": "2026-09-26" }, { "id": "198", "kind": "peer", "tier": 2, "year": "2020", "title": "Mykhalchuk VM, Goida NG, Tsarenko AV.", "detail": "Professional postgraduate training of family doctors: an important part and condition of the optimal palliative and hospice care system implementation in Ukraine. Wiadomosci Lekarskie 2020;73(5):925-930. Family doctors lacked palliative knowledge; no mobile team service at the time. Abstract read. National-journal study; lower certainty.", "url": "https://pubmed.ncbi.nlm.nih.gov/32386370/", "doi": null, "pmid": "32386370", "accessed": "2026-09-26" }, { "id": "199", "kind": "peer", "tier": 2, "year": "2015", "title": "Lohman D, Amon JJ.", "detail": "Evaluating a Human Rights-Based Advocacy Approach to Expanding Access to Pain Medicines and Palliative Care: Global Advocacy and Case Studies from India, Kenya, and Ukraine. Health and Human Rights 2015;17(2):149-165. Advocacy contributed to reform of laws, policies and practices in all three countries. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/26766856/", "doi": null, "pmid": "26766856", "accessed": "2026-09-26" }, { "id": "200", "kind": "peer", "tier": 2, "year": "2022", "title": "Takahashi R, Miyashita M, Murakami Y, et al.", "detail": "Trends in strong opioid prescription for cancer patients in Japan from 2010 to 2019: an analysis with large medical claims data. Japanese Journal of Clinical Oncology 2022;52(11):1297-1302. Opioid prescription prevalence for terminally ill cancer patients rose; oxycodone grew most. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/35907780/", "doi": "10.1093/jjco/hyac122", "pmid": "35907780", "accessed": "2026-09-26" }, { "id": "201", "kind": "peer", "tier": 2, "year": "2024", "title": "Hasegawa-Moriyama M, Morioka Y, Hiroi S, et al.", "detail": "High prevalence of severe pain is associated with low opioid availability in patients with advanced cancer: Combined database study and nationwide questionnaire survey in Japan. Neuropsychopharmacology Reports 2024;44(3):502-511. Availability extremely low, below the WHO adequacy measure in the early 2010s; prefectural variation; training named as the main barrier; insurance fee for basic palliative care before 2016. Abstract and full text read. Industry-affiliated authors.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11544452/", "doi": "10.1002/npr2.12448", "pmid": "38735866", "accessed": "2026-09-26" }, { "id": "202", "kind": "peer", "tier": 2, "year": "2025", "title": "Shoji T, Akazawa M, Nakagomi N, et al.", "detail": "Trends of Strong and Weak Opioid Prescriptions in Japan: A Cross-Sectional Study Based on Open Data from the National Database and Hospital Claims Data from Fiscal Years 2015 to 2021. Biological and Pharmaceutical Bulletin 2025;48(3):279-285. Inpatient use fell, outpatient use rose, tramadol grew. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/40128922/", "doi": "10.1248/bpb.b24-00584", "pmid": "40128922", "accessed": "2026-09-26" }, { "id": "203", "kind": "peer", "tier": 2, "year": "2021", "title": "Nakazawa Y, Kato M, Miyashita M, et al.", "detail": "Growth and Challenges in Hospital Palliative Cancer Care Services: An Analysis of Nationwide Surveys Over a Decade in Japan. Journal of Pain and Symptom Management 2021;61(6):1155-1164. Cancer Control Act has promoted services nationwide; designated cancer hospitals developed, community hospitals lag. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/33130227/", "doi": "10.1016/j.jpainsymman.2020.10.023", "pmid": "33130227", "accessed": "2026-09-26" }, { "id": "204", "kind": "peer", "tier": 2, "year": "2023", "title": "Morita K, Miyamoto Y, Mizuno A, et al.", "detail": "Impact of a financial incentive scheme for team-based palliative care in patients with heart failure in Japan: A nationwide database study. International Journal of Cardiology 2023;387:131145. April 2018 incentive rarely adopted and not associated with changes in end-of-life care. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/37364713/", "doi": "10.1016/j.ijcard.2023.131145", "pmid": "37364713", "accessed": "2026-09-26" }, { "id": "205", "kind": "peer", "tier": 2, "year": "2023", "title": "Hamano J, Shima Y, Kizawa Y.", "detail": "Current situation and support need for non-cancer patients' admission to inpatient hospices/palliative care units in Japan: a nationwide multicenter survey. Annals of Palliative Medicine 2023;12(1):81-89. Unit leaders call for non-cancer coverage equal to cancer. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36747383/", "doi": "10.21037/apm-22-743", "pmid": "36747383", "accessed": "2026-09-26" }, { "id": "206", "kind": "peer", "tier": 2, "year": "2019", "title": "Inoue A, Yamaguchi T, Tanaka K, et al.", "detail": "Benefits of a Nationwide Palliative Care Education Program on Lung Cancer Physicians. Internal Medicine 2019;58(10):1399-1403. The national PEACE program improved knowledge and practice. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6548920/", "doi": "10.2169/internalmedicine.0872-18", "pmid": "30713293", "accessed": "2026-09-26" }, { "id": "207", "kind": "peer", "tier": 2, "year": "2019", "title": "Oh TK, Jeon YT, Choi JW.", "detail": "Trends in chronic opioid use and association with five-year survival in South Korea: a population-based cohort study. British Journal of Anaesthesia 2019;123(5):655-663. Chronic strong opioid use rose from 2002 to 2015 across all patients. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/31558315/", "doi": "10.1016/j.bja.2019.08.012", "pmid": "31558315", "accessed": "2026-09-26" }, { "id": "208", "kind": "peer", "tier": 2, "year": "2021", "title": "Won YW, Kim HJ, Kwon JH, et al.", "detail": "Life-Sustaining Treatment States in Korean Cancer Patients after Enforcement of Act on Decisions on Life-Sustaining Treatment for Patients at the End of Life. Cancer Research and Treatment 2021;53(4):908-916. Act dated February 2018; patients who completed the legal process used hospice more. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8524027/", "doi": "10.4143/crt.2021.325", "pmid": "34082495", "accessed": "2026-09-26" }, { "id": "209", "kind": "peer", "tier": 2, "year": "2024", "title": "Park HY, Kim MS, Yoo SH, et al.", "detail": "For the Universal Right to Access Quality End-of-Life Care in Korea: Broadening Our Perspective After the 2018 Life-Sustaining Treatment Decisions Act. Journal of Korean Medical Science 2024;39(12):e123. Legal scope limited to a few diseases; few terminally ill patients received palliative care in 2022. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10985505/", "doi": "10.3346/jkms.2024.39.e123", "pmid": "38565178", "accessed": "2026-09-26" }, { "id": "210", "kind": "peer", "tier": 2, "year": "2022", "title": "Park YT, Kim D, Koh SJ, et al.", "detail": "Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data. International Journal of Environmental Research and Public Health 2022;19(3):1566. Consultative hospice care in acute wards piloted since August 2017. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8834925/", "doi": "10.3390/ijerph19031566", "pmid": "35162586", "accessed": "2026-09-26" }, { "id": "211", "kind": "peer", "tier": 2, "year": "2023", "title": "Yun I, Jang SI, Park EC, et al.", "detail": "Changes in the Place of Death of Patients With Cancer After the Introduction of Insurance-Covered, Home-Based Hospice Care in Korea. JAMA Network Open 2023;6(11):e2341422. Insurance covered home hospice from September 2020; home deaths rose. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10628724/", "doi": "10.1001/jamanetworkopen.2023.41422", "pmid": "37930703", "accessed": "2026-09-26" }, { "id": "212", "kind": "peer", "tier": 2, "year": "2023", "title": "Kim S, Suh HS.", "detail": "A population-based study on the risk of prescription opioid abuse in patients with chronic opioid use and cost-effectiveness of prescription drug monitoring program using a patient simulation model in South Korea. International Journal on Drug Policy 2023;112:103953. A prescription drug monitoring program operates. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36645947/", "doi": "10.1016/j.drugpo.2023.103953", "pmid": "36645947", "accessed": "2026-09-26" }, { "id": "213", "kind": "peer", "tier": 2, "year": "2025", "title": "Panagiotoglou D, Peterson S, Lavergne MR, et al.", "detail": "The effects of a provincial opioid prescribing standard on prescribing for pain in adults: an interrupted time-series analysis. CMAJ 2025;197(18):E497-E505. British Columbia's 2016 standard for chronic noncancer pain, revised 2018, reduced opioid access for people with cancer or in palliative care. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12077321/", "doi": "10.1503/cmaj.250167", "pmid": "40355138", "accessed": "2026-09-26" }, { "id": "214", "kind": "peer", "tier": 2, "year": "2024", "title": "Attisso E, Guenette L, Dionne CE, et al.", "detail": "New opioid prescription claims and their clinical indications: results from health administrative data in Quebec, Canada, over 14 years. BMJ Open 2024;14(4):e077664. New claims fell slightly after 2016/2017; cancer pain a rising share of indications. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11015182/", "doi": "10.1136/bmjopen-2023-077664", "pmid": "38589264", "accessed": "2026-09-26" }, { "id": "215", "kind": "peer", "tier": 2, "year": "2019", "title": "Martins D, Khuu W, Tadrous M, et al.", "detail": "Impact of delisting high-strength opioid formulations from a public drug benefit formulary on opioid utilization in Ontario, Canada. Pharmacoepidemiology and Drug Safety 2019;28(5):726-733. High-strength formulations delisted in January 2017 except for palliative patients. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6518867/", "doi": "10.1002/pds.4764", "pmid": "30873707", "accessed": "2026-09-26" }, { "id": "216", "kind": "peer", "tier": 2, "year": "2013", "title": "Ambrose MA, Tarlier DS.", "detail": "Nurse practitioners and controlled substances prescriptive authority: improving access to care. Nursing Leadership 2013;26(1):58-69. New Classes of Practitioners Regulations passed November 2012 give nurse practitioners, midwives and podiatrists controlled-medication prescribing authority. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/24863581/", "doi": "10.12927/cjnl.2013.23303", "pmid": "24863581", "accessed": "2026-09-26" }, { "id": "217", "kind": "peer", "tier": 2, "year": "2024", "title": "Scott MM, Ramzy A, Isenberg SR, et al.", "detail": "Nurse practitioner and physician end-of-life home visits and end-of-life outcomes. BMJ Supportive and Palliative Care 2024;14(e3):e2761-e2769. Nurse practitioner scope includes controlled substances and end-of-life care; many Ontario decedents had no home visit; Canada Health Act coverage and gaps; Ontario drug benefit for end-of-life home care. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11671875/", "doi": "10.1136/spcare-2023-004392", "pmid": "37979954", "accessed": "2026-09-26" }, { "id": "218", "kind": "peer", "tier": 2, "year": "2021", "title": "Brown CRL, Webber C, Seow HY, et al.", "detail": "Impact of physician-based palliative care delivery models on health care utilization outcomes: A population-based retrospective cohort study. Palliative Medicine 2021;35(6):1170-1180. Generalist, consultation and specialist models in Ontario achieved similar outcomes; home visits may promote community death. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/33884934/", "doi": "10.1177/02692163211009440", "pmid": "33884934", "accessed": "2026-09-26" }, { "id": "219", "kind": "peer", "tier": 2, "year": "2025", "title": "Lapp JM, Mokhtarnia M, Quinn KL.", "detail": "Exploring the Definitions of Physician-Delivered Palliative Care in Canada: A Narrative Review. Journal of Palliative Medicine 2026;29(3):363-367. Substantial variability in palliative care definitions and fee codes across jurisdictions. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41066074/", "doi": "10.1177/10966218251386947", "pmid": "41066074", "accessed": "2026-09-26" }, { "id": "220", "kind": "peer", "tier": 2, "year": "2017", "title": "Pilkey J, Downar J, Dudgeon D, et al.", "detail": "Palliative Medicine: Becoming a Subspecialty of the Royal College of Physicians and Surgeons of Canada. Journal of Palliative Care 2017;32(3-4):113-120. Path from a jointly accredited added-competence year to a two-year Royal College subspecialty with an accrediting examination. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29129136/", "doi": "10.1177/0825859717741027", "pmid": "29129136", "accessed": "2026-09-26" }, { "id": "221", "kind": "peer", "tier": 2, "year": "2025", "title": "Pereira J, Meadows LM, Rhayel A, et al.", "detail": "Spread, participant experience, and implementation of Pallium Canada's Palliative Care ECHO project: a mixed methods study. BMC Palliative Care 2025;24(1):176. National continuing-education initiative launched April 2021. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12210591/", "doi": "10.1186/s12904-025-01804-4", "pmid": "40598189", "accessed": "2026-09-26" }, { "id": "222", "kind": "peer", "tier": 2, "year": "2023", "title": "Salazar A, Moreno-Pulido S, Prego-Meleiro P, et al.", "detail": "Correlation Between Opioid Drug Prescription and Opioid-Related Mortality in Spain as a Surveillance Tool: Ecological Study. JMIR Public Health and Surveillance 2023;9:e43776. Opioid prescription and opioid-related mortality both increased and correlate. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10365608/", "doi": "10.2196/43776", "pmid": "37379061", "accessed": "2026-09-26" }, { "id": "223", "kind": "peer", "tier": 2, "year": "2025", "title": "Rubio-Esparza E, González-Bermejo D, Segovia-Muñoz EA, et al.", "detail": "Impact of Regulatory Interventions on Immediate Release Fentanyl and Alternatives Use in Spain: An Interrupted Time Series Analysis. Pharmacoepidemiology and Drug Safety 2025;34(4):e70145. February 2018 agency communication and July 2021 prescription-controlled system for immediate-release fentanyl; morphine did not compensate. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/40212013/", "doi": "10.1002/pds.70145", "pmid": "40212013", "accessed": "2026-09-26" }, { "id": "224", "kind": "peer", "tier": 2, "year": "2019", "title": "Maier CB.", "detail": "Nurse prescribing of medicines in 13 European countries. Human Resources for Health 2019;17(1):95. Spanish nurses may prescribe a limited set of medicines under physician authorization or supervision. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6902591/", "doi": "10.1186/s12960-019-0429-6", "pmid": "31815622", "accessed": "2026-09-26" }, { "id": "225", "kind": "peer", "tier": 2, "year": "2012", "title": "Gómez-Batiste X, Caja C, Espinosa J, et al.", "detail": "The Catalonia World Health Organization demonstration project for palliative care implementation: quantitative and qualitative results at 20 years. Journal of Pain and Symptom Management 2012;43(4):783-794. WHO demonstration project with the Catalan health department; home, hospital, inpatient, outpatient and psychosocial teams; care free at the point of access. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/22265127/", "doi": "10.1016/j.jpainsymman.2011.05.006", "pmid": "22265127", "accessed": "2026-09-26" }, { "id": "226", "kind": "peer", "tier": 2, "year": "2016", "title": "Gómez-Batiste X, Blay C, Martínez-Muñoz M, et al.", "detail": "The Catalonia WHO Demonstration Project of Palliative Care: Results at 25 Years (1990-2015). Journal of Pain and Symptom Management 2016;52(1):92-99. 2011 program for advanced chronic conditions and the NECPAL identification tool. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/27233146/", "doi": "10.1016/j.jpainsymman.2015.11.029", "pmid": "27233146", "accessed": "2026-09-26" }, { "id": "227", "kind": "peer", "tier": 2, "year": "2020", "title": "Sánchez-Gutiérrez ME, Sanz Rubiales Á, Flores Pérez LA, et al.", "detail": "Analysis of Regional Palliative Care Strategies: Do Health Policies Influence the Development of Assistance Coverage? International Journal of Health Services 2022;52(3):392-399. Decentralized competencies; regional plans followed by growth in resources. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/32089053/", "doi": "10.1177/0020731420905953", "pmid": "32089053", "accessed": "2026-09-26" }, { "id": "228", "kind": "peer", "tier": 2, "year": "2017", "title": "Groeneveld EI, Cassel JB, Bausewein C, et al.", "detail": "Funding models in palliative care: Lessons from international experience. Palliative Medicine 2017;31(4):296-305. Spain: per diem for hospital services, capitation for community services, no rural weighting, unreliable public payment. Country details updated April 2015. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5405831/", "doi": "10.1177/0269216316689015", "pmid": "28156188", "accessed": "2026-09-26" }, { "id": "229", "kind": "peer", "tier": 2, "year": "2015", "title": "Centeno C, Bolognesi D, Biasco G.", "detail": "Comparative analysis of specialization in palliative medicine processes within the World Health Organization European region. Journal of Pain and Symptom Management 2015;49(5):861-870. Spain not among European countries with an official specialization program in 2014. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/25623924/", "doi": "10.1016/j.jpainsymman.2014.10.019", "pmid": "25623924", "accessed": "2026-09-26" }, { "id": "230", "kind": "peer", "tier": 2, "year": "2021", "title": "Guanter-Peris L, Molins-Mesalles A, Benito-Aracil L, et al.", "detail": "Spanish Palliative Care Nurses' Degree of Acceptance of a Proposal for Nursing Competencies in Palliative Care. Journal of Palliative Care 2022;37(3):419-433. Palliative nursing not a recognized specialization. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34918570/", "doi": "10.1177/08258597211047367", "pmid": "34918570", "accessed": "2026-09-26" }, { "id": "231", "kind": "peer", "tier": 2, "year": "2025", "title": "Gijón Mediavilla M, López Fernández E, Suero Del Moral A, et al.", "detail": "Palliative care training in Spanish medical schools: student assessment. BMJ Supportive and Palliative Care 2025. A minority of universities require palliative or end-of-life coursework. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39814465/", "doi": "10.1136/spcare-2024-004901", "pmid": "39814465", "accessed": "2026-09-26" }, { "id": "232", "kind": "peer", "tier": 2, "year": "2021", "title": "Maia LO, Daldegan-Bueno D, Fischer B.", "detail": "Opioid use, regulation, and harms in Brazil: a comprehensive narrative overview of available data and indicators. Substance Abuse Treatment, Prevention, and Policy 2021;16(1):12. Low availability versus high-income countries, mid-level in Latin America; codeine dominant; morphine and codeine on the essential list; special form, prescription notification and supply limits; physician and dentist prescribing only; out-of-pocket prescription cost. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7836143/", "doi": "10.1186/s13011-021-00348-z", "pmid": "33499891", "accessed": "2026-09-26" }, { "id": "233", "kind": "peer", "tier": 2, "year": "2018", "title": "Krawczyk N, Greene MC, Zorzanelli R, et al.", "detail": "Rising Trends of Prescription Opioid Sales in Contemporary Brazil, 2009-2015. American Journal of Public Health 2018;108(5):666-668. Pharmacy opioid sales rose steeply, mostly codeine. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5888056/", "doi": "10.2105/AJPH.2018.304341", "pmid": "29565665", "accessed": "2026-09-26" }, { "id": "234", "kind": "peer", "tier": 2, "year": "2024", "title": "Ferreira EAL, Saito L, Sarracini MR, et al.", "detail": "Pediatric palliative care in Brazil: reflections on end of life based on geographic mapping. Research in Health Services and Regions 2024;3(1):18. Services unevenly distributed; many report difficulty accessing opioids. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11602889/", "doi": "10.1007/s43999-024-00054-w", "pmid": "39604648", "accessed": "2026-09-26" }, { "id": "235", "kind": "peer", "tier": 2, "year": "2025", "title": "D'Alessandro MPS, Hoffmann LB, de Souza HL, et al.", "detail": "Description of a National Initiative to Train and Implement Processes of Primary Palliative Care in the Public Health System in Brazil. Palliative Medicine Reports 2025;6(1):116-121. Most people depend on the public system but about half of services are public; first health resolution on palliative care in 2018; 2020 to 2024 national program in hospital, outpatient and home clusters under a ministry partnership with philanthropic hospitals. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12976726/", "doi": "10.1089/pmr.2024.0090", "pmid": "41867314", "accessed": "2026-09-26" }, { "id": "236", "kind": "peer", "tier": 2, "year": "2025", "title": "Tramonte MS, Carvalho ACP, Pinheiro MS, et al.", "detail": "A needs assessment of palliative care education in neurology residency programs in Brazil. Arquivos de Neuro-Psiquiatria 2025;83(8):1-7. Palliative care recognized as public health policy with incomplete implementation; in the national medical curriculum from 2023. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12417025/", "doi": "10.1055/s-0045-1811232", "pmid": "40921411", "accessed": "2026-09-26" }, { "id": "237", "kind": "peer", "tier": 2, "year": "2022", "title": "Carvalho RT, Correa TL.", "detail": "Palliative Medicine: 10 years as an area of medical practice in Brazil. Revista da Associacao Medica Brasileira 2022;68(12):1607-1610. Recognized as an area of practice in 2011; title by examination or registered residency; two-year residencies from 2023. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9779957/", "doi": "10.1590/1806-9282.20220949", "pmid": "36477103", "accessed": "2026-09-26" }, { "id": "238", "kind": "peer", "tier": 2, "year": "2026", "title": "Cherro A, Aresca L, Ciruzzi MS, et al.", "detail": "Breaking barriers in cancer pain management: a report from the National Week Against Cancer Pain in Argentina 2025. Ecancermedicalscience 2026;20:2153. Barriers persist despite guidelines and essential medicines: fragmented systems, late referral, training gaps, misconceptions. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13572562/", "doi": "10.3332/ecancer.2026.2153", "pmid": "42741236", "accessed": "2026-09-26" }, { "id": "239", "kind": "peer", "tier": 2, "year": "2024", "title": "Lamfre LS, Hasdeu S, Coller MAG, et al.", "detail": "Economic impact of informal care of cancer patients at the end of life. Annals of Palliative Medicine 2024;13(1):73-85. Few patients in need can access palliative care; informal family care the largest cost; modeled home care in Río Negro cost-saving. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38316399/", "doi": "10.21037/apm-23-240", "pmid": "38316399", "accessed": "2026-09-26" }, { "id": "240", "kind": "peer", "tier": 2, "year": "2017", "title": "Mertnoff R, Vindrola-Padros C, Jacobs M, et al.", "detail": "The Development of Palliative Care in Argentina: A Mapping Study Using Latin American Association for Palliative Care Indicators. Journal of Palliative Medicine 2017;20(8):829-837. Provincial inequalities, north-west in greatest need; professionals cite lack of certified specialties and continuing training. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/28498026/", "doi": "10.1089/jpm.2016.0312", "pmid": "28498026", "accessed": "2026-09-26" }, { "id": "241", "kind": "peer", "tier": 2, "year": "2023", "title": "Kiman R.", "detail": "International perspectives on pediatric palliative care: Argentina. Current Problems in Pediatric and Adolescent Health Care 2024;54(1):101488. Pediatric palliative care not yet fully integrated. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38092629/", "doi": "10.1016/j.cppeds.2023.101488", "pmid": "38092629", "accessed": "2026-09-26" }, { "id": "242", "kind": "peer", "tier": 2, "year": "2026", "title": "Muñoz-Medina S, Sánchez-Cárdenas MA, Tripodoro VA.", "detail": "Collaborative networks in palliative care: Analysis of principles and models in Argentina and Colombia. Palliative Care and Social Practice 2026;20:26323524261435130. Teams operate across public hospitals, the retirees' insurer PAMI, other insurers and prepaid plans. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13562844/", "doi": "10.1177/26323524261435130", "pmid": "42729486", "accessed": "2026-09-26" }, { "id": "243", "kind": "peer", "tier": 2, "year": "2024", "title": "Bowers B, Antunes BCP, Etkind S, et al.", "detail": "Anticipatory prescribing in community end-of-life care: systematic review and narrative synthesis of the evidence since 2017. BMJ Supportive and Palliative Care 2024;13(e3):e612-e623. Standardized anticipatory prescribing is commonplace in the UK; robust evidence of clinical and cost-effectiveness is absent. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10850730/", "doi": "10.1136/spcare-2022-004080", "pmid": "37236648", "accessed": "2026-09-26" }, { "id": "244", "kind": "peer", "tier": 2, "year": "2021", "title": "Ogi M, Campling N, Birtwistle J, et al.", "detail": "Community access to palliative care medicines: patient and professional experience: systematic review and narrative synthesis. BMJ Supportive and Palliative Care 2021;14(e2). Community pharmacy access delayed by stock and communication problems. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11671949/", "doi": "10.1136/bmjspcare-2020-002761", "pmid": "33775932", "accessed": "2026-09-26" }, { "id": "245", "kind": "peer", "tier": 2, "year": "2020", "title": "Latter S, Campling N, Birtwistle J, et al.", "detail": "Supporting patient access to medicines in community palliative care: on-line survey of health professionals' practice, perceived effectiveness and influencing factors. BMC Palliative Care 2020;19(1):148. England: commissioned pharmacy stocking services unevaluated; patchy out-of-hours cover; nurse and pharmacist prescribers, most prescribing controlled drugs; barriers to prescriber training; community care free at the point of delivery. Self-selected survey. Abstract and full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7517636/", "doi": "10.1186/s12904-020-00649-3", "pmid": "32972414", "accessed": "2026-09-26" }, { "id": "246", "kind": "peer", "tier": 2, "year": "2016", "title": "Griffith R.", "detail": "Controlled drugs and the principle of double effect: the role of the district nurse. British Journal of Community Nursing 2016;21(12):633-635. 2012 amendment to the Misuse of Drugs Regulations lets nurse independent or supplementary prescribers prescribe controlled drugs. Legal commentary. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/27922774/", "doi": "10.12968/bjcn.2016.21.12.633", "pmid": "27922774", "accessed": "2026-09-26" }, { "id": "247", "kind": "peer", "tier": 2, "year": "2017", "title": "Bone AE, Gomes B, Etkind SN, et al.", "detail": "What is the impact of population ageing on the future provision of end-of-life care? Population-based projections of place of death. Palliative Medicine 2018;32(2):329-336. England and Wales: home and care home deaths rising, hospital deaths falling; community provision needs to double by 2040. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5788077/", "doi": "10.1177/0269216317734435", "pmid": "29017018", "accessed": "2026-09-26" }, { "id": "248", "kind": "peer", "tier": 2, "year": "2019", "title": "Chukwusa E, Verne J, Polato G, et al.", "detail": "Urban and rural differences in geographical accessibility to inpatient palliative and end-of-life (PEoLC) facilities and place of death: a national population-based study in England, UK. International Journal of Health Geographics 2019;18(1):8. Longer drive time to hospice linked to fewer hospice deaths, more so in rural areas. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6503436/", "doi": "10.1186/s12942-019-0172-1", "pmid": "31060555", "accessed": "2026-09-26" }, { "id": "249", "kind": "peer", "tier": 2, "year": "2022", "title": "Jackson M.", "detail": "Resourcing of palliative and end of life care in the UK during the Covid-19 pandemic. British Medical Bulletin 2022;142(1):44-51. Most care delivered by charitable providers reliant on donations; model may be unsustainable. Author from a palliative care charity. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9270992/", "doi": "10.1093/bmb/ldac013", "pmid": "35792900", "accessed": "2026-09-26" }, { "id": "250", "kind": "peer", "tier": 2, "year": "2023", "title": "Barry C, Paes P, Noble S, et al.", "detail": "Challenges to delivering evidence-based palliative medicine. Clinical Medicine 2023;23(2):182-184. Palliative medicine established as a specialty in 1987; research underfunded. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11046501/", "doi": "10.7861/clinmed.2022-0336", "pmid": "36806204", "accessed": "2026-09-26" }, { "id": "251", "kind": "peer", "tier": 2, "year": "2024", "title": "Wakefield D, Dewhurst F, Koffman J, et al.", "detail": "Palliative Medicine Specialist Trainee Research experience, interest and opportunities: a national survey. BMJ Supportive and Palliative Care 2024;14(e3):e2452-e2456. Research supervision and protected time vary by training region. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/33558305/", "doi": "10.1136/bmjspcare-2020-002609", "pmid": "33558305", "accessed": "2026-09-26" }, { "id": "252", "kind": "peer", "tier": 2, "year": "2021", "title": "Enzinger AC, Ghosh K, Keating NL, et al.", "detail": "US Trends in Opioid Access Among Patients With Poor Prognosis Cancer Near the End-of-Life. Journal of Clinical Oncology 2021;39(26):2948-2958. Medicare decedents 2007 to 2017: end-of-life opioid use declined while pain-related emergency visits rose. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8425843/", "doi": "10.1200/JCO.21.00476", "pmid": "34292766", "accessed": "2026-09-26" }, { "id": "253", "kind": "peer", "tier": 2, "year": "2023", "title": "Enzinger AC, Ghosh K, Keating NL, et al.", "detail": "Racial and Ethnic Disparities in Opioid Access and Urine Drug Screening Among Older Patients With Poor-Prognosis Cancer Near the End of Life. Journal of Clinical Oncology 2023;41(14):2511-2522. Persistent racial and ethnic inequities in end-of-life opioid access, not mediated by socioeconomic variables; urine drug screening expanded. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10414726/", "doi": "10.1200/JCO.22.01413", "pmid": "36626695", "accessed": "2026-09-26" }, { "id": "254", "kind": "peer", "tier": 2, "year": "2026", "title": "Bao Y, Zhang H, Pinheiro LC, et al.", "detail": "Prescription Monitoring Program Mandates and Opioids Dispensed to Patients Dying of Cancer. JCO Oncology Practice 2026:OP2500187. Mandates associated with modest reductions in opioids dispensed to decedents, larger for Black and Asian/Pacific Islander decedents; ten states. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12818174/", "doi": "10.1200/OP-25-00187", "pmid": "41505672", "accessed": "2026-09-26" }, { "id": "255", "kind": "peer", "tier": 2, "year": "2016", "title": "Dowell D, Haegerich TM, Chou R.", "detail": "CDC Guideline for Prescribing Opioids for Chronic Pain: United States, 2016. JAMA 2016;315(15):1624-1645. Applies outside active cancer treatment, palliative and end-of-life care; recommends reviewing prescription monitoring data. Government guideline. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6390846/", "doi": "10.1001/jama.2016.1464", "pmid": "26977696", "accessed": "2026-09-26" }, { "id": "256", "kind": "peer", "tier": 2, "year": "2022", "title": "Dowell D, Ragan KR, Jones CM, et al.", "detail": "CDC Clinical Practice Guideline for Prescribing Opioids for Pain: United States, 2022. MMWR Recommendations and Reports 2022;71(3):1-95. Updates the 2016 guideline; excludes sickle cell and cancer pain and palliative or end-of-life care; not to be applied as inflexible standards. Government guideline. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9639433/", "doi": "10.15585/mmwr.rr7103a1", "pmid": "36327391", "accessed": "2026-09-26" }, { "id": "257", "kind": "peer", "tier": 2, "year": "2022", "title": "Jones KF, Abdulhay LB, Orris SR, et al.", "detail": "The Relevance of State Laws Regulating Opioid Prescribing for People Living With Serious Illness. Journal of Pain and Symptom Management 2022;64(2):89-99. Most states enacted opioid limits focused on acute pain; most exempt serious illness, some do not, and exemption language is often broad. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/35561937/", "doi": "10.1016/j.jpainsymman.2022.05.001", "pmid": "35561937", "accessed": "2026-09-26" }, { "id": "258", "kind": "peer", "tier": 2, "year": "2021", "title": "McMichael BJ.", "detail": "Nurse Practitioner Scope-of-Practice Laws and Opioid Prescribing. Milbank Quarterly 2021;99(3):721-745. State scope-of-practice laws restrict nurse practitioners; no evidence independent practice increases opioid prescriptions. Not specific to palliative care. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8452368/", "doi": "10.1111/1468-0009.12524", "pmid": "34187087", "accessed": "2026-09-26" }, { "id": "259", "kind": "peer", "tier": 2, "year": "2020", "title": "Lozada MJ, Raji MA, Goodwin JS, et al.", "detail": "Opioid Prescribing by Primary Care Providers: a Cross-Sectional Analysis of Nurse Practitioner, Physician Assistant, and Physician Prescribing Patterns. Journal of General Internal Medicine 2020;35(9):2584-2592. Most nurse practitioners and physician assistants prescribe like physicians, with more high-dose outliers in independent-authority states. Not specific to palliative care. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7459076/", "doi": "10.1007/s11606-020-05823-0", "pmid": "32333312", "accessed": "2026-09-26" }, { "id": "260", "kind": "peer", "tier": 2, "year": "2016", "title": "Dumanovsky T, Augustin R, Rogers M, et al.", "detail": "The Growth of Palliative Care in U.S. Hospitals: A Status Report. Journal of Palliative Medicine 2016;19(1):8-15. Steady growth, near-universal in large hospitals; access uneven by geography and ownership. Authors from a field advocacy organization. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4692111/", "doi": "10.1089/jpm.2015.0351", "pmid": "26417923", "accessed": "2026-09-26" }, { "id": "261", "kind": "peer", "tier": 2, "year": "2024", "title": "Hu X, Jiang C, Fan Q, et al.", "detail": "US Medicare Hospice and Palliative Medicine Physician Workforce and Service Delivery in 2008-2020. Journal of Pain and Symptom Management 2024;67(6):e851-e857. Workforce grew but concentrated in metropolitan and inpatient settings; outpatient share fell. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38467348/", "doi": "10.1016/j.jpainsymman.2024.03.006", "pmid": "38467348", "accessed": "2026-09-26" }, { "id": "262", "kind": "peer", "tier": 2, "year": "2018", "title": "Teno JM, Gozalo P, Trivedi AN, et al.", "detail": "Site of Death, Place of Care, and Health Care Transitions Among US Medicare Beneficiaries, 2000-2015. JAMA 2018;320(3):264-271. Hospital deaths fell and home or community deaths rose. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6076888/", "doi": "10.1001/jama.2018.8981", "pmid": "29946682", "accessed": "2026-09-26" }, { "id": "263", "kind": "peer", "tier": 2, "year": "2018", "title": "Fine PG.", "detail": "Hospice Underutilization in the U.S.: The Misalignment of Regulatory Policy and Clinical Reality. Journal of Pain and Symptom Management 2018;56(5):808-815. Medicare pays for most hospice care and requires a certified six-month prognosis; audits may delay access. Policy commentary. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/30142388/", "doi": "10.1016/j.jpainsymman.2018.08.005", "pmid": "30142388", "accessed": "2026-09-26" }, { "id": "264", "kind": "peer", "tier": 2, "year": "2022", "title": "Gianattasio KZ, Power MC, Lupu D, et al.", "detail": "Medicare Hospice Policy Changes and Beneficiaries' Rate of Live Discharge and Length-of-Stay. Journal of Pain and Symptom Management 2023;65(3):162-172. 2014 audits and 2016 two-tier payment did not reduce length of stay. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9928899/", "doi": "10.1016/j.jpainsymman.2022.12.001", "pmid": "36526252", "accessed": "2026-09-26" }, { "id": "265", "kind": "peer", "tier": 2, "year": "2025", "title": "Bellerose M, Ryan AM, Ankuda CK, et al.", "detail": "Medicare Advantage Plan Spending and Payments Under the Hospice Carve-Out. JAMA Network Open 2025;8(8):e2527724. Hospice carved out to fee-for-service Medicare; the inclusion test ended December 2024. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12365699/", "doi": "10.1001/jamanetworkopen.2025.27724", "pmid": "40828531", "accessed": "2026-09-26" }, { "id": "266", "kind": "peer", "tier": 2, "year": "2016", "title": "Lamba S, DeSandre PL, Quest TE.", "detail": "Opportunities and Challenges Facing the Integrated Physician Workforce of Emergency Medicine and Hospice and Palliative Medicine. Journal of Emergency Medicine 2016;51(6):658-667. Ten member boards of the American Board of Medical Specialties sponsor the subspecialty; first examination 2008. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/27613448/", "doi": "10.1016/j.jemermed.2016.06.056", "pmid": "27613448", "accessed": "2026-09-26" }, { "id": "267", "kind": "peer", "tier": 2, "year": "2019", "title": "Kamal AH, Wolf SP, Troy J, et al.", "detail": "Policy Changes Key To Promoting Sustainability And Growth Of The Specialty Palliative Care Workforce. Health Affairs 2019;38(6):910-918. Projected workforce decline without policy change; more fellowship positions could reverse it. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/31158018/", "doi": "10.1377/hlthaff.2019.00018", "pmid": "31158018", "accessed": "2026-09-26" }, { "id": "268", "kind": "peer", "tier": 2, "year": "2016", "title": "Fang X, Zhu LL, Pan SD, et al.", "detail": "Safe medication management and use of narcotics in a Joint Commission International-accredited academic medical center hospital in the People's Republic of China. Therapeutic and Clinical Risk Management 2016;12:535-44. Single hospital (Zhejiang) describing national narcotics rules: trained, hospital-authorized physicians; national red paper prescription; per-prescription day limits. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4827882/", "doi": "10.2147/TCRM.S103853", "pmid": "27103812", "accessed": "2026-09-26" }, { "id": "269", "kind": "peer", "tier": 2, "year": "2026", "title": "Zhang X, Shi Q", "detail": "Research on nurses' prescription rights in China: a bibliometric analysis via CiteSpace. Medicine (Baltimore) 2026;105(22):e49018. States China has no nationwide nurse prescribing rights, only regional pilots. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13225555/", "doi": "10.1097/MD.0000000000049018", "pmid": "42216369", "accessed": "2026-09-26" }, { "id": "270", "kind": "peer", "tier": 2, "year": "2025", "title": "Smith Cavalcante J, Kunisawa S, Fushimi K, et al.", "detail": "Opioid use in postoperative pain management of pediatric appendectomy patients in Japan. Journal of Anesthesia 2025;39(5):741-749. Discussion describes narcotic licensing for physicians and facilities under the Narcotics and Psychotropics Control Act. Full text read; regulatory description is secondary to the study.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12464010/", "doi": "10.1007/s00540-025-03525-7", "pmid": "40515766", "accessed": "2026-09-26" }, { "id": "271", "kind": "peer", "tier": 2, "year": "2024", "title": "Nagatani K, Nakahara M, Omotani S, Myotoku M", "detail": "Questionnaire on the current status and awareness of palliative medicine by community cooperation pharmacies. Pharmacy (Basel) 2024;12(4). Kinki region survey; 2021 pharmacy certification requires a narcotics dispensing system; transfer licenses held by a minority. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11270214/", "doi": "10.3390/pharmacy12040110", "pmid": "39051394", "accessed": "2026-09-26" }, { "id": "272", "kind": "peer", "tier": 2, "year": "2024", "title": "Dowd LA, Hamada S, Hattori Y, et al.", "detail": "A mixed-methods study on the pharmacological management of pain in Australian and Japanese nursing homes. Age and Ageing 2024;53(2). Japanese clinicians describe prescriber training, registration and storage rules as opioid barriers; tramadol preferred. Focus group perceptions. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10898334/", "doi": "10.1093/ageing/afae024", "pmid": "38411410", "accessed": "2026-09-26" }, { "id": "273", "kind": "peer", "tier": 2, "year": "2001", "title": "De Lima L, Sakowski JA, Stratton Hill C, Bruera E", "detail": "Legislation analysis according to WHO and INCB criteria on opioid availability: a comparative study of 5 countries and the state of Texas. Health Policy 2001;56(2):99-110. Argentina met 7 of 17 criteria; limits on prescription days, potency and doses per day. First author held a WHO/PAHO opioid-access liaison role. Dated. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/11275300/", "doi": "10.1016/s0168-8510(00)00130-5", "pmid": "11275300", "accessed": "2026-09-26" }, { "id": "274", "kind": "peer", "tier": 2, "year": "2022", "title": "Lohman D, Abidjanova N, Amiryan D, et al.", "detail": "Progress update: development of palliative care from 2017 to 2020 in five countries in Eurasia. Journal of Pain and Symptom Management 2022;64(2):100-109. Armenia, Georgia, Moldova, Tajikistan, Ukraine; policies, medicines and training in place by the mid-2010s. Authors are Open Society staff evaluating their own funding. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/35489664/", "doi": "10.1016/j.jpainsymman.2022.04.177", "pmid": "35489664", "accessed": "2026-09-26" }, { "id": "275", "kind": "peer", "tier": 2, "year": "2021", "title": "Lalani NS, Duggleby W, Olson J", "detail": "\"I Need Presence and a Listening Ear\": Perspectives of Spirituality and Spiritual Care Among Healthcare Providers in a Hospice Setting in Pakistan. J Relig Health 2021;60(4):2862-2877. Qualitative interview study of hospice staff whose study-context section describes the only hospice in Karachi (45-bed, charitable, cancer-only, six-month prognosis rule, free food and medicines); single site. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8142292/", "doi": "10.1007/s10943-021-01292-9", "pmid": "34028668", "accessed": "2026-09-26" }, { "id": "276", "kind": "peer", "tier": 2, "year": "2022", "title": "Rattani SA, Dahlke S, Cameron B", "detail": "Cancer Care in Pakistan: A Descriptive Case Study. Glob Qual Nurs Res 2022;9:23333936221080988. Qualitative case study (12 participants) at a philanthropist-funded cancer and hospice hospital in Karachi describing late presentation, poverty and lack of morphine; single site. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8882939/", "doi": "10.1177/23333936221080988", "pmid": "35237708", "accessed": "2026-09-26" }, { "id": "277", "kind": "peer", "tier": 2, "year": "2020", "title": "Saeed F, Sardar M, Rasheed K, et al.", "detail": "Dialysis Decision Making and Preferences for End-of-Life Care: Perspectives of Pakistani Patients Receiving Maintenance Dialysis. J Pain Symptom Manage 2020;60(2):336-345. Survey of 522 patients in seven dialysis units showing very low awareness of hospice and palliative care; convenience sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7375006/", "doi": "10.1016/j.jpainsymman.2020.03.009", "pmid": "32201311", "accessed": "2026-09-26" }, { "id": "278", "kind": "peer", "tier": 2, "year": "2022", "title": "Jabeen I, Qureshi A, Waqar MA", "detail": "Development of Palliative Care Services at a Tertiary Care Teaching Hospital in Pakistan: Retrospective Analysis of Existing Palliative Care Program. J Pain Symptom Manage 2022;64(2):178-185. Retrospective review of the Aga Khan University Hospital palliative care program 2017-2019 with inpatient, outpatient and home care; self-evaluation by program staff, single institution; a corrigendum was published (PMID 38219084). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/35447307/", "doi": "10.1016/j.jpainsymman.2022.03.018", "pmid": "35447307", "accessed": "2026-09-26" }, { "id": "279", "kind": "peer", "tier": 2, "year": "2023", "title": "Rafaqat W, Syed AR, Ahmed IM, et al.", "detail": "Impact of an outpatient palliative care consultation and symptom clusters in terminal patients at a tertiary care center in Pakistan. BMC Palliat Care 2023;22(1):75. Before-after symptom study of 78 outpatients at the first outpatient palliative care center in Karachi; single institution, includes program staff as authors. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10283303/", "doi": "10.1186/s12904-023-01195-4", "pmid": "37344868", "accessed": "2026-09-26" }, { "id": "280", "kind": "peer", "tier": 2, "year": "2022", "title": "Saeed S, Tousif K, Fatir CA, et al.", "detail": "Impact of COVID-19 on palliative care of cancer patients: Perspectives from Pakistan. Ann Med Surg (Lond) 2022;78:103705. Short commentary stating that only a few institutions provide specialized palliative care in Pakistan; opinion piece, not primary data. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9098974/", "doi": "10.1016/j.amsu.2022.103705", "pmid": "35582458", "accessed": "2026-09-26" }, { "id": "281", "kind": "peer", "tier": 2, "year": "2026", "title": "Reddy M, Rao S, N S", "detail": "Hospice referral patterns in India during COVID-19: A retrospective study on advanced cancer patients. BMC Palliat Care 2026;25(1). Retrospective review of 740 admissions to Karunashraya, a 73-bed free nonprofit hospice in Bangalore, showing median admission-to-death of 8 to 10 days; single site, pandemic period, author affiliated with the hospice (self-evaluation). Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13584415/", "doi": "10.1186/s12904-026-02019-x", "pmid": "42754881", "accessed": "2026-09-26" }, { "id": "282", "kind": "peer", "tier": 2, "year": "2023", "title": "Nair M, Ghoshal A", "detail": "Hospice Care in India-A Pediatrician's Perspective. South Asian J Cancer 2023;12(3):303-308. Perspective article on pediatric hospice care in India covering scarce child-specific hospices, funding gaps and underuse; opinion and advocacy, not primary data. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10691903/", "doi": "10.1055/s-0043-1771407", "pmid": "38047051", "accessed": "2026-09-26" }, { "id": "283", "kind": "peer", "tier": 2, "year": "2022", "title": "Salins N, Bhatnagar S, Simha S, et al.", "detail": "Palliative Care in India: Past, Present, and Future. Indian J Surg Oncol 2022;13(Suppl 1):83-90. Narrative history tracing Indian palliative care from the 1980s hospice movement to specialist practice; written by leaders of Indian palliative care organizations (including Karunashraya and Pallium India), so an insider and advocacy view. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9859967/", "doi": "10.1007/s13193-022-01556-0", "pmid": "36691499", "accessed": "2026-09-26" }, { "id": "284", "kind": "peer", "tier": 2, "year": "2023", "title": "Mah K, Namisango E, Luyirika E, et al.", "detail": "Quality of Dying and Death of Patients With Cancer in Hospice Care in Uganda. JCO Glob Oncol 2023;9:e2200386. Bereaved-caregiver survey (N=202) at two Ugandan hospices (Kitovu Mobile Hospice and Hospice Africa Uganda) that describes both services and reports poor symptom control near death; two-site scope, co-authors include African Palliative Care Association staff. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10166526/", "doi": "10.1200/GO.22.00386", "pmid": "36763934", "accessed": "2026-09-26" }, { "id": "285", "kind": "peer", "tier": 2, "year": "2018", "title": "Campbell J, Buyinza N, Hauser J", "detail": "Perspective on Care at the End of Life at Hospice Africa Uganda. J Palliat Med 2018;21(7):901-906. Survey of 46 patients, 51 caregivers and 25 providers at Hospice Africa Uganda (Kampala and satellites) on end-of-life priorities; single organization, one co-author is HAU staff. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29649394/", "doi": "10.1089/jpm.2017.0472", "pmid": "29649394", "accessed": "2026-09-26" }, { "id": "286", "kind": "peer", "tier": 2, "year": "2015", "title": "Too W, Watson M, Harding R, et al.", "detail": "Living with AIDS in Uganda: a qualitative study of patients' and families' experiences following referral to hospice. BMC Palliat Care 2015;14:67. Qualitative interviews with 22 AIDS patients and 20 caregivers newly referred to Hospice Africa Uganda; single organization. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4662801/", "doi": "10.1186/s12904-015-0066-3", "pmid": "26615391", "accessed": "2026-09-26" }, { "id": "287", "kind": "peer", "tier": 2, "year": "2026", "title": "Ajambo M, Mwaka S, Nyanzi JG, et al.", "detail": "Paediatric palliative care following hospital discharge: Prevalence and factors associated with non-continuity of palliative care for children with cancer in Busoga sub-region-eastern Uganda; A mixed methods study. PLOS Glob Public Health 2026;6(1):e0004210. Mixed-methods study at two tertiary facilities and one hospice centre finding 96.1% non-continuity of pediatric palliative care; one sub-region, first author affiliated with Ministry of Health. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12858009/", "doi": "10.1371/journal.pgph.0004210", "pmid": "41615991", "accessed": "2026-09-26" }, { "id": "288", "kind": "peer", "tier": 2, "year": "2026", "title": "Downing J, Ndagire M, Irumba LC", "detail": "Striving for Equity, Justice, and Access to Palliative Care Through Cancer and Palliative Nursing in Uganda: A Narrative Review. Semin Oncol Nurs 2026;42(3):152249. Narrative review supported by authors' expert knowledge on nursing and equity in Ugandan palliative care; authors are sector advocates. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42173745/", "doi": "10.1016/j.soncn.2026.152249", "pmid": "42173745", "accessed": "2026-09-26" }, { "id": "289", "kind": "peer", "tier": 2, "year": "2021", "title": "Tarus A, Cornetta K, Morogo D, et al.", "detail": "Palliative Care Needs in Breast Cancer Patients Entering Inpatient Hospice in Western Kenya. J Pain Symptom Manage 2021;63(1):71-77. Retrospective chart review of 62 women with breast cancer admitted 2011-2019 to one inpatient hospice in Western Kenya; single site, authors run the service (quality improvement exercise). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34333098/", "doi": "10.1016/j.jpainsymman.2021.07.013", "pmid": "34333098", "accessed": "2026-09-26" }, { "id": "290", "kind": "peer", "tier": 2, "year": "2023", "title": "Kimani CW, Kioko UM, Ndinda C, et al.", "detail": "Factors Influencing Progressive Utilization of Palliative Care Services among Cancer Patients in Kenya: The Case of Nairobi Hospice. Int J Environ Res Public Health 2023;20(19). Cross-sectional survey of 169 cancer patients at Nairobi Hospice in 2013 on factors in continued use, including insurance and employment; single site. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10572499/", "doi": "10.3390/ijerph20196871", "pmid": "37835141", "accessed": "2026-09-26" }, { "id": "291", "kind": "peer", "tier": 2, "year": "2014", "title": "Omoyeni N, Soyannwo O, Aikomo O, et al.", "detail": "Home-based palliative care for adult cancer patients in Ibadan-a three year review. Ecancermedicalscience 2014;8:490. Single-site record review of 60 home-care patients at the University College Hospital Ibadan hospice and palliative care unit, 2009 to 2013; written by the unit's own staff (self-evaluation). Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4303613/", "doi": "10.3332/ecancer.2014.490", "pmid": "25624871", "accessed": "2026-09-26" }, { "id": "292", "kind": "peer", "tier": 2, "year": "2023", "title": "Carey N, Abathun E, Maguire R, et al.", "detail": "Co-design and prototype development of the 'Ayzot App': A mobile phone based remote monitoring system for palliative care. Palliat Med 2023;37(5):771-781. App co-design study with Hospice Ethiopia and one Addis Ababa hospital that also describes Hospice Ethiopia's day care and home-based hospice services; co-authors are Hospice Ethiopia staff. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10227095/", "doi": "10.1177/02692163231162408", "pmid": "37002562", "accessed": "2026-09-26" }, { "id": "293", "kind": "peer", "tier": 2, "year": "2023", "title": "Abate Y, Solomon K, Azmera YM, et al.", "detail": "Barrier analysis for continuity of palliative care from health facility to household among adult cancer patients in Addis Ababa, Ethiopia. BMC Palliat Care 2023;22(1):57. Qualitative study (25 participants) at two Addis Ababa hospitals and Hospice Ethiopia on barriers to linking facility and home-based care; one co-author is from Hospice Ethiopia. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10175902/", "doi": "10.1186/s12904-023-01181-w", "pmid": "37173667", "accessed": "2026-09-26" }, { "id": "294", "kind": "peer", "tier": 2, "year": "2023", "title": "Negasa EH, Human SP, Roro AG", "detail": "Challenges in Palliative Care Provision in Ethiopia: An Exploratory Qualitative Study. J Pain Res 2023;16:3405-3415. Qualitative study (29 interviews, 5 focus groups) in Ethiopia including hospice managers and NGO coordinators; reports falling donor support. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10561620/", "doi": "10.2147/JPR.S415866", "pmid": "37817758", "accessed": "2026-09-26" }, { "id": "295", "kind": "peer", "tier": 2, "year": "2025", "title": "Petersen-Damon M, Swartz L", "detail": "Addressing the concept of total pain in palliative care: A postcolonial South African hospice view. Palliat Support Care 2025;23:e35. Interviews with 12 staff at one Cape Town hospice (St Luke's Combined Hospices); background describes NGO provision and the hospice's history. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13166660/", "doi": "10.1017/S1478951524001123", "pmid": "39871608", "accessed": "2026-09-26" }, { "id": "296", "kind": "peer", "tier": 2, "year": "2020", "title": "Vasileiou K, Smith P, Kagee A", "detail": "\"The way I am treated is as if I am under my mother's care\": qualitative study of patients' experiences of receiving hospice care services in South Africa. BMC Palliat Care 2020;19(1):95. Interviews with 13 terminal cancer patients receiving inpatient or day care at one non-profit Cape Town hospice; background gives national hospice count and funding. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7330936/", "doi": "10.1186/s12904-020-00605-1", "pmid": "32611344", "accessed": "2026-09-26" }, { "id": "297", "kind": "peer", "tier": 2, "year": "2021", "title": "Mahilall R, Swartz L", "detail": "Challenges and opportunities for spiritual care practice in hospices in a middle-income country. BMC Palliat Care 2021;20(1):62. National online survey of Hospice Palliative Care Association of South Africa member organisations (40 of 96 contactable responded); reports member count, patient volumes and NGO funding. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8062111/", "doi": "10.1186/s12904-021-00756-9", "pmid": "33888120", "accessed": "2026-09-26" }, { "id": "298", "kind": "peer", "tier": 2, "year": "2021", "title": "Mahilall R, Swartz L", "detail": "Spiritual care practices in hospices in the Western cape, South Africa: the challenge of diversity. BMC Palliat Care 2021;20(1):9. Focus groups with 11 of 12 registered hospices in one province (Western Cape); states all are NGOs depending on public funding. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7797180/", "doi": "10.1186/s12904-020-00704-z", "pmid": "33423672", "accessed": "2026-09-26" }, { "id": "299", "kind": "peer", "tier": 2, "year": "2026", "title": "Dabbous A, Said A, El Mughrabi A, et al.", "detail": "Causes of early hospital readmission in hospice patients at a comprehensive oncology center in Jordan: a retrospective descriptive study. BMC Palliat Care 2026;25(1). Single-center retrospective review of 163 readmissions from hospice settings at King Hussein Cancer Center, Amman, in 2024; describes the center's hospice enrollment process and settings. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13169697/", "doi": "10.1186/s12904-026-02075-3", "pmid": "41923036", "accessed": "2026-09-26" }, { "id": "300", "kind": "peer", "tier": 2, "year": "2021", "title": "Salmany SS, Rayyan M, Dabbous A, et al.", "detail": "Descriptive study of clinical pharmacist interventions in adult hospice and palliative care at a comprehensive oncology center in Jordan. J Oncol Pharm Pract 2021;28(8):1749-1753. Single-center retrospective study of 27,720 pharmacist interventions across inpatient, outpatient and home hospice and palliative care settings, 2006 to 2019; written by the center's own pharmacists. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34565251/", "doi": "10.1177/10781552211040736", "pmid": "34565251", "accessed": "2026-09-26" }, { "id": "301", "kind": "peer", "tier": 2, "year": "2022", "title": "Leong YY, Hamzah E, McCarthy S, et al.", "detail": "Providing End-of-Life Care in the Community: What Are the Challenges in Malaysia? J Hosp Palliat Care 2022;25(3):133-137. Case report with background on the history of NGO hospice home care in Malaysia; all authors work at Hospis Malaysia, so the service description is a self-report by the provider. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10179988/", "doi": "10.14475/jhpc.2022.25.3.133", "pmid": "37674906", "accessed": "2026-09-26" }, { "id": "302", "kind": "peer", "tier": 2, "year": "2022", "title": "Yip YY, Hwong WY, McCarthy SA, et al.", "detail": "Duration of Referral-to-Death and its Associated Factors Among Cancer and Noncancer Patients: Retrospective Cohort Study of a Community Palliative Care Setting in Malaysia. J Palliat Care 2022;38(2):111-125. Retrospective cohort of 4346 decedents referred to one community palliative care center (2017 to 2019); two authors are Hospis Malaysia clinical staff, and the abstract does not name the center. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36464769/", "doi": "10.1177/08258597221143195", "pmid": "36464769", "accessed": "2026-09-26" }, { "id": "303", "kind": "peer", "tier": 2, "year": "2023", "title": "Ho FDV, De Luna DV, Cubarrubias DLPF, et al.", "detail": "Palliative and Supportive Care in the Philippines: Systems, Barriers, and Steps Forward. J Palliat Care 2023;39(2):87-91. Narrative literature review of barriers to palliative care access in the Philippines, including opioid availability, workforce and out-of-pocket costs. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36740938/", "doi": "10.1177/08258597231153381", "pmid": "36740938", "accessed": "2026-09-26" }, { "id": "304", "kind": "peer", "tier": 2, "year": "2021", "title": "Chaiviboontham S, Pokpalagon P", "detail": "Palliative care model in Thailand. Int J Palliat Nurs 2021;27(3):132-146. Convergent mixed-methods study of palliative care models at three levels of health care and one religious organization, purposive sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34038181/", "doi": "10.12968/ijpn.2021.27.3.132", "pmid": "34038181", "accessed": "2026-09-26" }, { "id": "305", "kind": "peer", "tier": 2, "year": "2024", "title": "Pokpalagon P, Chaiviboontham S, Phinitkhajorndech N", "detail": "Spiritual needs, spiritual well-being, and Buddhist practices of patients with terminal illness, Thailand. Palliat Support Care 2024;22(4):718-725. Cross-sectional multicenter study of 170 terminally ill patients in home care, two faith-based organizations (AIDS and cancer) and a hospice ward; describes settings, not national coverage. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36177659/", "doi": "10.1017/S1478951522001286", "pmid": "36177659", "accessed": "2026-09-26" }, { "id": "306", "kind": "peer", "tier": 2, "year": "2026", "title": "Wu Y, Li C, Liu S, et al.", "detail": "Advancing Geriatric Hospice Care in China: An Interpretation and Critical Analysis of the New National Standard WS/T 844-2024. Aging Med (Milton) 2026;9(4):438-442. Policy commentary on the 2024 national standard for geriatric hospice care wards, with background on national hospice pilots and service counts. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13488477/", "doi": "10.1002/agm2.70097", "pmid": "42621562", "accessed": "2026-09-26" }, { "id": "307", "kind": "peer", "tier": 2, "year": "2025", "title": "Wang L, Zhao S, Xing F, et al.", "detail": "Evolution and textual quantitative analysis of China's palliative care policies: a three-dimensional analytical framework approach. Front Public Health 2025;13:1624446. Policy tool analysis of 36 national hospice and palliative care policy documents in China. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12436347/", "doi": "10.3389/fpubh.2025.1624446", "pmid": "40963660", "accessed": "2026-09-26" }, { "id": "308", "kind": "peer", "tier": 2, "year": "2026", "title": "von Sass C, van Oorschot B, Sammer T, et al.", "detail": "Hospital-to-hospice transfers in Germany: analyzing the impact of age and gender at the care transition interface. Front Oncol 2026;16:1743124. Nationwide cross-sectional analysis of 2023 German hospital billing data on transfers to inpatient hospices, with background on admission rules, funding and hospice numbers; no conflict declared in the text read. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13061869/", "doi": "10.3389/fonc.2026.1743124", "pmid": "41971449", "accessed": "2026-09-26" }, { "id": "309", "kind": "peer", "tier": 2, "year": "2024", "title": "Apolinarski B, Stiel S, Herbst FA, et al.", "detail": "[Too thin on the ground? Regional disparities in hospice and palliative care in Germany]. Z Evid Fortbild Qual Gesundhwes 2024;190-191:53-62. District-level regression of 401 German districts and cities linking population indicators to numbers of outpatient hospice services, inpatient hospices and palliative services. German-language article. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39510949/", "doi": "10.1016/j.zefq.2024.07.007", "pmid": "39510949", "accessed": "2026-09-26" }, { "id": "310", "kind": "peer", "tier": 2, "year": "2022", "title": "Dasch B, Berger K, Lenz P, et al.", "detail": "Frequency of discharge of hospitalized patients with stroke to free-standing hospice facilities-a register study from Germany. Ann Palliat Med 2022;11(10):3102-3122. Northwest-German Stroke Registry 2017 to 2020 (one region, 339,513 cases) showing very rare discharge of stroke patients to hospices. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36096738/", "doi": "10.21037/apm-22-418", "pmid": "36096738", "accessed": "2026-09-26" }, { "id": "311", "kind": "peer", "tier": 2, "year": "2024", "title": "Kaiser U, Vehling-Kaiser U, Hoffmann A, et al.", "detail": "The complex intervention day hospice - a quality-assured study on the implementation, realization, and benefits with model character for Germany (IMPULS) using the example of \"Day hospice Adiuvantes\". BMC Palliat Care 2024;23(1):18. Study protocol for one day hospice in Lower Bavaria; states that uniform experience with day hospices in Germany is lacking; authors evaluate their own day hospice (self-evaluation). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10790402/", "doi": "10.1186/s12904-024-01346-1", "pmid": "38229069", "accessed": "2026-09-26" }, { "id": "312", "kind": "peer", "tier": 2, "year": "2023", "title": "Ancuta C, DeSanto-Madeya S, Gaman D, et al.", "detail": "Benefits of Early Palliative Care Integration in a Day Care Program: The Patients' Perspective. J Palliat Med 2023;26(11):1535-1541. Qualitative focus-group study of 50 cancer patients in the palliative day care program of Hospice Casa Sperantei in Brasov (single provider, one city). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/37672610/", "doi": "10.1089/jpm.2023.0279", "pmid": "37672610", "accessed": "2026-09-26" }, { "id": "313", "kind": "peer", "tier": 2, "year": "2016", "title": "Bilynsky BT, Shparyk YV, Mryglotsky MM, et al.", "detail": "70th anniversary of the Lviv scientific school of oncology. Exp Oncol 2016;38(1):60-2. Historical article by Lviv oncologists that credits Lviv with the first Ukrainian hospice for oncological patients; institutional self-history, no founding date given. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/27031723/", "doi": null, "pmid": "27031723", "accessed": "2026-09-26" }, { "id": "314", "kind": "peer", "tier": 2, "year": "2022", "title": "Tsarenko AV, Chaikovska VV, Goida NG, et al.", "detail": "THE AVAILABILITY AND QUALITY OF PALLIATIVE AND HOSPICE CARE ENSURING IN THE COVID-19 PANDEMIC CONTEXT. Wiad Lek 2022;75(5 pt 1):1112-1117. Survey-based study of outpatient palliative and hospice care and Kyiv mobile teams; several authors are affiliated with the Ukrainian Palliative and Hospice Care League (advocacy organization). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/35758487/", "doi": "10.36740/WLek202205111", "pmid": "35758487", "accessed": "2026-09-26" }, { "id": "315", "kind": "peer", "tier": 2, "year": "2012", "title": "Luxardo N, Brage E, Alvarado C", "detail": "An examination of advanced cancer caregivers' support provided by staff interventions at hospices in Argentina. Ecancermedicalscience 2012;6:281. Qualitative case study (2010 to 2011) of the Hospice at Home program of one faith-based hospice in Buenos Aires, with 40 families drawn from a registry of 400 patients cared for from 2002 to 2011; single site, and one author was a nurse on the hospice staff. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3512445/", "doi": "10.3332/ecancer.2012.281", "pmid": "23226163", "accessed": "2026-09-26" }, { "id": "316", "kind": "peer", "tier": 2, "year": "2021", "title": "Radosta DI", "detail": "[Hospice care as humanized end-of-life care]. Salud Colect 2021;17:e3108. Ethnographic fieldwork (2016 to 2020) at one hospice institution in Buenos Aires province, covering volunteer teams and nursing staff; single site, Spanish-language article. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34105326/", "doi": "10.18294/sc.2021.3108", "pmid": "34105326", "accessed": "2026-09-26" }, { "id": "317", "kind": "peer", "tier": 2, "year": "2019", "title": "Rozman LM, Campolina AG, Lopez RM, et al.", "detail": "Palliative cancer care: costs in a Brazilian quaternary hospital. BMJ Support Palliat Care 2019;12(e2):e211-e218. Retrospective cost study of 2985 adults who died 2010 to 2013 after palliative care visits and/or hospice care at one public quaternary cancer hospital in Sao Paulo; single site, hospital perspective. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/31615764/", "doi": "10.1136/bmjspcare-2019-001809", "pmid": "31615764", "accessed": "2026-09-26" }, { "id": "318", "kind": "peer", "tier": 2, "year": "2024", "title": "Gomes SA, Silva DNM, Sorice F, et al.", "detail": "Outpatient Palliative Care Program: Impact on Home Death Rate in Brazil. Cancers (Basel) 2024;16(7). Retrospective study of 1980 cancer deaths in 2022 across 32 private cancer centers; home and hospice deaths are reported together; all authors are affiliated with the private network that runs the program (self-evaluation). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11010934/", "doi": "10.3390/cancers16071380", "pmid": "38611059", "accessed": "2026-09-26" }, { "id": "319", "kind": "peer", "tier": 2, "year": "2021", "title": "Gómez García WC, Rivas S, Paz G, et al.", "detail": "Pediatric Oncology Palliative Care Programs in Central America: Pathways to Success. Children (Basel) 2021;8(11). Narrative review by program clinicians describing pediatric palliative care programs in six countries, including the national pediatric program in Costa Rica; written by program staff (self-report). Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8624815/", "doi": "10.3390/children8111031", "pmid": "34828744", "accessed": "2026-09-26" }, { "id": "320", "kind": "peer", "tier": 2, "year": "2022", "title": "İşler AM, Yıldırım B", "detail": "The Need for Hospice Care as a Preferred Environment of Death in Terminal Cancers: A Neglected Research Area in Turkey. J Soc Work End Life Palliat Care 2022;19(1):53-83. Qualitative study of 18 oncology professionals and 5 bereaved caregivers in Manisa reporting that hospice services are absent in Turkey and families care for dying cancer patients at home or in hospital; single city. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/35776763/", "doi": "10.1080/15524256.2022.2094524", "pmid": "35776763", "accessed": "2026-09-26" }, { "id": "321", "kind": "peer", "tier": 2, "year": "2023", "title": "İdikut A, İnam MG, Karadeniz Güven D, et al.", "detail": "An 8-year observational study of the death places of patients with COPD in Turkey. Geriatr Gerontol Int 2023;23(12):938-944. Retrospective cohort of COPD patients from one university hospital in Ankara (2014-2021); 77.3% died in hospital and authors cite lack of hospice care; single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11503605/", "doi": "10.1111/ggi.14725", "pmid": "37922946", "accessed": "2026-09-26" }, { "id": "322", "kind": "peer", "tier": 2, "year": "2019", "title": "Ozdemir T, Ozdilekcan C, Goksel F", "detail": "The contribution of hospital-based home health services in pulmonary diseases: Current Practice in Turkey. Medicine (Baltimore) 2019;98(48):e18032. Ministry of Health data on hospital-based home health services for respiratory disease 2011-2017, framed as a model for countries with inadequate hospice-type infrastructure. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6890344/", "doi": "10.1097/MD.0000000000018032", "pmid": "31770218", "accessed": "2026-09-26" }, { "id": "323", "kind": "peer", "tier": 2, "year": "2024", "title": "Alshammary S, Altamimi I, Alhuqbani M, et al.", "detail": "Palliative Care in Saudi Arabia: An Updated Assessment Following the National Vision 2030 Reforms. J Palliat Med 2024;27(5):651-657. Survey of palliative care managers plus death-record analysis reporting growth in palliative care units, community home care and outpatient services; lead author works in a Ministry of Health palliative service (possible self-evaluation). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38271547/", "doi": "10.1089/jpm.2023.0519", "pmid": "38271547", "accessed": "2026-09-26" }, { "id": "324", "kind": "peer", "tier": 2, "year": "2026", "title": "Imran M, Alshehri BG, Akhtar MA, et al.", "detail": "Oncology-embedded supportive care and end-of-life outcomes: a comparative study of hospice-eligible Muslim patients with cancer and non-cancer diagnoses. Support Care Cancer 2026;34(4). Retrospective cohort (2021-2024) of 796 hospice-eligible adults who died in one Jeddah tertiary hospital; non-cancer patients received comfort-oriented care far less often; single site, authors evaluate their own hospital's model. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41876715/", "doi": "10.1007/s00520-026-10577-2", "pmid": "41876715", "accessed": "2026-09-26" }, { "id": "325", "kind": "peer", "tier": 2, "year": "2022", "title": "Beiranvand S, Rassouli M, Hazrati M, et al.", "detail": "Developing a Model for the Establishment of the Hospice Care Delivery System for Iranian Adult Patients With Cancer. Front Psychol 2022;13:807621. Mixed-methods health policy study (comparative review plus Delphi) stating that Iran has no hospice centers and no formal hospice program, and proposing a national model; country level. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8997285/", "doi": "10.3389/fpsyg.2022.807621", "pmid": "35418901", "accessed": "2026-09-26" }, { "id": "326", "kind": "peer", "tier": 2, "year": "2022", "title": "Hojjat-Assari S, Rassouli M, Kaveh V, et al.", "detail": "Explaining health care providers' perceptions about the integration of palliative care with primary health care; a qualitative study. BMC Prim Care 2022;23(1):226. Qualitative study in Iran (21 interviews, one focus group, 2016-2020) describing how cancer patients obtain prescribed opioids through hospitals or the national Food and Drug Administration; stakeholder perceptions. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9454219/", "doi": "10.1186/s12875-022-01835-3", "pmid": "36071371", "accessed": "2026-09-26" }, { "id": "327", "kind": "peer", "tier": 2, "year": "2025", "title": "El Khoury J, Yamout R, Hanna J, et al.", "detail": "Shaped by crisis, rooted in community: Lessons from Lebanon's palliative care model. Palliat Care Soc Pract 2025;19:26323524251386061. Editorial describing the Balsam home-based model, its eligibility, donor funding and crisis adaptations; written by Balsam clinicians and advocates (self-evaluation, advocacy). Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12536149/", "doi": "10.1177/26323524251386061", "pmid": "41122699", "accessed": "2026-09-26" }, { "id": "328", "kind": "peer", "tier": 2, "year": "2024", "title": "Sailian SD, Hanna J, Asmar RE, et al.", "detail": "Palliative Care in the Midst of Adversity: Insights from a Low-Income Country. J Palliat Care 2024;41(1):8-14. National overview of Lebanese palliative care services based on stakeholder presentations at the 2023 National Palliative Care Conference; authors include service leaders (possible self-report bias). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39492629/", "doi": "10.1177/08258597241291433", "pmid": "39492629", "accessed": "2026-09-26" }, { "id": "329", "kind": "peer", "tier": 2, "year": "2024", "title": "Sailian SD, Salifu Y, Preston N", "detail": "Dignity enhanced through faith & family support in palliative care: a qualitative study. BMC Palliat Care 2024;23(1):142. Qualitative study of 14 patients recruited from a home-based hospice service and a hospital outpatient clinic in Beirut; used here only for terminology and setting. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11157805/", "doi": "10.1186/s12904-024-01478-4", "pmid": "38849809", "accessed": "2026-09-26" }, { "id": "330", "kind": "peer", "tier": 2, "year": "2016", "title": "Harrison KL, Connor SR", "detail": "First Medicare Demonstration of Concurrent Provision of Curative and Hospice Services for End-of-Life Care. Am J Public Health 2016;106(8):1405-8. Policy analysis describing US hospice origins in the 1970s, the Medicare hospice benefit rule that restricts eligibility to patients who no longer receive curative treatment, and the concurrent-care demonstration for people with six months or less to live; national policy scope; second author is affiliated with the Worldwide Hospice Palliative Care Alliance (advocacy organization). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4940650/", "doi": "10.2105/AJPH.2016.303238", "pmid": "27310352", "accessed": "2026-09-26" }, { "id": "331", "kind": "peer", "tier": 2, "year": "2017", "title": "Hargadon A, Tran Q, Stephen K, et al.", "detail": "A Trial of Concurrent Care: Shedding Light on the Gray Zone. J Palliat Med 2017;20(2):207-210. Case report and framework paper stating US hospice eligibility criteria (estimated prognosis of 6 months and readiness to forgo disease-modifying treatment); single case, opinion-level evidence; one author affiliated with a for-profit hospice provider (Vitas Healthcare). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/28056185/", "doi": "10.1089/jpm.2016.0279", "pmid": "28056185", "accessed": "2026-09-26" }, { "id": "332", "kind": "peer", "tier": 2, "year": "2015", "title": "Stevenson DG, Dalton JB, Grabowski DC, et al.", "detail": "Nearly half of all Medicare hospice enrollees received care from agencies owned by regional or national chains. Health Aff (Millwood) 2015;34(1):30-8. National analysis of Medicare cost reports 2000-11 showing growth of for-profit and multiagency chain ownership in the US hospice sector. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4840884/", "doi": "10.1377/hlthaff.2014.0599", "pmid": "25561641", "accessed": "2026-09-26" }, { "id": "333", "kind": "peer", "tier": 2, "year": "2014", "title": "Aldridge MD, Schlesinger M, Barry CL, et al.", "detail": "National hospice survey results: for-profit status, community engagement, and service. JAMA Intern Med 2014;174(4):500-6. National random-sample survey of 591 Medicare-certified hospices (2008-2009) comparing for-profit and nonprofit hospices on charity care, Medicare aggregate cap, disenrollment and outreach. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4315613/", "doi": "10.1001/jamainternmed.2014.3", "pmid": "24567076", "accessed": "2026-09-26" }, { "id": "334", "kind": "peer", "tier": 2, "year": "2015", "title": "Gozalo P, Plotzke M, Mor V, et al.", "detail": "Changes in Medicare costs with the growth of hospice care in nursing homes. N Engl J Med 2015;372(19):1823-31. National Medicare analysis of 786,328 US nursing home decedents showing hospice election rose from 27.6% (2004) to 39.8% (2009) with a net increase in Medicare spending; nursing home population only; funded by CMS and NIA. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4465278/", "doi": "10.1056/NEJMsa1408705", "pmid": "25946281", "accessed": "2026-09-26" }, { "id": "335", "kind": "peer", "tier": 2, "year": "2023", "title": "Melekis K, Weisse CS, Alonzo J, et al.", "detail": "Social Model Hospice Residential Care Homes: Whom Do They Really Serve? Am J Hosp Palliat Care 2023;40(12):1317-1323. Chart review of 500 residents of three community-run residential care homes in Upstate New York; notes that the Medicare Hospice Benefit does not cover custodial care; regional scope. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36599102/", "doi": "10.1177/10499091221150769", "pmid": "36599102", "accessed": "2026-09-26" }, { "id": "336", "kind": "peer", "tier": 2, "year": "2023", "title": "Jones CD, Moss A, Sevick C, et al.", "detail": "Factors Associated With Mortality and Hospice Use Among Medicare Beneficiaries With Heart Failure Who Received Home Health Services. J Card Fail 2023;30(6):788-799. 100% national sample of Medicare fee-for-service beneficiaries with heart failure discharged to home health 2017-2018; 48.2% of decedents used hospice, with lower odds for Black, Hispanic, under-65 and Medicaid-eligible patients; heart failure subgroup only. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11402469/", "doi": "10.1016/j.cardfail.2023.11.019", "pmid": "38142043", "accessed": "2026-09-26" }, { "id": "337", "kind": "peer", "tier": 2, "year": "2022", "title": "Oh A, Hunt LJ, Ritchie CS, et al.", "detail": "Role of Home Health for Community-Dwelling Older Adults Near the End of Life: A Resource Beyond Hospice? J Palliat Med 2022;26(3):385-392. Nationally representative NHATS cohort of 1,057 US decedents (2012-2017) linked to Medicare claims showing shares using hospice only, home health only, both or neither in the last six months of life; older adults only. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9986009/", "doi": "10.1089/jpm.2022.0272", "pmid": "36137095", "accessed": "2026-09-26" }, { "id": "338", "kind": "peer", "tier": 2, "year": "2019", "title": "Wang SE, Liu IA, Lee JS, et al.", "detail": "End-of-Life Care in Patients Exposed to Home-Based Palliative Care vs Hospice Only. J Am Geriatr Soc 2019;67(6):1226-1233. Retrospective cohorts of decedents 65 and older in Kaiser Permanente Southern California (2011-2016) reporting median hospice length of stay of 12 to 13 days; single integrated health system; authors employed by the system that runs the program. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/30830695/", "doi": "10.1111/jgs.15844", "pmid": "30830695", "accessed": "2026-09-26" }, { "id": "339", "kind": "peer", "tier": 2, "year": "2019", "title": "Rees-Roberts M, Williams P, Hashem F, et al.", "detail": "Hospice at Home services in England: a national survey. BMJ Support Palliat Care 2019;11(4):454-460. Telephone survey of 70 of 128 adult Hospice at Home services in England (2017) describing charity versus NHS leadership, referral life-expectancy criteria and funding sources; 54.7% response rate. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8606452/", "doi": "10.1136/bmjspcare-2019-001818", "pmid": "31722982", "accessed": "2026-09-26" }, { "id": "340", "kind": "peer", "tier": 2, "year": "2022", "title": "Bradley NM, Dowrick CF, Lloyd-Williams M", "detail": "A survey of hospice day services in the United Kingdom & Republic of Ireland : how did hospices offer social support to palliative care patients, pre-pandemic? BMC Palliat Care 2022;21(1):170. Online survey of 103 hospices in the UK and Republic of Ireland (2017-2018) describing hospice day and outpatient services; 49.5% response rate. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9532229/", "doi": "10.1186/s12904-022-01061-9", "pmid": "36195870", "accessed": "2026-09-26" }, { "id": "341", "kind": "peer", "tier": 2, "year": "2026", "title": "Jayaprakasan AK, Doughty Herrera-Carrasco K, White N, et al.", "detail": "Inpatient Hospice Access in the United Kingdom: A Spatial Provision Analysis. J Palliat Care 2026;41(4):359-368. UK-wide spatial analysis of travel time to all 199 adult inpatient hospice units, showing lower coverage in Scotland, Wales and Northern Ireland than England. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41930724/", "doi": "10.1177/08258597261438857", "pmid": "41930724", "accessed": "2026-09-26" }, { "id": "342", "kind": "peer", "tier": 2, "year": "2015", "title": "Sleeman KE, Davies JM, Verne J, et al.", "detail": "The changing demographics of inpatient hospice death: Population-based cross-sectional study in England, 1993-2012. Palliat Med 2015;30(1):45-53. Population-based death registration study of 446,615 inpatient hospice deaths in England showing hospice deaths rose to 6.0% of all deaths in 2012, only 5.2% of hospice decedents had non-cancer diagnoses, and a shift toward less deprived areas. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4681161/", "doi": "10.1177/0269216315585064", "pmid": "25991729", "accessed": "2026-09-26" }, { "id": "343", "kind": "peer", "tier": 2, "year": "2021", "title": "Tobin J, Rogers A, Winterburn I, et al.", "detail": "Hospice care access inequalities: a systematic review and narrative synthesis. BMJ Support Palliat Care 2021;12(2):142-151. Systematic review of 130 studies of adult hospice care in the UK, Australia, New Zealand and Canada (1987-2019) finding under-representation of non-cancer patients, the oldest old, ethnic minorities and rural or deprived residents; findings pooled across four countries. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9125370/", "doi": "10.1136/bmjspcare-2020-002719", "pmid": "33608254", "accessed": "2026-09-26" }, { "id": "344", "kind": "peer", "tier": 2, "year": "2023", "title": "Bedendo A, Hinde S, Beresford B, et al.", "detail": "Consultant-led UK paediatric palliative care services: professional configuration, services, funding. BMJ Support Palliat Care 2023. Survey of all 17 consultant-led hospital-based or hospice-based specialist paediatric palliative care teams in the UK showing reliance on charity funding for posts. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/37558392/", "doi": "10.1136/spcare-2023-004172", "pmid": "37558392", "accessed": "2026-09-26" }, { "id": "345", "kind": "peer", "tier": 2, "year": "2016", "title": "Aoyama M, Morita T, Kizawa Y, et al.", "detail": "The Japan HOspice and Palliative Care Evaluation Study 3: Study Design, Characteristics of Participants and Participating Institutions, and Response Rates. Am J Hosp Palliat Care 2016;34(7):654-664. Design paper of a nationwide bereaved-family survey covering 20 acute hospitals, 133 inpatient hospice/palliative care units and 22 home hospice services in Japan (2014); describes institutional characteristics including religious affiliation. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/27141016/", "doi": "10.1177/1049909116646336", "pmid": "27141016", "accessed": "2026-09-26" }, { "id": "346", "kind": "peer", "tier": 2, "year": "2021", "title": "Kizawa Y, Yamaguchi T, Yagi Y, et al.", "detail": "Conditions, possibility and priority for admission into inpatient hospice/palliative care units in Japan: a nationwide survey. Jpn J Clin Oncol 2021;51(9):1437-1443. Nationwide survey of responsible physicians at all 251 PCUs in Japan (2014; 76% response) on admission conditions including diagnosis disclosure and DNR agreement. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34184056/", "doi": "10.1093/jjco/hyab098", "pmid": "34184056", "accessed": "2026-09-26" }, { "id": "347", "kind": "peer", "tier": 2, "year": "2026", "title": "Sasahara T, Ogasawara T, Hamano J, et al.", "detail": "Public insurance costs of end-of-life care in hospice residential facilities in Japan: an exploratory comparison with palliative care units. Jpn J Clin Oncol 2026. Exploratory cost estimate for eight cancer patients in hospice residential facilities compared with national per-day reimbursement rates for palliative care units; very small sample; co-authors affiliated with private companies in the hospice and palliative care sector (Family Hospice Inc., Palliative Care Partners Co.), a potential industry conflict. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42784418/", "doi": "10.1093/jjco/hyag164", "pmid": "42784418", "accessed": "2026-09-26" }, { "id": "348", "kind": "peer", "tier": 2, "year": "2025", "title": "Fukushima T, Tsuji T, Takashima K, et al.", "detail": "The current status of cancer rehabilitation provided by palliative care units in Japan: a nationwide survey. BMC Cancer 2025;25(1):451. Nationwide survey of the 462 hospitals meeting the facility criteria for PCU inpatient charges in Japan (58.0% response), documenting fee-schedule limits on rehabilitation. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11905477/", "doi": "10.1186/s12885-025-13897-4", "pmid": "40075327", "accessed": "2026-09-26" }, { "id": "349", "kind": "peer", "tier": 2, "year": "2026", "title": "Ikeda S, Hiratsuka Y, Nakazawa Y, et al.", "detail": "Comparing the quality of dying for patients with hematological malignancy and solid tumors: A bereavement study in Japan. Cancer 2026;132(9):e70438. Secondary analysis of a nationwide bereaved-family mortality survey (2017-2018) finding patients with hematological malignancies were less likely to die in palliative care units than those with solid tumors. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13135128/", "doi": "10.1002/cncr.70438", "pmid": "42068026", "accessed": "2026-09-26" }, { "id": "350", "kind": "peer", "tier": 2, "year": "2022", "title": "Kim K, Park B, Gu B, et al.", "detail": "The National Hospice and Palliative Care registry in Korea. Epidemiol Health 2022;44:e2022079. Description of the national registry of inpatient hospice care run by the National Hospice Center (2018-2020, 47,911 patients), including legal eligibility, designated hospitals, beds, utilization rate among cancer deaths and length of stay; authors from the government-designated center that runs the registry. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9943630/", "doi": "10.4178/epih.e2022079", "pmid": "36177979", "accessed": "2026-09-26" }, { "id": "351", "kind": "peer", "tier": 2, "year": "2026", "title": "Kim B, Kim W, Ryu DH, et al.", "detail": "Timing of hospice care initiation and aggressive care utilization in patients with cancer: a retrospective nationwide study in Korea. Front Public Health 2026;14:1909398. Nationwide linked claims and cancer registry cohort of 37,996 hospice users (2015-2022) on the interval from last anticancer therapy to hospice start. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13529667/", "doi": "10.3389/fpubh.2026.1909398", "pmid": "42682652", "accessed": "2026-09-26" }, { "id": "352", "kind": "peer", "tier": 2, "year": "2025", "title": "Anderson S, Carter RZ, Roberts D, et al.", "detail": "Establishing a common definition for care provided by hospice societies in British Columbia, Canada: a Delphi process. Palliat Care Soc Pract 2025;19:26323524251320104. Delphi study defining the role of community hospice societies in British Columbia, with background on history, services and funding; provincial scope; two team members sit on the Hospice Care Alliance steering committee (advocacy interest). Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11837070/", "doi": "10.1177/26323524251320104", "pmid": "39974543", "accessed": "2026-09-26" }, { "id": "353", "kind": "peer", "tier": 2, "year": "2016", "title": "Pereira J, Contant J, Barton G, et al.", "detail": "Implementing the first regional hospice palliative care program in Ontario: the Champlain region as a case study. BMC Palliat Care 2016;15:65. Case study of the regional hospice palliative care program in one Ontario region, involving residential hospices, a palliative care unit and consultation teams; single region; authors were program leaders (self-evaluation). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4960757/", "doi": "10.1186/s12904-016-0131-6", "pmid": "27456344", "accessed": "2026-09-26" }, { "id": "354", "kind": "peer", "tier": 2, "year": "2026", "title": "Aryal K, Downar J, Jones A, et al.", "detail": "Home, Palliative Care Units or Hospice, and Hospital Deaths: An Analysis of the Canadian Longitudinal Study on Aging. J Palliat Care 2026. Secondary analysis of 1,287 decedent proxy interviews in a national aging cohort (2012-2022) reporting place of death, with hospice and palliative care units combined; older adults only. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42455026/", "doi": "10.1177/08258597251339869", "pmid": "42455026", "accessed": "2026-09-26" }, { "id": "355", "kind": "peer", "tier": 2, "year": "2019", "title": "Xiong B, Freeman S, Banner D, et al.", "detail": "Hospice use and one-year survivorship of residents in long-term care facilities in Canada: a cohort study. BMC Palliat Care 2019;18(1):100. Linked administrative data on 185,715 long-term care residents with RAI-MDS assessments in 2015 showing hospice care rates under 3% and barriers linked to age, rurality and dementia; long-term care population only. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6852979/", "doi": "10.1186/s12904-019-0480-z", "pmid": "31718634", "accessed": "2026-09-26" }, { "id": "356", "kind": "peer", "tier": 2, "year": "2022", "title": "Handley T, Jorm C, Symington C, et al.", "detail": "'It sort of has the feel of being at home': Mixed-methods evaluation of a pilot community-based palliative end-of-life service in a regional setting. Aust J Rural Health 2022;30(5):582-592. Evaluation of a four-bed end-of-life hospice unit in a residential aged care facility in one rural NSW town, funded by the Local Health District; single site, 58 admissions. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9796149/", "doi": "10.1111/ajr.12897", "pmid": "35749467", "accessed": "2026-09-26" }, { "id": "357", "kind": "peer", "tier": 2, "year": "2024", "title": "Rosenberg J, Flynn T, Merollini K, et al.", "detail": "Exploring the 'citizen organization': an evaluation of a regional Australian community-based palliative care service model. Palliat Care Soc Pract 2024;18:26323524241260427. Co-designed mixed-methods evaluation of one community-based specialist palliative care service (Little Haven, Gympie, Queensland) funded by government and local fundraising; single service, co-designed with the service (self-evaluation elements). Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11265238/", "doi": "10.1177/26323524241260427", "pmid": "39045293", "accessed": "2026-09-26" }, { "id": "358", "kind": "peer", "tier": 2, "year": "2018", "title": "No author listed (interview of Christian Ntizimira by Tatum Anderson)", "detail": "Rolling out Rwanda's national palliative care programme. Bull World Health Organ 2018;96(11):736-737. Interview in which a Rwandan palliative care leader describes the old red-ink morphine protocol, the 2012 narcotics law change on who may prescribe morphine, and district morphine ordering from the Rwanda Biomedical Center; a single-informant account from an advocate and program founder, not a legal review. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6239010/", "doi": "10.2471/BLT.18.031118", "pmid": "30455528", "accessed": "2026-09-26" }, { "id": "359", "kind": "peer", "tier": 2, "year": "2025", "title": "Shimul MMH, Dowel IJ, Roy P, et al.", "detail": "Choices and challenges in end-of-life care and decision-making: a nationwide cross-sectional study in Bangladesh. BMC Palliat Care 2025;24(1):283. Survey of 1,270 seriously ill adults across all eight divisions; the statements on hospice supply and funding are background claims by the authors, not measured outcomes. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12595839/", "doi": "10.1186/s12904-025-01926-9", "pmid": "41204147", "accessed": "2026-09-26" }, { "id": "360", "kind": "peer", "tier": 2, "year": "2022", "title": "Baskaran AB, Hauser J.", "detail": "Maya Ta Maya Ho (Love is Love): A Qualitative Study on LGBTQI+ Experiences in Hospice & Palliative Care in Nepal. J Palliat Care 2022;40(4):313-321. Qualitative study (29 interviews) at a single NGO hospice run by Blue Diamond Society in Kathmandu. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12318155/", "doi": "10.1177/08258597221092896", "pmid": "35404145", "accessed": "2026-09-26" }, { "id": "361", "kind": "peer", "tier": 2, "year": "2006", "title": "Gongal R, Vaidya P, Jha R, et al.", "detail": "Informing patients about cancer in Nepal: what do people prefer? Palliat Med 2006;20(4):471-6. One-year prospective survey of 96 patients admitted to Hospice Nepal plus a public survey; single site, 2006 data, authors affiliated with Hospice Nepal. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/16875119/", "doi": "10.1191/0269216306pm1154oa", "pmid": "16875119", "accessed": "2026-09-26" }, { "id": "362", "kind": "peer", "tier": 2, "year": "2025", "title": "Zhong J, Zhao W, Lai X.", "detail": "Chinese physicians' experiences with end-of-life communication and hospice care transition: a qualitative study with content analysis. BMC Palliat Care 2025;24(1):282. Interviews with 18 physicians from 8 Shanghai hospitals; covers one city only. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12595773/", "doi": "10.1186/s12904-025-01924-x", "pmid": "41204206", "accessed": "2026-09-26" }, { "id": "363", "kind": "peer", "tier": 2, "year": "2008", "title": "Terris-Prestholt F, Kumaranayake L, Ginwalla R, et al.", "detail": "Integrating tuberculosis and HIV services for people living with HIV: costs of the Zambian ProTEST Initiative. Cost Eff Resour Alloc 2008;6:2. Costing study of an HIV/TB service package in two Lusaka compounds, including one 20-bed adult hospice run by Kara Counselling and Training Trust; data from 2000 to 2001, before public antiretroviral therapy, single hospice. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC2266707/", "doi": "10.1186/1478-7547-6-2", "pmid": "18215255", "accessed": "2026-09-26" }, { "id": "364", "kind": "peer", "tier": 2, "year": "2026", "title": "Alarjeh G, Alrjoub W, Abdal-Rahman M, et al.", "detail": "Impact of palliative care integration on end-of-life resource utilization and costs in oncology patients: a single-center analysis in Jordan. Front Public Health 2026;14:1801343. Retrospective review of 299 adult cancer inpatient deaths at King Hussein Cancer Center (2017-2018) comparing oncology and palliative care (hospice) cohorts; states KHCC treats about 60% of Jordan's cancer patients and offers fully government-covered treatment to Jordanians. Single site; authors are KHCC staff describing their own service. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13160738/", "doi": "10.3389/fpubh.2026.1801343", "pmid": "42130882", "accessed": "2026-09-26" }, { "id": "365", "kind": "peer", "tier": 2, "year": "2026", "title": "Mansour R, Abdel-Razeq H, Shamieh O, et al.", "detail": "Protecting workers with cancer in low- and middle-income countries: Policy lessons with global relevance. J Cancer Policy 2026;48:100754. Narrative legal review of Jordanian labor and social security law; reports that about 35% of Jordanians are uninsured and insurance is largely employer-linked. Authors from KHCC and King Hussein Cancer Foundation. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42167407/", "doi": "10.1016/j.jcpo.2026.100754", "pmid": "42167407", "accessed": "2026-09-26" }, { "id": "366", "kind": "peer", "tier": 2, "year": "2025", "title": "Odeh Y, Shamieh O.", "detail": "Bridging the digital readiness gap in palliative home care: A process to data approach. Digit Health 2025;11:20552076251346380. Process-modeling case study of KHCC palliative (hospice) home care; background section states that units in specialized hospitals like KHCC and NGOs are the only palliative care providers and that refugees have little access. Co-author heads the KHCC palliative care department; access statements are narrative, not measured. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12123121/", "doi": "10.1177/20552076251346380", "pmid": "40453050", "accessed": "2026-09-26" }, { "id": "367", "kind": "peer", "tier": 2, "year": "2023", "title": "Can G.", "detail": "Development of Cancer Palliative Care in Turkey. Florence Nightingale J Nurs 2023;31(Supp1):S52-S58. Narrative review; reports the charity-run Cancer Nursing Home (1993-1997) closing for lack of funds, palliative care centers brought under social security in 2014, and 397 units with 5717 beds by October 2020. Single-author review. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10911778/", "doi": "10.5152/fnjn.2023.23034", "pmid": "37162055", "accessed": "2026-09-26" }, { "id": "368", "kind": "peer", "tier": 2, "year": "2012", "title": "Alonso-Babarro A, Astray-Mochales J, Domínguez-Berjón F, et al.", "detail": "The association between in-patient death, utilization of hospital resources and availability of palliative home care for cancer patients. Palliat Med 2012;27(1):68-75. Population-based study of 549 cancer deaths in 2005 in two metropolitan areas of about 200,000 people each in the Madrid Region; reports place of death including inpatient hospice; limited to two areas and one year. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/22492481/", "doi": "10.1177/0269216312442973", "pmid": "22492481", "accessed": "2026-09-26" }, { "id": "369", "kind": "peer", "tier": 2, "year": "2013", "title": "Mardofel A.", "detail": "[Analysis of current conditions concerning development of palliative care in three selected countries of the former Eastern Bloc]. Pol Merkur Lekarski 2013;35(206):89-93. Survey of 95 medical staff in Belarus, Kazakhstan and Ukraine in 2011 plus official documents; per-country sample sizes not given in the abstract; author affiliated with a Polish hospice association. Polish article, English abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/24052988/", "doi": null, "pmid": "24052988", "accessed": "2026-09-26" }, { "id": "370", "kind": "peer", "tier": 2, "year": "2025", "title": "Kashmeeri M, Islam ANMS, Banik PC", "detail": "Opioid-Related Challenges Faced by Palliative Healthcare Providers in Both Hospital and Home Care Settings: A Multi-Center-Based Descriptive Cross-Sectional Study. Public Health Chall 2025;4(1):e70013. Survey of 135 licensed palliative care staff at hospital and community sites in Dhaka and Narayanganj in 2022; describes opioid prescribing and dispensing restrictions in Bangladesh; Dhaka-area scope and self-reported data. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12039347/", "doi": "10.1002/puh2.70013", "pmid": "40496099", "accessed": "2026-09-26" }, { "id": "371", "kind": "peer", "tier": 2, "year": "2014", "title": "Khan F, Ahmad N, Iqbal M, et al.", "detail": "Physicians knowledge and attitude of opioid availability, accessibility and use in pain management in Bangladesh. Bangladesh Med Res Counc Bull 2014;40(1):18-24. Survey of 1000 physicians in 47 districts (58.3% response) on opioid knowledge, prescribing preferences and awareness of narcotics law; lead author is a national palliative care advocate. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/26118168/", "doi": "10.3329/bmrcb.v40i1.20324", "pmid": "26118168", "accessed": "2026-09-26" }, { "id": "372", "kind": "peer", "tier": 2, "year": "2026", "title": "Biswas J, Aktar NM, Islam N, et al.", "detail": "Analysis of Inpatient Hospital-Based Palliative Care Costs for Patients with Cancer in Bangladesh: A Multicenter Study. Value Health Reg Issues 2026;57:101624. Prospective costing of inpatient palliative care for 151 cancer patients at one government and one trust-run center in Dhaka; two urban sites only. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41914943/", "doi": "10.1016/j.vhri.2026.101624", "pmid": "41914943", "accessed": "2026-09-26" }, { "id": "373", "kind": "peer", "tier": 2, "year": "2023", "title": "Chowdhury MK, Bezzahou M, Khanom M, et al.", "detail": "Developing Community-Based Palliative Care for Children: A Community Case Study from an Urban Informal Settlement in Bangladesh. Health Serv Insights 2023;16:11786329231162996. Case study of a pediatric home palliative care program in Korail slum led by a government hospital team; written by the program's own clinicians (self-evaluation), single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10034310/", "doi": "10.1177/11786329231162996", "pmid": "36968659", "accessed": "2026-09-26" }, { "id": "374", "kind": "peer", "tier": 2, "year": "2018", "title": "Thinh DHQ, Sriraj W, Mansor M, et al.", "detail": "Analgesic Prescription Patterns and Pain Outcomes in Southeast Asia: Findings From the Analgesic Treatment of Cancer Pain in Southeast Asia Study. J Glob Oncol 2018;4:1-10. Cross-sectional study of 462 cancer outpatients at 22 large urban hospitals in six Southeast Asian countries, with a discussion of national opioid prescribing rules; two coauthors are Mundipharma employees (industry conflict). Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6223410/", "doi": "10.1200/JGO.17.00055", "pmid": "30241271", "accessed": "2026-09-26" }, { "id": "375", "kind": "peer", "tier": 2, "year": "2019", "title": "Philip RR, Venables E, Manima A, et al.", "detail": "\"Small small interventions, big big roles\": a qualitative study of patient, care-giver and health-care worker experiences of a palliative care programme in Kerala, India. BMC Palliat Care 2019;18(1):16. Focus groups and interviews on a home-based programme in Malappuram district, describing volunteer roles, mostly female family caregivers and local economic support; one co-author is affiliated with the programme studied. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6362568/", "doi": "10.1186/s12904-019-0400-2", "pmid": "30717717", "accessed": "2026-09-26" }, { "id": "376", "kind": "peer", "tier": 2, "year": "2018", "title": "Philip RR, Philip S, Tripathy JP, et al.", "detail": "Twenty years of home-based palliative care in Malappuram, Kerala, India: a descriptive study of patients and their care-givers. BMC Palliat Care 2018;17(1):26. Register and case-record review of the oldest community-based clinic in Kerala (1996 to 2016) showing caregiver profile and visit frequency; single clinic, one co-author affiliated with the programme. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5813368/", "doi": "10.1186/s12904-018-0278-4", "pmid": "29444688", "accessed": "2026-09-26" }, { "id": "377", "kind": "peer", "tier": 2, "year": "2022", "title": "Nair M, Augustine A", "detail": "Understanding Long-Term Outcomes of Public Health Strategy in Palliative Care at Micro Level: Impact of Home-Based Palliative Care Services under Local Self-Government Institutions in Kerala, India. Indian J Palliat Care 2022;28(1):7-12. Assessment of one award-winning local government palliative unit with 25 patients and caregivers; single selected unit. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9165465/", "doi": "10.25259/IJPC_4_21", "pmid": "35673380", "accessed": "2026-09-26" }, { "id": "378", "kind": "peer", "tier": 2, "year": "2019", "title": "Lalani N, Duggleby W, Olson J", "detail": "Rise Above: Experiences of Spirituality Among Family Caregivers Caring for Their Dying Family Member in a Hospice Setting in Pakistan. J Hosp Palliat Nurs 2019;21(5):422-429. Interpretive descriptive study of 18 family caregivers at one hospice in Karachi on spiritual coping. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/31318734/", "doi": "10.1097/NJH.0000000000000584", "pmid": "31318734", "accessed": "2026-09-26" }, { "id": "379", "kind": "peer", "tier": 2, "year": "2022", "title": "Malik S, Allen RJ, Vachharajani TJ, et al.", "detail": "Dialysis Decision Making, Dialysis Experiences, and Illness Perceptions: A Qualitative Study of Pakistani Patients Receiving Maintenance Hemodialysis. Kidney Med 2022;4(11):100550. Interviews with 20 adults at 2 dialysis units covering traditional medicine use, family roles, costs and end-of-life talk; two hospitals in neighboring cities. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9637991/", "doi": "10.1016/j.xkme.2022.100550", "pmid": "36353650", "accessed": "2026-09-26" }, { "id": "380", "kind": "peer", "tier": 2, "year": "2015", "title": "Samad L, Iqbal M, Tariq A, et al.", "detail": "Equitable access to comprehensive surgical care: the potential of indigenous private philanthropy in low-income settings. World J Surg 2015;39(1):21-8. Five-year financial review of free care at Indus Hospital, Karachi, funded largely by local donations including zakat; surgical care rather than palliative care, and authors are from the hospital's own research center (self-evaluation). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/25385162/", "doi": "10.1007/s00268-014-2852-0", "pmid": "25385162", "accessed": "2026-09-26" }, { "id": "381", "kind": "peer", "tier": 2, "year": "2025", "title": "Sami SHA", "detail": "Assessment of analgesics and alternative approaches in cancer pain management: A cross-sectional study. J Oncol Pharm Pract 2025. Prescription review of 203 cancer patients at PIMS, Islamabad, showing reliance on weak opioids and absence of strong opioids; single hospital. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41052249/", "doi": "10.1177/10781552251381791", "pmid": "41052249", "accessed": "2026-09-26" }, { "id": "382", "kind": "peer", "tier": 2, "year": "2025", "title": "Biswas J, Khanam SA, Tauhid MS, et al.", "detail": "Situations in which caregivers and patients are likely to collude: Perspectives from caregivers of advanced cancer patients in Bangladesh. Palliat Support Care 2025;23:e68. Mixed-methods study of caregivers at 2 tertiary hospitals on non-disclosure of diagnosis and prognosis. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13166329/", "doi": "10.1017/S1478951524002074", "pmid": "39980147", "accessed": "2026-09-26" }, { "id": "383", "kind": "peer", "tier": 2, "year": "2021", "title": "Chowdhury MK, Shopna K, Lynch-Godrei A, et al.", "detail": "Providing Home-Based Support for Children with Chronic Conditions in an Urban Slum: Experiences from a Community-Based Palliative Care Program in Bangladesh. Glob Pediatr Health 2021;8:2333794X21999155. Interviews with 25 caregivers of children in a community health worker-led program in one Dhaka slum; co-authors include staff of the program (Compassionate Korail Project). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7995301/", "doi": "10.1177/2333794X21999155", "pmid": "33816710", "accessed": "2026-09-26" }, { "id": "384", "kind": "peer", "tier": 2, "year": "2026", "title": "Pantha A, Shrestha N, Poudel A, et al.", "detail": "Care burden for people with palliative needs in rural Nepal: mixed method study. BMJ Support Palliat Care 2026. Survey and interviews with 52 primary caregivers identified by house-to-house screening in two rural districts. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41529942/", "doi": "10.1136/spcare-2025-006060", "pmid": "41529942", "accessed": "2026-09-26" }, { "id": "385", "kind": "peer", "tier": 2, "year": "2025", "title": "Shrestha N, Poudel A, Bhandari S, et al.", "detail": "Palliative care needs and health seeking behavior of people in two rural districts of nepal: a house-to-house survey. BMC Palliat Care 2025;24(1):247. Survey of 587 households in Lamjung and West Rukum identifying 58 adults with palliative needs and where they seek care; part of the authors' Sunita Project, which the findings are meant to inform. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12506334/", "doi": "10.1186/s12904-025-01895-z", "pmid": "41063088", "accessed": "2026-09-26" }, { "id": "386", "kind": "peer", "tier": 2, "year": "2024", "title": "Edirisinghe NP, Makuloluwa PTR, Amarasekara T, et al.", "detail": "Coping with cancer pain: a qualitative study to explore pain perception and self-coping strategies of patients with cancer in Sri Lanka. BMJ Open 2024;14(11):e085510. Interviews with 21 Sinhala-speaking patients, mostly Sinhala Buddhists, at the pain unit of Apeksha Hospital, Maharagama; single institution. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11575247/", "doi": "10.1136/bmjopen-2024-085510", "pmid": "39542485", "accessed": "2026-09-26" }, { "id": "387", "kind": "peer", "tier": 2, "year": "2025", "title": "Weeratunga EB, Goonewardena S, Meegoda L", "detail": "Prevalence and Associated Factors of Depressive Symptoms among Informal Caregivers of Patients with Advanced Cancer who Received Palliative Care in Sri Lanka. Asian Pac J Cancer Prev 2025;26(6):1997-2007. Cross-sectional survey of 226 conveniently selected informal caregivers at Apeksha Hospital, Maharagama; single hospital. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12374518/", "doi": "10.31557/APJCP.2025.26.6.1997", "pmid": "40542761", "accessed": "2026-09-26" }, { "id": "388", "kind": "peer", "tier": 2, "year": "2026", "title": "Fadilah A, Huang SH, Sheu SJ, et al.", "detail": "The Spiritual Experiences of Indonesian Women With Advanced Breast Cancer: A Phenomenological Study. Res Nurs Health 2026;49(2):170-179. Interviews with 7 women, mostly Muslim, at one palliative clinic. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41614440/", "doi": "10.1002/nur.70053", "pmid": "41614440", "accessed": "2026-09-26" }, { "id": "389", "kind": "peer", "tier": 2, "year": "2022", "title": "Pribadi DRA, Shih WM, Wu GH, et al.", "detail": "Perspectives of Indonesian Muslim patients with advanced lung cancer on good death: A qualitative study. Eur J Oncol Nurs 2022;62:102251. Interviews with 10 Muslim patients at one teaching hospital in Central Java. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36603494/", "doi": "10.1016/j.ejon.2022.102251", "pmid": "36603494", "accessed": "2026-09-26" }, { "id": "390", "kind": "peer", "tier": 2, "year": "2022", "title": "Purba CIH, Johnston B, Kotronoulas G", "detail": "An Exploration of Family Caregivers' Health Care Needs When Caring for Patients With Cancer in the Resource-Challenged Context of West Java, Indonesia. Semin Oncol Nurs 2022;39(3):151369. Convenience-sample survey of 220 family caregivers in West Java on unmet supportive care needs. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36424248/", "doi": "10.1016/j.soncn.2022.151369", "pmid": "36424248", "accessed": "2026-09-26" }, { "id": "391", "kind": "peer", "tier": 2, "year": "2022", "title": "Martina D, Kustanti CY, Dewantari R, et al.", "detail": "Advance care planning for patients with cancer and family caregivers in Indonesia: a qualitative study. BMC Palliat Care 2022;21(1):204. Interviews with 16 patients and 15 family caregivers at hospitals in Jakarta and Yogyakarta on disclosure and decision-making. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9682799/", "doi": "10.1186/s12904-022-01086-0", "pmid": "36414948", "accessed": "2026-09-26" }, { "id": "392", "kind": "peer", "tier": 2, "year": "2011", "title": "Jack BA, Kirton J, Birakurataki J, et al.", "detail": "'A bridge to the hospice': the impact of a Community Volunteer Programme in Uganda. Palliat Med 2011;25(7):706-15. Qualitative evaluation (64 interviews) of the Hospice Africa Uganda Community Volunteer Programme; volunteers acted as a bridge to the hospice. Co-authored by the hospice founder, so partly a self-evaluation. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/21402659/", "doi": "10.1177/0269216310397566", "pmid": "21402659", "accessed": "2026-09-26" }, { "id": "393", "kind": "peer", "tier": 2, "year": "2011", "title": "Jack BA, Kirton JA, Birakurataki J, et al.", "detail": "The personal value of being a palliative care Community Volunteer Worker in Uganda: a qualitative study. Palliat Med 2011;26(5):753-9. Qualitative study of 32 Community Volunteer Workers and 11 clinical staff at Hospice Africa Uganda sites on why they volunteer and what it means to them. Same program team as the impact evaluation. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/21920988/", "doi": "10.1177/0269216311413628", "pmid": "21920988", "accessed": "2026-09-26" }, { "id": "394", "kind": "peer", "tier": 2, "year": "2026", "title": "Mwesiga MD, Irumba LC, Low CSL, et al.", "detail": "Bridging the gap: Understanding the needs of community health volunteers to enhance palliative care delivery. Palliat Care Soc Pract 2026;20:26323524261473935. Qualitative interviews with eight community health volunteers in one parish of Wakiso District, Uganda, on training, resource and phone needs. Small single-site sample; first author affiliated with the national palliative care association. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13504121/", "doi": "10.1177/26323524261473935", "pmid": "42643808", "accessed": "2026-09-26" }, { "id": "395", "kind": "peer", "tier": 2, "year": "2023", "title": "Najjuka SM, Iradukunda A, Kaggwa MM, et al.", "detail": "The caring experiences of family caregivers for patients with advanced cancer in Uganda: A qualitative study. PLoS One 2023;18(10):e0293109. Descriptive qualitative study of 12 family caregivers of patients with advanced cancer at the Uganda Cancer Institute (Kampala). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10599584/", "doi": "10.1371/journal.pone.0293109", "pmid": "37878610", "accessed": "2026-09-26" }, { "id": "396", "kind": "peer", "tier": 2, "year": "2022", "title": "Dipio R, Acuda W, Namisango E, et al.", "detail": "Prevalence and factors associated with depressive symptoms among family caregivers of palliative care patients at Hospice Africa Uganda. Palliat Support Care 2022;20(3):375-382. Mixed-methods study of 161 family caregivers at Hospice Africa Uganda; 46% had depressive symptoms on PHQ-9. Single hospice. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34154696/", "doi": "10.1017/S1478951521000730", "pmid": "34154696", "accessed": "2026-09-26" }, { "id": "397", "kind": "peer", "tier": 2, "year": "2025", "title": "Nono SM, Kyomya J, Tolo CU, et al.", "detail": "Factors associated with herbal medicine use among patients with cancer attending a tertiary hospital in Southwestern Uganda: a cross-sectional study. Discov Oncol 2025;16(1):2163. Cross-sectional survey of 303 patients with cancer at Mbarara Regional Referral Hospital; 56.8% used herbal medicine. Single tertiary site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12647464/", "doi": "10.1007/s12672-025-03429-8", "pmid": "41288847", "accessed": "2026-09-26" }, { "id": "398", "kind": "peer", "tier": 2, "year": "2026", "title": "Egesa B, Batte A, Kambugu JB, et al.", "detail": "Exploring the Use of Traditional and Complementary Medicine in Pediatric Oncology: A Mixed-Methods Study From Uganda. Pediatr Blood Cancer 2026;73(7):e70340. Mixed-methods study of 395 children receiving cancer care at the Uganda Cancer Institute; 69.9% used traditional or complementary medicine, most often spiritual practices and herbs. Single national center. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42003572/", "doi": "10.1002/1545-5017.70340", "pmid": "42003572", "accessed": "2026-09-26" }, { "id": "399", "kind": "peer", "tier": 2, "year": "2013", "title": "Mburu G, Oxenham D, Hodgson I, et al.", "detail": "Community systems strengthening for HIV care: experiences from Uganda. J Soc Work End Life Palliat Care 2013;9(4):343-68. Qualitative interviews and focus groups in Mbale and Jinja, Uganda, on the role of community systems in HIV palliative care. First author from an international HIV NGO. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3869080/", "doi": "10.1080/15524256.2013.846889", "pmid": "24295101", "accessed": "2026-09-26" }, { "id": "400", "kind": "peer", "tier": 2, "year": "2023", "title": "Too W, Lelei F, Adam M, et al.", "detail": "Preparedness, resilience and unmet needs of informal caregivers of advanced cancer patients in a Regional Mission Hospital in Kenya: Qualitative Study. BMC Palliat Care 2023;22(1):16. Interpretive phenomenological study of 12 home-based caregivers of patients with advanced cancer linked to the Kijabe mission hospital palliative clinic, Kenya. Single faith-based site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9972712/", "doi": "10.1186/s12904-022-01048-6", "pmid": "36855148", "accessed": "2026-09-26" }, { "id": "401", "kind": "peer", "tier": 2, "year": "2017", "title": "Githaiga JN, Swartz L", "detail": "Socio-cultural contexts of end- of- life conversations and decisions: bereaved family cancer caregivers' retrospective co-constructions. BMC Palliat Care 2017;16(1):40. Four mini focus groups with 13 bereaved women family caregivers in Nairobi on end-of-life conversations and decisions at home. Urban, small sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5557528/", "doi": "10.1186/s12904-017-0222-z", "pmid": "28806952", "accessed": "2026-09-26" }, { "id": "402", "kind": "peer", "tier": 2, "year": "2022", "title": "Cheboi S, Kariuki P, Mutai J, et al.", "detail": "Health care seeking behaviors and perspective on indigenous palliative care among cancer patients in Kenya. J Oncol Pharm Pract 2022;29(3):669-678. Client exit survey of 433 cancer patients leaving traditional health practitioner outlets in Kenyan towns; reports self-perceived improvement. Outcomes are self-reported. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/35133899/", "doi": "10.1177/10781552221078204", "pmid": "35133899", "accessed": "2026-09-26" }, { "id": "403", "kind": "peer", "tier": 2, "year": "2023", "title": "Cheboi SK, Ng'ang'a WS, Nyamanga P, et al.", "detail": "Providers' Competencies and Management Practices for Traditional Palliative Cancer Care Service Delivery in Kenya. Health Serv Insights 2023;16:11786329231211780. Mixed-methods study of 201 traditional health practitioners in major Kenyan towns describing how they deliver palliative cancer care. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10658765/", "doi": "10.1177/11786329231211780", "pmid": "38028116", "accessed": "2026-09-26" }, { "id": "404", "kind": "peer", "tier": 2, "year": "2024", "title": "Elias H, Kisembe E, Nyariki S, et al.", "detail": "Impact of training on knowledge, confidence and attitude amongst community health volunteers in the provision of community-based palliative care in rural Kenya. BMC Palliat Care 2024;23(1):97. Pre-post and 12-month mixed-methods evaluation of a palliative care training for 105 community health volunteers in rural western Kenya (AMPATH). Evaluated by the program team. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11007868/", "doi": "10.1186/s12904-024-01415-5", "pmid": "38605309", "accessed": "2026-09-26" }, { "id": "405", "kind": "peer", "tier": 2, "year": "2023", "title": "Cornetta K, Nyariki S, Manji I, et al.", "detail": "Telehospice for Cancer Patients Discharged from a Tertiary Care Hospital in Western Kenya. J Pain Symptom Manage 2023;65(5):378-387. Feasibility study of weekly phone monitoring, a 24-hour hotline and comfort kits for 30 cancer patients discharged from a referral hospital in Eldoret, Kenya. Run and evaluated by the program team. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10106447/", "doi": "10.1016/j.jpainsymman.2023.01.027", "pmid": "36773732", "accessed": "2026-09-26" }, { "id": "406", "kind": "peer", "tier": 2, "year": "2025", "title": "Twahirwa JC, Mukeshimana M, Fitch M, et al.", "detail": "Palliative care conditions managed at home and self-reported challenges experienced by informal home-based caregivers in Rwanda: a qualitative study. BMC Palliat Care 2025;24(1):267. Qualitative interviews with 20 informal home-based caregivers in two rural western districts (Nyamasheke and Rusizi), Rwanda. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12548109/", "doi": "10.1186/s12904-025-01905-0", "pmid": "41131522", "accessed": "2026-09-26" }, { "id": "407", "kind": "peer", "tier": 2, "year": "2026", "title": "Twahirwa JC, Fitch M, Katende G, et al.", "detail": "Exploring Satisfaction and Support Needs of Informal Home Caregivers Using Palliative Care Services: A Mixed-Methods Study from Rwanda. Rwanda J Med Health Sci 2026;9(1):62-83. Mixed-methods study (20 interviews, 161 survey respondents) of informal home caregivers' satisfaction and support needs in Nyamasheke and Rusizi districts, Rwanda. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13161715/", "doi": "10.4314/rjmhs.v9i1.5", "pmid": "42131389", "accessed": "2026-09-26" }, { "id": "408", "kind": "peer", "tier": 2, "year": "2026", "title": "Ntizimira CR, Mbonyinkebe DS, Dunne M, et al.", "detail": "\"Kusa Ikivi\": Death as an Accomplishment and End-of-Life Experience of Cancer Patients in Rwanda. J Pain Symptom Manage 2026;72(2):110-118. Qualitative interviews with 29 key informants on end-of-life traditions and attitudes in Rwanda, including the Kinyarwanda idea of death as an accomplishment. First author leads an end-of-life care advocacy and research center. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41997507/", "doi": "10.1016/j.jpainsymman.2026.03.019", "pmid": "41997507", "accessed": "2026-09-26" }, { "id": "409", "kind": "peer", "tier": 2, "year": "2015", "title": "Ntizimira C, Sebatunzi O, Mukeshimana O, et al.", "detail": "OA55 Impact of community health workers for continuum care of palliative care at community level integrated in rwanda public health system. BMJ Support Palliat Care 2015;5 Suppl 1:A17. Conference abstract describing training of 481 community health workers linked to the Kibagabaga District Hospital palliative team in Kigali. Self-reported program data, anecdotal satisfaction. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/25960477/", "doi": "10.1136/bmjspcare-2015-000906.55", "pmid": "25960477", "accessed": "2026-09-26" }, { "id": "410", "kind": "peer", "tier": 2, "year": "2022", "title": "Henke O, Bruchhausen W, Massawe A", "detail": "Use of Herbal Medicine Is Associated With Late-Stage Presentation in Tanzanian Patients With Cancer: A Survey to Assess the Utilization of and Reasons for the Use of Herbal Medicine. JCO Glob Oncol 2022;8:e2200069. Questionnaire survey of 302 patients with cancer at Kilimanjaro Christian Medical Centre (northern Tanzania) on herbal medicine use and disclosure. Single referral center. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9296184/", "doi": "10.1200/GO.22.00069", "pmid": "35820080", "accessed": "2026-09-26" }, { "id": "411", "kind": "peer", "tier": 2, "year": "2025", "title": "Msoka EF, Abraham M, Cyril PM, et al.", "detail": "Factors Contributing to Late Breast Cancer Diagnosis: A Qualitative Study on the Patient's Perspective in Tanzania. BMC Womens Health 2025;26(1):34. Qualitative interviews with 20 breast cancer patients (10 rural, 10 urban) at Kilimanjaro Christian Medical Centre on reasons for late diagnosis. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12817402/", "doi": "10.1186/s12905-025-04213-0", "pmid": "41388529", "accessed": "2026-09-26" }, { "id": "412", "kind": "peer", "tier": 2, "year": "2025", "title": "Sokoine SNE, Kilonzo G, Ahmed N, et al.", "detail": "Religious practices and quality of life in palliative care: insights from Tanzania. BMJ Support Palliat Care 2025. Cross-sectional survey of 150 palliative care inpatients at Ocean Road Cancer Institute, Dar es Salaam, on religious practices and quality of life. Single site. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39988354/", "doi": "10.1136/spcare-2024-005360", "pmid": "39988354", "accessed": "2026-09-26" }, { "id": "413", "kind": "peer", "tier": 2, "year": "2025", "title": "Mkusa VB, Dharsee N, Nyakake J, et al.", "detail": "Spirituality issues in cancer patients at Ocean Road Cancer Institute, Dar es Salaam, Tanzania. Palliat Support Care 2025;23:e211. Qualitative interviews with 24 cancer patients at Ocean Road Cancer Institute, Dar es Salaam, on spirituality and coping. Single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13166247/", "doi": "10.1017/S1478951525101144", "pmid": "41392744", "accessed": "2026-09-26" }, { "id": "414", "kind": "peer", "tier": 2, "year": "2023", "title": "Pumphrey I, Serventi F, Kahakwa A, et al.", "detail": "Impact of COVID-19 on delivery of oncology services in Northern Tanzania: a cross-sectional study of community health workers and patients undergoing cancer treatment at the Kilimanjaro Christian Medical Centre. BMJ Open 2023;13(4):e069142. Cross-sectional study of 300 oncology patients and 78 community health workers in the Kilimanjaro Christian Medical Centre regional palliative care network during early COVID-19. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10123862/", "doi": "10.1136/bmjopen-2022-069142", "pmid": "37080627", "accessed": "2026-09-26" }, { "id": "415", "kind": "peer", "tier": 2, "year": "2025", "title": "Abraham MN, Msoka EF, Hollis T, et al.", "detail": "Understanding the role of the husband in supporting early detection, diagnosis, and treatment for breast cancer patients in Northern Tanzania: a qualitative study. BMC Public Health 2025;25(1):1998. Qualitative interviews with 20 breast cancer patients, 20 clinicians and 18 traditional healers in northern Tanzania on the role of husbands. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12123867/", "doi": "10.1186/s12889-024-20864-4", "pmid": "40448033", "accessed": "2026-09-26" }, { "id": "416", "kind": "peer", "tier": 2, "year": "2022", "title": "Hawkins MM, Dressel A, Kendall N, et al.", "detail": "The changing dynamics of community care and support in rural Malawi: The impact on Women's health and wellbeing at end of life. Soc Sci Med 2022;301:114934. Critical ethnography with women receiving end-of-life care from an NGO in rural Central Malawi and their caregivers. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/35378429/", "doi": "10.1016/j.socscimed.2022.114934", "pmid": "35378429", "accessed": "2026-09-26" }, { "id": "417", "kind": "peer", "tier": 2, "year": "2020", "title": "Dressel A, Mkandawire E, Gondwe KW, et al.", "detail": "The intersection of food insecurity and health for rural Malawian women at the end of life. Int J Palliat Nurs 2020;26(7):372-382. Interviews with 26 women at the end of life and 14 caregivers in a community palliative care program run by an AIDS support organisation in Kasungu, Malawi. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/33108927/", "doi": "10.12968/ijpn.2020.26.7.372", "pmid": "33108927", "accessed": "2026-09-26" }, { "id": "418", "kind": "peer", "tier": 2, "year": "2025", "title": "Matandika I, Mnenula M, Lutala P", "detail": "Social support and psychological distress among family caregivers of palliative patients at two rural hospitals in Malawi: a cross-sectional study. BMC Palliat Care 2025;24(1):302. Cross-sectional survey of 308 family caregivers at Nkhoma Mission Hospital and Neno District Hospital in rural Malawi; 41.9% had psychological distress. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12699897/", "doi": "10.1186/s12904-025-01940-x", "pmid": "41387815", "accessed": "2026-09-26" }, { "id": "419", "kind": "peer", "tier": 2, "year": "2014", "title": "Herce ME, Elmore SN, Kalanga N, et al.", "detail": "Assessing and responding to palliative care needs in rural sub-Saharan Africa: results from a model intervention and situation analysis in Malawi. PLoS One 2014;9(10):e110457. Rapid evaluation of the first 9 months of the Neno Palliative Care Program run by Partners In Health and the Malawi government. Evaluated by program partners. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4197005/", "doi": "10.1371/journal.pone.0110457", "pmid": "25313997", "accessed": "2026-09-26" }, { "id": "420", "kind": "peer", "tier": 2, "year": "2026", "title": "Phiri AS, Gilbert H, Herce ME, et al.", "detail": "Improving palliative care access in rural Malawi: insights from a mixed-methods exploration of structural and social determinants. BMC Palliat Care 2026;25(1). Mixed-methods study of nine palliative care facilities and 44 key informants in rural Neno District, Malawi. Single district; authors linked to Partners In Health. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12997731/", "doi": "10.1186/s12904-026-02003-5", "pmid": "41612387", "accessed": "2026-09-26" }, { "id": "421", "kind": "peer", "tier": 2, "year": "2024", "title": "S Phiri A, Mulwafu M, Robbins Zaniku H, et al.", "detail": "Toward enhanced decentralized palliative care services in Neno District, Malawi: a qualitative study. BMC Palliat Care 2024;23(1):132. Focus groups with 14 health workers and 15 patients at two health centers in Neno District, Malawi, on decentralized palliative care. Authors linked to Partners In Health. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11112853/", "doi": "10.1186/s12904-024-01455-x", "pmid": "38778300", "accessed": "2026-09-26" }, { "id": "422", "kind": "peer", "tier": 2, "year": "2021", "title": "Musonda KC, Nyashanu M, Mutale W, et al.", "detail": "Exploring The Challenges Faced by Informal Home Based Palliative (HBP) Caregivers in Ndola District, Zambia. J Soc Work End Life Palliat Care 2021;17(4):349-363. In-depth interviews with 25 community volunteers attached to health facilities in Ndola District, Zambia, who provide home-based palliative care. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34612170/", "doi": "10.1080/15524256.2021.1976351", "pmid": "34612170", "accessed": "2026-09-26" }, { "id": "423", "kind": "peer", "tier": 2, "year": "2006", "title": "Esu-Williams E, Schenk KD, Geibel S, et al.", "detail": "'We are no longer called club members but caregivers': Involving youth in HIV and AIDS caregiving in rural Zambia. AIDS Care 2006;18(8):888-94. Program evaluation in rural Zambia training members of youth anti-AIDS clubs as adjunct home caregivers. Run by the Population Council Horizons program. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/17012077/", "doi": "10.1080/09540120500308170", "pmid": "17012077", "accessed": "2026-09-26" }, { "id": "424", "kind": "peer", "tier": 2, "year": "2016", "title": "Aantjes CJ, Simbaya J, Quinlan TK, et al.", "detail": "From end of life to chronic care: the provision of community home-based care for HIV and the adaptation to new health care demands in Zambia. Prim Health Care Res Dev 2016;17(6):599-610. Mixed-methods study (2011 to 2012) of civil society community home-based care programs for HIV in Zambia and their shift from end-of-life to chronic care. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/27572482/", "doi": "10.1017/S146342361600030X", "pmid": "27572482", "accessed": "2026-09-26" }, { "id": "425", "kind": "peer", "tier": 2, "year": "2005", "title": "Bond VA, Tihon V, Muchimba M, et al.", "detail": "'Kuyendela odwala TB'--visiting TB patients: the widening role of home-based care organisations in the management of tuberculosis patients in Lusaka, Zambia. Int J Tuberc Lung Dis 2005;9(3):282-7. Survey of eight home-based care organisations and one hospice in Lusaka, including 142 TB patients under home-based care, 54 caregivers and 9 managers (1999). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/15786891/", "doi": null, "pmid": "15786891", "accessed": "2026-09-26" }, { "id": "426", "kind": "peer", "tier": 2, "year": "2012", "title": "Estopinal CB, van Dijk JH, Sitali S, et al.", "detail": "Availability of volunteer-led home-based care system and baseline factors as predictors of clinical outcomes in HIV-infected patients in rural Zambia. PLoS One 2012;7(12):e49564. Retrospective cohort of 523 patients on antiretroviral therapy at Macha Mission Hospital, rural Southern Province, Zambia, comparing villages with and without volunteer home-based care teams. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3517597/", "doi": "10.1371/journal.pone.0049564", "pmid": "23236351", "accessed": "2026-09-26" }, { "id": "427", "kind": "peer", "tier": 2, "year": "2026", "title": "Estifanos N, Egata G, Addissie A, et al.", "detail": "Pathways to lung cancer diagnosis and treatment among patients in Ethiopia: A qualitative study. Sci Rep 2026;16(1). Interviews with 33 lung cancer patients at three tertiary hospitals describing self-management with home remedies, herbal treatment or holy water before care seeking, and families selling assets or borrowing to pay for care. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12946188/", "doi": "10.1038/s41598-026-38876-y", "pmid": "41654605", "accessed": "2026-09-26" }, { "id": "428", "kind": "peer", "tier": 2, "year": "2019", "title": "Gebremariam A, Addissie A, Worku A, et al.", "detail": "Perspectives of patients, family members, and health care providers on late diagnosis of breast cancer in Ethiopia: A qualitative study. PLoS One 2019;14(8):e0220769. In-depth interviews with 23 participants at one Addis Ababa oncology clinic describing use of holy water and traditional healers alongside or before hospital care. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6675093/", "doi": "10.1371/journal.pone.0220769", "pmid": "31369640", "accessed": "2026-09-26" }, { "id": "429", "kind": "peer", "tier": 2, "year": "2016", "title": "Tymejczyk O, Hoffman S, Kulkarni SG, et al.", "detail": "HIV Care and Treatment Beliefs among Patients Initiating Antiretroviral Treatment (ART) in Oromia, Ethiopia. AIDS Behav 2016;20(5):998-1008. Survey of 1177 adults starting ART in Oromia region measuring beliefs about holy water and HIV care, with belief in holy water linked to Orthodox Christian religion. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4781673/", "doi": "10.1007/s10461-015-1184-x", "pmid": "26346333", "accessed": "2026-09-26" }, { "id": "430", "kind": "peer", "tier": 2, "year": "2021", "title": "Kaba M, de Fouw M, Deribe KS, et al.", "detail": "Palliative care needs and preferences of female patients and their caregivers in Ethiopia: A rapid program evaluation in Addis Ababa and Sidama zone. PLoS One 2021;16(4):e0248738. Rapid qualitative evaluation of three home-based palliative care programs including 15 voluntary caregivers; a co-author is affiliated with Hospice Ethiopia, which runs home-based care, so this is partly a program self-evaluation. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8062072/", "doi": "10.1371/journal.pone.0248738", "pmid": "33886561", "accessed": "2026-09-26" }, { "id": "431", "kind": "peer", "tier": 2, "year": "2019", "title": "Asuzu CC, Akin-Odanye EO, Asuzu MC, et al.", "detail": "A socio-cultural study of traditional healers role in African health care. Infect Agent Cancer 2019;14:15. Focus groups in Ibadan with nine cancer patients, six traditional healers and five faith-based healers on reasons for using healers and views on collaboration; small single-city sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6585125/", "doi": "10.1186/s13027-019-0232-y", "pmid": "31249608", "accessed": "2026-09-26" }, { "id": "432", "kind": "peer", "tier": 2, "year": "2026", "title": "Jidong DE, Ike TJ, Pwajok JY, et al.", "detail": "Lived experiences of breast cancer survivors, family caregivers and clinicians' perspectives of service provision in Nigeria: An interpretative phenomenological analysis. J Health Psychol 2026;31(12):13591053261423728. Small qualitative study at one Jos teaching hospital reporting religious belief and traditional healers as coping strategies amid limited psychosocial support. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13612874/", "doi": "10.1177/13591053261423728", "pmid": "41775492", "accessed": "2026-09-26" }, { "id": "433", "kind": "peer", "tier": 2, "year": "2020", "title": "Adejoh SO, Boele F, Akeju D, et al.", "detail": "The role, impact, and support of informal caregivers in the delivery of palliative care for patients with advanced cancer: A multi-country qualitative study. Palliat Med 2020;35(3):552-562. Secondary analysis of 48 caregiver interviews pooled across Nigeria, Uganda and Zimbabwe; findings are not reported separately for Nigeria in the abstract. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7975852/", "doi": "10.1177/0269216320974925", "pmid": "33353484", "accessed": "2026-09-26" }, { "id": "434", "kind": "peer", "tier": 2, "year": "2014", "title": "Campbell LM, Amin NN.", "detail": "A qualitative study: potential benefits and challenges of traditional healers in providing aspects of palliative care in rural South Africa. Rural Remote Health 2014;14:2378. Photo-elicitation interviews with 4 palliative care nurses and 17 home-based care workers in rural South Africa on patients' use of traditional rituals and healers; reports provider views, not patient or healer views. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/24815856/", "doi": null, "pmid": "24815856", "accessed": "2026-09-26" }, { "id": "435", "kind": "peer", "tier": 2, "year": "2006", "title": "Akintola O.", "detail": "Gendered home-based care in South Africa: more trouble for the troubled. Afr J AIDS Res 2006;5(3):237-47. Ethnographic study in two semi-rural communities with 21 primary caregivers, 20 volunteer caregivers and 10 key informants in HIV home-based care; HIV-era data. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/25865914/", "doi": "10.2989/16085900609490385", "pmid": "25865914", "accessed": "2026-09-26" }, { "id": "436", "kind": "peer", "tier": 2, "year": "2012", "title": "Campbell L.", "detail": "Men's experiences delivering palliative home health care in rural South Africa: an exploratory study. Int J Palliat Nurs 2012;18(12):612-8. Exploratory study of three male caregivers (one nurse, two home-based caregivers) from a hospice and three home-based care organisations in rural KwaZulu-Natal; very small sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/23560319/", "doi": "10.12968/ijpn.2012.18.12.612", "pmid": "23560319", "accessed": "2026-09-26" }, { "id": "437", "kind": "peer", "tier": 2, "year": "2013", "title": "Case A, Garrib A, Menendez A, et al.", "detail": "Paying the Piper: The High Cost of Funerals in South Africa. Econ Dev Cult Change 2013;62(1). Analysis of funeral arrangements after 3,751 deaths in the Africa Centre Demographic Surveillance Area (KwaZulu-Natal), 2003 to 2005, covering spending, insurance and borrowing. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3824610/", "doi": "10.1086/671712", "pmid": "24235777", "accessed": "2026-09-26" }, { "id": "438", "kind": "peer", "tier": 2, "year": "2007", "title": "Collins DL, Leibbrandt M.", "detail": "The financial impact of HIV/AIDS on poor households in South Africa. AIDS 2007;21 Suppl 7:S75-81. Year-long financial diaries from 181 poor rural and urban households showing how households hold funeral insurance portfolios against death costs. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/18040168/", "doi": "10.1097/01.aids.0000300538.28096.1c", "pmid": "18040168", "accessed": "2026-09-26" }, { "id": "439", "kind": "peer", "tier": 2, "year": "2024", "title": "Ibrahim AM, Zaghamir DEF, Sultan Sultan HM, et al.", "detail": "Optimizing geriatric palliative care in Egypt: Comprehensive patient and family perspectives. Palliat Support Care 2024;22(5):1272-1281. Cross-sectional survey of 110 older patients and 110 family caregivers at Damietta Oncology Institute and Zagazig University pain clinics using validated scales for caregiver strain and family satisfaction. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38379421/", "doi": "10.1017/S1478951524000221", "pmid": "38379421", "accessed": "2026-09-26" }, { "id": "440", "kind": "peer", "tier": 2, "year": "2022", "title": "Mohamed MA, Ibrahim AM, Ibrahim HM, et al.", "detail": "Perception of pediatric oncology family care providers toward palliative care and its perceived barriers in Egypt. Palliat Support Care 2022;20(1):55-61. Descriptive study of 500 family caregivers of children with cancer at one governmental hospital in Port Said. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34763743/", "doi": "10.1017/S1478951521001668", "pmid": "34763743", "accessed": "2026-09-26" }, { "id": "441", "kind": "peer", "tier": 2, "year": "2026", "title": "Shamieh O, Alarjeh G, Alrjoub W, et al.", "detail": "Culture sensitive care in oncology care settings in Jordan: a qualitative study. Front Public Health 2026;14:1747462. 108 interviews with patients, caregivers and providers at three tertiary hospitals, 22% of patients and caregivers non-Jordanian, covering family decision making, disclosure and religious framing of cancer. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12950714/", "doi": "10.3389/fpubh.2026.1747462", "pmid": "41778139", "accessed": "2026-09-26" }, { "id": "442", "kind": "peer", "tier": 2, "year": "2023", "title": "Boufkhed S, Yurduşen S, Alarjeh G, et al.", "detail": "Concerns and priority outcomes for children with advanced cancer and their families in the Middle East: A cross-national qualitative study. Front Oncol 2023;13:1120990. Qualitative study at two pediatric cancer centers in Jordan and Turkey (N=104) including refugee and displaced families; findings are pooled across both countries in the abstract. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10043430/", "doi": "10.3389/fonc.2023.1120990", "pmid": "36998436", "accessed": "2026-09-26" }, { "id": "443", "kind": "peer", "tier": 2, "year": "2012", "title": "Bou Khalil R.", "detail": "Attitudes, beliefs and perceptions regarding truth disclosure of cancer-related information in the Middle East: a review. Palliat Support Care 2012;11(1):69-78. Review of 55 publications from Middle Eastern countries including Jordan and Egypt on family and physician disclosure practices; regional, not Jordan-specific. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/23171758/", "doi": "10.1017/S1478951512000107", "pmid": "23171758", "accessed": "2026-09-26" }, { "id": "444", "kind": "peer", "tier": 2, "year": "2015", "title": "Lkhoyaali S, El Haj MA, El Omrani F, et al.", "detail": "The burden among family caregivers of elderly cancer patients: prospective study in a Moroccan population. BMC Res Notes 2015;8:347. Questionnaire study of 150 family caregivers of patients aged 70 or older at the National Institute of Oncology, Rabat. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4534123/", "doi": "10.1186/s13104-015-1307-5", "pmid": "26268701", "accessed": "2026-09-26" }, { "id": "445", "kind": "peer", "tier": 2, "year": "2013", "title": "Tazi I, Nafil H, Mahmal L, et al.", "detail": "[Complementary medicine in cancer patients under treatment in Marrakech, Morocco: a prospective study]. Bull Soc Pathol Exot 2013;106(4):278-85. Anonymous questionnaire of 400 patients in one Marrakech oncology department (384 analyzable) on complementary medicine, including religious therapy and herbs; article in French. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/24057644/", "doi": "10.1007/s13149-013-0308-7", "pmid": "24057644", "accessed": "2026-09-26" }, { "id": "446", "kind": "peer", "tier": 2, "year": "2022", "title": "Aboufaras M, Selmaoui K, Najib R, et al.", "detail": "Predictors of herbal medicine use among cancer patients. J Cancer Res Clin Oncol 2022;149(8):4991-5005. Cross-sectional survey of 530 adult cancer patients at the regional oncology center of Beni Mellal on prevalence and predictors of traditional herbal medicine use. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11798265/", "doi": "10.1007/s00432-022-04451-x", "pmid": "36318333", "accessed": "2026-09-26" }, { "id": "447", "kind": "peer", "tier": 2, "year": "2026", "title": "Sert Yurdakul S, Erbay Erşen M, Özel D", "detail": "Witnessing the end, supporting the living: A qualitative study of palliative caregiving in end-of-life patients in Türkiye. Palliat Support Care 2026;24:e55. Phenomenological study of 8 family caregivers in one hospital-based palliative care unit describing burdens and coping through spiritual beliefs and peer support; very small sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13166335/", "doi": "10.1017/S147895152610162X", "pmid": "41669814", "accessed": "2026-09-26" }, { "id": "448", "kind": "peer", "tier": 2, "year": "2017", "title": "Yalcin S, Hurmuz P, McQuinn L, et al.", "detail": "Prevalence of Complementary Medicine Use in Patients With Cancer: A Turkish Comprehensive Cancer Center Experience. J Glob Oncol 2017;4:1-6. Survey of 1,499 outpatients at one Ankara cancer center showing prayer as the most common complementary practice; single tertiary center. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6180833/", "doi": "10.1200/JGO.2016.008896", "pmid": "30241173", "accessed": "2026-09-26" }, { "id": "449", "kind": "peer", "tier": 2, "year": "2012", "title": "Nazik E, Nazik H, Api M, et al.", "detail": "Complementary and alternative medicine use by gynecologic oncology patients in Turkey. Asian Pac J Cancer Prev 2012;13(1):21-5. Cross-sectional survey of 67 women with gynecologic cancer at one hospital showing herbal therapy as the main complementary method, learned mostly from friends and family; small single-site sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/22502670/", "doi": "10.7314/apjcp.2012.13.1.021", "pmid": "22502670", "accessed": "2026-09-26" }, { "id": "450", "kind": "peer", "tier": 2, "year": "2026", "title": "Oğuz Karaalp İ, Kalanlar B", "detail": "Palliative care nursing journey in home healthcare: A grounded theory study. Geriatr Nurs 2026;70:103985. Grounded theory study of 12 nurses in the Home Health Services Unit of one state hospital describing how they learn palliative care on the job; single site. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41795309/", "doi": "10.1016/j.gerinurse.2026.103985", "pmid": "41795309", "accessed": "2026-09-26" }, { "id": "451", "kind": "peer", "tier": 2, "year": "2021", "title": "Hafez SA, Snethen JA, Ngui E, et al.", "detail": "Pediatric End of Life Care: Impact of Islamic Faith. West J Nurs Res 2021;44(8):773-779. Qualitative interviews with 24 Saudi mothers and other female primary caregivers of children at end of life, showing Islamic beliefs and practices supported them. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/33998337/", "doi": "10.1177/01939459211016503", "pmid": "33998337", "accessed": "2026-09-26" }, { "id": "452", "kind": "peer", "tier": 2, "year": "2023", "title": "Almouaalamy NA, Banjar LA, Alshaikh HM, et al.", "detail": "The prevalence and pattern of complementary and alternative medicine use among cancer patients in a tertiary oncology center: a cross-sectional study. Ann Med Surg (Lond) 2023;85(11):5420-5427. Survey of 293 patients at one Jeddah oncology center documenting Zamzam water, Quran recitation, water read upon Quran and black seed use; single center. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10617909/", "doi": "10.1097/MS9.0000000000001315", "pmid": "37915654", "accessed": "2026-09-26" }, { "id": "453", "kind": "peer", "tier": 2, "year": "2026", "title": "Alharbi HM, Azhari EF, Sindi AH, et al.", "detail": "Association between quality of life of terminally ill patients and caregiver burden in a Saudi palliative home-care service: a cross-sectional exploratory study. BMC Palliat Care 2026;25(1). 30 patient-caregiver dyads in one Jeddah palliative home-care service; small convenience sample, hypothesis-generating. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13360886/", "doi": "10.1186/s12904-026-02135-8", "pmid": "42163191", "accessed": "2026-09-26" }, { "id": "454", "kind": "peer", "tier": 2, "year": "2025", "title": "Costa DPS, Ardah HI, Searya A", "detail": "Burden of Informal Caregivers from an HHC Military Hospital in Riyadh, Saudi Arabia: A Cross-Sectional Study. Int J Environ Res Public Health 2025;22(2). Zarit burden survey of 384 informal caregivers served by one military home health care facility in Riyadh. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11854934/", "doi": "10.3390/ijerph22020313", "pmid": "40003538", "accessed": "2026-09-26" }, { "id": "455", "kind": "peer", "tier": 2, "year": "2021", "title": "Adem S, ALMouaalamy N", "detail": "Effectiveness and Safety of Hypodermoclysis Patients With Cancer: A Single-Center Experience From Saudi Arabia. Cureus 2021;13(3):e13785. Pilot of subcutaneous hydration at home for 9 advanced cancer patients, started by home health care nurses and monitored by family caregivers; very small single-center pilot run by the service itself. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7946612/", "doi": "10.7759/cureus.13785", "pmid": "33728227", "accessed": "2026-09-26" }, { "id": "456", "kind": "peer", "tier": 2, "year": "2024", "title": "Monemian S, Sharbafchi MR, Taleghani F", "detail": "Psychological challenges of female caregivers in providing home-based palliative care for patients with advanced cancer: A descriptive-exploratory study. J Educ Health Promot 2024;13:30. Qualitative interviews in Isfahan with 20 female family caregivers and 18 providers on the psychological load of home-based care; one city. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10967935/", "doi": "10.4103/jehp.jehp_1636_22", "pmid": "38545314", "accessed": "2026-09-26" }, { "id": "457", "kind": "peer", "tier": 2, "year": "2026", "title": "Ashrafizadeh H, Eshaghian-Dorcheh A, Beiranvand S, et al.", "detail": "The Role of Volunteers in Providing Palliative Care Services in Iran: A Qualitative Study. J Soc Work End Life Palliat Care 2026:1-23. Interviews with 12 stakeholders in volunteer-based palliative care, including volunteers and family caregivers, describing volunteers as filling gaps in a charity-reliant system; small stakeholder sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42261227/", "doi": "10.1080/15524256.2026.2685052", "pmid": "42261227", "accessed": "2026-09-26" }, { "id": "458", "kind": "peer", "tier": 2, "year": "2023", "title": "Orujlu S, Hassankhani H, Rahmani A, et al.", "detail": "Pain Self-management Strategies in Patients With Cancer: A Qualitative Study. Holist Nurs Pract 2023;37(2):90-97. Interviews with 14 Iranian cancer patients (Tabriz-based team) describing self-managed pain relief including opium (Taryak), tobacco, herbal and home remedies, massage and spiritual practices; small sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36790423/", "doi": "10.1097/HNP.0000000000000571", "pmid": "36790423", "accessed": "2026-09-26" }, { "id": "459", "kind": "peer", "tier": 2, "year": "2022", "title": "Hassankhani H, Dehghannezhad J, Rahmani A, et al.", "detail": "Caring Needs of Cancer Patients from the Perspective of Home Care Nurses: A Qualitative Study. Asian Pac J Cancer Prev 2022;23(1):71-77. Interviews with 15 home care nurses in northwest Iran identifying financial support needs, including insurance and charity support, for home cancer care; one region. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9258677/", "doi": "10.31557/APJCP.2022.23.1.71", "pmid": "35092373", "accessed": "2026-09-26" }, { "id": "460", "kind": "peer", "tier": 2, "year": "2020", "title": "Skelton M, Alameddine R, Saifi O, et al.", "detail": "High-Cost Cancer Treatment Across Borders in Conflict Zones: Experience of Iraqi Patients in Lebanon. JCO Glob Oncol 2020;6:59-66. Interviews with 60 Iraqi patients and caregivers at one Beirut tertiary center describing how families fund conflict-driven cross-border cancer care; single receiving hospital. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6998032/", "doi": "10.1200/JGO.19.00281", "pmid": "32031440", "accessed": "2026-09-26" }, { "id": "461", "kind": "peer", "tier": 2, "year": "2024", "title": "Mohsin K, Mula-Hussain L, Gilson R", "detail": "HealthCare Access Barrier (HCAB) framework for the barriers to cancer care during conflicts: perspective from Iraq. BMJ Oncol 2024;3(1):e000252. Scoping review of financial, structural and cognitive barriers to cancer care across four decades of conflict in Iraq, including out-of-pocket and cross-border costs. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11203082/", "doi": "10.1136/bmjonc-2023-000252", "pmid": "39886185", "accessed": "2026-09-26" }, { "id": "462", "kind": "peer", "tier": 2, "year": "2019", "title": "Lutfi NM, Al Lami F", "detail": "Prevalence and determinants of depression among caregivers of children with leukaemia in Iraq. East Mediterr Health J 2019;25(6):385-393. Cross-sectional survey of caregivers of 250 children with leukaemia at one Baghdad teaching hospital; convenience sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/31469158/", "doi": "10.26719/emhj.19.005", "pmid": "31469158", "accessed": "2026-09-26" }, { "id": "463", "kind": "peer", "tier": 2, "year": "2026", "title": "Jaber F, Kassem J, Othman RE, et al.", "detail": "Preferred Place of Death in Serious Chronic Illness: Single-Center Study in Lebanon. J Pain Symptom Manage 2026;71(5):610-617. Structured interviews with 165 seriously ill adults at one Beirut tertiary center on preferred place of death and its predictors; single center. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41580249/", "doi": "10.1016/j.jpainsymman.2026.01.010", "pmid": "41580249", "accessed": "2026-09-26" }, { "id": "464", "kind": "peer", "tier": 2, "year": "2025", "title": "Sailian SD, Salifu Y, Preston N", "detail": "Dignity in Serious Illness: A Qualitative Exploration of Family Caregivers' Contributions in low middle-income country. Palliat Support Care 2025;23:e61. In-depth interviews with 15 Lebanese family caregivers on how they preserve a seriously ill relative's dignity, with caregiving underpinned by religious values and duty. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13166562/", "doi": "10.1017/S1478951525000100", "pmid": "39980303", "accessed": "2026-09-26" }, { "id": "465", "kind": "peer", "tier": 2, "year": "2024", "title": "Eid D, Jabbour J, Moujaes E, et al.", "detail": "Impact of the economic crisis and drug shortage on Lebanese cancer patients' care. World J Clin Oncol 2024;15(5):644-652. Questionnaire of 182 outpatients at one Beirut university hospital in February 2022 on drug shortages, self-payment and donations; single tertiary site. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11145953/", "doi": "10.5306/wjco.v15.i5.644", "pmid": "38835845", "accessed": "2026-09-26" }, { "id": "466", "kind": "peer", "tier": 2, "year": "2025", "title": "Kakhniashvili T, Kiladze I, Okribelashvili N", "detail": "The Cancer Burden on Patients and Their Families in a Resource-Restricted Country: A Cross-Sectional Survey Study From Georgia. Cancer Control 2025;32:10732748251359407. Survey of 181 patients in active cancer treatment across 7 tertiary hospitals on out-of-pocket costs and household debt. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12235234/", "doi": "10.1177/10732748251359407", "pmid": "40621728", "accessed": "2026-09-26" }, { "id": "467", "kind": "peer", "tier": 2, "year": "2022", "title": "Hagedorn C, Tadevosyan A, Mason S, et al.", "detail": "Palliative Care education in Armenia: perspectives of first-year Armenian physician residents. BMC Palliat Care 2022;21(1):53. Interviews with 20 first-year residents in Yerevan in 2016 that also describe home dying, family-directed disclosure and families substituting for psychosocial support; physician views, not family accounts. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9019978/", "doi": "10.1186/s12904-022-00938-z", "pmid": "35443640", "accessed": "2026-09-26" }, { "id": "468", "kind": "peer", "tier": 2, "year": "2024", "title": "Hovhannisyan A, Philip C, Arakelyan J, et al.", "detail": "Barriers to access to cancer care for patients from the conflict-affected region of the Nagorno-Karabakh Republic: A qualitative study. PLOS Glob Public Health 2024;4(7):e0003243. Interviews in 2023 with 12 patients from Nagorno-Karabakh and 12 professionals at three Yerevan hospitals during the Lachin Corridor blockade, covering costs, travel and housing; small sample. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11216571/", "doi": "10.1371/journal.pgph.0003243", "pmid": "38950020", "accessed": "2026-09-26" }, { "id": "469", "kind": "peer", "tier": 2, "year": "2026", "title": "Doan NP, Le Thao MN, Phuoc AL, et al.", "detail": "Perceptions of death, dying and the body in Vietnamese culture: A qualitative exploration from a study examining the potentials of minimally invasive tissue sampling in Vietnam. SSM Qual Res Health 2026;9:100714. Qualitative study (59 interviews, five focus groups) in Hanoi, Ho Chi Minh City and Dak Lak describing home death, family presence and post-death rituals; framed around tissue sampling acceptability, with only two Ede minority participants. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13328329/", "doi": "10.1016/j.ssmqr.2026.100714", "pmid": "42404731", "accessed": "2026-09-26" }, { "id": "470", "kind": "peer", "tier": 2, "year": "2026", "title": "Phan ADT, Vo TH, Luu TNN, et al.", "detail": "Herbal medicine use disclosure, database-flagged potential herb-drug interactions, and inter-interaction database concordance among patients with non-communicable diseases in Vietnam: A multicenter cross-sectional study. PLoS One 2026;21(7):e0355046. Survey of 658 patients with non-communicable diseases at two tertiary facilities on herbal medicine use and disclosure; not specific to end of life. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13426966/", "doi": "10.1371/journal.pone.0355046", "pmid": "42536629", "accessed": "2026-09-26" }, { "id": "471", "kind": "peer", "tier": 2, "year": "2025", "title": "Nguyen T, Dam A, Bui L, et al.", "detail": "I Wait for Leftover Morphine: A Qualitative Study of Barriers to Safe Opioid Access for Cancer Pain Relief in Vietnam. JCO Glob Oncol 2025;11:e2500026. Interviews with 17 providers, patients/caregivers and regulators on barriers to opioid access; small purposive sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/40466013/", "doi": "10.1200/GO-25-00026", "pmid": "40466013", "accessed": "2026-09-26" }, { "id": "472", "kind": "peer", "tier": 2, "year": "2019", "title": "Supaporn K, Isaramalai SA, Suttharangsee W", "detail": "Exploring caregivers' perspectives on improving care for older people at the end of life in Thailand. Int J Palliat Nurs 2019;25(7):326-332. Qualitative interviews and observation with 10 older people in the palliative stage and their home caregivers. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/31339824/", "doi": "10.12968/ijpn.2019.25.7.326", "pmid": "31339824", "accessed": "2026-09-26" }, { "id": "473", "kind": "peer", "tier": 2, "year": "2020", "title": "Upasen R, Thanasilp S", "detail": "Death acceptance from a Thai Buddhist perspective: A qualitative study. Eur J Oncol Nurs 2020;49:101833. Interviews with 12 patients with terminal cancer on death acceptance, including merit-making and Buddhist practice. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/33120215/", "doi": "10.1016/j.ejon.2020.101833", "pmid": "33120215", "accessed": "2026-09-26" }, { "id": "474", "kind": "peer", "tier": 2, "year": "2004", "title": "Nilmanat K, Street A", "detail": "Search for a cure: narratives of Thai family caregivers living with a person with AIDS. Soc Sci Med 2004;59(5):1003-10. Longitudinal narrative case study of eight family caregivers in rural Southern Thailand; older study from the pre-antiretroviral scale-up era. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/15186900/", "doi": "10.1016/j.socscimed.2003.12.003", "pmid": "15186900", "accessed": "2026-09-26" }, { "id": "475", "kind": "peer", "tier": 2, "year": "2026", "title": "Tianio JS, Manlapas OR", "detail": "Religious and Spiritual Practices as Complementary Support for Biomedical Care Among Christian and Muslim Filipino Adults. J Relig Health 2026. Qualitative study of 60 Christian and Muslim adults receiving biomedical care in Rizal Province; mixed chronic conditions, not limited to end of life. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42616307/", "doi": "10.1007/s10943-026-02753-9", "pmid": "42616307", "accessed": "2026-09-26" }, { "id": "476", "kind": "peer", "tier": 2, "year": "2025", "title": "Lasco G, Yu VG, David C", "detail": "Traditional medicine in Filipino patients' therapeutic itineraries. Soc Sci Med 2025;373:118022. Multi-sited qualitative study (over 30 focus groups) on how traditional medicine fits before, alongside and after biomedical care; general illness, not specific to serious illness. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/40157305/", "doi": "10.1016/j.socscimed.2025.118022", "pmid": "40157305", "accessed": "2026-09-26" }, { "id": "477", "kind": "peer", "tier": 2, "year": "2026", "title": "Mondragon KAM, King REC, Catedral LIG, et al.", "detail": "Assessment of Out-of-Pocket Expenditure of HER2-Positive Breast Cancer Patients in a Tertiary Cancer Center and Private Clinics in the Philippines. Acta Med Philipp 2026;60(8):7-22. Micro-costing survey of 101 patients with HER2-positive breast cancer on catastrophic spending and coping strategies; treatment phase, not end of life. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13233796/", "doi": "10.47895/amp.vi0.12007", "pmid": "42256102", "accessed": "2026-09-26" }, { "id": "478", "kind": "peer", "tier": 2, "year": "2026", "title": "Leong YY, Choo YL, Wong SLK, et al.", "detail": "Service utilization of a novel statewide domiciliary palliative care program in Malaysia. Med J Malaysia 2026;81(4):483-488. Retrospective cohort of 113 patients seen in the first year of a domiciliary palliative care program run from eight health clinics in Sarawak; authors describe their own program. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42584436/", "doi": null, "pmid": "42584436", "accessed": "2026-09-26" }, { "id": "479", "kind": "peer", "tier": 2, "year": "2024", "title": "Chung I, Khoo SY, Low LL", "detail": "An Insight Into the Experiences of Malaysian Patients With Advanced Cancer and Their Preferences in End-of-Life Care: A Qualitative Study. Am J Hosp Palliat Care 2024;42(1):5-13. Interviews with 19 patients with stage 4 cancer at the National Cancer Institute Malaysia. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38394223/", "doi": "10.1177/10499091241233599", "pmid": "38394223", "accessed": "2026-09-26" }, { "id": "480", "kind": "peer", "tier": 2, "year": "2026", "title": "Li SL, Jing J, Zhang J, et al.", "detail": "Assisted chanting and Buddhist end-of-life care in contemporary China. Palliat Support Care 2026;24:e194. Qualitative interviews with 34 volunteers, patients and family caregivers at one Buddhist assisted chanting association housed in a Shenzhen hospital. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13370301/", "doi": "10.1017/S1478951526103034", "pmid": "42439096", "accessed": "2026-09-26" }, { "id": "481", "kind": "peer", "tier": 2, "year": "2020", "title": "He L, van Heugten K", "detail": "Chinese Migrant Workers' Care Experiences: A Model of the Mediating Roles of Filial Piety. Qual Health Res 2020;30(11):1749-1761. Qualitative study of 24 migrant workers caring for a parent with terminal cancer, focused on filial piety and secrecy. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/32564651/", "doi": "10.1177/1049732320925420", "pmid": "32564651", "accessed": "2026-09-26" }, { "id": "482", "kind": "peer", "tier": 2, "year": "2025", "title": "Song C, Feng M, Chen Y, et al.", "detail": "\"The unseen struggle\" - Nurses' perspectives on challenges to quality of death in rural Chinese cancer patients: A qualitative study. Int J Nurs Stud 2025;170:105163. Interviews with 17 oncology nurses at one county-level hospital in northern Henan; nurse perspective only. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/40712346/", "doi": "10.1016/j.ijnurstu.2025.105163", "pmid": "40712346", "accessed": "2026-09-26" }, { "id": "483", "kind": "peer", "tier": 2, "year": "2022", "title": "Soltoff A, Purvis S, Ravicz M, et al.", "detail": "Factors Influencing Palliative Care Access and Delivery for Great Plains American Indians. J Pain Symptom Manage 2022;64(3):276-286. Interviews with 38 specialty and Indian Health Service clinicians describe scarce hospice and home health on Great Plains reservations and reliance on extended family (tiospaye); clinician views only. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10230738/", "doi": "10.1016/j.jpainsymman.2022.05.011", "pmid": "35618250", "accessed": "2026-09-26" }, { "id": "484", "kind": "peer", "tier": 2, "year": "2025", "title": "Daubman BR, Duran T, Johnson G, et al.", "detail": "\"Are They Just Experimenting With All of Us?\" Cultural Considerations for Clinicians Caring for Seriously Ill Great Plains American Indians. Am J Hosp Palliat Care 2025;43(1):77-84. Talking circles and interviews with 36 cancer survivors, caregivers, Tribal leaders and traditional healers from 3 Great Plains reservations (community-based participatory research). Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12453079/", "doi": "10.1177/10499091251327404", "pmid": "40083214", "accessed": "2026-09-26" }, { "id": "485", "kind": "peer", "tier": 2, "year": "2024", "title": "Quigley DD, McCleskey SG, Lesandrini J, et al.", "detail": "Roles of Chaplains and Clergy in Spiritual Care for African Americans in Hospice: A Pilot Study. Am J Hosp Palliat Care 2024;42(8):717-727. Pilot qualitative study with 12 caregivers, 3 community clergy and 5 chaplains linked to one urban/suburban community hospice. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39094102/", "doi": "10.1177/10499091241268549", "pmid": "39094102", "accessed": "2026-09-26" }, { "id": "486", "kind": "peer", "tier": 2, "year": "2021", "title": "Siler S, Arora K, Doyon K, et al.", "detail": "Spirituality and the Illness Experience: Perspectives of African American Older Adults. Am J Hosp Palliat Care 2021;38(6):618-625. Focus groups with 50 African American older adults and family caregivers recruited through 5 Denver-area churches. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8085062/", "doi": "10.1177/1049909120988280", "pmid": "33461330", "accessed": "2026-09-26" }, { "id": "487", "kind": "peer", "tier": 2, "year": "2021", "title": "Johnson J, Hayden T, Taylor LA.", "detail": "Evaluation of the LIGHT Curriculum: An African American Church-Based Curriculum for Training Lay Health Workers to Support Advance Care Planning, End-of-Life Decision Making, and Care. J Palliat Med 2021;25(3):413-420. Pre-post evaluation of 37 church-based lay health workers from 3 African American churches; evaluated by the curriculum developers. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8968829/", "doi": "10.1089/jpm.2021.0235", "pmid": "34515525", "accessed": "2026-09-26" }, { "id": "488", "kind": "peer", "tier": 2, "year": "2016", "title": "Tobey M, Manasson J, Decarlo K, et al.", "detail": "Homeless Individuals Approaching the End of Life: Symptoms and Attitudes. J Pain Symptom Manage 2016;53(4):738-744. Survey of 20 homeless people near the end of life at one medical respite home. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/28042064/", "doi": "10.1016/j.jpainsymman.2016.10.364", "pmid": "28042064", "accessed": "2026-09-26" }, { "id": "489", "kind": "peer", "tier": 2, "year": "2018", "title": "Kelley ML, Prince H, Nadin S, et al.", "detail": "Developing palliative care programs in Indigenous communities using participatory action research: a Canadian application of the public health approach to palliative care. Ann Palliat Med 2018;7(Suppl 2):S52-S72. Six-year participatory action research with 4 First Nations communities in Ontario and Manitoba; the research team facilitated and evaluated the work it describes. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29764173/", "doi": "10.21037/apm.2018.03.06", "pmid": "29764173", "accessed": "2026-09-26" }, { "id": "490", "kind": "peer", "tier": 2, "year": "2018", "title": "Nadin S, Crow M, Prince H, et al.", "detail": "Wiisokotaatiwin: development and evaluation of a community-based palliative care program in Naotkamegwanning First Nation. Rural Remote Health 2018;18(2):4317. Process evaluation of a single-community pilot with six clients in 10 months; evaluated by the program's research partners. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29724108/", "doi": "10.22605/RRH4317", "pmid": "29724108", "accessed": "2026-09-26" }, { "id": "491", "kind": "peer", "tier": 2, "year": "2020", "title": "Stajduhar KI, Giesbrecht M, Mollison A, et al.", "detail": "Caregiving at the margins: An ethnographic exploration of family caregivers experiences providing care for structurally vulnerable populations at the end-of-life. Palliat Med 2020;34(7):946-953. Critical ethnography with 25 family caregivers of people experiencing homelessness and poverty in Canada. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7787672/", "doi": "10.1177/0269216320917875", "pmid": "32340556", "accessed": "2026-09-26" }, { "id": "492", "kind": "peer", "tier": 2, "year": "2020", "title": "Galloway T, Horlick S, Cherba M, et al.", "detail": "Perspectives of Nunavut patients and families on their cancer and end of life care experiences. Int J Circumpolar Health 2020;79(1):1766319. In-depth interviews with 10 patients and family members in Nunavut communities. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7448904/", "doi": "10.1080/22423982.2020.1766319", "pmid": "32449489", "accessed": "2026-09-26" }, { "id": "493", "kind": "peer", "tier": 2, "year": "2011", "title": "Abel J, Bowra J, Walter T, et al.", "detail": "Compassionate community networks: supporting home dying. BMJ Support Palliat Care 2011;1(2):129-33. Conceptual description of a compassionate community project in Weston-super-Mare written by people involved in developing it; no outcome data. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/24653223/", "doi": "10.1136/bmjspcare-2011-000068", "pmid": "24653223", "accessed": "2026-09-26" }, { "id": "494", "kind": "peer", "tier": 2, "year": "2024", "title": "Nawaratne SD, Dale J, Mitchell S, et al.", "detail": "An interpretative qualitative case study of a Compassionate Cities initiative in the United Kingdom: Lessons for implementation in other settings. Palliat Support Care 2024:1-7. Case study of one UK Compassionate City using 11 steering-committee interviews, observations and documents; leaders' views only. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39576140/", "doi": "10.1017/S1478951524001251", "pmid": "39576140", "accessed": "2026-09-26" }, { "id": "495", "kind": "peer", "tier": 2, "year": "2024", "title": "Hudson BF, Clarke G, Kupeli N, et al.", "detail": "Somebody who understands the culture and their needs that can cater for them in their retirement time: a peer research study exploring the challenges faced by British Muslims with palliative care needs during the COVID-19 pandemic. BMJ Open 2024;14(8):e082089. Peer research with 12 British Muslim patients and family carers during COVID-19, run with the Muslim Council of Britain; small sample. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11404141/", "doi": "10.1136/bmjopen-2023-082089", "pmid": "39122398", "accessed": "2026-09-26" }, { "id": "496", "kind": "peer", "tier": 2, "year": "2022", "title": "Suleman M.", "detail": "The balancing of virtues-Muslim perspectives on palliative and end of life care: Empirical research analysing the perspectives of service users and providers. Bioethics 2022;37(1):57-68. Thematic analysis of 76 interviews with Muslim patients, families, clinicians, chaplains and community faith leaders across the UK. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10099990/", "doi": "10.1111/bioe.13109", "pmid": "36448985", "accessed": "2026-09-26" }, { "id": "497", "kind": "peer", "tier": 2, "year": "2021", "title": "Armstrong M, Shulman C, Hudson B, et al.", "detail": "The benefits and challenges of embedding specialist palliative care teams within homeless hostels to enhance support and learning: Perspectives from palliative care teams and hostel staff. Palliat Med 2021;35(6):1202-1214. Qualitative evaluation in 4 London hostels (9 hostel staff, 7 palliative specialists); several authors are from Pathway, a homelessness health charity involved in the model. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8189002/", "doi": "10.1177/02692163211006318", "pmid": "33775172", "accessed": "2026-09-26" }, { "id": "498", "kind": "peer", "tier": 2, "year": "2018", "title": "Shulman C, Hudson BF, Kennedy P, et al.", "detail": "Evaluation of training on palliative care for staff working within a homeless hostel. Nurse Educ Today 2018;71:135-144. Pilot evaluation of a two-day course for staff of 2 London hostels, run by the course developers. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/30286371/", "doi": "10.1016/j.nedt.2018.09.022", "pmid": "30286371", "accessed": "2026-09-26" }, { "id": "499", "kind": "peer", "tier": 2, "year": "2007", "title": "McGrath P.", "detail": "'I don't want to be in that big city; this is my country here': research findings on Aboriginal peoples' preference to die at home. Aust J Rural Health 2007;15(4):264-8. 72 qualitative interviews with Indigenous patients, caregivers, health workers and interpreters in the Northern Territory. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/17617091/", "doi": "10.1111/j.1440-1584.2007.00904.x", "pmid": "17617091", "accessed": "2026-09-26" }, { "id": "500", "kind": "peer", "tier": 2, "year": "2014", "title": "Sinclair C, Williams G, Knight A, et al.", "detail": "A public health approach to promoting advance care planning to Aboriginal people in regional communities. Aust J Rural Health 2014;22(1):23-8. Qualitative study with 18 Noongar community members in 6 rural communities of the Great Southern region, Western Australia. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/24460996/", "doi": "10.1111/ajr.12079", "pmid": "24460996", "accessed": "2026-09-26" }, { "id": "501", "kind": "peer", "tier": 2, "year": "2013", "title": "Shahid S, Bessarab D, van Schaik KD, et al.", "detail": "Improving palliative care outcomes for Aboriginal Australians: service providers' perspectives. BMC Palliat Care 2013;12(1):26. Interviews with 15 palliative care providers in Western Australia; provider views only. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3729490/", "doi": "10.1186/1472-684X-12-26", "pmid": "23875957", "accessed": "2026-09-26" }, { "id": "502", "kind": "peer", "tier": 2, "year": "2017", "title": "Kobayakawa M, Ogawa A, Konno M, et al.", "detail": "Psychological and psychiatric symptoms of terminally ill patients with cancer and their family caregivers in the home-care setting: A nation-wide survey from the perspective of bereaved family members in Japan. J Psychosom Res 2017;103:127-132. Nationwide bereaved-family survey (J-HOPE3), 532 families using home care services. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29167039/", "doi": "10.1016/j.jpsychores.2017.10.012", "pmid": "29167039", "accessed": "2026-09-26" }, { "id": "503", "kind": "peer", "tier": 2, "year": "2020", "title": "Hiratsuka Y, Aoyama M, Kaneta T, et al.", "detail": "Impressions of Interfaith Chaplain's Activities among Patients in a Palliative Care Unit: A Semi-Structured Interview-Based Qualitative Study. Tohoku J Exp Med 2020;251(2):91-96. Interviews with 15 advanced cancer patients in one palliative care unit at Tohoku University Hospital. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/32581192/", "doi": "10.1620/tjem.251.91", "pmid": "32581192", "accessed": "2026-09-26" }, { "id": "504", "kind": "peer", "tier": 2, "year": "2019", "title": "Lee H, Lee J, Lee JE.", "detail": "Bereaved Families' Experiences of End-of-Life Care at Home for Older Adults with Non-Cancer in South Korea. J Community Health Nurs 2019;36(1):42-53. Phenomenological interviews with bereaved family caregivers; sample size not given in abstract. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/30606059/", "doi": "10.1080/07370016.2018.1554768", "pmid": "30606059", "accessed": "2026-09-26" }, { "id": "505", "kind": "peer", "tier": 2, "year": "2022", "title": "Lee EJ, Lee NR.", "detail": "Factors associated with place of death for terminal cancer patients who wished to die at home. Medicine (Baltimore) 2022;101(39):e30756. Record review of 168 patients using a home hospice service, 2016-2019. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9524872/", "doi": "10.1097/MD.0000000000030756", "pmid": "36181095", "accessed": "2026-09-26" }, { "id": "506", "kind": "peer", "tier": 2, "year": "2023", "title": "Lee S, Kim B.", "detail": "A Photovoice Study on the Position and Role of Hospice Volunteers in Korea. Risk Manag Healthc Policy 2023;16:931-943. Photovoice with hospice volunteers from one training program. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10204757/", "doi": "10.2147/RMHP.S403746", "pmid": "37228846", "accessed": "2026-09-26" }, { "id": "507", "kind": "peer", "tier": 2, "year": "2020", "title": "Yeun YR.", "detail": "A Study on the Motivations of Korean Hospice Volunteers. Indian J Palliat Care 2020;26(1):24-27. Questionnaire survey of 93 hospice volunteers. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7017688/", "doi": "10.4103/IJPC.IJPC_136_19", "pmid": "32132779", "accessed": "2026-09-26" }, { "id": "508", "kind": "peer", "tier": 2, "year": "2024", "title": "Nassehi A, Saake I, Breitsameter C, et al.", "detail": "Adding spontaneity to organizations - what hospice volunteers contribute to everyday life in German inpatient hospice and palliative care units: a qualitative study. BMC Palliat Care 2024;23(1):81. Qualitative interviews with 16 volunteers from five inpatient hospices and one palliative care unit on what volunteers contribute to daily life. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10976705/", "doi": "10.1186/s12904-024-01409-3", "pmid": "38539136", "accessed": "2026-09-26" }, { "id": "509", "kind": "peer", "tier": 2, "year": "2026", "title": "Müller C, Authier D, Steger-Arand C, et al.", "detail": "Relational care in palliative care units: a qualitative study of low-threshold volunteer hospice conversations. BMC Health Serv Res 2026;26(1). Interviews with 12 trained volunteer hospice companions running low-threshold conversations on two palliative care units. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13085311/", "doi": "10.1186/s12913-026-14399-0", "pmid": "41963966", "accessed": "2026-09-26" }, { "id": "510", "kind": "peer", "tier": 2, "year": "2015", "title": "Gratz M, Paal P, Emmelmann M, et al.", "detail": "Spiritual care in the training of hospice volunteers in Germany. Palliat Support Care 2015;14(5):532-40. Online survey of hospice homecare services on spiritual care in volunteer training; 25% response (332 of 1,332); authors based in practical theology. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/26593052/", "doi": "10.1017/S1478951515001261", "pmid": "26593052", "accessed": "2026-09-26" }, { "id": "511", "kind": "peer", "tier": 2, "year": "2020", "title": "Frewer-Graumann S, Teichmüller AK.", "detail": "[Enhancement of hospice philosophy and palliative care competence in nursing homes for seniors through cooperation with an outpatient hospice care service : A practical example]. Z Gerontol Geriatr 2020;54(1):13-19. Qualitative study (23 interviews) of one nursing home cooperating with an outpatient hospice service. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/33185720/", "doi": "10.1007/s00391-020-01803-5", "pmid": "33185720", "accessed": "2026-09-26" }, { "id": "512", "kind": "peer", "tier": 2, "year": "2025", "title": "Pieper S, Kasdorf A, Voltz R, et al.", "detail": "\"What Do You Get? Nothing\": A Qualitative Analysis of the Financial Impact of Family Caregiving for a Dying Relative at Home in Germany. Healthcare (Basel) 2025;13(7). Qualitative content analysis of open-text survey answers from family caregivers of dying relatives at home on financial impact. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11988587/", "doi": "10.3390/healthcare13070810", "pmid": "40218107", "accessed": "2026-09-26" }, { "id": "513", "kind": "peer", "tier": 2, "year": "2026", "title": "Bernhardt F, Banaz-Yaşar F, Salvador Comino MR, et al.", "detail": "How is access to palliative care negotiated and accomplished among Muslim immigrants and their direct descendants in Germany, and what culturally and religiously framed narrative resources shape meaning-making in serious illness and approaching death? A multicentre four-group qualitative study using constructivist Grounded theory and Narrative inquiry. BMJ Open 2026;16(6):e119027. Multicentre qualitative study of 53 Muslim immigrants, descendants, relatives and professionals in North Rhine-Westphalia on access to palliative care and religious framings. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13288706/", "doi": "10.1136/bmjopen-2026-119027", "pmid": "42320965", "accessed": "2026-09-26" }, { "id": "514", "kind": "peer", "tier": 2, "year": "2023", "title": "Librada-Flores S, Pérez-Solano Vázquez MJ, Lucas-Díaz MÁ, et al.", "detail": "\"Compassionate City\" in Patients with Advanced Illnesses and at the End of Life: A Pilot Study. Int J Environ Res Public Health 2023;20(3). Pre-post pilot of the Sevilla Contigo compassionate city program in 83 people; authors are from the New Health Foundation that runs the program (self-evaluation). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9914945/", "doi": "10.3390/ijerph20032234", "pmid": "36767601", "accessed": "2026-09-26" }, { "id": "515", "kind": "peer", "tier": 2, "year": "2018", "title": "Gómez-Batiste X, Mateu S, Serra-Jofre S, et al.", "detail": "Compassionate communities: design and preliminary results of the experience of Vic (Barcelona, Spain) caring city. Ann Palliat Med 2018;7(Suppl 2):S32-S41. Design and first-year results of the Vic compassionate city program; authors include the program leaders from the university chair and City Council (self-evaluation). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29764171/", "doi": "10.21037/apm.2018.03.10", "pmid": "29764171", "accessed": "2026-09-26" }, { "id": "516", "kind": "peer", "tier": 2, "year": "2015", "title": "Cejudo López Á, López López B, Duarte Rodríguez M, et al.", "detail": "[Silence pact from the perspective of caretakers of palliative care patients]. Enferm Clin 2015;25(3):124-32. Phenomenological study of family caregivers in Seville primary care on the pact of silence (article in Spanish, English abstract). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/25779960/", "doi": "10.1016/j.enfcli.2015.02.002", "pmid": "25779960", "accessed": "2026-09-26" }, { "id": "517", "kind": "peer", "tier": 2, "year": "2024", "title": "Marquina Márquez A, de la Rosa Gimeno P, Prieto Lobato JM, et al.", "detail": "Perceived effects of a home-based social care program on palliative care in Spain from the caregivers' perspective. Soc Work Health Care 2024;63(8-10):623-641. Qualitative interviews with 75 caregivers in the INTecum home-based end-of-life social care program. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39527104/", "doi": "10.1080/00981389.2024.2427764", "pmid": "39527104", "accessed": "2026-09-26" }, { "id": "518", "kind": "peer", "tier": 2, "year": "2010", "title": "Vosit-Steller J, White P, Barron AM, et al.", "detail": "Enhancing end-of-life care with dignity: characterizing hospice nursing in Romania. Int J Palliat Nurs 2010;16(9):459-64. Survey of 43 Romanian hospice nurses affiliated with Hospices of Hope on dignified dying; US academic partners of the hospice. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/20871501/", "doi": "10.12968/ijpn.2010.16.9.78645", "pmid": "20871501", "accessed": "2026-09-26" }, { "id": "519", "kind": "peer", "tier": 2, "year": "2026", "title": "Nagy DS, Motofelea AC, Saftescu S, et al.", "detail": "Spiritual Well-Being, Religiosity, Psychological Distress and Quality of Life in Adults with Cancer: A Cross-Sectional Study in a Romanian Oncology and Palliative Care Centre. Cancers (Basel) 2026;18(17). Cross-sectional survey of 124 adults with cancer at one regional centre in Timisoara on spirituality, religiosity and distress. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13565442/", "doi": "10.3390/cancers18172840", "pmid": "42738362", "accessed": "2026-09-26" }, { "id": "520", "kind": "peer", "tier": 2, "year": "2025", "title": "Hizanu Dumitrache M, Stafie L, Plesea-Condratovici A, et al.", "detail": "Types of Challenges and Barriers in Accessing Paediatric Palliative Care in Romania: A Qualitative Study Based on Focus Groups Guided by a Semi-Structured Discussion Guide. Medicina (Kaunas) 2025;62(1). Three focus groups (24 participants) with parents, public institutions and NGOs in Bacau County on paediatric palliative care access. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12843268/", "doi": "10.3390/medicina62010057", "pmid": "41597343", "accessed": "2026-09-26" }, { "id": "521", "kind": "peer", "tier": 2, "year": "2025", "title": "Lupica Spagnolo D, Colpo E, Peretti M, et al.", "detail": "A Field Report from War-Torn Remote Villages in South-Eastern Ukraine: Enhancing Healthcare Access Through a Community-Oriented Primary Care Model. J Prev Med Hyg 2025;66(3):E421-E427. Field report by the NGO EMERGENCY on its own community health worker model in remote villages of Donetsk region (self-report). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12643071/", "doi": "10.15167/2421-4248/jpmh2025.66.3.3694", "pmid": "41292528", "accessed": "2026-09-26" }, { "id": "522", "kind": "peer", "tier": 2, "year": "2020", "title": "Detsyk OZ, Bratsyun OP, Babich РM.", "detail": "QUALITY OF LIFE OF PATIENTS RECEIVING HOME-BASED PALLIATIVE CARE FROM FAMILY PHYSICIANS AND MOBILE PALLIATIVE CARE TEAM. Wiad Lek 2020;73(8):1681-1689. Quality-of-life study of 219 patients receiving general palliative care from family physicians in Uzhhorod and a mobile team subgroup. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/33055334/", "doi": null, "pmid": "33055334", "accessed": "2026-09-26" }, { "id": "523", "kind": "peer", "tier": 2, "year": "2025", "title": "Dannenberg A, Cohen J, Deliens L, et al.", "detail": "Place of Death of People With Cancer in 12 Latin American Countries: A Population Study Using National Death Registers. Cancer Med 2025;14(12):e70996. Population study of 491,929 cancer deaths in 12 Latin American countries using death certificates (2016 to 2018). Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12175479/", "doi": "10.1002/cam4.70996", "pmid": "40530900", "accessed": "2026-09-26" }, { "id": "524", "kind": "peer", "tier": 2, "year": "2023", "title": "Doubova SV, Bhadelia A, Pérez-Moran D, et al.", "detail": "Dimensions of suffering and the need for palliative care: experiences and expectations of patients living with cancer and diabetes and their caregivers in Mexico - a qualitative study. BMJ Open 2023;13(12):e075691. Qualitative telephone interviews with 68 patients and caregivers from IMSS clinics in Mexico City on suffering and coping. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10729252/", "doi": "10.1136/bmjopen-2023-075691", "pmid": "38101838", "accessed": "2026-09-26" }, { "id": "525", "kind": "peer", "tier": 2, "year": "2017", "title": "Rocío L, Rojas EA, González MC, et al.", "detail": "Experiences of patient-family caregiver dyads in palliative care during hospital-to-home transition process. Int J Palliat Nurs 2017;23(7):332-339. Phenomenological study of patient-caregiver dyads at the National Cancer Institute in Bogota during hospital-to-home transition. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/28756752/", "doi": "10.12968/ijpn.2017.23.7.332", "pmid": "28756752", "accessed": "2026-09-26" }, { "id": "526", "kind": "peer", "tier": 2, "year": "2025", "title": "Alvarado García AM, Vargas-Escobar LM, Arias-Rojas M, et al.", "detail": "Anxiety, depression, and quality of life of caregivers of palliative care patients with cancer. Rev Cuid 2025;16(1):e3670. Cross-sectional study of 190 primary caregivers from Colombian hospitals and home care programs. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12161892/", "doi": "10.15649/cuidarte.3670", "pmid": "40529946", "accessed": "2026-09-26" }, { "id": "527", "kind": "peer", "tier": 2, "year": "2021", "title": "Carreño-Moreno S, Arias-Rojas M, Chaparro-Díaz L.", "detail": "Seeking an Adjustment from the Unnatural to the Supernatural: The Experience of Losing a Child from Cancer in Colombia. Indian J Palliat Care 2021;27(1):23-30. Grounded theory study of 18 Colombian parents bereaved by a child's cancer death. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8121221/", "doi": "10.4103/IJPC.IJPC_72_20", "pmid": "34035613", "accessed": "2026-09-26" }, { "id": "528", "kind": "peer", "tier": 2, "year": "2026", "title": "Buitrago-León LH, Pastor Y, Palacios-Ceña D.", "detail": "Real-world experience with family beliefs and organizational and communication management in Colombian parents of children with leukemia: a qualitative study. Front Psychol 2026;17:1783044. Qualitative study of 10 Bogota parents of children with leukemia recruited through a non-profit organization. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13079619/", "doi": "10.3389/fpsyg.2026.1783044", "pmid": "41993824", "accessed": "2026-09-26" }, { "id": "529", "kind": "peer", "tier": 2, "year": "2018", "title": "Librada Flores S, Herrera Molina E, Boceta Osuna J, et al.", "detail": "All with You: a new method for developing compassionate communities-experiences in Spain and Latin-America. Ann Palliat Med 2018;7(Suppl 2):S15-S31. Description of the All with You (Todos Contigo) compassionate city method by its developers at New Health Foundation (self-report). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29764170/", "doi": "10.21037/apm.2018.03.02", "pmid": "29764170", "accessed": "2026-09-26" }, { "id": "530", "kind": "peer", "tier": 2, "year": "2015", "title": "Corrêa SR, Mazuko C, Almeida M, et al.", "detail": "OA59 Developing an innovative model of palliative care in the community in brazil. BMJ Support Palliat Care 2015;5 Suppl 1:A19. Conference abstract describing a Family Health Strategy pilot in one area of Rio Grande (3000 persons) where community health agents helped identify patients needing palliative care; written by the project team (self-report). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/25960481/", "doi": "10.1136/bmjspcare-2015-000906.59", "pmid": "25960481", "accessed": "2026-09-26" }, { "id": "531", "kind": "peer", "tier": 2, "year": "2018", "title": "Corrêa S", "detail": "Proposal of a New Public Health End of Life approach for Brazil: how the Project EstaraoSeuLado-Primary Palliative Care is working and how it can help. Ann Palliat Med 2018;7(Suppl 1):AB009. Conference abstract on a compassionate community project in Rio Grande that ran monthly carer meetings with primary care teams; written by the project lead, who advocates national adoption (self-evaluation). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29402103/", "doi": "10.21037/apm.2018.s009", "pmid": "29402103", "accessed": "2026-09-26" }, { "id": "532", "kind": "peer", "tier": 2, "year": "2025", "title": "Linhares RDS, Thumé E, Carrett MLV, et al.", "detail": "Locomotion difficulty and need for home care: a cross-sectional study. Rev Saude Publica 2025;59:e35. National primary care user survey (PMAQ cycle III, 2017 to 2018) on home visits to households with a person needing home care; covers mobility-limited people generally, not only those at end of life. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12673639/", "doi": "10.11606/s1518-8787.2025059006939", "pmid": "41337514", "accessed": "2026-09-26" }, { "id": "533", "kind": "peer", "tier": 2, "year": "2013", "title": "Queiroz AH, Pontes RJ, e Souza ÂM, et al.", "detail": "[Perception of family members and health professionals on end of life care within the scope of primary health care]. Cien Saude Colet 2013;18(9):2615-23. Qualitative interviews with 7 family members and 5 professionals about dying at home in the public system in municipalities distant from large centers; small sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/23989568/", "doi": "10.1590/s1413-81232013000900016", "pmid": "23989568", "accessed": "2026-09-26" }, { "id": "534", "kind": "peer", "tier": 2, "year": "2015", "title": "Paiva BS, Carvalho AL, Lucchetti G, et al.", "detail": "\"Oh, yeah, I'm getting closer to god\": spirituality and religiousness of family caregivers of cancer patients undergoing palliative care. Support Care Cancer 2015;23(8):2383-9. Qualitative study of 30 family caregivers of people with advanced cancer in palliative care in Brazil. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/25591628/", "doi": "10.1007/s00520-015-2604-1", "pmid": "25591628", "accessed": "2026-09-26" }, { "id": "535", "kind": "peer", "tier": 2, "year": "2021", "title": "August H, Esperandio MRG", "detail": "Spiritual Resources of Family Members of Patients in Palliative Care in Brazil. J Health Care Chaplain 2021;28(4):555-565. Survey of 50 family members of palliative care patients using religiosity and spiritual coping scales. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34709998/", "doi": "10.1080/08854726.2021.1993120", "pmid": "34709998", "accessed": "2026-09-26" }, { "id": "536", "kind": "peer", "tier": 2, "year": "2026", "title": "Souza MT, Stipp MAC, Mesquita MGDR, et al.", "detail": "The Spiritual Dimension of Palliative Care Patients and Their Caregivers in a Compassionate Community in Two Brazilian Favelas: A Mixed-Methods Study. J Relig Health 2026. Mixed-methods study of 29 patients and caregivers in a compassionate community in two favelas; small, single-program sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42763837/", "doi": "10.1007/s10943-026-02784-2", "pmid": "42763837", "accessed": "2026-09-26" }, { "id": "537", "kind": "peer", "tier": 2, "year": "2025", "title": "Lamfre L, Coller M, Meier C, et al.", "detail": "Informal end-of-life care-hidden costs: multi-method analysis. BMJ Support Palliat Care 2025;16(1):122-129. Cost analysis of 153 informal caregivers in Argentina from the iLIVE project, with gender-disaggregated results. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41033796/", "doi": "10.1136/spcare-2025-005779", "pmid": "41033796", "accessed": "2026-09-26" }, { "id": "538", "kind": "peer", "tier": 2, "year": "2026", "title": "Navarrete I, Fuentes-García A, Aliaga-Castillo V", "detail": "[\"Until God says 'yes or no', but here, in my home\": autonomy and end-of-life care for rural older adults in the Los Lagos Region, Chile]. Salud Colect 2026;22:e5969. Ethnographic case study from rural Llanquihue province (2022 to 2023) of an older man with advanced cancer, his daughters and the primary care home program team; one case the authors describe as exceptional. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13456146/", "doi": "10.18294/sc.2026.5969", "pmid": "42070059", "accessed": "2026-09-26" }, { "id": "539", "kind": "peer", "tier": 2, "year": "2023", "title": "Soto-Guerrero S, Palacios J, Langer P, et al.", "detail": "Objective burden, caregiver psychological distress, and patient religion and quality of life are associated with high-intensity burden of care among caregivers of advanced cancer patients in a Latino population. Palliat Support Care 2023:1-9. Cross-sectional study of 207 patient-caregiver dyads at one palliative care unit in Santiago. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/37357922/", "doi": "10.1017/S1478951523000834", "pmid": "37357922", "accessed": "2026-09-26" }, { "id": "540", "kind": "peer", "tier": 2, "year": "2018", "title": "Vallath N, Rajagopal MR, Perera S, et al.", "detail": "Access to pain relief and essential opioids in the WHO South-East Asia Region: challenges in implementing drug reforms. WHO South East Asia J Public Health 2018;7(2):67-72. Regional review of opioid access in the WHO South-East Asia Region, covering India's NDPS Act and its 2014 amendment and noting progress in Bangladesh, India, Nepal and Sri Lanka; authors include palliative care advocates. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/30136663/", "doi": "10.4103/2224-3151.239416", "pmid": "30136663", "accessed": "2026-09-26" }, { "id": "541", "kind": "peer", "tier": 2, "year": "2016", "title": "Rajagopal MR", "detail": "Access to palliative care: insights into ground realities post-2014 amendment to NDPS Act. Indian J Med Ethics 2016;1(1):25-30. Commentary on palliative care access in India after the 2014 NDPS amendment; author is a leading palliative care advocate. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/26826658/", "doi": "10.20529/IJME.2016.006", "pmid": "26826658", "accessed": "2026-09-26" }, { "id": "542", "kind": "peer", "tier": 2, "year": "2017", "title": "Rao R", "detail": "The journey of opioid substitution therapy in India: Achievements and challenges. Indian J Psychiatry 2017;59(1):39-45. Narrative review of three decades of opioid substitution therapy in India, including its place in the National AIDS Control Programme. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5419011/", "doi": "10.4103/psychiatry.IndianJPsychiatry_37_17", "pmid": "28529359", "accessed": "2026-09-26" }, { "id": "543", "kind": "peer", "tier": 2, "year": "2019", "title": "Singh S, Prasad S, Bhatnagar S, et al.", "detail": "A Cross-Sectional Web-Based Survey of Medical Practitioners in India to Assess their Knowledge, Attitude, Prescription Practices, and Barriers toward Opioid Analgesic Prescriptions. Indian J Palliat Care 2019;25(4):567-574. Web survey of 308 doctors at three tertiary hospitals in New Delhi on opioid prescribing barriers; low response rate (10.4%). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6812418/", "doi": "10.4103/IJPC.IJPC_83_19", "pmid": "31673214", "accessed": "2026-09-26" }, { "id": "544", "kind": "peer", "tier": 2, "year": "2026", "title": "Raj R, Parveen S, Wani SM, et al.", "detail": "Perspectives of opioid users on overdose recognition, naloxone administration, and attitudes. Ind Psychiatry J 2026;35(1):99-104. Cross-sectional study of 501 people with opioid use disorder at one deaddiction center in Srinagar on overdose and naloxone knowledge; single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12923245/", "doi": "10.4103/ipj.ipj_232_25", "pmid": "41726280", "accessed": "2026-09-26" }, { "id": "545", "kind": "peer", "tier": 2, "year": "2025", "title": "Mathew B, Lam WWT, Tiwari S, et al.", "detail": "Expanding Psycho-Oncology Services in India: Perspectives From Physicians in Cancer Care Centres. Psychooncology 2025;34(9):e70271. Qualitative interviews with 20 cancer physicians in India on integrating psycho-oncology services. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/40883222/", "doi": "10.1002/pon.70271", "pmid": "40883222", "accessed": "2026-09-26" }, { "id": "546", "kind": "peer", "tier": 2, "year": "2026", "title": "Parvathi R, Gopika GB, Basheer MTB, et al.", "detail": "The double burden of stress and caregiving among family caregivers of palliative care patients: Findings from a cross-sectional study in Kerala, India. Arch Psychiatr Nurs 2026;61:152102. Cross-sectional study of caregiver burden among 200 informal caregivers of palliative care patients in one Kerala district. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41956602/", "doi": "10.1016/j.apnu.2026.152102", "pmid": "41956602", "accessed": "2026-09-26" }, { "id": "547", "kind": "peer", "tier": 2, "year": "2025", "title": "Nair MS, Augustine A, Nair G", "detail": "Impact of Interventions From a Secondary Home-Based Palliative Care Unit on Caregiver Burden in Kerala, India. Cureus 2025;17(4):e82481. Mixed-methods evaluation of one secondary home-based palliative care unit in Kerala described by authors as best performing; single unit, small sample (36 caregivers). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12085769/", "doi": "10.7759/cureus.82481", "pmid": "40385863", "accessed": "2026-09-26" }, { "id": "548", "kind": "peer", "tier": 2, "year": "2025", "title": "Varkey BPA, Ghoshal A, Salins N, et al.", "detail": "Mapping end-of-life care in India: a scoping review to identify gaps in policy, practice, and psychosocial support. BMC Palliat Care 2025;24(1):189. Scoping review of end-of-life care in India from 1990 to 2024 covering policy, practice and psychosocial support. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12235897/", "doi": "10.1186/s12904-025-01825-z", "pmid": "40624669", "accessed": "2026-09-26" }, { "id": "549", "kind": "peer", "tier": 2, "year": "2026", "title": "Verma V, Rao KS, Ghoshal A, et al.", "detail": "Assessing the palliative care needs of children with cancer and their families in tertiary care centres in India: A multicentre observational study. Palliat Care Soc Pract 2026;20:26323524261430380. Multicentre cross-sectional study of palliative care needs of 150 children with cancer at three Indian tertiary cancer centres using the PaPaS scale. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13187397/", "doi": "10.1177/26323524261430380", "pmid": "42170187", "accessed": "2026-09-26" }, { "id": "550", "kind": "peer", "tier": 2, "year": "2026", "title": "Suresh V, Mittal A, Venketeswaran MV, et al.", "detail": "Developing a culturally relevant bereavement needs assessment tool (CANCOPE-PI) for caregivers of children with cancer in India: a participatory research approach. Res Involv Engagem 2026;12(1). Participatory development of a bereavement needs assessment tool for caregivers of children who died of cancer at one south Indian cancer center. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13185249/", "doi": "10.1186/s40900-026-00886-5", "pmid": "41981651", "accessed": "2026-09-26" }, { "id": "551", "kind": "peer", "tier": 2, "year": "2024", "title": "Hayat Z", "detail": "Regimes of pain: The geopolitics of cancer palliation in Pakistan. Med Anthropol Q 2024;38(3):271-284. Anthropological analysis of how narcotics control and price control shape morphine scarcity for cancer pain in Pakistan; interpretive, not a measurement study. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38860724/", "doi": "10.1111/maq.12865", "pmid": "38860724", "accessed": "2026-09-26" }, { "id": "552", "kind": "peer", "tier": 2, "year": "2026", "title": "Arshad H, Gillani AH, Rehman JU, et al.", "detail": "Awareness about opioids crisis, policies and regulation of opioid stewardship at hospitals settings: a nationwide cross-sectional study among healthcare professionals from Pakistan. Subst Abuse Treat Prev Policy 2026;21(1). Nationwide survey of 2,838 health professionals in 59 Pakistani hospitals on opioid stewardship awareness and practice. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13277204/", "doi": "10.1186/s13011-025-00689-z", "pmid": "42057068", "accessed": "2026-09-26" }, { "id": "553", "kind": "peer", "tier": 2, "year": "2021", "title": "Bashir I, Ahmad M, Jamshaid M, et al.", "detail": "Illicit sale of controlled drugs at community pharmacy/medical stores of Punjab, Pakistan: A road to demolition of public health. Heliyon 2021;7(5):e07031. Mystery-shopper study of 200 community pharmacies in Punjab, Pakistan, on sale of controlled drugs without prescription. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8165400/", "doi": "10.1016/j.heliyon.2021.e07031", "pmid": "34095564", "accessed": "2026-09-26" }, { "id": "554", "kind": "peer", "tier": 2, "year": "2026", "title": "Kamal M, Khan A, Athar S, et al.", "detail": "Prevalence of Anxiety and Depression among Primary Caregivers of Oncologic Patients: A Cross-Sectional Study from a Tertiary Care Hospital of Karachi, Pakistan. Semin Oncol Nurs 2026;42(4):152295. Cross-sectional study of anxiety and depression among 326 caregivers of oncology patients at one Karachi hospital. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42436042/", "doi": "10.1016/j.soncn.2026.152295", "pmid": "42436042", "accessed": "2026-09-26" }, { "id": "555", "kind": "peer", "tier": 2, "year": "2024", "title": "Jabeen S, Zakar R, Zakar MZ, et al.", "detail": "Experiences of family caregivers in dealing with cases of advanced breast cancer: a qualitative study of the sociocultural context in Punjab, Pakistan. BMC Public Health 2024;24(1):1030. Qualitative study of 15 family caregivers of women with advanced breast cancer in Punjab, Pakistan. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11015732/", "doi": "10.1186/s12889-024-18404-1", "pmid": "38609905", "accessed": "2026-09-26" }, { "id": "556", "kind": "peer", "tier": 2, "year": "2026", "title": "Khurshid S, Saleem A, Khanzada ZS", "detail": "Barriers to Palliative Care for Terminally Ill Children in a Developing Country Cancer Hospital: A Qualitative Study. J Cancer Allied Spec 2026;12(1):24-29. Retrospective qualitative analysis of palliative team notes for 150 children at Shaukat Khanum Memorial Cancer Hospital, Peshawar; single site, authors are the service's own staff. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13054193/", "doi": "10.2478/jcas-2026-0004", "pmid": "41953204", "accessed": "2026-09-26" }, { "id": "557", "kind": "peer", "tier": 2, "year": "2026", "title": "Hussain H, Altaf S, Khalid A, et al.", "detail": "Exploring challenges and opportunities in paediatric bereavement care: a qualitative study from a tertiary care hospital in Pakistan. BMC Palliat Care 2026;25(1). Qualitative study of 19 bereaved parents at Aga Khan University Hospital, Karachi, on bereavement care gaps; single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13122890/", "doi": "10.1186/s12904-026-02054-8", "pmid": "41851707", "accessed": "2026-09-26" }, { "id": "558", "kind": "peer", "tier": 2, "year": "2026", "title": "Shariq S, Sultan A, Bukhari SI, et al.", "detail": "Navigating the landscape of paediatric haematological malignancies: a qualitative exploration of caregivers' experiences and palliative care integration in Pakistan. BMC Palliat Care 2026;25(1). Qualitative study of 13 caregivers of children with blood cancers receiving integrated palliative care at a private Karachi hospital; single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13126742/", "doi": "10.1186/s12904-026-02060-w", "pmid": "41857566", "accessed": "2026-09-26" }, { "id": "559", "kind": "peer", "tier": 2, "year": "2024", "title": "Sultana S, Afrin S, Noor SB, et al.", "detail": "Pattern of Prescribing Analgesics and Their Response in Cancer Patients Attending Outpatient Department of Palliative Care Service in Two Teaching Hospitals of Bangladesh. Mymensingh Med J 2024;33(2):501-508. Prospective observational study of analgesic prescribing for 140 outpatients at palliative care units of two Dhaka teaching hospitals. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38557533/", "doi": null, "pmid": "38557533", "accessed": "2026-09-26" }, { "id": "560", "kind": "peer", "tier": 2, "year": "2024", "title": "Biswas J, Bhuiyan AKMMR, Alam A, et al.", "detail": "Relationship between perceived social support and mental health status of the advanced cancer patients receiving palliative care in Bangladesh. Palliat Care Soc Pract 2024;18:26323524241256379. Cross-sectional study of perceived social support and depression, anxiety and stress among 115 advanced cancer inpatients at one Bangladesh tertiary palliative unit. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11131397/", "doi": "10.1177/26323524241256379", "pmid": "38807749", "accessed": "2026-09-26" }, { "id": "561", "kind": "peer", "tier": 2, "year": "2022", "title": "Akter S, Sarker M, Hossain P, et al.", "detail": "Solidarity and suffering: enrolled terminal patients' and their caregiver's experiences of the community-based palliative care programme in an urban slum of Bangladesh. Palliat Care Soc Pract 2022;16:26323524221095104. Qualitative study of 19 patients and caregivers in the Momotamoy Korail community palliative care project run by BSMMU in a Dhaka slum; program staff involved. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9081719/", "doi": "10.1177/26323524221095104", "pmid": "35548025", "accessed": "2026-09-26" }, { "id": "562", "kind": "peer", "tier": 2, "year": "2020", "title": "Doherty M, Power L, Thabet C", "detail": "Delivering Hospital-Based Pediatric Palliative Care: The Symptoms, Interventions, and Outcomes for Children With Cancer in Bangladesh. JCO Glob Oncol 2020;6:884-891. Retrospective review of 200 children who received pediatric palliative care during a 2014 to 2015 pilot at a Dhaka tertiary hospital; program leaders are authors. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7328118/", "doi": "10.1200/GO.20.00076", "pmid": "32589466", "accessed": "2026-09-26" }, { "id": "563", "kind": "peer", "tier": 2, "year": "2020", "title": "Doherty M, Power L, Petrova M, et al.", "detail": "Illness-related suffering and need for palliative care in Rohingya refugees and caregivers in Bangladesh: A cross-sectional study. PLoS Med 2020;17(3):e1003011. Cross-sectional community survey in November 2017 of 156 Rohingya refugees with serious health problems and 155 caregivers in Bangladesh camps; convenience sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7053708/", "doi": "10.1371/journal.pmed.1003011", "pmid": "32126076", "accessed": "2026-09-26" }, { "id": "564", "kind": "peer", "tier": 2, "year": "2022", "title": "Doherty M, Lynch-Godrei A, Azad T, et al.", "detail": "Using Virtual Learning to Develop Palliative Care Skills Among Humanitarian Health Workers in the Rohingya Refugee Response in Bangladesh. J Med Educ Curric Dev 2022;9:23821205221096099. Evaluation of a Project ECHO palliative care course for 250 clinicians in the Rohingya refugee response; self-evaluation by program team. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9403457/", "doi": "10.1177/23821205221096099", "pmid": "36032810", "accessed": "2026-09-26" }, { "id": "565", "kind": "peer", "tier": 2, "year": "2023", "title": "Yantzi R, Hadiuzzaman M, Sen Gupta PK, et al.", "detail": "Doing our best and doing no harm: A focused ethnography of staff moral experiences of providing palliative care at a Médecins Sans Frontières pediatric hospital in Cox's Bazar, Bangladesh. PLoS One 2023;18(7):e0288938. Focused ethnography of staff moral experiences of pediatric palliative care at the MSF Goyalmara Hospital serving Rohingya camps in Cox's Bazar; single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10358957/", "doi": "10.1371/journal.pone.0288938", "pmid": "37471393", "accessed": "2026-09-26" }, { "id": "566", "kind": "peer", "tier": 2, "year": "2025", "title": "Adhikari S, Gurung R, Shrestha S, et al.", "detail": "Knowledge, experiences, and practices on safe opioid use in patients recently discharged from hospitals in Western Nepal: a qualitative study. Front Pharmacol 2025;16:1572968. Qualitative interviews with 30 patients discharged on opioids from one tertiary hospital in Western Nepal; single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12520870/", "doi": "10.3389/fphar.2025.1572968", "pmid": "41104338", "accessed": "2026-09-26" }, { "id": "567", "kind": "peer", "tier": 2, "year": "2023", "title": "Pant SB, Thapa SB, Howard J, et al.", "detail": "Psychological distress and quality of life among Opioid Agonist Treatment service users with a history of injecting and non-injecting drug use: A cross-sectional study in Kathmandu, Nepal. PLoS One 2023;18(2):e0281437. Cross-sectional study of psychological distress and quality of life among 231 opioid agonist treatment service users in Kathmandu Valley. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9901755/", "doi": "10.1371/journal.pone.0281437", "pmid": "36745666", "accessed": "2026-09-26" }, { "id": "568", "kind": "peer", "tier": 2, "year": "2025", "title": "Gajmer RK, Baral KP, Acharya PK, et al.", "detail": "Resilience and its determinants among family caregivers of palliative care patients in Nepal. BMC Palliat Care 2025;25(1):17. Cross-sectional study of resilience among 422 family caregivers at five palliative care centers in Nepal. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12801838/", "doi": "10.1186/s12904-025-01967-0", "pmid": "41366393", "accessed": "2026-09-26" }, { "id": "569", "kind": "peer", "tier": 2, "year": "2024", "title": "Lynch-Godrei A, Sapkota S, Rowe J, et al.", "detail": "An Online Pediatric Palliative Care Education and Mentoring (Project ECHO) in Nepal: A Program Implementation Case Study and Assessment of Changes in Healthcare Providers' Knowledge, Confidence, and Attitudes. J Med Educ Curric Dev 2024;11:23821205241234541. Implementation case study of an online pediatric palliative care Project ECHO course for 55 clinicians in Nepal; self-evaluation by program team. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10894557/", "doi": "10.1177/23821205241234541", "pmid": "38405367", "accessed": "2026-09-26" }, { "id": "570", "kind": "peer", "tier": 2, "year": "2026", "title": "Ghimire B, Rayala S, Doherty M, et al.", "detail": "Impact of Palliative Care Educational Program on Knowledge and Attitude Regarding Pediatric Palliative Care Among Healthcare Professionals Working in Nepal. Paediatr Neonatal Pain 2026;8(1):e70024. Pre-post evaluation of a Project ECHO pediatric palliative care course in Nepal, 40 of 55 enrollees completing; self-evaluation by program team. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13098111/", "doi": "10.1002/pne2.70024", "pmid": "42022529", "accessed": "2026-09-26" }, { "id": "571", "kind": "peer", "tier": 2, "year": "2026", "title": "Ratnasekera N, Perera I, Perera S, et al.", "detail": "Early palliative care for patients with oral cancer in Sri Lanka: A non-randomized controlled trial. PLOS Glob Public Health 2026;6(3):e0005985. Non-randomized controlled trial of an early palliative care package for 110 patients with oral cancer at four Sri Lankan tertiary units. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12970869/", "doi": "10.1371/journal.pgph.0005985", "pmid": "41801962", "accessed": "2026-09-26" }, { "id": "572", "kind": "peer", "tier": 2, "year": "2023", "title": "Ramadasa U, Silva S, Udumulla U, et al.", "detail": "Caregiver strain among patients of palliative care in Sri Lanka: validation of modified caregiver strain index - Sinhala version. BMC Palliat Care 2023;22(1):172. Validation of a Sinhala Modified Caregiver Strain Index among 200 caregivers at three Sri Lankan teaching hospitals. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10625189/", "doi": "10.1186/s12904-023-01270-w", "pmid": "37924086", "accessed": "2026-09-26" }, { "id": "573", "kind": "peer", "tier": 2, "year": "2015", "title": "Setiabudy R, Irawan C, Sudoyo AW", "detail": "Opioid Use in Cancer Pain Management in Indonesia: a Call For Attention. Acta Med Indones 2015;47(3):244-50. Narrative review of opioid underuse for cancer pain in Indonesia. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/26586391/", "doi": null, "pmid": "26586391", "accessed": "2026-09-26" }, { "id": "574", "kind": "peer", "tier": 2, "year": "2020", "title": "Kiriazova T, Go VF, Hershow RB, et al.", "detail": "Perspectives of clients and providers on factors influencing opioid agonist treatment uptake among HIV-positive people who use drugs in Indonesia, Ukraine, and Vietnam: HPTN 074 study. Harm Reduct J 2020;17(1):69. Qualitative interviews with 37 HIV-positive people who inject drugs and 25 providers on opioid agonist treatment uptake in Indonesia, Ukraine and Vietnam; findings pooled across countries. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7528574/", "doi": "10.1186/s12954-020-00415-x", "pmid": "32998731", "accessed": "2026-09-26" }, { "id": "575", "kind": "peer", "tier": 2, "year": "2017", "title": "Putranto R, Mudjaddid E, Shatri H, et al.", "detail": "Development and challenges of palliative care in Indonesia: role of psychosomatic medicine. Biopsychosoc Med 2017;11:29. Review of palliative care development in Indonesia and the role of psychosomatic medicine, written by the Cipto Mangunkusumo psychosomatic and palliative division. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5697086/", "doi": "10.1186/s13030-017-0114-8", "pmid": "29201137", "accessed": "2026-09-26" }, { "id": "576", "kind": "peer", "tier": 2, "year": "2017", "title": "Kristanti MS, Setiyarini S, Effendy C", "detail": "Enhancing the quality of life for palliative care cancer patients in Indonesia through family caregivers: a pilot study of basic skills training. BMC Palliat Care 2017;16(1):4. Pre-post pilot of basic skills training for 30 family caregivers of palliative cancer patients in Yogyakarta; no control group. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5240385/", "doi": "10.1186/s12904-016-0178-4", "pmid": "28095837", "accessed": "2026-09-26" }, { "id": "577", "kind": "peer", "tier": 2, "year": "2025", "title": "Septian RB, Pangastuti HS, Nisman WA", "detail": "\"As Caregivers, We Also Need Someone Who Listens\": Family Perspectives on Providing Palliative Care for Stroke Patients. J Palliat Care 2025;41(2):223-230. Qualitative phenomenological study of 10 family caregivers of stroke patients receiving home-based palliative care in Indonesia. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41396580/", "doi": "10.1177/08258597251407761", "pmid": "41396580", "accessed": "2026-09-26" }, { "id": "578", "kind": "peer", "tier": 2, "year": "2022", "title": "Effendy C, Uligraff DK, Sari SH, et al.", "detail": "Experiences of family caregivers of children with cancer while receiving home-based pediatric palliative care in Indonesia: a qualitative study. BMC Palliat Care 2022;21(1):104. Qualitative study of family caregivers of 12 children with cancer receiving home-based pediatric palliative care from Rachel House, Jakarta; co-authors are Rachel House staff, so a self-evaluation. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9171947/", "doi": "10.1186/s12904-022-00986-5", "pmid": "35668398", "accessed": "2026-09-26" }, { "id": "579", "kind": "peer", "tier": 2, "year": "2024", "title": "Pangarso AWS, Mulatsih S, Sitaresmi MN, et al.", "detail": "Discovering needs for palliative care in children with cancer in Indonesia. Pediatr Blood Cancer 2024;71(7):e30985. Interviews with parents of 49 children who died of cancer at one Indonesian academic hospital in 2019 to 2020; single site. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38627891/", "doi": "10.1002/pbc.30985", "pmid": "38627891", "accessed": "2026-09-26" }, { "id": "580", "kind": "peer", "tier": 2, "year": "2026", "title": "Koech E, Welsh C, Karanja M, et al.", "detail": "The pathway to establishing and implementing opioid agonist therapy (OAT) for people who inject drugs in Nairobi, Kenya. Front Public Health 2026;14:1717635. Describes how Kenya set up opioid agonist therapy from 2014 and how many people were started on it; program implementers describing their own work (self-evaluation). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13477972/", "doi": "10.3389/fpubh.2026.1717635", "pmid": "42609332", "accessed": "2026-09-26" }, { "id": "581", "kind": "peer", "tier": 2, "year": "2025", "title": "Masai TW, Kuria MW, Ayinde OO, et al.", "detail": "The hidden costs of 'free' treatment: A cross-sectional study of patient-incurred costs for daily methadone maintenance treatment in Nairobi, Kenya. PLOS Ment Health 2025;2(9):e0000383. Survey of 249 methadone clients at one Nairobi referral hospital on travel time and out-of-pocket costs of daily dosing; single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12798256/", "doi": "10.1371/journal.pmen.0000383", "pmid": "41662047", "accessed": "2026-09-26" }, { "id": "582", "kind": "peer", "tier": 2, "year": "2024", "title": "Maurano M, Bukusi D, Masyuko S, et al.", "detail": "\"We only trust each other\": A qualitative study exploring the overdose risk environment among persons who inject drugs living with HIV in Nairobi, Kenya. PLOS Glob Public Health 2024;4(7):e0003435. Qualitative study of the overdose risk setting among people who inject drugs living with HIV in Nairobi, including naloxone awareness; small purposive sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11218959/", "doi": "10.1371/journal.pgph.0003435", "pmid": "38954694", "accessed": "2026-09-26" }, { "id": "583", "kind": "peer", "tier": 2, "year": "2024", "title": "Goombs M, Mah K, Namisango E, et al.", "detail": "The quality of death and dying of patients with advanced cancer in hospice care in Uganda and Kenya. Palliat Support Care 2024;22(5):1169-1178. Survey of bereaved caregivers of hospice patients with advanced cancer in Uganda and Kenya on quality of dying and death; hospice-based samples. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/37946360/", "doi": "10.1017/S1478951523001463", "pmid": "37946360", "accessed": "2026-09-26" }, { "id": "584", "kind": "peer", "tier": 2, "year": "2023", "title": "Petricca K, Kambugu J, Githang'a J, et al.", "detail": "Access to essential cancer medicines for children: a comparative mixed-methods analysis of availability, price, and health-system determinants in east Africa. Lancet Oncol 2023;24(5):563-576. Prospective 52-week tracking of stockouts and prices of 37 childhood cancer medicines, including oral morphine, at eight tertiary hospitals in Kenya, Rwanda, Tanzania and Uganda, plus stakeholder interviews; funded by childhood cancer charities. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/37023781/", "doi": "10.1016/S1470-2045(23)00072-4", "pmid": "37023781", "accessed": "2026-09-26" }, { "id": "585", "kind": "peer", "tier": 2, "year": "2020", "title": "Namisango E, Bristowe K, Murtagh FE, et al.", "detail": "Towards person-centred quality care for children with life-limiting and life-threatening illness: Self-reported symptoms, concerns and priority outcomes from a multi-country qualitative study. Palliat Med 2020;34(3):319-335. Qualitative interviews with 120 children with life-limiting conditions or their caregivers in Kenya, Namibia, South Africa and Uganda on symptoms and concerns that matter to them. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/32081084/", "doi": "10.1177/0269216319900137", "pmid": "32081084", "accessed": "2026-09-26" }, { "id": "586", "kind": "peer", "tier": 2, "year": "2021", "title": "Twahirwa Rwema JO, Nizeyimana V, Prata NM, et al.", "detail": "Injection drug use practices and HIV infection among people who inject drugs in Kigali, Rwanda: a cross-sectional study. Harm Reduct J 2021;18(1):130. Cross-sectional survey of 307 people who inject drugs in Kigali on injection practices, overdose exposure and HIV; convenience sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8672501/", "doi": "10.1186/s12954-021-00579-0", "pmid": "34911554", "accessed": "2026-09-26" }, { "id": "587", "kind": "peer", "tier": 2, "year": "2022", "title": "Shyirambere C, Villaverde C, Nguyen C, et al.", "detail": "Nephroblastoma Treatment and Outcomes in a Low-Income Setting. JCO Glob Oncol 2022;8:e2200036. Retrospective review of 136 children with nephroblastoma at the Butaro Cancer Center of Excellence, including referral to palliative care; single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9296183/", "doi": "10.1200/GO.22.00036", "pmid": "35820081", "accessed": "2026-09-26" }, { "id": "588", "kind": "peer", "tier": 2, "year": "2025", "title": "Nkya IH, Gebrezgi F, Luswetula A, et al.", "detail": "Implementation challenges and opportunities in decentralized methadone service delivery. BMC Health Serv Res 2025;26(1):61. Qualitative study with 10 providers and 40 clients, outreach workers and supporters on moving methadone dosing to community health centers in Dar es Salaam; one city. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12802259/", "doi": "10.1186/s12913-025-13813-3", "pmid": "41366379", "accessed": "2026-09-26" }, { "id": "589", "kind": "peer", "tier": 2, "year": "2021", "title": "Saleem HT, Likindikoki S, Nonyane BAS, et al.", "detail": "High occurrence of witnessing an opioid overdose in a sample of women who use heroin in Tanzania: Implications for overdose prevention. Int J Drug Policy 2021;96:103287. Survey of 200 women who use heroin in Dar es Salaam on witnessing opioid overdose, with implications for naloxone distribution; one city. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8568619/", "doi": "10.1016/j.drugpo.2021.103287", "pmid": "33994309", "accessed": "2026-09-26" }, { "id": "590", "kind": "peer", "tier": 2, "year": "2024", "title": "Sirili N, Yoram F, Mkusa V, et al.", "detail": "Challenges and opportunities for strengthening palliative care services in primary healthcare facilities: perspectives of health facilities in-charges in Dar es Salaam, Tanzania. BMJ Open 2024;14(10):e085746. Qualitative interviews with 15 primary care facility heads in Dar es Salaam on barriers to palliative care, including psychological and social support; one city. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11499778/", "doi": "10.1136/bmjopen-2024-085746", "pmid": "39448220", "accessed": "2026-09-26" }, { "id": "591", "kind": "peer", "tier": 2, "year": "2026", "title": "Katabalo DM, Chuwa J, Mwita S, et al.", "detail": "Patient Concerns on Access to Supportive Care Medicines and Symptom Management Outcomes Among Children with Cancer in Tanzania. J Pediatr Hematol Oncol Nurs 2026;43(3):170-177. Cross-sectional survey of 120 children with cancer at Bugando Medical Centre on access to supportive care medicines and symptom relief; single site. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41662216/", "doi": "10.1177/27527530251398467", "pmid": "41662216", "accessed": "2026-09-26" }, { "id": "592", "kind": "peer", "tier": 2, "year": "2018", "title": "Esmaili BE, Stewart KA, Masalu NA, et al.", "detail": "Qualitative Analysis of Palliative Care for Pediatric Patients With Cancer at Bugando Medical Center: An Evaluation of Barriers to Providing End-of-Life Care in a Resource-Limited Setting. J Glob Oncol 2018;4:1-10. Qualitative interviews with 20 caregivers and 14 staff plus observation on barriers to end-of-life care for children with cancer at Bugando Medical Center; single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6223406/", "doi": "10.1200/JGO.17.00047", "pmid": "30084714", "accessed": "2026-09-26" }, { "id": "593", "kind": "peer", "tier": 2, "year": "2022", "title": "Silverstein A, Butia M, Bank R, et al.", "detail": "Palliative Care Services within a Pediatric Hematology-Oncology Program in a Low-Resource Setting. J Pain Symptom Manage 2022;63(5):e473-e480. Three-year retrospective description of a pediatric hematology-oncology palliative care program in Lilongwe serving 315 patients; program staff describing their own service (self-evaluation, single site). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/35031502/", "doi": "10.1016/j.jpainsymman.2022.01.006", "pmid": "35031502", "accessed": "2026-09-26" }, { "id": "594", "kind": "peer", "tier": 2, "year": "2024", "title": "Phiri L, Li WHC, Phiri PGMC, et al.", "detail": "Experiences of caregivers of children with cancer in Malawi: A qualitative study. Cancer Med 2024;13(2):e6963. Qualitative interviews with 22 caregivers of children receiving cancer treatment in Malawi on psychosocial burden and support needs. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10844995/", "doi": "10.1002/cam4.6963", "pmid": "38379330", "accessed": "2026-09-26" }, { "id": "595", "kind": "peer", "tier": 2, "year": "2021", "title": "Namisango E, Bhakta N, Wolfe J, et al.", "detail": "Status of Palliative Oncology Care for Children and Young People in Sub-Saharan Africa: A Perspective Paper on Priorities for New Frontiers. JCO Glob Oncol 2021;7:1395-1405. Perspective review of palliative oncology care for children in sub-Saharan Africa, citing 2017 Atlas counts of pediatric palliative care service outlets by country. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8457851/", "doi": "10.1200/GO.21.00102", "pmid": "34546790", "accessed": "2026-09-26" }, { "id": "596", "kind": "peer", "tier": 2, "year": "2023", "title": "Bhettay A, Gray R, Desalu I, et al.", "detail": "Current pediatric pain practice in Nigeria, South Africa, Uganda, and Zambia: A prospective survey of anesthetists. Paediatr Anaesth 2023;34(7):602-609. Survey of 141 specialist anesthetists in Nigeria, South Africa, Uganda and Zambia (21 from Zambia) on pediatric pain practice and analgesic availability; mostly tertiary hospitals. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38078553/", "doi": "10.1111/pan.14818", "pmid": "38078553", "accessed": "2026-09-26" }, { "id": "597", "kind": "peer", "tier": 2, "year": "2025", "title": "Duncan B, Natuhwera G, Nassuuna D, et al.", "detail": "Serious Adverse Drug Reactions to Long-Term Oral Liquid Morphine in Patients with Chronic Pain: A Cross-Sectional Survey in Palliative Care. J Pain Res 2025;18:2361-2371. Survey at Hospice Africa Uganda of patients on long-term oral liquid morphine assessed for serious adverse reactions, including addiction and diversion; single hospice reviewing its own patients (self-evaluation). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12068409/", "doi": "10.2147/JPR.S515028", "pmid": "40356683", "accessed": "2026-09-26" }, { "id": "598", "kind": "peer", "tier": 2, "year": "2024", "title": "Mudiope P, Mutamba BB, Komuhangi L, et al.", "detail": "Retention of people who inject drugs enrolled in a 'medications for opioid use disorder' (MOUD) programme in Uganda. Addict Sci Clin Pract 2024;19(1):39. Retrospective cohort of 343 people who inject drugs started on methadone in Uganda's program in Kampala, 2020 to 2022, reporting 12-month retention; single clinic. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11094991/", "doi": "10.1186/s13722-024-00468-4", "pmid": "38750568", "accessed": "2026-09-26" }, { "id": "599", "kind": "peer", "tier": 2, "year": "2025", "title": "Dickson-Gomez J, Tarima S, Twaibu W, et al.", "detail": "Feasibility, Acceptability, and Preliminary Efficacy of a Pilot Study To Integrate Buprenorphine into a Harm-reduction Drop-in-Center in Kampala, Uganda. AIDS Behav 2025;30(5):1338-1351. Pilot study integrating buprenorphine into a harm-reduction drop-in center in Kampala; 62 people screened; small uncontrolled pilot. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13167885/", "doi": "10.1007/s10461-025-04978-3", "pmid": "41324756", "accessed": "2026-09-26" }, { "id": "600", "kind": "peer", "tier": 2, "year": "2025", "title": "Weiss Goitiandia S, Namisango E, Luyirika EBK, et al.", "detail": "The legal needs of people receiving palliative care in Uganda: A multi-method assessment to advance universal health coverage. Palliat Care Soc Pract 2025;19:26323524251347652. Multi-method assessment of legal needs among 384 people receiving palliative care at three Ugandan sites, with key informant interviews including medicines supply staff. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12202919/", "doi": "10.1177/26323524251347652", "pmid": "40584975", "accessed": "2026-09-26" }, { "id": "601", "kind": "peer", "tier": 2, "year": "2025", "title": "Buyinza N, Nkhoma K, Namisango E, et al.", "detail": "Nurse-led palliative care for multidrug-resistant tuberculosis: a parallel, single-blind, pragmatic, randomised controlled trial in Uganda. Lancet Glob Health 2025;13(8):e1448-e1457. Pragmatic randomized trial of nurse-led palliative care, including psychosocial support, for 154 adults with multidrug-resistant tuberculosis in three Ugandan public hospitals; funded by Open Society Foundations. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/40412430/", "doi": "10.1016/S2214-109X(25)00173-1", "pmid": "40412430", "accessed": "2026-09-26" }, { "id": "602", "kind": "peer", "tier": 2, "year": "2026", "title": "Batanda I, Birungi D", "detail": "A descriptive analysis of hospital-based palliative care services: a case study from Fort Portal Regional Referral Hospital, Uganda. BMC Health Serv Res 2026. Descriptive case study of 2,133 attendances at the palliative care unit of Fort Portal Regional Referral Hospital, July 2019 to May 2026; single site. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42415028/", "doi": "10.1186/s12913-026-15092-y", "pmid": "42415028", "accessed": "2026-09-26" }, { "id": "603", "kind": "peer", "tier": 2, "year": "2024", "title": "Downing J, Namukwaya E, Nakawesi J, et al.", "detail": "Shared-decision-making and communication in paediatric palliative care within Uganda. Curr Probl Pediatr Adolesc Health Care 2024;54(1):101556. Review of shared decision-making and communication in pediatric palliative care in Uganda; authors from national palliative care organizations (self-evaluation). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38272741/", "doi": "10.1016/j.cppeds.2024.101556", "pmid": "38272741", "accessed": "2026-09-26" }, { "id": "604", "kind": "peer", "tier": 2, "year": "2024", "title": "Leng M, Downing J, Purewal G, et al.", "detail": "Evaluation of the integration of palliative care in a fragile setting amongst host and refugee communities: Using consecutive rapid participatory appraisals. Palliat Med 2024;38(8):818-829. Two rapid participatory appraisals four years apart evaluating palliative care integration in Adjumani District, where refugees and hosts live side by side; 104 key informants; evaluators linked to the integration work. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39248127/", "doi": "10.1177/02692163241269129", "pmid": "39248127", "accessed": "2026-09-26" }, { "id": "605", "kind": "peer", "tier": 2, "year": "2025", "title": "Song N, Aduro-Agema A, Namisango E, et al.", "detail": "\"…I feel like I am just staying here waiting for death\": A qualitative study of the lived experiences of people with advanced illness in refugee settlements in Uganda. PLOS Glob Public Health 2025;5(12):e0005541. Qualitative interviews with 44 refugees with advanced illness in three Ugandan refugee settlements on their illness and care experiences. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12747433/", "doi": "10.1371/journal.pgph.0005541", "pmid": "41460942", "accessed": "2026-09-26" }, { "id": "606", "kind": "peer", "tier": 2, "year": "2026", "title": "Namisango E, Aduro A, Goodman W, et al.", "detail": "Feasibility and Acceptability of mPallCarea Digital Health Intervention for People Living With Advanced Cancer in a Refugee Settlement in Uganda: Mixed Methods Study. JMIR Mhealth Uhealth 2026;14:e73483. Six-week uncontrolled feasibility study of a mobile palliative care app with 32 people with advanced cancer in Bidibidi Refugee Settlement; developer-linked team. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13308515/", "doi": "10.2196/73483", "pmid": "42360817", "accessed": "2026-09-26" }, { "id": "607", "kind": "peer", "tier": 2, "year": "2021", "title": "Nelson EE.", "detail": "Structural violence and barriers to pain management during an opioid crisis: accounts of women who use drugs in Nigeria. Health Sociol Rev 2021;31(3):232-246. Qualitative study of 16 women who use drugs in Uyo; shows opioid prescribing restrictions, cost and stigma blocking pain care; single-city scope. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34229585/", "doi": "10.1080/14461242.2021.1950024", "pmid": "34229585", "accessed": "2026-09-26" }, { "id": "608", "kind": "peer", "tier": 2, "year": "2026", "title": "Albert OM.", "detail": "Opioid Addiction Medicine in Nigeria: Bridging Clinical Gaps in a Silent Epidemic-A Narrative Review. Niger Med J 2026;66(6):2024-2041. Narrative review of 30 studies on opioid use disorder in Nigeria; reports centralized opioid agonist therapy; single author based in Canada. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13391113/", "doi": null, "pmid": "42488855", "accessed": "2026-09-26" }, { "id": "609", "kind": "peer", "tier": 2, "year": "2026", "title": "Folorunso S, Yibrehu B, Mann EJ, et al.", "detail": "\"What you don't have, you can't give\": a mixed methods assessment of healthcare professionals' palliative care knowledge and attitudes in Nigeria. BMC Palliat Care 2026;25(1). Mixed-methods survey of 117 health professionals in 26 hospitals plus focus groups; opioid costs and stigma named as barriers; online convenience sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13251040/", "doi": "10.1186/s12904-026-02160-7", "pmid": "42192377", "accessed": "2026-09-26" }, { "id": "610", "kind": "peer", "tier": 2, "year": "2016", "title": "Onyechi KC, Onuigbo LN, Eseadi C, et al.", "detail": "Effects of Rational-Emotive Hospice Care Therapy on Problematic Assumptions, Death Anxiety, and Psychological Distress in a Sample of Cancer Patients and Their Family Caregivers in Nigeria. Int J Environ Res Public Health 2016;13(9). Small randomized trial of rational emotive hospice care therapy in 32 patients and 52 family caregivers; trial run by the developers of the intervention. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5036761/", "doi": "10.3390/ijerph13090929", "pmid": "27657099", "accessed": "2026-09-26" }, { "id": "611", "kind": "peer", "tier": 2, "year": "2021", "title": "Agha AA, Onalu C, Chidebe R.", "detail": "Bridging the Gap: Investigating the Role of Social Workers in Supporting Metastatic Breast Cancer Patients in Nigeria. Soc Work Public Health 2021;37(3):244-257. Qualitative key informant study of 12 professionals on social work roles in metastatic breast cancer care; small sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34816769/", "doi": "10.1080/19371918.2021.1999878", "pmid": "34816769", "accessed": "2026-09-26" }, { "id": "612", "kind": "peer", "tier": 2, "year": "2026", "title": "Collins NN, Oghenekaro I.", "detail": "Pediatric Pain Management and Palliative Care in Nigeria: A Scoping Review. Paediatr Anaesth 2026;36(8):908-922. Scoping review of 11 Nigerian studies on pediatric pain and palliative care; reports 10 dedicated pediatric palliative care centers and low morphine prescribing. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13341062/", "doi": "10.1002/pan.70225", "pmid": "42200550", "accessed": "2026-09-26" }, { "id": "613", "kind": "peer", "tier": 2, "year": "2024", "title": "Onyeka TC, Emodi I, Mohammed AD, et al.", "detail": "In-hospital psychoeducation for family caregivers of Nigerian children with cancer (The RESCUE Study). Palliat Support Care 2024:1-12. Quasi-experimental pre-post study of a psychoeducation program for family caregivers of children with cancer in 4 tertiary hospitals; no control group. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38482879/", "doi": "10.1017/S1478951524000178", "pmid": "38482879", "accessed": "2026-09-26" }, { "id": "614", "kind": "peer", "tier": 2, "year": "2025", "title": "Zeleke TK, Worku MC, Tegegne BA, et al.", "detail": "Simulated client study on the dispensing practices for narcotic and psychotropic medications in community drug outlets in Ethiopia. Drugs Context 2025;14. Simulated client study of 38 community drug outlets in Debre Markos; high non-prescription dispensing of tramadol and pethidine; single-town scope. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12279291/", "doi": "10.7573/dic.2025-2-1", "pmid": "40692976", "accessed": "2026-09-26" }, { "id": "615", "kind": "peer", "tier": 2, "year": "2020", "title": "Scheibe A, Shelly S, Hugo J, et al.", "detail": "Harm reduction in practice - The Community Oriented Substance Use Programme in Tshwane. Afr J Prim Health Care Fam Med 2020;12(1):e1-e6. Program description of the Community Oriented Substance Use Programme in Tshwane from 2016 to 2019; written by the implementing university team, so self-evaluation. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7284158/", "doi": "10.4102/phcfm.v12i1.2285", "pmid": "32501031", "accessed": "2026-09-26" }, { "id": "616", "kind": "peer", "tier": 2, "year": "2023", "title": "Goeieman DS, Nonyane DS, Nzaumvila DK, et al.", "detail": "Retention of service users on opioid substitution therapy in the City of Tshwane, South Africa. Afr J Prim Health Care Fam Med 2023;15(1):e1-e10. Qualitative focus groups with 19 male service users who interrupted opioid substitution therapy at COSUP sites; single-city scope. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9900307/", "doi": "10.4102/phcfm.v15i1.3392", "pmid": "36744456", "accessed": "2026-09-26" }, { "id": "617", "kind": "peer", "tier": 2, "year": "2014", "title": "Streid J, Harding R, Agupio G, et al.", "detail": "Stressors and resources of caregivers of patients with incurable progressive illness in sub-Saharan Africa. Qual Health Res 2014;24(3):317-28. Qualitative interviews with 37 family caregivers in South Africa and Uganda on stressors and resources; findings are not split by country. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/24583654/", "doi": "10.1177/1049732314523682", "pmid": "24583654", "accessed": "2026-09-26" }, { "id": "618", "kind": "peer", "tier": 2, "year": "2021", "title": "Inderlall R, Naidoo P.", "detail": "Role of pharmacists in the provision of palliative care services and support in South Africa. Int J Pharm Pract 2021;29(2):157-163. Cross-sectional survey of 263 community and hospital pharmacists on palliative care roles, including bereavement counseling; self-reported, KwaZulu-Natal authors. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/33729521/", "doi": "10.1093/ijpp/riaa013", "pmid": "33729521", "accessed": "2026-09-26" }, { "id": "619", "kind": "peer", "tier": 2, "year": "2026", "title": "Arendse JO, Zweigenthal V, Gwyther L.", "detail": "Operationalising palliative care integration: Experiences of implementers in South Africa. Afr J Prim Health Care Fam Med 2026;18(1):e1-e12. Qualitative study of 29 implementers and managers at five primary care facilities in Cape Metro; variable confidence in psychosocial support; single district. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13058540/", "doi": "10.4102/phcfm.v18i1.5221", "pmid": "41925616", "accessed": "2026-09-26" }, { "id": "620", "kind": "peer", "tier": 2, "year": "2014", "title": "Connor S, Sisimayi C, Downing J, et al.", "detail": "Assessment of the need for palliative care for children in South Africa. Int J Palliat Nurs 2014;20(3):130-4. UNICEF and ICPCN mixed-methods needs assessment; estimates under 5% of children needing palliative care received it; ICPCN is an advocacy network. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/24675539/", "doi": "10.12968/ijpn.2014.20.3.130", "pmid": "24675539", "accessed": "2026-09-26" }, { "id": "621", "kind": "peer", "tier": 2, "year": "2019", "title": "Plessis J, Stones D, Meiring M.", "detail": "Family experiences of oncological palliative and supportive care in children: can we do better?. Int J Palliat Nurs 2019;25(9):421-430. Qualitative interviews with 16 family members of children with cancer at one Bloemfontein academic hospital; single-site quality improvement study. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/31585056/", "doi": "10.12968/ijpn.2019.25.9.421", "pmid": "31585056", "accessed": "2026-09-26" }, { "id": "622", "kind": "peer", "tier": 2, "year": "2015", "title": "Alsirafy SA, Saleh RN, Fawzy R, et al.", "detail": "The fear of using tramadol for pain control (tramadolophobia) among Egyptian patients with cancer. J Opioid Manag 2015;11(6):474-80. Structured interviews with 178 adult cancer patients at two Egyptian cancer centers on fear of tramadol; two-site scope. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/26728644/", "doi": "10.5055/jom.2015.0300", "pmid": "26728644", "accessed": "2026-09-26" }, { "id": "623", "kind": "peer", "tier": 2, "year": "2024", "title": "El-Sherif RAM, Shaban AH, Abbas FA, et al.", "detail": "Burden, Depression and Quality of Life in Carers of Newly Diagnosed Advanced Cancer Patients in Egypt. J Pain Symptom Manage 2024;67(5):e403-e408. Cross-sectional study of 95 family caregivers of newly diagnosed incurable cancer patients; burden linked with depression and lower quality of life. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38403021/", "doi": "10.1016/j.jpainsymman.2024.02.018", "pmid": "38403021", "accessed": "2026-09-26" }, { "id": "624", "kind": "peer", "tier": 2, "year": "2021", "title": "Alsirafy SA, Nagy R, Hassan AD, et al.", "detail": "Caregiver burden among family caregivers of incurable cancer patients in two eastern Mediterranean countries. BMC Palliat Care 2021;20(1):163. Cross-sectional study of 218 family caregivers (165 Egypt, 53 Saudi Arabia) of incurable cancer patients using the Zarit Burden Interview. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8522156/", "doi": "10.1186/s12904-021-00857-5", "pmid": "34663283", "accessed": "2026-09-26" }, { "id": "625", "kind": "peer", "tier": 2, "year": "2017", "title": "Mojen LK, Rassouli M, Eshghi P, et al.", "detail": "Palliative Care for Children with Cancer in the Middle East: A Comparative Study. Indian J Palliat Care 2017;23(4):379-386. Literature-based comparison of pediatric palliative care in Egypt, Lebanon, Jordan, Turkey and Iran from 2000 to 2016; secondary data only, part of an Iranian doctoral thesis. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5661338/", "doi": "10.4103/IJPC.IJPC_69_17", "pmid": "29123342", "accessed": "2026-09-26" }, { "id": "626", "kind": "peer", "tier": 2, "year": "2024", "title": "El-Zoghby SM, Madroumi R, Kewley S, et al.", "detail": "Insights into primary care physicians' detection, intervention and management of patients with substance use disorders in Egypt. J Ethn Subst Abuse 2024;24(4):1142-1160. National cross-sectional survey of 392 Egyptian family physicians and general practitioners on substance use disorder care in primary care. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38568147/", "doi": "10.1080/15332640.2024.2336490", "pmid": "38568147", "accessed": "2026-09-26" }, { "id": "627", "kind": "peer", "tier": 2, "year": "2021", "title": "Idrissi Samlali W, Ghailan T, Karjouh K, et al.", "detail": "[Early maladaptive schemes and relapse during methadone maintenance treatment among drug addicts (a cognitive approach)]. Encephale 2021;48(5):538-545. Cross-sectional study of 166 heroin users on methadone maintenance at a medico-psychological center in northern Morocco in 2017; article in French, English abstract read; single site. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34756717/", "doi": "10.1016/j.encep.2021.06.006", "pmid": "34756717", "accessed": "2026-09-26" }, { "id": "628", "kind": "peer", "tier": 2, "year": "2012", "title": "Hessissen L, Madani A.", "detail": "Pediatric oncology in Morocco: achievements and challenges. J Pediatr Hematol Oncol 2012;34 Suppl 1:S21-2. Short 2012 narrative account of pediatric oncology in Morocco by clinicians in the field; describes restrictive opioid legislation; opinion-level evidence. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/22357146/", "doi": "10.1097/MPH.0b013e318249abe3", "pmid": "22357146", "accessed": "2026-09-26" }, { "id": "629", "kind": "peer", "tier": 2, "year": "2022", "title": "Ayoub NM, Jibreel M, Nuseir K, et al.", "detail": "A Survey of Knowledge and Barriers of Healthcare Professionals toward Opioid Analgesics in Cancer Pain Management. Int J Clin Pract 2022;2022:1136430. Cross-sectional survey of 201 health professionals at three oncology units in Jordan on opioid knowledge and barriers. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9159223/", "doi": "10.1155/2022/1136430", "pmid": "35685510", "accessed": "2026-09-26" }, { "id": "630", "kind": "peer", "tier": 2, "year": "2023", "title": "Shamieh O, Alarjeh G, Hammad R, et al.", "detail": "National Palliative Care Strategy in a Conflict Affected Country: A Jordanian Demonstration Project. J Pain Symptom Manage 2023;67(5):e473-e485. Rapid review of how Jordan's 2018 National Palliative and Home Care Strategic Framework was developed and its five-year impact; authors describe their own process, so self-evaluation. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38159658/", "doi": "10.1016/j.jpainsymman.2023.12.018", "pmid": "38159658", "accessed": "2026-09-26" }, { "id": "631", "kind": "peer", "tier": 2, "year": "2021", "title": "Guo P, Alajarmeh S, Alarja G, et al.", "detail": "Compounded trauma: A qualitative study of the challenges for refugees living with advanced cancer. Palliat Med 2021;35(5):916-926. Qualitative interviews with 22 refugee patients with advanced cancer and 7 caregivers at two Jordanian hospitals. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8114446/", "doi": "10.1177/02692163211000236", "pmid": "33765877", "accessed": "2026-09-26" }, { "id": "632", "kind": "peer", "tier": 2, "year": "2023", "title": "Alarjeh G, Boufkhed S, Alrjoub W, et al.", "detail": "Communication and information sharing with pediatric patients including refugees with advanced cancer, their caregivers, and health care professionals in Jordan: a qualitative study. Front Oncol 2023;13:1118992. Qualitative interviews with 25 children, 15 caregivers and 12 clinicians at one tertiary cancer center in Jordan on communication and disclosure; single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10172987/", "doi": "10.3389/fonc.2023.1118992", "pmid": "37182158", "accessed": "2026-09-26" }, { "id": "633", "kind": "peer", "tier": 2, "year": "2018", "title": "Pinheiro I, Jaff D.", "detail": "The role of palliative care in addressing the health needs of Syrian refugees in Jordan. Med Confl Surviv 2018:1-20. Qualitative interviews with 21 Syrian refugees with life-limiting conditions and 4 caregivers of children in Jordan. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29482355/", "doi": "10.1080/13623699.2018.1437966", "pmid": "29482355", "accessed": "2026-09-26" }, { "id": "634", "kind": "peer", "tier": 2, "year": "2024", "title": "Turan SA, Yentek Balkanay A, Aydın Ş.", "detail": "Prevalence of Reluctance to Prescribe Opioids Among Physicians in Oncology Departments: A Descriptive Cross-Sectional Study From Turkey. J Pain Palliat Care Pharmacother 2024;38(2):123-130. Online survey of 278 oncology-department physicians (of 1000 invited) on reluctance to prescribe opioids; self-selected sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38805382/", "doi": "10.1080/15360288.2024.2346630", "pmid": "38805382", "accessed": "2026-09-26" }, { "id": "635", "kind": "peer", "tier": 2, "year": "2022", "title": "Harputluoğlu N, Çubukçu D, Yılmaz Ü, et al.", "detail": "Investigation of care burden and musculoskeletal pain of parents of paediatric palliative care patients in Turkey. East Mediterr Health J 2021;27(8):569-576. Cross-sectional study of 69 caregiving parents at one paediatric palliative care center in Izmir; single-site scope. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36134489/", "doi": "10.26719/emhj.22.063", "pmid": "36134489", "accessed": "2026-09-26" }, { "id": "636", "kind": "peer", "tier": 2, "year": "2022", "title": "Durmaz N, Vehapoglu A, Ersoy M, et al.", "detail": "Impact of presence of paediatric palliative care units in hospitals on the confidence, knowledge and attitudes of paediatricians: the case of Turkey. East Mediterr Health J 2021;27(8):593-600. Multicentre 2019 survey of 199 paediatricians comparing hospitals with and without PPC units. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36134491/", "doi": "10.26719/emhj.22.067", "pmid": "36134491", "accessed": "2026-09-26" }, { "id": "637", "kind": "peer", "tier": 2, "year": "2016", "title": "El-Khoury J, Abbas Z, Nakhle PE, et al.", "detail": "Implementing opioid substitution in Lebanon: Inception and challenges. Int J Drug Policy 2016;31:178-83. Program description of the national buprenorphine substitution program launched in 2011; co-authors from the Ministry of Public Health narcotics department, so partly a self-evaluation. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/27114000/", "doi": "10.1016/j.drugpo.2016.02.015", "pmid": "27114000", "accessed": "2026-09-26" }, { "id": "638", "kind": "peer", "tier": 2, "year": "2018", "title": "Ghaddar A, Khandaqji S, Abbass Z.", "detail": "Challenges in implementing opioid agonist therapy in Lebanon: a qualitative study from a user's perspective. Subst Abuse Treat Prev Policy 2018;13(1):14. Qualitative interviews with 81 male OAT users in 2016; one co-author from the Ministry of Public Health narcotics department. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5909215/", "doi": "10.1186/s13011-018-0151-8", "pmid": "29673369", "accessed": "2026-09-26" }, { "id": "639", "kind": "peer", "tier": 2, "year": "2013", "title": "Abu-Saad Huijer H, Sagherian K, Tamim H, et al.", "detail": "Quality of palliative care in children with cancer in Lebanon. J Med Liban 2013;61(4):228-36. Cross-sectional survey of 85 children aged 7 to 18 on therapy at the Children's Cancer Center of Lebanon (2010 to 2011); single-center convenience sample, pre-2012 data. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/24428078/", "doi": "10.12816/0001478", "pmid": "24428078", "accessed": "2026-09-26" }, { "id": "640", "kind": "peer", "tier": 2, "year": "2024", "title": "Shammah JB, Scott J, Wazaify M.", "detail": "Prescription and nonprescription drug misuse and abuse in community pharmacies in Iraq: a cross-sectional survey. Int J Pharm Pract 2024;32(6):461-469. Online survey of 300 community pharmacists (2020 to 2021) on suspected medicine misuse and how pharmacists respond; self-selected sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39216078/", "doi": "10.1093/ijpp/riae045", "pmid": "39216078", "accessed": "2026-09-26" }, { "id": "641", "kind": "peer", "tier": 2, "year": "2025", "title": "Giorgobiani L, Todadze K, Ruadze E.", "detail": "Seventeen years of experience: a retrospective cohort analysis of methadone maintenance treatment program patterns in Georgia. Harm Reduct J 2026;23(1):16. National routine data on 30747 patients (2008 to 2024); authors are from the agency that runs the program, so partly a self-evaluation. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12865934/", "doi": "10.1186/s12954-025-01365-y", "pmid": "41470004", "accessed": "2026-09-26" }, { "id": "642", "kind": "peer", "tier": 2, "year": "2023", "title": "Walker JG, Kirtadze I, Tabatadze M, et al.", "detail": "Costs of syringe vending machines in Tbilisi, Georgia. Harm Reduct J 2023;20(1):103. Costing of a 2019 to 2020 vending-machine project that distributed harm reduction kits including naloxone; co-authored by the implementing NGO. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10394772/", "doi": "10.1186/s12954-023-00829-3", "pmid": "37533020", "accessed": "2026-09-26" }, { "id": "643", "kind": "peer", "tier": 2, "year": "2026", "title": "Bulia T, Abesadze I, Tananashvili D, et al.", "detail": "Palliative care among cancer patients in Georgia: System-level gaps identified through health-related quality of life discrepancies. J Public Health Res 2026;15(3):22799036261470318. Multicenter cross-sectional study in nine palliative care clinics with 298 patients, 298 family members and 80 staff (2024 to 2025). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13459671/", "doi": "10.1177/22799036261470318", "pmid": "42582999", "accessed": "2026-09-26" }, { "id": "644", "kind": "peer", "tier": 2, "year": "2022", "title": "Kalantar A, Rezaei M, Jafarzadeh Kohneloo A, et al.", "detail": "A nationwide study on consumption of opioid analgesics in Iran from 2000 to 2018. Int J Clin Pharm 2023;45(2):397-405. National wholesale data on opioid analgesic consumption over 19 years. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/36469216/", "doi": "10.1007/s11096-022-01518-0", "pmid": "36469216", "accessed": "2026-09-26" }, { "id": "645", "kind": "peer", "tier": 2, "year": "2021", "title": "Rostam-Abadi Y, Gholami J, Noroozi A, et al.", "detail": "Public health risks associated with methadone in Iran: A systematic review and meta-analysis. Int J Drug Policy 2022;100:103529. Systematic review of 65 studies on non-prescribed methadone use, poisoning and deaths. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34826790/", "doi": "10.1016/j.drugpo.2021.103529", "pmid": "34826790", "accessed": "2026-09-26" }, { "id": "646", "kind": "peer", "tier": 2, "year": "2026", "title": "Rafiee M, Mehmandoost S, Sadidi N, et al.", "detail": "Unmet needs for opioid agonist therapy in Iranian prisons: a cross-sectional study. Int J Prison Health 2026:1-13. National bio-behavioral survey of 5785 people in 33 prisons, 2994 eligible for OAT. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42310887/", "doi": "10.1108/IJOPH-10-2025-0087", "pmid": "42310887", "accessed": "2026-09-26" }, { "id": "647", "kind": "peer", "tier": 2, "year": "2025", "title": "Babaie M, Rassouli M, Farahani AS.", "detail": "Transforming pediatric palliative care through technology: Insights from Iran's experience and existing challenges. Asia Pac J Oncol Nurs 2025;12:100753. Editorial on pediatric palliative care and telenursing in Iran; two authors sit on the journal's editorial board and it presents no new data. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12296540/", "doi": "10.1016/j.apjon.2025.100753", "pmid": "40718573", "accessed": "2026-09-26" }, { "id": "648", "kind": "peer", "tier": 2, "year": "2022", "title": "Zahedi F, Kadivar M, Khanali Mojen L, et al.", "detail": "The ethical challenges of palliative care from the perspectives of pediatricians: A qualitative study in Iran. Front Pediatr 2022;10:928476. Interviews with 15 pediatricians in Tehran hospitals in 2019. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9464941/", "doi": "10.3389/fped.2022.928476", "pmid": "36105856", "accessed": "2026-09-26" }, { "id": "649", "kind": "peer", "tier": 2, "year": "2026", "title": "Zuraie MM, Khubrani H, Alzkkri F, et al.", "detail": "Characteristics of Opioid-Dependent Patients in the Inpatient Setting: A Cross-Sectional Study in Riyadh, Saudi Arabia. Cureus 2026;18(6):e111838. Chart review of 22 male inpatients with opioid use disorder at one Riyadh mental health complex in 2024; single-site, small sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13423405/", "doi": "10.7759/cureus.111838", "pmid": "42535190", "accessed": "2026-09-26" }, { "id": "650", "kind": "peer", "tier": 2, "year": "2025", "title": "Alotaibi NA, Alsuhail AI.", "detail": "Prevalence of Depression and Anxiety in Cancer Patients Receiving Palliative Care in the Comprehensive Cancer Center, King Fahad Medical City, Riyadh, Saudi Arabia: A Cross-Sectional Study. Cureus 2025;17(5):e83493. HADS screening of 130 palliative care patients at one center; single-site scope. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12135104/", "doi": "10.7759/cureus.83493", "pmid": "40470430", "accessed": "2026-09-26" }, { "id": "651", "kind": "peer", "tier": 2, "year": "2025", "title": "Sadler K, Altarifi L, Callaghan S, et al.", "detail": "Intensity of Care at the End-of-Life in Pediatrics: A Single Center Analysis With Implications for Advanced Care Planning in Saudi Arabia. Am J Hosp Palliat Care 2026;43(6):568-577. Retrospective review of 302 child deaths at one tertiary center (2021 to 2023); single-site scope. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/40384432/", "doi": "10.1177/10499091251339615", "pmid": "40384432", "accessed": "2026-09-26" }, { "id": "652", "kind": "peer", "tier": 2, "year": "2026", "title": "Abulhamail A, AlGhamdi K.", "detail": "Addressing the missing framework of paediatric palliative care in Saudi Arabia. Int J Palliat Nurs 2026;32(2):60-66. Multi-center survey of 230 healthcare workers on comfort and training in paediatric palliative care; authors are paediatric palliative care consultants. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41790535/", "doi": "10.12968/ijpn.2025.0054", "pmid": "41790535", "accessed": "2026-09-26" }, { "id": "653", "kind": "peer", "tier": 2, "year": "2018", "title": "Vuong T, Ritter A, Shanahan M, et al.", "detail": "Outcomes of compulsory detention compared to community-based voluntary methadone maintenance treatment in Vietnam. J Subst Abuse Treat 2018;87:9-15. Observational comparison of 208 people in compulsory centers and 384 in community methadone treatment, 2012 to 2014; not palliative care specific. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29471930/", "doi": "10.1016/j.jsat.2018.01.011", "pmid": "29471930", "accessed": "2026-09-26" }, { "id": "654", "kind": "peer", "tier": 2, "year": "2026", "title": "Mai T, Trinh O, Do D, et al.", "detail": "Health outcomes of cancer patients during the first year following admission to palliative care: A longitudinal study in Ho Chi Minh City, Vietnam. Medicine (Baltimore) 2026;105(29):e49840. Longitudinal study of 134 patients and their caregivers at one tertiary oncology hospital, 2020 to 2022; single-site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13384650/", "doi": "10.1097/MD.0000000000049840", "pmid": "42469974", "accessed": "2026-09-26" }, { "id": "655", "kind": "peer", "tier": 2, "year": "2026", "title": "Ho XD, Duong NT, Phan MT", "detail": "Vietnamese family members perception of palliative sedation at the end of life. J Psychosoc Oncol 2026:1-16. Cross-sectional survey of 100 relatives of end-stage cancer patients in central Vietnam; authors are also affiliated with a local NGO (Raising Hope Organization). Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42048602/", "doi": "10.1080/07347332.2026.2661754", "pmid": "42048602", "accessed": "2026-09-26" }, { "id": "656", "kind": "peer", "tier": 2, "year": "2025", "title": "Adelmann MR, Bui HTT, Hocaoglu M, et al.", "detail": "Implementing Pediatric Palliative Care in Vietnam: Initial Experiences and Lessons. J Pain Symptom Manage 2025;71(3):341-350.e3. Retrospective review of 169 children seen by Vietnam's first pediatric palliative consult service over 18 months; single-site self-evaluation by the program team. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41232623/", "doi": "10.1016/j.jpainsymman.2025.10.023", "pmid": "41232623", "accessed": "2026-09-26" }, { "id": "657", "kind": "peer", "tier": 2, "year": "2026", "title": "Yahaya Y, Mohideen FBS, Baharom N, et al.", "detail": "Between efficacy and ambivalence: Family perceptions of Methadone Maintenance Therapy in Malaysia. Int J Drug Policy 2026;149:105149. Qualitative interviews with 20 family members of methadone clients at two primary care addiction clinics; not palliative care specific. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41538953/", "doi": "10.1016/j.drugpo.2026.105149", "pmid": "41538953", "accessed": "2026-09-26" }, { "id": "658", "kind": "peer", "tier": 2, "year": "2026", "title": "Song W, Shari NI, Abdullah MFILB, et al.", "detail": "Acceptance and commitment therapy improves the quality of life of breast cancer patients by reducing helplessness: a randomized controlled trial. BMC Palliat Care 2026;25(1). Randomized trial of 80 breast cancer patients at one Malaysian tertiary cancer center; single-site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13001182/", "doi": "10.1186/s12904-026-02049-5", "pmid": "41787365", "accessed": "2026-09-26" }, { "id": "659", "kind": "peer", "tier": 2, "year": "2019", "title": "Khalid F, Chong LA", "detail": "National Pediatric Palliative Care Needs from Hospital Deaths. Indian J Palliat Care 2019;25(1):135-141. Retrospective review of the national admissions database for child deaths in Ministry of Health hospitals, 2012 to 2014; hospital deaths only. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6388605/", "doi": "10.4103/IJPC.IJPC_111_18", "pmid": "30820116", "accessed": "2026-09-26" }, { "id": "660", "kind": "peer", "tier": 2, "year": "2023", "title": "Khoo EJ", "detail": "Paediatric palliative care around the world: Malaysia. Curr Probl Pediatr Adolesc Health Care 2023;54(1):101452. Single-author narrative overview and case study of paediatric palliative care development in Malaysia; expert opinion. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/37945387/", "doi": "10.1016/j.cppeds.2023.101452", "pmid": "37945387", "accessed": "2026-09-26" }, { "id": "661", "kind": "peer", "tier": 2, "year": "2025", "title": "Jaji ET", "detail": "Caregiver strain, anxiety and depression among family caregivers of adult cancer patients: a cross-sectional study in a tertiary hospital in the Philippines. BMJ Support Palliat Care 2025;16(1):170-174. Screening survey of 346 family caregivers at one cancer center; single-site, purposive sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12772601/", "doi": "10.1136/spcare-2025-005629", "pmid": "41130669", "accessed": "2026-09-26" }, { "id": "662", "kind": "peer", "tier": 2, "year": "2026", "title": "Daniels-Howell C, Corvera R, Chambers L, et al.", "detail": "Milestones and Horizons: Highlights from the 4th International Children's Palliative Care Network Conference in Manila, Philippines. Ecancermedicalscience 2026;20:2126. Conference report written by the organizing network and its local partner (The Ruth Foundation); advocacy and self-reporting conflict. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13346680/", "doi": "10.3332/ecancer.2026.2126", "pmid": "42428823", "accessed": "2026-09-26" }, { "id": "663", "kind": "peer", "tier": 2, "year": "2020", "title": "Kim JS, Kim J, Gelegjamts D", "detail": "Knowledge, attitude and self-efficacy towards palliative care among nurses in Mongolia: A cross-sectional descriptive study. PLoS One 2020;15(7):e0236390. Survey of 141 nurses at the National Cancer Center; single-site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7377484/", "doi": "10.1371/journal.pone.0236390", "pmid": "32702007", "accessed": "2026-09-26" }, { "id": "664", "kind": "peer", "tier": 2, "year": "2020", "title": "Ehrlich BS, Movsisyan N, Batmunkh T, et al.", "detail": "Barriers to the early integration of palliative care in pediatric oncology in 11 Eurasian countries. Cancer 2020;126(22):4984-4993. ADAPT survey of 424 physicians in 11 Eurasian countries including Mongolia, 2019; results reported regionally, not by country in the text read; led by St Jude. Full text read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7981844/", "doi": "10.1002/cncr.33151", "pmid": "32813913", "accessed": "2026-09-26" }, { "id": "665", "kind": "peer", "tier": 2, "year": "2017", "title": "Hayashi K, Ti L, Ayutthaya PPN, et al.", "detail": "Barriers to retention in methadone maintenance therapy among people who inject drugs in Bangkok, Thailand: a mixed-methods study. Harm Reduct J 2017;14(1):63. Survey of 158 and interviews with 16 people on methadone in Bangkok; data from 2011 to 2012, predating current policy. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5590145/", "doi": "10.1186/s12954-017-0189-3", "pmid": "28882155", "accessed": "2026-09-26" }, { "id": "666", "kind": "peer", "tier": 2, "year": "2023", "title": "Limsomwong P, Ingviya T, Fumaneeshoat O", "detail": "The trend of opioid prescriptions among cancer patients in a tertiary hospital: A multimethod quantitative study. Front Oncol 2023;13:1138169. Review of records for 20,192 outpatients with cancer receiving opioids, 2016 to 2020, at Songklanagarind Hospital; single-site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10128996/", "doi": "10.3389/fonc.2023.1138169", "pmid": "37114139", "accessed": "2026-09-26" }, { "id": "667", "kind": "peer", "tier": 2, "year": "2021", "title": "Pairojkul S, Thongkhamcharoen R, Raksasataya A, et al.", "detail": "Integration of Specialist Palliative Care into Tertiary Hospitals: A Multicenter Point Prevalence Survey from Thailand. Palliat Med Rep 2021;2(1):272-279. Point prevalence survey of inpatients in 14 tertiary hospitals across four regions; tertiary care only. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8675094/", "doi": "10.1089/pmr.2021.0003", "pmid": "34927153", "accessed": "2026-09-26" }, { "id": "668", "kind": "peer", "tier": 2, "year": "2025", "title": "Wittayapun Y, Summart U, Pongkaew O, et al.", "detail": "Predictors of Family Caregivers Burden across Palliative Settings in the South of Thailand. J Caring Sci 2025;14(4):217-225. Cross-sectional survey of 305 family caregivers in two southern health service networks; regional scope. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13016553/", "doi": "10.34172/jcs.025.33829", "pmid": "41890585", "accessed": "2026-09-26" }, { "id": "669", "kind": "peer", "tier": 2, "year": "2024", "title": "Tang X, Xiong W, Chen W, et al.", "detail": "Benefits and challenges experienced by participants on long-term methadone maintenance treatment in China: a qualitative study. BMC Med 2024;22(1):18. Interviews with 21 long-term participants at six methadone clinics in Guangdong; not palliative care specific. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10773040/", "doi": "10.1186/s12916-023-03203-z", "pmid": "38185665", "accessed": "2026-09-26" }, { "id": "670", "kind": "peer", "tier": 2, "year": "2026", "title": "Park IH, Tao L, Chen Y, et al.", "detail": "Pre-Post Changes in Anticipatory Grief Following a Blended Narrative Nursing Intervention Among Family Caregivers of Patients With Terminal Cancer. Am J Hosp Palliat Care 2026. Single-group pre-post study of 63 caregivers from five Chinese hospice and palliative care institutions; no control group. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42596109/", "doi": "10.1177/10499091261477677", "pmid": "42596109", "accessed": "2026-09-26" }, { "id": "671", "kind": "peer", "tier": 2, "year": "2026", "title": "Zhao Y, Zhang J, Low WY", "detail": "Pediatric End-of-Life Decision-Making in Mainland China: Case-Based Analysis of Illness Narratives. Am J Hosp Palliat Care 2026. Qualitative analysis of 12 pediatric end-of-life cases; small sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41801076/", "doi": "10.1177/10499091261434572", "pmid": "41801076", "accessed": "2026-09-26" }, { "id": "672", "kind": "peer", "tier": 2, "year": "2025", "title": "Cai S, Peng X, Guo Q, et al.", "detail": "The Development Status and Five-Year Evolution of Pediatric Palliative Care in Mainland China. J Pain Symptom Manage 2025;71(2):307-315.e1. National census of pediatric palliative care teams in 2025 compared with 2019, run by the PPC subspecialty group of the Chinese Medical Association Pediatrics Society; self-reported by the field's own network. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41203048/", "doi": "10.1016/j.jpainsymman.2025.10.030", "pmid": "41203048", "accessed": "2026-09-26" }, { "id": "673", "kind": "peer", "tier": 2, "year": "2025", "title": "Zhang A, Zhou X, Wang J, et al.", "detail": "Physicians' Perspectives and Attitudes Toward Palliative Care for Cancer Children in Mainland China. J Pain Symptom Manage 2025;71(2):316-326.e4. ADAPT survey of 368 physicians treating children with cancer in 25 provinces. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41232622/", "doi": "10.1016/j.jpainsymman.2025.11.003", "pmid": "41232622", "accessed": "2026-09-26" }, { "id": "674", "kind": "peer", "tier": 2, "year": "2025", "title": "Chan AYL, Bahmanyar S, Beyene K, et al.", "detail": "International Trends in Opioid Prescribing by Age and Sex from 2001 to 2019: An Observational Study Using Population-Based Databases from 18 Countries and One Special Administrative Region. CNS Drugs 2025;39(11):1173-1185. Multinational database study; 2015 opioid prescribing prevalence was lowest in Japan (2.7%) and South Korea had the largest annual rise; indications were not captured. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12515243/", "doi": "10.1007/s40263-025-01215-2", "pmid": "40889082", "accessed": "2026-09-26" }, { "id": "675", "kind": "peer", "tier": 2, "year": "2013", "title": "Cleary J, Radbruch L, Torode J, et al.", "detail": "Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in Asia: a report from the Global Opioid Policy Initiative (GOPI). Ann Oncol 2013;24 Suppl 11:xi24-32. 20-country survey of opioid formularies and regulation in Asia; notes Japan and South Korea as exceptions to low availability; produced by an access-advocacy initiative. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/24285226/", "doi": "10.1093/annonc/mdt500", "pmid": "24285226", "accessed": "2026-09-26" }, { "id": "676", "kind": "peer", "tier": 2, "year": "2026", "title": "Sakai Y, Kitae M, Masukawa K, et al.", "detail": "The Desirable Approach to Sending Letters and Cards and Holding Memorial Services: Recommendations for Bereavement Care in Hospice and Palliative Care Unit Settings. Am J Hosp Palliat Care 2026. Nationwide J-HOPE4 bereaved-family survey (563 respondents) on letters, cards and memorial services from palliative care units. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41789847/", "doi": "10.1177/10499091261432642", "pmid": "41789847", "accessed": "2026-09-26" }, { "id": "677", "kind": "peer", "tier": 2, "year": "2025", "title": "Fujisawa D, Ito M, Nakajima S, et al.", "detail": "Associations between grief, depression, and productivity loss among the bereaved families of individuals with cancer. PCN Rep 2025;4(4):e70266. Nationwide J-HOPE-4 survey of 902 bereaved families from palliative care units measuring prolonged grief and depression. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12686578/", "doi": "10.1002/pcn5.70266", "pmid": "41376814", "accessed": "2026-09-26" }, { "id": "678", "kind": "peer", "tier": 2, "year": "2018", "title": "Yotani N, Kizawa Y", "detail": "Specialist Palliative Care Service for Children With Life-Threatening Conditions: A Nationwide Survey of Availability and Utilization. J Pain Symptom Manage 2018;56(4):582-587. National survey of cancer centers, children's cancer centers and palliative care units estimating use of specialist palliative care by children in 2015. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29909002/", "doi": "10.1016/j.jpainsymman.2018.06.005", "pmid": "29909002", "accessed": "2026-09-26" }, { "id": "679", "kind": "peer", "tier": 2, "year": "2024", "title": "Yotani N", "detail": "Current status of pediatric palliative care and decision making in Japan. Curr Probl Pediatr Adolesc Health Care 2024;54(1):101557. Single-author narrative review of pediatric palliative care and decision making in Japan. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38290924/", "doi": "10.1016/j.cppeds.2024.101557", "pmid": "38290924", "accessed": "2026-09-26" }, { "id": "680", "kind": "peer", "tier": 2, "year": "2022", "title": "Oh SY, Park K, Koh SJ, et al.", "detail": "Survey of Opioid Risk Tool Among Cancer Patients Receiving Opioid Analgesics. J Korean Med Sci 2022;37(23):e185. Multicenter study at 33 institutions of 946 cancer patients on strong opioids; risk scores for aberrant opioid behavior were very low. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9194487/", "doi": "10.3346/jkms.2022.37.e185", "pmid": "35698838", "accessed": "2026-09-26" }, { "id": "681", "kind": "peer", "tier": 2, "year": "2024", "title": "Lee IH, Kim SY, Park S, et al.", "detail": "Impact of the Narcotics Information Management System on Opioid Use Among Outpatients With Musculoskeletal and Connective Tissue Disorders: Quasi-Experimental Study Using Interrupted Time Series. JMIR Public Health Surveill 2024;10:e47130. National claims analysis of 45,582 patients with musculoskeletal disorders (not cancer or palliative care) after Korea introduced its narcotics tracking system. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10918548/", "doi": "10.2196/47130", "pmid": "38381481", "accessed": "2026-09-26" }, { "id": "682", "kind": "peer", "tier": 2, "year": "2026", "title": "Lim JW", "detail": "Family Caregiving and Psychosocial Support in Hospice and Palliative Care: A Social Work Perspective. J Hosp Palliat Care 2026;29(3):139-145. Single-author narrative review from a social work perspective; not a systematic study of Korean services. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13548016/", "doi": "10.14475/jhpc.2026.29.3.139", "pmid": "42707703", "accessed": "2026-09-26" }, { "id": "683", "kind": "peer", "tier": 2, "year": "2025", "title": "Kim B, Hwang IC, Ahn HY, et al.", "detail": "Family relationships and caregiver burden among family caregivers of patients with terminal cancer. BMC Palliat Care 2025;24(1):207. Cross-sectional survey of 172 family caregivers at nine hospice and palliative care centers in South Korea. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12281956/", "doi": "10.1186/s12904-025-01855-7", "pmid": "40696337", "accessed": "2026-09-26" }, { "id": "684", "kind": "peer", "tier": 2, "year": "2025", "title": "Kim ES, Park M, Kim SB, et al.", "detail": "Current Practices and Perspectives of Pediatric Palliative Care Workers in South Korea. J Hosp Palliat Care 2025;28(2):56-70. Survey of 18 full-time staff from nine of ten hospitals in the government pediatric palliative care project; staff self-report. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12138588/", "doi": "10.14475/jhpc.2025.28.2.56", "pmid": "40485852", "accessed": "2026-09-26" }, { "id": "685", "kind": "peer", "tier": 2, "year": "2024", "title": "Kim CH, Lee J, Lee JW, et al.", "detail": "The impact of specialized pediatric palliative care on advance care planning and healthcare utilization in children and young adults: a retrospective analysis of medical records of in-hospital deaths. BMC Palliat Care 2024;23(1):127. Single-center before-after record review at one tertiary children's hospital in South Korea. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11110344/", "doi": "10.1186/s12904-024-01448-w", "pmid": "38778335", "accessed": "2026-09-26" }, { "id": "686", "kind": "peer", "tier": 2, "year": "2023", "title": "Picco L, Xia T, Bell JS, et al.", "detail": "Changes in opioid agonist treatment initiation among people prescribed opioids for pain following voluntary and mandatory prescription drug monitoring program implementation: A time series analysis. Drug Alcohol Rev 2023;42(7):1639-1646. Same Victorian general-practice dataset examining opioid agonist treatment starts after monitoring began. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10947011/", "doi": "10.1111/dar.13754", "pmid": "37798947", "accessed": "2026-09-26" }, { "id": "687", "kind": "peer", "tier": 2, "year": "2024", "title": "Akhurst J, Price O, Sutherland R, et al.", "detail": "Naloxone cascade of care among people who regularly inject drugs in Australia, 2020-2022. Int J Drug Policy 2024;133:104572. National interview survey of 2,149 people who inject drugs on take-home naloxone awareness, acquisition and carriage. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39245026/", "doi": "10.1016/j.drugpo.2024.104572", "pmid": "39245026", "accessed": "2026-09-26" }, { "id": "688", "kind": "peer", "tier": 2, "year": "2017", "title": "Tait P, Horwood C, Hakendorf P, et al.", "detail": "Improving community access to terminal phase medicines through the implementation of a 'Core Medicines List' in South Australian community pharmacies. BMJ Support Palliat Care 2017;10(1):e4. Repeat pharmacy survey in one state (South Australia), 2012 versus 2015. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/28167655/", "doi": "10.1136/bmjspcare-2016-001191", "pmid": "28167655", "accessed": "2026-09-26" }, { "id": "689", "kind": "peer", "tier": 2, "year": "2015", "title": "Aoun SM, Breen LJ, Howting DA, et al.", "detail": "Who needs bereavement support? A population based survey of bereavement risk and support need. PLoS One 2015;10(3):e0121101. Postal survey of 678 bereaved clients of four funeral providers testing the three-tier public health model of bereavement support. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4374848/", "doi": "10.1371/journal.pone.0121101", "pmid": "25811912", "accessed": "2026-09-26" }, { "id": "690", "kind": "peer", "tier": 2, "year": "2020", "title": "Aoun SM, Keegan O, Roberts A, et al.", "detail": "The impact of bereavement support on wellbeing: a comparative study between Australia and Ireland. Palliat Care Soc Pract 2020;14:2632352420935132. Comparison of two population-based bereavement surveys in Australia and Ireland. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7385836/", "doi": "10.1177/2632352420935132", "pmid": "32783026", "accessed": "2026-09-26" }, { "id": "691", "kind": "peer", "tier": 2, "year": "2020", "title": "Bowers AP, Bradford N, Chan RJ, et al.", "detail": "Analysis of health administration data to inform health service planning for paediatric palliative care. BMJ Support Palliat Care 2020;12(e5):e671-e679. Queensland hospital admissions data for people aged 0-21 with a life-limiting condition, 2011 and 2016; one state. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/33051310/", "doi": "10.1136/bmjspcare-2020-002449", "pmid": "33051310", "accessed": "2026-09-26" }, { "id": "692", "kind": "peer", "tier": 2, "year": "2022", "title": "Donovan LA, Slater PJ, Delaney AM, et al.", "detail": "Building capability in paediatric palliative care and enhancing education through the voice of parents: the Quality of Care Collaborative Australia. Palliat Care Soc Pract 2022;16:26323524221128835. Interviews with 11 parents from one specialist service; authors are involved in the program they describe. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9549082/", "doi": "10.1177/26323524221128835", "pmid": "36225949", "accessed": "2026-09-26" }, { "id": "693", "kind": "peer", "tier": 2, "year": "2020", "title": "Aoun SM, Gill FJ, Phillips MB, et al.", "detail": "The profile and support needs of parents in paediatric palliative care: comparing cancer and non-cancer groups. Palliat Care Soc Pract 2020;14:2632352420958000. Non-randomised pilot with 28 parents in Western Australia using a carer needs tool developed by the authors' group. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7525220/", "doi": "10.1177/2632352420958000", "pmid": "33033802", "accessed": "2026-09-26" }, { "id": "694", "kind": "peer", "tier": 2, "year": "2025", "title": "Harsanyi H, Yang L, Lau J, et al.", "detail": "Long-term opioid prescribing and healthcare encounters in metastatic cancer: observational population study. BMJ Support Palliat Care 2025. Alberta population cohort of 10,927 opioid-naive people with metastatic cancer, 2004-2017. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/40081869/", "doi": "10.1136/spcare-2024-005185", "pmid": "40081869", "accessed": "2026-09-26" }, { "id": "695", "kind": "peer", "tier": 2, "year": "2024", "title": "Tanuseputro P, Roberts RL, Milani C, et al.", "detail": "Palliative End-of-Life Medication Prescribing Rates in Long-Term Care: A Retrospective Cohort Study. J Am Med Dir Assoc 2024;25(3):532-538.e8. Ontario administrative data on 55,916 long-term care residents who died in 626 homes. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/38242534/", "doi": "10.1016/j.jamda.2023.11.026", "pmid": "38242534", "accessed": "2026-09-26" }, { "id": "696", "kind": "peer", "tier": 2, "year": "2025", "title": "Rapoport A, Navarro L, Bordman W, et al.", "detail": "Unused Opioids Following Palliative Care for Children at Home: A Missed Opportunity for Opioid Stewardship? J Pain Symptom Manage 2025;71(1):210-218. Online survey of 45 bereaved families from one tertiary pediatric palliative care program in Ontario; single site, 37.2% response. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41135915/", "doi": "10.1016/j.jpainsymman.2025.10.011", "pmid": "41135915", "accessed": "2026-09-26" }, { "id": "697", "kind": "peer", "tier": 2, "year": "2021", "title": "Wu EX, Collins A, Briggs S, et al.", "detail": "Prolonged Grief and Bereavement Supports Within a Caregiver Population Who Transition Through a Palliative Care Program in British Columbia, Canada. Am J Hosp Palliat Care 2021;39(3):361-369. Follow-up of bereaved caregivers in one regional palliative care program (Fraser Health); authors include program clinicians. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8847765/", "doi": "10.1177/10499091211030442", "pmid": "34259023", "accessed": "2026-09-26" }, { "id": "698", "kind": "peer", "tier": 2, "year": "2023", "title": "Widger K, Brennenstuhl S, Tanuseputro P, et al.", "detail": "Location of death among children with life-threatening conditions: a national population-based observational study using the Canadian Vital Statistics Database (2008-2014). CMAJ Open 2023;11(2):E298-E304. National vital statistics study of 13,115 children and neonates who died with life-threatening conditions. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10079309/", "doi": "10.9778/cmajo.20220070", "pmid": "37015742", "accessed": "2026-09-26" }, { "id": "699", "kind": "peer", "tier": 2, "year": "2022", "title": "Lysecki DL, Gupta S, Rapoport A, et al.", "detail": "Children's Health Care Utilization and Cost in the Last Year of Life: A Cohort Comparison with and without Regional Specialist Pediatric Palliative Care. J Palliat Med 2022;25(7):1031-1040. Ontario administrative cohort of 807 children comparing two regions with and without specialist pediatric palliative care; authors include program clinicians; not causal. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34981956/", "doi": "10.1089/jpm.2021.0175", "pmid": "34981956", "accessed": "2026-09-26" }, { "id": "700", "kind": "peer", "tier": 2, "year": "2014", "title": "Gao W, Gulliford M, Bennett MI, et al.", "detail": "Managing cancer pain at the end of life with multiple strong opioids: a population-based retrospective cohort study in primary care. PLoS One 2014;9(1):e79266. UK primary care database study of 13,427 cancer patients' strong-opioid prescribing in the last three months of life, including the period around the Shipman case. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3903468/", "doi": "10.1371/journal.pone.0079266", "pmid": "24475016", "accessed": "2026-09-26" }, { "id": "701", "kind": "peer", "tier": 2, "year": "2023", "title": "Lewer D, Brothers TD, Harris M, et al.", "detail": "Opioid-related deaths during hospital admissions or shortly after discharge in the United Kingdom: A thematic framework analysis of coroner reports. PLoS One 2023;18(4):e0283549. Analysis of 121 coroner reports (2010-2021) of opioid-related deaths during or soon after hospital stays. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10115296/", "doi": "10.1371/journal.pone.0283549", "pmid": "37075021", "accessed": "2026-09-26" }, { "id": "702", "kind": "peer", "tier": 2, "year": "2021", "title": "Pearce C, Honey JR, Lovick R, et al.", "detail": "'A silent epidemic of grief': a survey of bereavement care provision in the UK and Ireland during the COVID-19 pandemic. BMJ Open 2021;11(3):e046872. Snowball online survey of 805 bereavement practitioners in the UK and Ireland in 2020; not a representative sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7931210/", "doi": "10.1136/bmjopen-2020-046872", "pmid": "33658262", "accessed": "2026-09-26" }, { "id": "703", "kind": "peer", "tier": 2, "year": "2020", "title": "Fraser LK, Gibson-Smith D, Jarvis S, et al.", "detail": "Estimating the current and future prevalence of life-limiting conditions in children in England. Palliat Med 2020;35(9):1641-1651. National hospital episode data on 359,634 children with a life-limiting condition, 2000/01 to 2017/18, with projections to 2030. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8532217/", "doi": "10.1177/0269216320975308", "pmid": "33323043", "accessed": "2026-09-26" }, { "id": "704", "kind": "peer", "tier": 2, "year": "2021", "title": "Gibson-Smith D, Jarvis SW, Fraser LK", "detail": "Place of death of children and young adults with a life-limiting condition in England: a retrospective cohort study. Arch Dis Child 2021;106(8):780-785. Linked national data on 39,349 deaths of people aged 0-25 with a life-limiting condition, 2003-2017. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8311108/", "doi": "10.1136/archdischild-2020-319700", "pmid": "33355156", "accessed": "2026-09-26" }, { "id": "705", "kind": "peer", "tier": 2, "year": "2023", "title": "Graetz I, Hu X, Ji X, et al.", "detail": "The effect of cancer exemption in mandatory-access prescription drug monitoring programs among oncologists. JNCI Cancer Spectr 2023;7(2). Medicare Part D prescriber data for 9,746 oncologists, 2013-2019, comparing state PDMP mandates with and without cancer exemptions. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9978313/", "doi": "10.1093/jncics/pkad006", "pmid": "36752533", "accessed": "2026-09-26" }, { "id": "706", "kind": "peer", "tier": 2, "year": "2023", "title": "Odom JN, Applebaum A, Bakitas MA, et al.", "detail": "Availability of Family Caregiver Programs in US Cancer Centers. JAMA Netw Open 2023;6(10):e2337250. National survey of Commission on Cancer-accredited centers (238 of 971 responded, 24.5%), weighted for nonresponse. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10568368/", "doi": "10.1001/jamanetworkopen.2023.37250", "pmid": "37819661", "accessed": "2026-09-26" }, { "id": "707", "kind": "peer", "tier": 2, "year": "2015", "title": "Ghesquiere AR, Aldridge MD, Johnson-Hürzeler R, et al.", "detail": "Hospice Services for Complicated Grief and Depression: Results from a National Survey. J Am Geriatr Soc 2015;63(10):2173-80. National survey of 591 US hospices conducted in 2008-2009; data are now dated. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4809134/", "doi": "10.1111/jgs.13656", "pmid": "26456597", "accessed": "2026-09-26" }, { "id": "708", "kind": "peer", "tier": 2, "year": "2021", "title": "Rogers MM, Friebert S, Williams CSP, et al.", "detail": "Pediatric Palliative Care Programs in US Hospitals. Pediatrics 2021;148(1). 2018 National Palliative Care Registry data from 54 inpatient pediatric programs; voluntary reporting by programs. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34183362/", "doi": "10.1542/peds.2020-021634", "pmid": "34183362", "accessed": "2026-09-26" }, { "id": "709", "kind": "peer", "tier": 2, "year": "2020", "title": "Laird J, Cozad MJ, Keim-Malpass J, et al.", "detail": "Variation In State Medicaid Implementation Of The ACA: The Case Of Concurrent Care For Children. Health Aff (Millwood) 2020;39(10):1770-1775. Review of state Medicaid guidelines implementing Affordable Care Act section 2302 concurrent care for children. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7874853/", "doi": "10.1377/hlthaff.2020.01192", "pmid": "33017257", "accessed": "2026-09-26" }, { "id": "710", "kind": "peer", "tier": 2, "year": "2021", "title": "Svynarenko R, Mack JW, Lindley LC", "detail": "Differences in characteristics of children with cancer who receive standard versus concurrent hospice care. Pediatr Blood Cancer 2021;68(9):e29106. National Medicaid files on 1,685 children with cancer enrolled in hospice, 2011-2013. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8546534/", "doi": "10.1002/pbc.29106", "pmid": "34047060", "accessed": "2026-09-26" }, { "id": "711", "kind": "peer", "tier": 2, "year": "2026", "title": "Ivasiy R, Madden LM, Meteliuk A, et al.", "detail": "War-related displacement, conflict intensity, and treatment delivery factors in opioid agonist maintenance treatment discontinuation following Russia's invasion of Ukraine: a national cohort study. Lancet Reg Health Eur 2026;69:101831. National registry cohort of 17,211 people on opioid agonist maintenance treatment in 252 government clinics in Ukraine, 2022 to 2024; displacement and war intensity drove discontinuation, and optimal and unsupervised dosing were protective. NIDA funded; independent academic study. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13527472/", "doi": "10.1016/j.lanepe.2026.101831", "pmid": "42676962", "accessed": "2026-09-26" }, { "id": "712", "kind": "peer", "tier": 2, "year": "2026", "title": "Pykalo I, Filippovych M, Zeziulin O, et al.", "detail": "Holding the line: Provider and patient perspectives on Medications for Opioid Use Disorder continuity during the war in Ukraine. PLoS One 2026;21(2):e0341182. Qualitative study of 10 displaced patients and 7 providers in three western and central Ukrainian cities on keeping medications for opioid use disorder going during war. Small sample, three cities. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12928494/", "doi": "10.1371/journal.pone.0341182", "pmid": "41729908", "accessed": "2026-09-26" }, { "id": "713", "kind": "peer", "tier": 2, "year": "2025", "title": "Machavariani E, Esserman D, Dumchev K, et al.", "detail": "Integrating Methadone Services Into Primary Care in Ukraine: Two-Year Outcomes From a Randomized Trial. Ann Intern Med 2025;179(2):177-186. Randomized trial of 1459 adults in 13 Ukrainian cities; methadone in primary care gave higher guideline-concordant care scores with similar retention to specialty clinics. NIDA funded. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13048832/", "doi": "10.7326/ANNALS-25-01764", "pmid": "41359964", "accessed": "2026-09-26" }, { "id": "714", "kind": "peer", "tier": 2, "year": "2025", "title": "Shevchuk OM, Shevchuk AM, Holovash OO, et al.", "detail": "Protection of сhildren's rights to access palliative medical services: Legal problems. Wiad Lek 2025;78(6):1078-1082. Legal analysis of Ukrainian law on children's rights to palliative care, including home care, consent and confidentiality. Theoretical and legislative review, no patient data. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/40699081/", "doi": "10.36740/WLek/207368", "pmid": "40699081", "accessed": "2026-09-26" }, { "id": "715", "kind": "peer", "tier": 2, "year": "2024", "title": "Lappe V, Grandt D, Marschall U, et al.", "detail": "[Opioid prescriptions for insured individuals without cancer in Germany: data from the BARMER]. Schmerz 2024;39(5):359-368. Claims analysis of 6,771,075 BARMER-insured adults without cancer in Germany (2021): 5.7% received an opioid and 1.9% long-term therapy, mostly from general practitioners. Single insurer. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12446139/", "doi": "10.1007/s00482-024-00852-8", "pmid": "39636418", "accessed": "2026-09-26" }, { "id": "716", "kind": "peer", "tier": 2, "year": "2026", "title": "Fleißner S", "detail": "The implementation of take-home naloxone in Germany. An interview study with professionals who offer overdose education and naloxone distribution. Health Policy 2026;172:105707. Qualitative interviews with 12 professionals implementing take-home naloxone in German drug services; prescription and distribution requirements and lack of funding hinder spread. Small sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42551054/", "doi": "10.1016/j.healthpol.2026.105707", "pmid": "42551054", "accessed": "2026-09-26" }, { "id": "717", "kind": "peer", "tier": 2, "year": "2026", "title": "Ernst J, Köditz AK, Kleinhaus H, et al.", "detail": "[Outpatient cancer counseling centers in Germany: A comparative analysis of the range of services, quality standards and structural features in 2015 and 2023]. Gesundheitswesen 2026. Two nationwide surveys (2015 and 2023) of German outpatient psychosocial cancer counseling centers; 117 of 191 centers took part in 2023, with gains in multi-professional staffing. Response incomplete. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42049058/", "doi": "10.1055/a-2826-9286", "pmid": "42049058", "accessed": "2026-09-26" }, { "id": "718", "kind": "peer", "tier": 2, "year": "2026", "title": "Carter S, Thiesbonenkamp-Maag J, Gerlach C, et al.", "detail": "Psycho-oncology on wheels-a qualitative feasibility study of implementing home-based psychosocial support within specialist palliative home care (SPHC): a study protocol. Ann Palliat Med 2026;15(1):8. Study protocol for a German feasibility project in which psycho-oncologists make home visits through specialist palliative home care. Protocol only, no results; describes the care gap after clinic-based support ends. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41663278/", "doi": "10.21037/apm-25-70", "pmid": "41663278", "accessed": "2026-09-26" }, { "id": "719", "kind": "peer", "tier": 2, "year": "2022", "title": "Engler J, Schütze D, Hach M, et al.", "detail": "[Specialized outpatient palliative care for children, adolescents, and their families-the special needs of the target group. Results of the ELSAH study]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2022;65(3):357-366. Mixed-methods ELSAH study of specialized outpatient palliative care for children and adolescents in Hesse, Germany, with surveys, interviews, observation and team documentation data. One federal state. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8888490/", "doi": "10.1007/s00103-022-03500-7", "pmid": "35107588", "accessed": "2026-09-26" }, { "id": "720", "kind": "peer", "tier": 2, "year": "2021", "title": "Schütze D, Engler F, Ploeger C, et al.", "detail": "Specialised outpatient paediatric palliative care team-parent collaboration: narrative interviews with parents. BMJ Support Palliat Care 2021;12(e5):e664-e670. Narrative interviews with 13 parents on collaboration with specialized outpatient pediatric palliative care teams in Hesse, Germany. Small qualitative sample, one state. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/33402383/", "doi": "10.1136/bmjspcare-2020-002576", "pmid": "33402383", "accessed": "2026-09-26" }, { "id": "721", "kind": "peer", "tier": 2, "year": "2023", "title": "Dinkelbach L, Köhler M, Galushko M, et al.", "detail": "Psychosocial Well-Being of Siblings of Pediatric Patients in Palliative Home Care. J Pain Symptom Manage 2023;66(6):630-637.e1. Cross-sectional survey of 44 siblings from 29 families served by one large German pediatric palliative home care team, compared with national norms. Single team. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/37643651/", "doi": "10.1016/j.jpainsymman.2023.08.022", "pmid": "37643651", "accessed": "2026-09-26" }, { "id": "722", "kind": "peer", "tier": 2, "year": "2021", "title": "Carrilero N, Mora T, García-Altés A", "detail": "The impact of an easy access drug supply management policy law on the consumption and abuse of opioids in Catalonia: A population-based study. Int J Drug Policy 2021;101:103562. Population-based difference-in-differences study in Catalonia (7.5 million people) of Spain's 2012 law removing the duplicate prescription requirement for strong opioids. One region. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34952278/", "doi": "10.1016/j.drugpo.2021.103562", "pmid": "34952278", "accessed": "2026-09-26" }, { "id": "723", "kind": "peer", "tier": 2, "year": "2016", "title": "Gómez-Batiste X, Mateo-Ortega D, Lasmarías C, et al.", "detail": "Enhancing psychosocial and spiritual palliative care: Four-year results of the program of comprehensive care for people with advanced illnesses and their families in Spain. Palliat Support Care 2016;15(1):98-109. Four-year evaluation of the La Caixa Foundation and WHO Collaborating Centre program of 29 psychosocial support teams in Spain. Evaluated by program leaders (self-evaluation); single-group pre-post design; foundation funded. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/27819635/", "doi": "10.1017/S1478951516000857", "pmid": "27819635", "accessed": "2026-09-26" }, { "id": "724", "kind": "peer", "tier": 2, "year": "2018", "title": "Mateo-Ortega D, Gómez-Batiste X, Maté J, et al.", "detail": "Effectiveness of Psychosocial Interventions in Complex Palliative Care Patients: A Quasi-Experimental, Prospective, Multicenter Study. J Palliat Med 2018;21(6):802-808. Pre-post multicenter study of 8333 palliative patients seen by 29 psychosocial care teams in Spain; suffering fell most in complex patients. Same program and authors as its evaluation (self-evaluation); no control group. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29649393/", "doi": "10.1089/jpm.2017.0355", "pmid": "29649393", "accessed": "2026-09-26" }, { "id": "725", "kind": "peer", "tier": 2, "year": "2023", "title": "Llop-Medina L, García-Muñoz P, Ródenas-Rigla F, et al.", "detail": "Enhancing the Adult and Paediatric Palliative Care System: Spanish Professionals' and Family Caregivers' Suggestions for Comprehensive Improvement. Healthcare (Basel) 2023;12(1). Qualitative focus groups with professionals and family caregivers at one hospital in Murcia, Spain, on adult and pediatric palliative care gaps. Single site. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10779096/", "doi": "10.3390/healthcare12010065", "pmid": "38200971", "accessed": "2026-09-26" }, { "id": "726", "kind": "peer", "tier": 2, "year": "2023", "title": "Pérez-Torres Lobato M, Navarro-Marchena L, de Noriega I, et al.", "detail": "Palliative care for children with central nervous system tumors: results of a Spanish multicenter study. Clin Transl Oncol 2023;26(3):786-795. Retrospective study of 228 children who died of brain tumors at 10 Spanish institutions, 2010 to 2021; 52.2% were attended by palliative care teams and 81.6% received opioids. Tumor-specific cohort. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/37646983/", "doi": "10.1007/s12094-023-03301-7", "pmid": "37646983", "accessed": "2026-09-26" }, { "id": "727", "kind": "peer", "tier": 2, "year": "2024", "title": "Bratu ML, Sandesc D, Anghel T, et al.", "detail": "Evaluating Quality of Life Changes over 12 Months Among Opiate Users from Romania and Associated Worsening Factors. Life (Basel) 2024;14(10). Longitudinal cohort of 74 people with opioid use disorder in Romania over 12 months; methadone adherence was linked to better quality of life. Small sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11509252/", "doi": "10.3390/life14101336", "pmid": "39459636", "accessed": "2026-09-26" }, { "id": "728", "kind": "peer", "tier": 2, "year": "2018", "title": "Thieleman K, Cacciatore J", "detail": "\"As if Nothing Happened\": Experiences of Bereaved Parents in Romania. Omega (Westport) 2018;81(4):685-705. Mixed-methods survey of 237 bereaved parents in Romania, mostly women, including stillbirth and infant loss; very high trauma, anxiety and depression scores and reports of lack of care after the death. Convenience sample; not limited to palliative care. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/30211632/", "doi": "10.1177/0030222818799949", "pmid": "30211632", "accessed": "2026-09-26" }, { "id": "729", "kind": "peer", "tier": 2, "year": "2024", "title": "Kalbermatten N, Curca R, Grigorescu A, et al.", "detail": "Constricting Gaps: Protocol development, implementation challenges and lessons learned for the reality map of unmet needs for Palliative Care Interventions in advanced cancer patients study in Romania and Switzerland. Contemp Clin Trials Commun 2024;42:101360. Multicenter Romanian-Swiss study (262 Romanian and 46 Swiss patients with advanced cancer) mapping unmet needs for palliative interventions; main gaps in symptom management, spiritual needs and family support. Protocol and lessons paper. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11440238/", "doi": "10.1016/j.conctc.2024.101360", "pmid": "39351079", "accessed": "2026-09-26" }, { "id": "730", "kind": "peer", "tier": 2, "year": "2025", "title": "Hizanu Dumitrache M, Duceac Covrig M, Mîndru DE, et al.", "detail": "The Need for Pediatric Palliative Care in Romania: A Retrospective Study (2022-2023) Based on Quantitative Research and Analysis of Secondary Statistical Data. Medicina (Kaunas) 2025;61(7). Retrospective analysis of child protection directorate data from 41 counties and Bucharest estimating 14,499 children with palliative needs in 2022 to 2023; cites prior reports of 50 pediatric palliative beds. Need estimate, not service use. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12298841/", "doi": "10.3390/medicina61071282", "pmid": "40731910", "accessed": "2026-09-26" }, { "id": "731", "kind": "peer", "tier": 2, "year": "2022", "title": "Vargas-Escobar LM, Sánchez-Cárdenas MA, Guerrero-Benítez AC, et al.", "detail": "Barriers to Access to Palliative Care in Colombia: A Social Mapping Approach Involving Stakeholder Participation. Inquiry 2022;59:469580221133217. Qualitative social mapping with 36 stakeholders in 7 Colombian regions identifying 27 barriers to palliative care, including limited medication availability. Authors from the national observatory (advocacy role). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9630900/", "doi": "10.1177/00469580221133217", "pmid": "36317765", "accessed": "2026-09-26" }, { "id": "732", "kind": "peer", "tier": 2, "year": "2021", "title": "Pinilla-Monsalve GD, Reyes-Rueda M, Pinilla-Monsalve LA", "detail": "[Problems and adverse reactions related to opioid analgesics in Colombia]. Rev Neurol 2021;73(2):39-49. Secondary analysis of Colombian Ministry of Health pharmacovigilance data on 4,437 opioid-related problems in 3,063 patients; mostly adverse drug reactions. Reporting-based data. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/34254659/", "doi": "10.33588/rn.7302.2020602", "pmid": "34254659", "accessed": "2026-09-26" }, { "id": "733", "kind": "peer", "tier": 2, "year": "2022", "title": "Delgado MXL, González ÁRA, Reyes LAB, et al.", "detail": "[Grief and palliative home-care services for patients at the end of life during the COVID-19 pandemic in Colombia. Analysis from the relatives´ perspective]. Rev Colomb Psiquiatr 2022. Follow-up of 239 relatives (112 completed follow-up) of patients who died in a palliative home care service in Colombia during COVID-19, using an adapted iCODE questionnaire. Single program; self-evaluation. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9595366/", "doi": "10.1016/j.rcp.2022.10.005", "pmid": "36311343", "accessed": "2026-09-26" }, { "id": "734", "kind": "peer", "tier": 2, "year": "2023", "title": "Mendieta CV, de Vries E, Gomez-Neva ME, et al.", "detail": "Barriers and facilitators to palliative care for patients with non-curable cancer in Colombia: perspectives of allied health and social care professionals. BMC Palliat Care 2023;22(1):149. World Cafe focus groups with 18 allied health and social care professionals in Bogota and Popayan, Colombia, on palliative care barriers. Two cities, small sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10557296/", "doi": "10.1186/s12904-023-01267-5", "pmid": "37798738", "accessed": "2026-09-26" }, { "id": "735", "kind": "peer", "tier": 2, "year": "2020", "title": "Cuervo-Suarez MI, Claros-Hulbert A, Manzano-Nunez R, et al.", "detail": "Pediatric Palliative Care During End of Life: A Privilege of a Few in a Tertiary Referral Hospital From Colombia. Am J Hosp Palliat Care 2020;37(8):636-640. Retrospective chart review of 87 children who died at one tertiary hospital in Colombia, 2013 to 2016; only 10 received pediatric palliative care. Single site. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/32323561/", "doi": "10.1177/1049909120920542", "pmid": "32323561", "accessed": "2026-09-26" }, { "id": "736", "kind": "peer", "tier": 2, "year": "2022", "title": "García-Quintero X, Claros-Hulbert A, Tello-Cajiao ME, et al.", "detail": "Using EmPalPed-An Educational Toolkit on Essential Messages in Palliative Care and Pain Management in Children-As a Strategy to Promote Pediatric Palliative Care. Children (Basel) 2022;9(6). Report of the EmPalPed virtual pediatric palliative care workshop that trained 145 professionals from 22 centers in Colombia. Program developers evaluated their own training (self-evaluation). Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC9221893/", "doi": "10.3390/children9060838", "pmid": "35740775", "accessed": "2026-09-26" }, { "id": "737", "kind": "peer", "tier": 2, "year": "2025", "title": "Vargas-Escobar LM, Correa-Morales JE, Umbacia MA, et al.", "detail": "Colombia's 5-year public health strategy for palliative care: Implementation protocol. Palliat Care Soc Pract 2025;19:26323524251328036. Implementation protocol for Colombia's national palliative care plan in three rural regions, led by the Colombian Observatory of Palliative Care with Ministry of Health support; notes the challenge of conflict-affected regions. Protocol; advocacy organization authors. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12033551/", "doi": "10.1177/26323524251328036", "pmid": "40291548", "accessed": "2026-09-26" }, { "id": "738", "kind": "peer", "tier": 2, "year": "2026", "title": "Goldshear JL, Harvey-Vera A, Rangel G, et al.", "detail": "Methadone treatment and associated health and social outcomes after a national manufacturing closure in Mexico: a longitudinal observational cohort study in Tijuana. Lancet Reg Health Am 2026;62:101577. Longitudinal cohort of 200 methadone clinic patients in Tijuana, Mexico, after the 2023 closure of the main national methadone production facility. One city; NIDA funded. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13401039/", "doi": "10.1016/j.lana.2026.101577", "pmid": "42502499", "accessed": "2026-09-26" }, { "id": "739", "kind": "peer", "tier": 2, "year": "2025", "title": "Bórquez A, Goldshear JL, Muñoz-Mina S, et al.", "detail": "A qualitative exploration of the downstream impact of a sustained disruption to the methadone supply in Mexico: effects on the mental, financial, and social health of patients with opioid use disorder in Tijuana. Lancet Reg Health Am 2025;49:101176. Qualitative interviews with 20 patients in Tijuana, Mexico, on the 2023 methadone supply disruption. One city, small sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12274902/", "doi": "10.1016/j.lana.2025.101176", "pmid": "40688563", "accessed": "2026-09-26" }, { "id": "740", "kind": "peer", "tier": 2, "year": "2025", "title": "Ramos-Guerrero JA, Zuniga-Villanueva G, Dorsey-Rivera B, et al.", "detail": "Assessing Palliative Care Development in Mexico Through the WHO Actionable Indicators Model. J Pain Symptom Manage 2025;70(2):160-169.e1. Assessment of Mexico's palliative care development using WHO actionable indicators; finds regression, limited access to essential medicines and no national palliative care plan or authority. Authors active in regional palliative care advocacy. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/40339672/", "doi": "10.1016/j.jpainsymman.2025.04.013", "pmid": "40339672", "accessed": "2026-09-26" }, { "id": "741", "kind": "peer", "tier": 2, "year": "2024", "title": "Ramos-Guerrero JA, Correa-Morales JE, Sánchez-Cárdenas MA, et al.", "detail": "Comparing the Need and Development of Pediatric Palliative Care in Mexico: A Geographical Analysis. J Pain Symptom Manage 2024;68(4):382-391.e3. Geographic analysis of Mexican national mortality data (2021) estimating pediatric palliative need and state-level development using six indicators including opioid access. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39002714/", "doi": "10.1016/j.jpainsymman.2024.07.002", "pmid": "39002714", "accessed": "2026-09-26" }, { "id": "742", "kind": "peer", "tier": 2, "year": "2021", "title": "Grüneberg ES, Ramos-Guerrero J, Pastrana T", "detail": "Challenges in the Provision of Pediatric Palliative Care in Mexico: A Cross-Sectional Web-Based Survey. J Palliat Care 2021;39(1):58-67. Web-based survey of 70 health professionals in 15 Mexican states on barriers to pediatric palliative care. Convenience and snowball sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10687805/", "doi": "10.1177/08258597211062767", "pmid": "34898328", "accessed": "2026-09-26" }, { "id": "743", "kind": "peer", "tier": 2, "year": "2010", "title": "Irola Moya JC, Garro Morales M", "detail": "Pediatric palliative care, Costa Rica's experience. Am J Hosp Palliat Care 2010;27(7):456-64. Descriptive review of 1445 children referred to the National Children's Hospital pediatric palliative care clinic from 2000 to 2008; pre-2012, single service, written by its own staff. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/20338982/", "doi": "10.1177/1049909110361471", "pmid": "20338982", "accessed": "2026-09-26" }, { "id": "744", "kind": "peer", "tier": 2, "year": "2015", "title": "Fernández Urtubia B, Trevigno Bravo A, Rodríguez Zamora N, et al.", "detail": "[Use of opioids in palliative care of children with advanced cancer]. Rev Chil Pediatr 2015;87(2):96-101. Retrospective review of 99 records of children with advanced cancer in the palliative care program at Hospital Roberto del Río, Santiago, 2002-2013; single site, self-evaluation. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/26655881/", "doi": "10.1016/j.rchipe.2015.10.006", "pmid": "26655881", "accessed": "2026-09-26" }, { "id": "745", "kind": "peer", "tier": 2, "year": "2023", "title": "Ceballos-Yáñez D, Astudillo P P, Eugenin-Soto MI", "detail": "Facilitators and barriers perceptions to early referral to pediatric palliative care perceived. Andes Pediatr 2023;94(3):307-315. Survey of 78 pediatricians at three tertiary centers in Santiago on pediatric palliative care training and referral; small, urban sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/37909933/", "doi": "10.32641/andespediatr.v94i3.4382", "pmid": "37909933", "accessed": "2026-09-26" }, { "id": "746", "kind": "peer", "tier": 2, "year": "2026", "title": "Rojas-Concha L, Troc-Gajardo J, Leiva-Vasquez O, et al.", "detail": "Cross-Cultural Adaptation and Content Validation of the Spanish Carer Support Needs Assessment Tool (CSNAT) in Family Caregivers of Patients Receiving Home-Based Palliative Care in Chile. J Palliat Care 2026;41(4):451-462. Adaptation study with 9 experts and 36 family caregivers at two Chilean institutions identifying caregiver support needs; small sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/42125846/", "doi": "10.1177/08258597261448618", "pmid": "42125846", "accessed": "2026-09-26" }, { "id": "747", "kind": "peer", "tier": 2, "year": "2025", "title": "Tripodoro VA, Pérez-Cruz P, Khoury M, et al.", "detail": "Beyond the Pandemic: End-of-Life Care Lessons From Latin America to Inform Future Health Emergencies. J Pain Symptom Manage 2025;71(2):280-289. Online survey of 1,125 bereaved relatives in Argentina, Brazil, Chile, Colombia and El Salvador on end-of-life care during COVID-19; self-selected online sample. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/41173064/", "doi": "10.1016/j.jpainsymman.2025.10.016", "pmid": "41173064", "accessed": "2026-09-26" }, { "id": "748", "kind": "peer", "tier": 2, "year": "2018", "title": "Yazde Puleio ML, Gómez KV, Majdalani A, et al.", "detail": "Opioid treatment for mixed pain in pediatric patients assisted by the Palliative Care team. Five years of experience. Arch Argent Pediatr 2018;116(1):62-64. Retrospective review of 72 children treated by the palliative care team of Hospital General de Niños Pedro de Elizalde, Buenos Aires, 2011-2015; single site, self-evaluation. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/29333821/", "doi": "10.5546/aap.2018.eng.62", "pmid": "29333821", "accessed": "2026-09-26" }, { "id": "749", "kind": "peer", "tier": 2, "year": "2024", "title": "Ciruzzi MS, Delmonte GM, Di Cola E, et al.", "detail": "[Consensus on therapeutic effort limitation, with a palliative care approach]. Arch Argent Pediatr 2024;123(2):e202410491. Consensus statement from the National Committee for Palliative Care of the Sociedad Argentina de Pediatría on decisions to forgo life-sustaining treatment in children; professional society guidance, not outcome data. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/39230988/", "doi": "10.5546/aap.2024-10491", "pmid": "39230988", "accessed": "2026-09-26" }, { "id": "750", "kind": "peer", "tier": 2, "year": "2023", "title": "McNeil MJ, Godfrey A, Loggetto P, et al.", "detail": "Physician Perceptions of and Barriers to Pediatric Palliative Care for Children With Cancer in Brazil. JCO Glob Oncol 2023;9:e2300057. Survey of 272 physicians treating children with cancer at participating Brazilian institutions in 2022; institution-based convenience sample. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10581636/", "doi": "10.1200/GO.23.00057", "pmid": "37535886", "accessed": "2026-09-26" }, { "id": "751", "kind": "peer", "tier": 2, "year": "2020", "title": "Vigna PM, de Castro I, Fumis RRL", "detail": "Spirituality alleviates the burden on family members caring for patients receiving palliative care exclusively. BMC Palliat Care 2020;19(1):77. Cross-sectional study of 178 family caregivers at one private tertiary teaching hospital in São Paulo; single site, private sector. Abstract read.", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7271458/", "doi": "10.1186/s12904-020-00585-2", "pmid": "32493301", "accessed": "2026-09-26" }, { "id": "752", "kind": "peer", "tier": 2, "year": "2020", "title": "Delalibera M, Coelho A, Frade P, et al.", "detail": "Caregiving and bereavement in palliative care: A cross-cultural study between Brazil and Portugal. Transcult Psychiatry 2020;57(3):445-454. Prospective convenience samples of palliative care family caregivers in Brazil (60 at baseline, 35 in bereavement) and Portugal; small samples. Abstract read.", "url": "https://pubmed.ncbi.nlm.nih.gov/32216543/", "doi": "10.1177/1363461520909596", "pmid": "32216543", "accessed": "2026-09-26" } ]