Incidence of Death Anxiety in Palliative Care: A Systematic Review and Meta-Analysis

Omega (Westport). 2024 Nov;90(1):336-352. doi: 10.1177/00302228221104298. Epub 2022 May 24.

Abstract

Objective: To explore the incidence of death anxiety in palliative care patients, find some existing and potential causes, and put forward suggestions. Methods: Publication bias, sensitivity analysis, subgroup analysis, and regression analysis were also conducted to explore the sources of the heterogeneity in our analysis. Results: The 607 studies were obtained, and 20 studies were included after reading the articles and quality evaluation. The incidence of death anxiety in patients was 0.44 (95%CI:0.38,0.51, p < 0.001). and heterogeneity was significant (I2 = 98.2%, p < 0.001). In the test of regression analysis, the average age (I2 = 98.15%, R2 = - 6.99%, p < 0.001); in gender (I2 = 97.84%, R2 = 1.14%, p < 0.001), its heterogeneity was also significant. Conclusion: The incidence of death anxiety is relatively high. More often occur in elderly female patients. This requires more attention to life itself rather than death.

Keywords: death anxiety; end-of-life care; hospice care; meta-analysis; palliative care.

Publication types

  • Systematic Review
  • Meta-Analysis

MeSH terms

  • Anxiety* / epidemiology
  • Anxiety* / psychology
  • Attitude to Death*
  • Female
  • Humans
  • Incidence
  • Male
  • Palliative Care* / psychology