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. 2016 Feb 18;2016(2):CD009231. doi: 10.1002/14651858.CD009231.pub2

Hughes 1992.

Methods RCT
Participants People who had an estimated life expectancy of < 6 months were recruited People requiring terminal care (73% in the intervention group and 80% in the control group had a diagnosis of cancer)
 Number of participants in 3 years: T = 83, C = 85
 Average age: T = 65.7 years, C = 63.3 years
Interventions Hospital at home
 Type of service: physician‐led
 Skill mix and size of team: nurses; 1 physiotherapist; 1 dietitian; 1 social worker; health technicians
 Control group: inpatient hospital care
Outcomes Mortality, functional status, psychological well‐being, cognitive status, patient satisfaction, readmission, cost, inpatient hospital days, use of other health services, caregiver satisfaction, caregiver morale
Follow‐up: 1 month, 6 months
Notes US study
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No information
Allocation concealment (selection bias) Unclear risk No information
Blinding (performance bias and detection bias) 
 All outcomes High risk It was not possible for participants to be blinded to the intervention, hence there is a risk that intervention status may have biased assessments of participant functioning
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Hospital databases used for healthcare utilisation data
Selective reporting (reporting bias) Unclear risk No information
Baseline measures Low risk No differences in key baseline characteristics
Protection against contamination Unclear risk No information