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Communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesis

Pocock, Lucy V; Purdy, Sarah; Barclay, Stephen; Murtagh, Fliss E.M.; Selman, Lucy E


Lucy V Pocock

Sarah Purdy

Stephen Barclay

Lucy E Selman


Introduction People dying in Britain spend, on average, 3 weeks of their last year of life in hospital. Hospital discharge presents an opportunity for secondary care clinicians to communicate to general practitioners (GPs) which patients may have a poor prognosis. This would allow GPs to prioritise these patients for Advance Care Planning.

The objective of this study is to produce a critical overview of research on the communication of poor prognosis between secondary and primary care through a systematic review and narrative synthesis.

Methods and analysis We will search Medline, EMBASE, CINAHL and the Social Sciences Citation Index for all study types, published since 1 January 2000, and conduct reference-mining of systematic reviews and publications. Study quality will be assessed using the Mixed-Methods Appraisal Tool; a narrative synthesis will be undertaken to integrate and summarise findings.


Pocock, L. V., Purdy, S., Barclay, S., Murtagh, F. E., & Selman, L. E. (2021). Communication of poor prognosis between secondary and primary care: protocol for a systematic review with narrative synthesis. BMJ open, 11(12), Article e055731.

Journal Article Type Article
Acceptance Date Nov 11, 2021
Online Publication Date Dec 23, 2021
Publication Date 2021-12
Deposit Date Jan 12, 2022
Publicly Available Date Jan 12, 2022
Journal BMJ Open
Print ISSN 2044-6055
Electronic ISSN 2044-6055
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 11
Issue 12
Article Number e055731
Keywords General Medicine
Public URL


Published article (260 Kb)

Copyright Statement
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.
This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See:

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