Limitations and Validation

Evidence quality

Highlighted claims

• The study was descriptive and did not test associations between the modified indices and major end-of-life outcomes such as location of death. — Modifying continuity of care indices for adults with organ failure nearing the end of life: a retrospective population-based study in Ontario, Canada
• The study could not assess multispecialty care quality or physician variation within each team. — Modifying continuity of care indices for adults with organ failure nearing the end of life: a retrospective population-based study in Ontario, Canada
• Further research is needed to validate whether UPC-Team and BB-Team relate to end-of-life quality outcomes and patient or caregiver experiences. — Modifying continuity of care indices for adults with organ failure nearing the end of life: a retrospective population-based study in Ontario, Canada
• The Ontario outpatient data did not include non-physician outpatient providers, limiting measurement of relational continuity beyond physicians. — Modifying continuity of care indices for adults with organ failure nearing the end of life: a retrospective population-based study in Ontario, Canada