2024 Research Overview

Contenu
Each year, the French National Platform for End-of-Life Research produces an inventory of research in this field based on the data entered in its researcher directory.

The data presented below was extracted in May 2024. Each year, we refine our classification systems and enrich this panorama with new elements.

The researchers' network

Distribution

In our directory, 435 people declare that they work on themes related to the end of life.

Women are more represented than men (64% versus 36%).

68% of these researchers are affiliated with a research unit.
161 directory members conduct research while practicing in hospital or medical departments.

Number of research unitsNumber of researchers
165 research units (EA, UR, UMR, UPR, UAR...)295
10 clinical research structures (CIC, URC, UIC)22

Subject areas

Our classification, built on the basis of researcher declarations, includes 56 specialties. 49% belong to the medical, paramedical and life sciences. 51% belong to the humanities and social sciences.

Excluded from this chart are disciplines with only one occurrence, namely cardiology, forensic medicine, clinical pharmacy, psychomotricity, theology, image semiotics, genetics and mathematics.

Methodology

A single person may have reported using several methods in their research work. The graph below shows the number of researchers using each method:

 

 

Populations and pathologies

The populations predominantly studied are palliative care patients, cancer patients, healthcare professionals and the elderly.

Palliative care patients126
Cancer112
Health care professionals101
Aging and the elderly88
Loved ones and caregivers72
Vulnerable people60
Neurodegenerative diseases46
Resuscitation38
Pediatrics32
People with disabilities26
Organ failure: nephrology (6), cardiology (9), pneumology (8)23
Adolescents and young adults21
Psychiatric illnesses20
Funeral professionals17
Primary care and general medicine (13), internal medicine (2)15
Neonatology13
Volunteers11
Genetic diseases9
Populations of the past7
Emergency medicine7
Patient partners7
Migrants6
Orphans6
Obesity1

Research topics

End-of-life locations: home (53), institutional (62)115
Ethics/Bioethics102
Experiences and perceptions of the end of life95
Patient support94
Accompanying relatives and caregivers81
Anticipation / Advance directives81
Decision-making processes77
Social and cultural representations68
Mourning67
Death wish / Euthanasia / Assisted suicide65
Sedation61
Law and legislation54
Evaluation of professional practices / Devices / Tools and scales54
Psychic and existential suffering54
Quality of life50
Early palliative care50
Pain management46
Care path44
History of palliative care (16) / History of death (28)44
Professional training / Pedagogy43
Communication37
Drugs/Therapeutics/Medical Devices34
Interprofessional collaborations33
Symptom assessment and management31
Organization of care31
Autonomy and people at the end of life26
Spirituality and religion26
Limitation and cessation of treatment23
Philosophy of death22
Funeral practices/Post-mortem care20
Organ donation and procurement19
Health policies19
Food / Artificial nutrition17
Alternative and complementary medicine12
Agonie11
Pandemic - Covid 1911
Therapeutic education10
Public debate analysis8
Depressive disorders7
Biology of aging6
Economic issues6
Supporting care6
Predictive markers of death / Prognostic factors3
Neurobiological mechanisms of death2

The theses

Since 2019 we have been listing theses on topics related to end-of-life and palliative care (source theses.fr).

However, this census is not exhaustive and does not take into consideration theses for practice in medicine or pharmacy.

In 2023, there were19 thesis registrations (7 more than the previous year) and 14 theses defended (20 more than previously). In total 58 theses have been defended since 2019.

As of May 2024, 100 theses are in progress. Of these, 81% are being carried out in human and social sciences (SHS) laboratories, and the majority are by women (73%).

Disciplinary fields

Themes

The data below concerns both theses in progress and theses defended.

ThemesNumber of theses
Experiences and perceptions of the end of life33
Mourning29
Ethics, bioethics24
Law and Legislation18
Funeral practices/Post-mortem care15
Death wish / Euthanasia / Assisted suicide14
Social and cultural representations13
Patient support12
End of life in a hospital/medical-social establishment9
Decision-making processes8
Organization of care7
Support for relatives and caregivers6
Anticipation / Advance directives6
Autonomy for people at the end of life6
Interprofessional collaboration6
Symptom assessment and management6
Philosophy of death6
Psychic and existential suffering6
Communication5
Limitation and cessation of treatment5
Care path5
Organ donation and procurement4
Health policies4
Sedation4
Evaluation of professional practices / devices / tools and scales3
Predictive markers of death / Prognostic factors3
Pain management3
Early palliative care3
End of life at home2
Analysis of the public debate1
Professional training / Pedagogy1
Neurobiological mechanisms of death1
Drugs / Therapeutics / Medical Devices1
Economic issues1
Spirituality and religion1

Project directory

The research projects directory has 20 more projects than the previous year: 87 projects in total were posted by our network members.

The sources of funding are diverse: Institut national du cancer (INCa), Agence nationale de la recherche (ANR), Direction générale de l'offre de soins (DGOS) of the Ministry of Health and Prevention, Fondation de France...

These projects are listed on the initiative of researchers and doctoral students. The list is therefore not exhaustive.

These projects are listed on the initiative of researchers and doctoral students

Disciplinary fields

Disciplines mentionedNumber of projects
Palliative care39
Psychology (26), Psychoanalysis (1)27
Sociology (16), Anthropology (10)26
Oncology (13), Hematology (1)14
Public Health14
Philosophy (3), Ethics (10)13
Law12
Nursing7
Linguistics (3), Information and Communication Sciences (2), Language Sciences (2)7
Architecture (4), Arts (1)5
Educational sciences5
Demography (3), Geography (1)4
Epidemiology4
General Medicine3
Economics2
Neurology2
Emergency Medicine2
Resuscitation2
Geriatrics2
Algology1
History1
Physiotherapy1
Nephrology1
Neuroscience1
Pediatrics1
Pharmacology1
Political Science1
Biology1

Themes

The topics covered in these projects are diverse.

End-of-life locations: home (20), institutional (25)45
Support for relatives and caregivers26
Patient support25
Experiences and perceptions of the end of life24
Evaluation of professional practices / devices / tools and scales20
Anticipations / Advance directives17
Mourning17
Law and legislation14
Decision-making processes13
Death wish / Euthanasia / Assisted suicide12
Care path12
Sedation11
Quality of life11
Social and cultural representations10
Ethics/Bioethics10
Professional training / Pedagogy10
Autonomy for people at the end of life9
Organization of care9
History of death (6), History of palliative care (2)8
Early palliative care8
Communication7
Interprofessional collaborations6
Symptom assessment and management6
Drugs / Therapeutics / Medical Devices6
Psychic and existential suffering6
Philosophy of death5
Health policies5
Limitations and cessation of treatment4
Funeral practices/Post-mortem care4
Therapeutic education3
Pandemic - Covid 193
Agonie2
Pain management2
Spirituality and religion2
Predictive markers of death / Prognostic factors2
Food / artificial nutrition1
Organ donation and procurement1
Economic issues1
Supporting care1

European projects

In 2023, 14 Horizon Europe projects on the end-of-life theme are being funded. Of these, 7 new projects have been selected under the call for projects (HORIZON-HLTH-2023-DISEASE-03-01) Novel approaches for palliative and end-of-life care for non-cancer patients.
Only one, the INSPIRE project, is coordinated by France. However, French teams are involved in 4 of these projects.

By 2019, 5 Horizon 2020 projects had been funded: Diadic, MyPal, The iLIVE project, Palliative sedation and PD-PAL Project.

We also count since 2018, 3 ERC Starting Grant projects and 3 ERC Consolidator Grant projects with host institutions located in the Netherlands, UK, Spain and Portugal.

A COST (European Cooperation in Science and Technology) project entitled COllaboratively DEveloped culturallY Appropriate and inclusive Assessment tool for Palliative Care EDUcation started in 2023.

For more information, see the page dedicated to European projects on our website

Updated on 14/05/2024
Data extraction and processing: Sophie Aupet