Experience of Advanced Chronic Obstructive Pulmonary Disease: Metasynthesis of Qualitative Research Rebecca T. Disler, MSc, PDAN, BSc, BN, RN, Anna Green,

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Experience of Advanced Chronic Obstructive Pulmonary Disease: Metasynthesis of Qualitative Research Rebecca T. Disler, MSc, PDAN, BSc, BN, RN, Anna Green, BSS, MDS, Tim Luckett, BA, PhD, Phillip J. Newton, BN (Hons), PhD, Sally Inglis, BN, BHS, PhD, David C. Currow, BMed, MPH, FRACP, Patricia M. Davidson, BA, ME, PhD Journal of Pain and Symptom Management Volume 48, Issue 6, Pages 1182-1199 (December 2014) DOI: 10.1016/j.jpainsymman.2014.03.009 Copyright © 2014 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 Flowchart of data synthesis. Journal of Pain and Symptom Management 2014 48, 1182-1199DOI: (10.1016/j.jpainsymman.2014.03.009) Copyright © 2014 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 2 PRISMA flowchart of studies from search to inclusion. * Papers were excluded if they did not contain at least one example of raw data, that is, a direct quotation (n = 22); they were of case-study format without analysis of the data (n = 6); the data included responses from individuals who had other diagnoses from which COPD responses could not be deciphered (n = 4); or they did not relate to patients with end-stage COPD, their family or carers, or the health professionals who interacted with them (n = 2). Journal of Pain and Symptom Management 2014 48, 1182-1199DOI: (10.1016/j.jpainsymman.2014.03.009) Copyright © 2014 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 3 Relationships between themes. Journal of Pain and Symptom Management 2014 48, 1182-1199DOI: (10.1016/j.jpainsymman.2014.03.009) Copyright © 2014 American Academy of Hospice and Palliative Medicine Terms and Conditions