{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T12:27:54Z","timestamp":1789043274734,"version":"build-2803163510"},"reference-count":47,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"unspecified","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Jusoor"},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["225577\/Z\/22\/Z"],"award-info":[{"award-number":["225577\/Z\/22\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100024749","name":"National Institute for Health Research Applied Research Collaboration East of England","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100024749","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003343","name":"Cambridge Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003343","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,12,19]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To provide a synthesis of the published research evidence on Muslims\u2019 perspectives and preferences regarding end-of-life symptom management to inform future practice and research priorities aimed at providing sensitive end-of-life care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review and narrative synthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>MEDLINE, EMBASE, CINAHL, PsycINFO, Web of Science, ASSIA, The Cochrane Library and Global Health were searched from 1 January 1994 to 10 July 2024, alongside reference searches of included papers and hand searches of two journals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility criteria<\/jats:title>\n                    <jats:p>The included papers presented primary research on end-of-life care among Muslims in the British Isles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data extraction and synthesis<\/jats:title>\n                    <jats:p>Data were collected on publication details, study aims, participants, methods and results. Studies were appraised using Gough\u2019s weight of evidence framework. An inductive narrative synthesis consisting of three steps was conducted. This involved conducting a preliminary synthesis of findings, exploring relationships between studies and assessing the robustness of the synthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>18 papers were included in the synthesis. Patients prioritised conformity between religion, culture and end-of-life symptom management. Symptom management preferences were also influenced by patients\u2019 desire to maintain a sense of control at the end of life. Family-based care is culturally accepted, and indeed expected, to achieve a peaceful death. Healthcare professionals experienced challenges in providing sensitive symptom management given their unfamiliarity with the religious needs of Muslims.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Co-design research methods are essential to better understand care priorities within diverse Muslim communities. Meaningful collaboration among patients, families and healthcare professionals is necessary to identify mutually acceptable and beneficial approaches to promote culturally and religiously sensitive end-of-life symptom management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-108877","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T16:00:38Z","timestamp":1768406438000},"page":"e108877","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Muslim communities\u2019 perspectives and preferences regarding end-of-life symptom management: a systematic review and narrative synthesis"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6666-9168","authenticated-orcid":false,"given":"Joodi","family":"Mourhli","sequence":"first","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krzysztof","family":"Sosnowski","sequence":"additional","affiliation":[{"name":"School of Clinical Medicine, University of Cambridge, Cambridge, England, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isla","family":"Kuhn","sequence":"additional","affiliation":[{"name":"Medical Library, University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Bowers","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"2026062609052946000_16.1.e108877.1","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1111\/bioe.12447","article-title":"A rights-based proposal for managing faith-based values and expectations of migrants at end-of-life illustrated by an empirical study involving South Asians in the UK","volume":"32","author":"Samanta","year":"2018","journal-title":"Bioethics"},{"key":"2026062609052946000_16.1.e108877.2","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1108\/IJHRH-09-2017-0053","article-title":"The marginalization of religion in end of life care: signs of microaggression?","volume":"11","author":"Pentaris","year":"2018","journal-title":"IJHRH"},{"key":"2026062609052946000_16.1.e108877.3","unstructured":"Marie Curie . Palliative and end of life care for black, Asian and minority ethnic groups in the UK. Marie Curie; 2013. Available: https:\/\/www.mariecurie.org.uk\/globalassets\/media\/documents\/policy\/policy-publications\/june-2013\/palliative-and-end-of-life-care-for-black-asian-and-minority-ethnic-groups-in-the-uk.pdf"},{"key":"2026062609052946000_16.1.e108877.4","doi-asserted-by":"crossref","first-page":"e299","DOI":"10.1016\/j.jpainsymman.2024.01.004","article-title":"Muslims and End-of-Life Healthcare in Non-Muslim Majority Nations: A Systematic Literature Review","volume":"67","author":"Piracha","year":"2024","journal-title":"J Pain Symptom Manage"},{"key":"2026062609052946000_16.1.e108877.5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1017\/S1478951512000053","article-title":"The need for more and better palliative care for Muslim patients","volume":"11","author":"Harford","year":"2013","journal-title":"Palliat Support Care"},{"key":"2026062609052946000_16.1.e108877.6","unstructured":"Muslim council of britain . British Muslims in numbers. 2011. Available: https:\/\/mcb.org.uk\/wp-content\/uploads\/2022\/11\/MCBCensusReport_2015.pdf"},{"key":"2026062609052946000_16.1.e108877.7","unstructured":"Johansson T , Pask S , Goodrich J , et al . Time to care: findings from a nationally representative survey of experiences at the end of life in England and Wales. Marie Curie; 2024. Available: https:\/\/www.mariecurie.org.uk\/document\/experiences-at-the-end-of-life-in-england-and-wales"},{"key":"2026062609052946000_16.1.e108877.8","unstructured":"Department of Health and Social Care . More care, less pathway: a review of the liverpool care pathway. 2013. Available: https:\/\/assets.publishing.service.gov.uk\/media\/5a75153340f0b6397f35d87d\/Liverpool_Care_Pathway.pdf"},{"key":"2026062609052946000_16.1.e108877.9","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2023-004382"},{"key":"2026062609052946000_16.1.e108877.10","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2013.856057"},{"key":"2026062609052946000_16.1.e108877.11","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2014-000658"},{"key":"2026062609052946000_16.1.e108877.12","article-title":"\u201cThe biggest worry\u2026\u201d: research findings on pain management for Aboriginal peoples in Northern Territory, Australia","volume":"6","author":"McGrath","year":"2006","journal-title":"Rural Remote Health"},{"key":"2026062609052946000_16.1.e108877.13","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1177\/02692163221095200","article-title":"Turkish imams and their role in decision-making in palliative care: A Directed Content and Narrative analysis","volume":"36","author":"Muishout","year":"2022","journal-title":"Palliat Med"},{"key":"2026062609052946000_16.1.e108877.14","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39072.347720.68"},{"key":"2026062609052946000_16.1.e108877.15","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1089\/jpm.2021.0633","article-title":"End-of-Life Care Considerations for Muslim Patients #435","volume":"25","author":"Habib","year":"2022","journal-title":"J Palliat Med"},{"key":"2026062609052946000_16.1.e108877.16","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1177\/0825859718800496","article-title":"Assessing the Unique Experiences and Needs of Muslim Oncology Patients Receiving Palliative and End-of-Life Care: An Integrative Review","volume":"34","author":"Gustafson","year":"2019","journal-title":"J Palliat Care"},{"key":"2026062609052946000_16.1.e108877.17","doi-asserted-by":"crossref","DOI":"10.1186\/s12904-023-01144-1","article-title":"Muslim patients in the U.S. confronting challenges regarding end-of-life and palliative care: the experiences and roles of hospital chaplains","volume":"22","author":"Klitzman","year":"2023","journal-title":"BMC Palliat Care"},{"key":"2026062609052946000_16.1.e108877.18","unstructured":"Suleman M , Asaria M , Haque E , et al . Elderly & end of life care for Muslims in the UK. The Muslim Council of Britain; 2019. Available: https:\/\/mcb.org.uk\/wp-content\/uploads\/2019\/08\/MCB_ELC_Web.pdf"},{"key":"2026062609052946000_16.1.e108877.19","doi-asserted-by":"crossref","unstructured":"Petticrew M , Roberts H . Systematic reviews in the social sciences: a practical guide. 1st edn. Wiley, 2006. Available: https:\/\/onlinelibrary.wiley.com\/doi\/book\/10.1002\/9780470754887","DOI":"10.1002\/9780470754887"},{"key":"2026062609052946000_16.1.e108877.20","unstructured":"Popay J , Roberts H , Sowden A , et al . Guidance on the conduct of narrative synthesis in systematic reviews: a product from the ESRC methods programme. Lancaster University, 2006. Available: http:\/\/rgdoi.net\/10.13140\/2.1.1018.4643"},{"key":"2026062609052946000_16.1.e108877.21","unstructured":"Braun V , Clarke V . Thematic analysis: a practical guide. Los Angeles London New Delhi Singapore Washington DC Melbourne: SAGE, 2022:338."},{"key":"2026062609052946000_16.1.e108877.22","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"2026062609052946000_16.1.e108877.23","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313506765"},{"key":"2026062609052946000_16.1.e108877.24","doi-asserted-by":"crossref","first-page":"432","DOI":"10.12968\/ijpn.2017.23.9.432","article-title":"Let him not be alone: perspectives of older British South Asian minority ethnic patients on dying in acute hospitals","volume":"23","author":"Venkatasalu","year":"2017","journal-title":"Int J Palliat Nurs"},{"key":"2026062609052946000_16.1.e108877.25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/13557858.2013.858108","article-title":"The practice of hope: a longitudinal, multi-perspective qualitative study among South Asian Sikhs and Muslims with life-limiting illness in Scotland","volume":"19","author":"Kristiansen","year":"2014","journal-title":"Ethn Health"},{"key":"2026062609052946000_16.1.e108877.26","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-082089","article-title":"Somebody who understands the culture and their needs that can cater for them in their retirement time: a peer research study exploring the challenges faced by British Muslims with palliative care needs during the COVID-19 pandemic","volume":"14","author":"Hudson","year":"2024","journal-title":"BMJ Open"},{"key":"2026062609052946000_16.1.e108877.27","doi-asserted-by":"publisher","DOI":"10.3310\/PBSM2274"},{"key":"2026062609052946000_16.1.e108877.28","doi-asserted-by":"crossref","first-page":"e5135","DOI":"10.1111\/hsc.13930","article-title":"From detection to preparing for the end-of-life: A qualitative exploration of the South Asian family carers\u2019 experiences of the journey with dementia","volume":"30","author":"Hossain","year":"2022","journal-title":"Health Soc Care Community"},{"key":"2026062609052946000_16.1.e108877.29","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.b183","article-title":"Vulnerability and access to care for South Asian Sikh and Muslim patients with life limiting illness in Scotland: prospective longitudinal qualitative study","volume":"338","author":"Worth","year":"2009","journal-title":"BMJ"},{"key":"2026062609052946000_16.1.e108877.30","doi-asserted-by":"crossref","DOI":"10.1186\/s12904-023-01208-2","article-title":"Experiences of pain and pain management in advanced disease and serious illness for people from South Asian communities in Leeds and Bradford: a qualitative interview study","volume":"22","author":"Clarke","year":"2023","journal-title":"BMC Palliat Care"},{"key":"2026062609052946000_16.1.e108877.31","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2001.7.5.15893"},{"key":"2026062609052946000_16.1.e108877.32","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2021-003083"},{"key":"2026062609052946000_16.1.e108877.33","doi-asserted-by":"crossref","first-page":"18","DOI":"10.3390\/rel7020018","article-title":"An Exploration of Specialist Palliative Care Nurses\u2019 Experiences of Providing Care to Hospice Inpatients from Minority Ethnic Groups\u2014Implication for Religious and Spiritual Care","volume":"7","author":"Henry","year":"2016","journal-title":"Religions (Basel)"},{"key":"2026062609052946000_16.1.e108877.34","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1111\/bioe.13109","article-title":"The balancing of virtues-Muslim perspectives on palliative and end of life care: Empirical research analysing the perspectives of service users and providers","volume":"37","author":"Suleman","year":"2023","journal-title":"Bioethics"},{"key":"2026062609052946000_16.1.e108877.35","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2524.2004.00511.x"},{"key":"2026062609052946000_16.1.e108877.36","doi-asserted-by":"crossref","first-page":"528","DOI":"10.12968\/ijpn.2023.29.11.528","article-title":"End-of-life care in the patient\u2019s home","volume":"29","author":"Manyimo","year":"2023","journal-title":"Int J Palliat Nurs"},{"key":"2026062609052946000_16.1.e108877.37","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1177\/02692163221146587","article-title":"Applying the community readiness model to identify and address inequity in end-of-life care in South Asian communities","volume":"37","author":"Moss","year":"2023","journal-title":"Palliat Med"},{"key":"2026062609052946000_16.1.e108877.38","unstructured":"NICE . End of life care for adults. NICE; 2011. Available: https:\/\/www.nice.org.uk\/guidance\/qs13\/resources\/end-of-life-care-for-adults-pdf-2098483631557"},{"key":"2026062609052946000_16.1.e108877.39","unstructured":"Department of Health and Social Care . End of life care strategy. Department of Health and Social Care; 2008. Available: https:\/\/assets.publishing.service.gov.uk\/media\/5a7a03e040f0b66a2fbff464\/EOLC_exec_summ.pdf"},{"key":"2026062609052946000_16.1.e108877.40","doi-asserted-by":"publisher","DOI":"10.1136\/jme.2010.036194"},{"key":"2026062609052946000_16.1.e108877.41","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1080\/07481187.2018.1541944","article-title":"Physical, psychological, social, and spiritual aspects of end-of-life trajectory among patients with advanced cancer: A phenomenological inquiry","volume":"44","author":"Lee","year":"2020","journal-title":"Death Stud"},{"key":"2026062609052946000_16.1.e108877.42","unstructured":"Calanzani N , Koffman J , Higginson IJ . Report: palliative and end of life care for black, Asian and minority ethnic [BAME] groups in the UK. Marie Curie; 2013. Available: https:\/\/www.mariecurie.org.uk\/globalassets\/media\/documents\/policy\/policy-publications\/june-2013\/palliative-and-end-of-life-care-for-black-asian-and-minority-ethnic-groups-in-the-uk.pdf"},{"key":"2026062609052946000_16.1.e108877.43","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2020-002676"},{"key":"2026062609052946000_16.1.e108877.44","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0212967","article-title":"How family caregivers of persons with advanced cancer assist with upstream healthcare decision-making: A qualitative study","volume":"14","author":"Dionne-Odom","year":"2019","journal-title":"PLoS One"},{"key":"2026062609052946000_16.1.e108877.45","unstructured":"GOVUK . Population of England and Wales. GOVUK; 2024. Available: https:\/\/www.ethnicity-facts-figures.service.gov.uk\/uk-population-by-ethnicity\/national-and-regional-populations\/population-of-england-and-wales\/latest\/"},{"key":"2026062609052946000_16.1.e108877.46","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2016-001117"},{"key":"2026062609052946000_16.1.e108877.47","doi-asserted-by":"crossref","DOI":"10.1186\/s12961-020-0528-9","article-title":"Research co-design in health: a rapid overview of reviews","volume":"18","author":"Slattery","year":"2020","journal-title":"Health Res Policy Syst"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2025-108877","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T16:06:48Z","timestamp":1782490008000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2025-108877"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":47,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,14]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bmjopen-2025-108877"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2025-108877","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}