Symptom management in people dying with COVID-19: multinational observational study.

"Competing interests: None declared."

"Funding: This study was part of CovPall, a multinational study. This research was primarily supported by Medical Research Council grant number MR/V012908/1. Additional support was from the National Institute for Health Research (NIHR), Applied Research Collaboration, South London, hosted at King’s College Hospital NHS Foundation Trust, and Cicely Saunders International (Registered Charity No. 1087195). IJH is a National Institute for Health Research (NIHR) Emeritus Senior Investigator and is supported by the NIHR Applied Research Collaboration (ARC) South London (SL) at King’s College Hospital National Health Service Foundation Trust. IJH leads the Palliative and End of Life Care theme of the NIHR ARC SL and co-leads the national theme in this. MM is funded by a National Institute for Health Research (NIHR) Career Development Fellowship (CDF-2017-10-009) and NIHR ARC SL. LF is funded by a NIHR Career Development Fellowship (award CDF-2018-11-ST2-002). KES is the Laing Galazka Chair in palliative care, funded by an endowment from Cicely Saunders International and Kirby Laing. RC is funded by Cicely Saunders International and Marie Curie. FM is an NIHR senior investigator. MH is supported by the NIHR ARC SL."

"Services providing hospice and specialist palliative care were eligible for participation and were recruited through palliative care and hospice organisations (Hospice UK, Marie Curie, Sue Ryder, Together for Short Lives, European Association of Palliative Care, palliativedrugs.com and the www.pos-pal.org network). They were provided with a link to the online survey, and service leads (medical or nurse directors/clinicians) or their selected nominees were invited to complete the survey. The CovPall protocol is registered (ISRCTN16561225) and these results are reported according to Strengthening the Reporting of Observational Studies in Epidemiology, CHERRIES and MORECARE statements."