Palliative medicine reports最新文献

{"title":"Assessing the Impact of an Indigenous Palliative Care Nurse Navigator: A Program Evaluation.","authors":"Iain John McInnis, Cara Alison Bablitz, Juliet Foster, Trevor Morey, Natasha Gougeon, Reuben Quinn","doi":"10.1177/26892820251385777","DOIUrl":"10.1177/26892820251385777","url":null,"abstract":"<p><strong>Introduction: </strong>Indigenous peoples in Canada face significant health disparities rooted in colonization and experience inequitable access to palliative care. Patient navigation has proven effective in both Indigenous and palliative contexts, but integration of these roles has not been studied. This evaluation defines the scope of a patient navigator specializing in palliative care for Indigenous peoples and explores how it addresses service gaps.</p><p><strong>Methods: </strong>A program evaluation tool was developed to track key performance indicators (KPIs) of an Indigenous Palliative Care Nurse Navigator (IPCNN) over six months. Responsibilities were organized into three domains: (1) social vulnerabilities, (2) mainstream palliative care navigation, and (3) barriers to palliative care for Indigenous peoples. Sixteen categories further captured the scope of responsibilities. KPIs were classified as either \"working\" indicators, reflecting activities undertaken for future outcomes, or \"outcome\" indicators, which tracked the achievement of results. A single IPCNN provided care to 164 Indigenous patients across Alberta, Canada with a prognosis of less than 24 months, conducting initial assessments and maintaining ongoing contact through home visits, clinic appointments, and phone calls every two to four weeks. KPIs were tabulated and analyzed by frequency (low, moderate, and high), domain, category, and classification.</p><p><strong>Results: </strong>One IPCNN logged 714 activities across three domains: social vulnerabilities (191), mainstream palliative care navigation (394), and barriers to palliative care for Indigenous peoples (129). Most KPIs (77%) were \"working\" activities, reflecting upstream tasks required to achieve outcomes. The majority of KPIs addressing barriers to palliative care for Indigenous peoples were high-frequency activities.</p><p><strong>Discussion: </strong>The IPCNN role supports Indigenous patients to navigate gaps in palliative care delivery, including distrust of health care providers, jurisdictional challenges, and incongruencies between Indigenous culture and Western medicine. These findings underscore the potential of Indigenous palliative care navigation as an effective intervention to improve the accessibility and quality of palliative care for Indigenous peoples.</p>","PeriodicalId":74394,"journal":{"name":"Palliative medicine reports","volume":"6 1","pages":"485-493"},"PeriodicalIF":1.3,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12726364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145829223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Coronavirus Disease 2019 on Inpatient Palliative Care Services in Japan: A Hybrid Time-Series Analysis Before, During, and After the Pandemic Using 10-Year Claims Data.","authors":"Yuki Egashira, Syo Nakamura, Naoki Suzuki, Ryo Watanabe","doi":"10.1177/26892820251385778","DOIUrl":"10.1177/26892820251385778","url":null,"abstract":"<p><strong>Background: </strong>Coronavirus disease 2019 (COVID-19) reduced the use of routine medical care, particularly the treatment of nonlife-threatening conditions. Previous studies have examined the impact of the COVID-19 pandemic; however, most focused on the effect of early stages, lacking data on the later stages and post-pandemic recovery.</p><p><strong>Objective: </strong>To examine the impact of COVID-19 on inpatient palliative care services in Japan throughout the pandemic and after its reclassification as a Category 5 infectious disease.</p><p><strong>Design: </strong>Retrospective time-series analysis of claims data from April 2014 to March 2024.</p><p><strong>Setting/subjects: </strong>National Health Insurance participants in Kanagawa Prefecture who received the \"Palliative Care Unit Inpatient Fee\" or \"additional fee for inpatient palliative care treatment.\"</p><p><strong>Measurements: </strong>The observed-to-expected (OE) ratios were calculated using Seasonal Autoregressive Integrated Moving Average model predictions. Interrupted time-series (ITS) analysis was used to examine the level and trend changes after the reclassification of COVID-19 to Category 5 (May 2023).</p><p><strong>Results: </strong>During COVID-19, the Palliative Care Unit Inpatient Fee showed OE ratios ranging from -25.1% to 22.9% (April 2020-November 2021), which eventually reached -36.0% (October 2022). After COVID-19 reclassification, OE ratios improved to -9.5% to 12.5%. Additional fees for inpatient palliative care treatment showed similar patterns, with the lowest point being -42.7% (February 2022). The ITS analysis revealed significant positive trends for both services after reclassification.</p><p><strong>Conclusions: </strong>The COVID-19 pandemic has influenced inpatient palliative care services, particularly since its sixth wave. The reclassification of COVID-19 to Category 5 showed immediate positive effects, suggesting that policy interventions can effectively restore palliative care services. These findings highlight the vulnerability of palliative care, impact of policy interventions during pandemics, and need for strategic planning in a future-aging society.</p>","PeriodicalId":74394,"journal":{"name":"Palliative medicine reports","volume":"6 1","pages":"475-484"},"PeriodicalIF":1.3,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12549174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145380076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>Corrigendum to:</i> \"Code Status Transitions of Patients with Aneurysmal Subarachnoid Hemorrhage in the Intensive Care Unit\".","authors":"","doi":"10.1177/26892820251377757","DOIUrl":"https://doi.org/10.1177/26892820251377757","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1089/pmr.2025.0015.].</p>","PeriodicalId":74394,"journal":{"name":"Palliative medicine reports","volume":"6 1","pages":"474"},"PeriodicalIF":1.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12547392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145380011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital and Temporal Variations in Limitations of Care Among Hospitalized Patients with COVID-19: A VIRUS Registry Retrospective Cohort Study.","authors":"Nathan Mesfin, Nitesh Kumar Jain, Anwar Khedr, Hisham Mushtaq, Abbas B Jama, Noura Attallah, Esraa Hassan, Benjamin Langworthy, Nicholas Ingraham, Juan Pablo Domecq Garces, Thoyaja Koritala, Donna Lee Armaignac, Nicholas Eugene Perkins, Katherine Belden, Vishakha Kumar, Karen Boman, Devang K Sanghavi, Vikas Bansal, Rahul Kashyap, Rodrigo Cartin-Ceba, Abigail La Nou, Allan J Walkey, R Adams Dudley, Syed Anjum Khan","doi":"10.1177/26892820251380523","DOIUrl":"10.1177/26892820251380523","url":null,"abstract":"<p><strong>Introduction: </strong>Life-support limits (i.e., code status), the first step in the continuum of palliation and end-of-life (EoL) care, stem from decisions made by patients and their providers to align care near the EoL with patients' wishes. The pandemic created health care strain that may have influenced life-support limitation practices among patients with serious COVID-19. In this study, we examine variations in life-support limitations (do-not-resuscitate, DNR; do-not-intubate, DNI) depending on the hospital and period of hospitalization.</p><p><strong>Methods: </strong>We included all adults admitted to a hospital in the United States with COVID-19 from January 2020 to December 2021 using the VIRUS registry. Our outcome was any life-support limitation on admission (DNR, DNI, or both) using regression modeling. Main exposures were hospital and period of hospitalization (early vs. late pandemic). Covariates included age, sex, race/ethnicity, comorbidities, and hospitalization diagnoses.</p><p><strong>Results: </strong>There were 42,383 patients from 75 hospitals in the US. The median age was 63 (interquartile range: 50-75), 46.5% were female, and 37.5% were non-Hispanic White. The life-support limitation rate was 7.9%, and the palliative care consultation rate was 2.3%. The odds of life-support limitation were 1.86 (95% CI: 1.6-2.1) depending on the hospital, but the period of hospitalization was not associated with odds of life-support limitation. Older age was associated with the greatest increased odds (4.1 per standard deviation ∼ 17.9 years, 95% CI: 3.9-4.4), followed by comorbidities including paralysis (2.4, 95% CI: 1.8-3.0) and dementia (2.3, 95% CI: 2.0-2.6).</p><p><strong>Conclusions: </strong>After adjusting for patient-level factors, we report significant inter-hospital but no temporal variation in life-support limitation upon admission with COVID-19. Future studies should investigate specific practices that led to health care resilience to temporal practice variations in life-support limitation during the pandemic.</p>","PeriodicalId":74394,"journal":{"name":"Palliative medicine reports","volume":"6 1","pages":"468-473"},"PeriodicalIF":1.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12547400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145380040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping Palliative Care Development in Asia Pacific: A Regional Milestone for Equity and System Reform.","authors":"Laura Monzón Llamas, Vilma A Tripodoro, Carlos Centeno","doi":"10.1177/26892820251381245","DOIUrl":"10.1177/26892820251381245","url":null,"abstract":"<p><p>A new regional assessment of palliative care development in Asia Pacific provides a comprehensive overview of progress and gaps across 41 countries using standardized WHO indicators. Coordinated by the ATLANTES Global Observatory in partnership with the Asia Pacific Hospice Palliative Care Network, the initiative presents data on policy, education, service provision, access to medicines, and community engagement. Freely available online, the Atlas of Palliative Care in Asia Pacific supports equity-oriented system reform across diverse health contexts.</p>","PeriodicalId":74394,"journal":{"name":"Palliative medicine reports","volume":"6 1","pages":"465-467"},"PeriodicalIF":1.3,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12547388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145373474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Online Role-Play in Palliative Care Education for Early-Career Nurses in Japan: A Pre-Post Evaluation of Perceived Impact and Feasibility.","authors":"Anri Inumaru, Tomoko Tamaki, Mayumi Tsujikawa, Jun Kako","doi":"10.1177/10966218251371124","DOIUrl":"10.1177/10966218251371124","url":null,"abstract":"<p><strong>Background: </strong>As the global incidence of cancer rises, high-quality palliative care is increasingly needed. Early-career nurses often find symptom management and communication challenging. Although role-playing is a promising educational approach, its effectiveness in fully online formats remains underexplored.</p><p><strong>Objective: </strong>This study aimed to examine the feasibility and preliminary effectiveness of a fully online, role-play-based palliative care education program and to explore participants' experiences with this program.</p><p><strong>Methods: </strong>This prospective observational study included 31 nurses with 2-4 years of practice. Participants completed assessments before, right after, and one month after the intervention. These assessments included the Palliative Care Difficulties Scale, Nurses' Difficulty with Cancer Care, Palliative Care Self-reported Practices Scale, confidence, practice level (with reference to the Objective Structured Clinical Examination), and satisfaction. Furthermore, qualitative feedback was collected one month after the program.</p><p><strong>Results: </strong>Perceived difficulty in alleviating symptoms and communicating with the patient and family significantly decreased one month after the intervention. Confidence and selected practical communication behaviors (e.g., \"Support\" and \"Explore\") also improved. Participants reported high satisfaction, and over half of them described applying skills in practice.</p><p><strong>Conclusion: </strong>Online role-play-based training is a feasible and acceptable strategy to help early-career nurses develop palliative care competencies. Further research using randomized controlled trials is warranted to establish its effectiveness.</p>","PeriodicalId":74394,"journal":{"name":"Palliative medicine reports","volume":"6 1","pages":"456-464"},"PeriodicalIF":1.3,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12543422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing the ABCs of Serious Illness Program for Oncology Trainees: A Feasibility Trial Comparing Different Learning Formats for a Virtual Communication Curriculum.","authors":"Oren Levine, Jeff Myers, Shilpa Jyothi Kumar, Daryl Bainbridge, Leah Steinberg, Nadia Incardona, Ghazaleh Kazemi, Hsien Seow","doi":"10.1177/26892820251376359","DOIUrl":"10.1177/26892820251376359","url":null,"abstract":"<p><strong>Background: </strong>ABCs (All providers, Better Communication skills) of serious illness communication is a novel curriculum that could enhance postgraduate oncology training. The program combines electronic learning modules (ELMs), standardized patient (SP) encounters, and coaching, all in a virtual format. We assessed feasibility of a randomized controlled trial (RCT) comparing different training experiences.</p><p><strong>Methods: </strong>We conducted a pilot for a RCT at three academic centers. Postgraduate oncology trainees were randomized to complete ELMs and SP encounters with coaching (intervention arm) versus ELMs only (control arm). Feasibility measures comprised the primary analysis. Secondary analyses explored the impact of different training experiences. Outcomes were measured through pre- and post-intervention simulation-based assessments (COM-ON rating scale), and surveys rating self-efficacy (End-of-Life Professional Caregiver Survey [EPCS] score) and satisfaction.</p><p><strong>Results: </strong>Twenty-three learners participated (37% recruitment). Adherence was 100% and data collection was near complete. All feasibility metrics were met except for the recruitment target of 75%. Self-efficacy ratings improved from baseline (EPCS score increased significantly (<i>p</i> < 0.001), mean paired difference = 0.73 (standard deviation [SD] = 0.78) [95% confidence interval (CI), 0.37-1.08]), as did quality of communication in simulations (COM-ON score increased significantly (<i>p</i> < 0.001), mean paired difference = 0.59 (SD = 0.73) [95% CI, 0.28-0.91]). Improvement was greatest in the intervention arm for both. Participants reported high satisfaction with virtual learning.</p><p><strong>Conclusions: </strong>Recruitment was below target, but study activities were feasible in virtual format. The curriculum improved communication skills. The addition of virtual SPs and coaching optimized learning. The curriculum was associated with improved self-efficacy rating for serious illness communication with oncology patients. Lessons learned will support further medical education research in this area.</p>","PeriodicalId":74394,"journal":{"name":"Palliative medicine reports","volume":"6 1","pages":"436-445"},"PeriodicalIF":1.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12543435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Antibiotic Withdrawal and End-of-Life Comfort in Patients with Advanced Cancer and Suspected Infections: A Multicenter Retrospective Cohort Study.","authors":"Marcela Erazo-Munoz, Diana Catalina Borda Restrepo, Johana Benavides-Cruz, Paloma Beltrán Pachón, Leiner Jesús Colpas Gutiérrez, Jorge Alberto Cortés Luna","doi":"10.1177/26892820251376993","DOIUrl":"10.1177/26892820251376993","url":null,"abstract":"<p><strong>Purpose: </strong>The role of palliative care in addressing end-of-life needs and enhancing the comfort of patients with life-threatening illnesses is crucial. This study aimed to evaluate the relationship between antibiotic withdrawal and end-of-life discomfort in patients with terminal cancer with suspected infections.</p><p><strong>Materials and methods: </strong>A multicenter retrospective cohort study was conducted on patients aged ≥18 years with advanced cancer and life expectancy under six weeks, as determined by a Palliative Prognostic Index >4. Patients were admitted between January 2018 and December 2021, received antibiotics for suspected infections, and died during hospitalization. Patients were categorized into two cohorts based on whether antibiotic therapy was withdrawn or continued within 72-120 hours prior to death. Data were collected through medical chart review. End-of-life comfort was assessed using the validated Edmonton Comfort Assessment Form scale, with scores ≥4 indicating discomfort. Multivariate logistic regression was used to evaluate the association between antibiotic withdrawal and end-of-life discomfort.</p><p><strong>Results: </strong>A total of 187 patients were included, with a median age of 71 years; 81.8% had solid tumors, predominantly of gastrointestinal origin. Respiratory tract infections were the most common, and sepsis was present in 13% of cases. Symptoms remained mild in both groups, though pain was higher in the antibiotic withdrawal group (median score: 4 vs. 3). Multivariate analysis revealed no significant association between antibiotic withdrawal and end-of-life discomfort (odds ratio = 0.98; 95% confidence interval = 0.52-1.84).</p><p><strong>Conclusions: </strong>Symptom management for pain, nausea, and dyspnea was generally effective, though moderate pain persisted in some patients after antibiotic withdrawal. Antibiotic withdrawal was not associated with increased discomfort at the end of life. These findings support aligning antibiotic decisions with comfort-focused goals in palliative care.</p>","PeriodicalId":74394,"journal":{"name":"Palliative medicine reports","volume":"6 1","pages":"446-455"},"PeriodicalIF":1.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12543423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Older Danes' Preferences for Their Final Days: A Survey of 1499 Participants.","authors":"Anne Lund Krarup, Matilde A A Eriksen, Mike Bundgaard Astorp, Helle Bjørn, Dorte Buchwald, Ove Gaardboe, Dorte Melgaard","doi":"10.1177/26892820251376358","DOIUrl":"10.1177/26892820251376358","url":null,"abstract":"<p><strong>Background: </strong>Death is inevitable, yet documentation on wishes for the final days of life remains scarce in the literature. Meanwhile, the growing elderly population has brought increased focus on end-of-life care. This study explored wishes and expectations regarding end-of-life care and preferences for the place to die.</p><p><strong>Methods: </strong>An electronic survey including 12 questions was distributed in May 2024 to approximately 6000 members of the DanAge Association, a Danish nonprofit organization of older adults. The questionnaire was developed in collaboration with health care professionals and DanAge members. Respondents reported gender, age, and postal code but remained otherwise anonymous.</p><p><strong>Results: </strong>The response rate was approximately 25% with 1499 respondents (72% female, mean age 67 years [standard deviation or SD = 13]). Above half of respondents expressed fear of experiencing pain in their final days (57%), and the majority 87% preferred to be drowsy rather than in pain during this time. Many were also concerned about dying alone (69%) or becoming a practical burden to their loved ones. The preferred place to die was home (61%) followed by hospice (46%). Almost all respondents (94%) wanted to decide on further treatment and their preferred place of death, yet nearly half had not documented their wishes for their final days.</p><p><strong>Conclusions: </strong>The findings reveal widespread fears about end-of-life experiences, including pain, loneliness, and burdening loved ones. Although most respondents preferred to die at home or in hospice, a significant proportion had not documented their preferences in legal documents. These results highlight the importance of addressing end-of-life concerns and promoting advance directives to align care with individual wishes.</p>","PeriodicalId":74394,"journal":{"name":"Palliative medicine reports","volume":"6 1","pages":"424-431"},"PeriodicalIF":1.3,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12528844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145331067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lessons Learned: A Case for Reforming Siloed, Referral-Based Oncologic Palliative Care for High-Risk Opioid Patients.","authors":"Benjamin Bailey, Georgetta Bundley, Hannah Bromberg","doi":"10.1177/26892820251376975","DOIUrl":"10.1177/26892820251376975","url":null,"abstract":"<p><p>The breadth and complexity of knowledge and services required for the delivery of medical care has resulted in team member specialization and subspecialization to meet the needs of our patients. As a collateral effect, medical care has become increasingly fragmented and insular with various barriers to provider collaboration. Yet, the more medically or psychosocially complex the patient, the greater the number of involved parties and the greater the need for interdisciplinary cooperation. The cited oncologic case highlights this issue within palliative care as it relates to the care of patients at elevated risk for opioid pain management. The patient's clinical course and care barriers will be highlighted with discussion of potential areas for growth and reform, including earlier collaboration and case review, intensified case management, and early connection to advanced nonopioid pain interventions.</p>","PeriodicalId":74394,"journal":{"name":"Palliative medicine reports","volume":"6 1","pages":"432-435"},"PeriodicalIF":1.3,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12528843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145331123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}