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Logistic regression was used to compare patients with MND (<jats:italic>n<\/jats:italic>\u00a0=\u00a0419), CNS tumor (<jats:italic>n<\/jats:italic>\u00a0=\u00a0799), and OND (<jats:italic>n<\/jats:italic>\u00a0=\u00a01,407) as the cause of death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The most prevalent symptoms for all neurological disease groups were pain (52.7% to 72.2%) and rattles (58.1% to 65.6%). Compared to MND and OND, patients with CNS tumors were more likely to have totally relieved pain, shortness of breath, rattles, and anxiety. They were also more likely to have their pain assessed with a validated tool; to receive symptom treatment for anxiety, nausea, rattles, and pain; to have had family members receive end\u2010of\u2010life discussions; to have someone present at death; and to have had their family members offered bereavement support. Both patients with CNS tumor and MND were more likely than patients with OND to receive consultation with a pain unit and to have had end\u2010of\u2010life discussions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The study reveals high symptom burden and differences in palliative care between the groups during the last week of life. There is a need for person\u2010centered care planning based on a palliative approach, focused on improving symptom assessments, relief, and end\u2010of\u2010life conversations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/brb3.1348","type":"journal-article","created":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T09:44:13Z","timestamp":1562665453000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Symptom relief during last week of life in neurological diseases"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1737-3359","authenticated-orcid":false,"given":"Anneli","family":"Ozanne","sequence":"first","affiliation":[{"name":"Institute of Health and Care Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Department of Neurology Sahlgrenska University Hospital Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Sawatzky","sequence":"additional","affiliation":[{"name":"Institute of Health and Care Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"School of Nursing Trinity Western University Langley British Columbia Canada"},{"name":"Centre for Health Evaluation &amp; Outcome Sciences St. Paul's Hospital Vancouver British Columbia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia","family":"H\u00e5kanson","sequence":"additional","affiliation":[{"name":"Department of Nursing Science Sophiahemmet University Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anette","family":"Alvariza","sequence":"additional","affiliation":[{"name":"Department of Health Care Sciences Palliative Research Centre, Ersta Sk\u00f6ndal Br\u00e4cke University College Stockholm Sweden"},{"name":"Capio Palliative Care Dalen hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl Johan","family":"F\u00fcrst","sequence":"additional","affiliation":[{"name":"The Institute for Palliative Care Lund University and Region Sk\u00e5ne Lund Sweden"},{"name":"Department of Clinical Sciences Lund University Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristofer","family":"\u00c5restedt","sequence":"additional","affiliation":[{"name":"Faculty of Health and Life Sciences Linnaeus University Kalmar Sweden"},{"name":"The Research Section Kalmar County Council Kalmar Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joakim","family":"\u00d6hl\u00e9n","sequence":"additional","affiliation":[{"name":"Institute of Health and Care Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Palliative Centre Sahlgrenska University Hospital Gothenburg Sweden"},{"name":"The University of Gothenburg Centre for Person\u2010centred Care Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,7,9]]},"reference":[{"key":"#cr-split#-e_1_2_8_2_1.1","doi-asserted-by":"crossref","unstructured":"Agresti A.(2010).Wiley series in probability and statistics. 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