{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T15:24:58Z","timestamp":1789658698623,"version":"4.0.1"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":81,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e0 Cattolica del Sacro Cuore","id":[{"id":"https:\/\/ror.org\/03h7r5v07","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aging Clin Exp Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Palliative care is traditionally associated with hospice and cancer care, yet older adults admitted to hospitals and long-term care facilities (LTCF) frequently experience multimorbidity, frailty, and high symptom burden. We aimed to estimate the prevalence and characteristics of palliative care needs in Internal Medicine and Geriatrics hospital wards and LTCF in Italy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a national cross-sectional point-prevalence study. Adults aged\u2009\u2265\u200918 years hospitalized in participating wards or residing in LTCF were eligible. NECPAL 4.0 tool was used to identify patients and residents with palliative care needs. Additional indicators included functional and nutritional decline, repeated hospitalizations, dysphagia, pressure ulcers, delirium, and pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 5,389 participants were included (3,303 hospital patients, median age 81 years; 2,086 LTCF residents, median age 86 years) from 235 facilities. Overall, 58.3% of hospitalized patients and 48.1% of LTCF residents had a positive NECPAL assessment. Prevalence was higher among patients with cancer (77.2% in hospital; 61.5% in LTCF), but remained substantial among those without cancer (50.8% in hospital; 46.8% in LTCF). Functional decline (56.2% hospital; 48.7% LTCF), nutritional decline (36.6%; 23.9%), dysphagia (17.6%; 28.8%), delirium (19.2%; 36.4%), and moderate-to-severe pain (25.9%; 20.3%) were common across settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Palliative care needs are highly prevalent among hospitalized patients and LTCF residents and are not limited to oncology. These findings support systematic screening and integration of a needs-based palliative care approach within hospital and long-term care systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40520-026-03445-w","type":"journal-article","created":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T18:35:48Z","timestamp":1782671748000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond hospice: the burden of palliative care needs in hospitals and long-term care facilities. A nationwide multicenter study"],"prefix":"10.1007","volume":"38","author":[{"given":"Graziano","family":"Onder","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Zucchelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alba","family":"Malara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilda","family":"Borselli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Iurlaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Bauco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Bianchetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Bracco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmine","family":"Cafariello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Cartesio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Cipriani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Deias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"De Leo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Durante","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianpaolo","family":"Fortini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Gilioli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Giordano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Horn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myriam","family":"Macaluso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Palleschi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Pinardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Santini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianlorenzo","family":"Scaccabarozzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Tarquini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Torrini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo","family":"Varratta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Veronese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Beatrice","family":"Zazzara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dario","family":"Leosco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Bellelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Palliative Care Day 2025 Working Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,28]]},"reference":[{"key":"3445_CR1","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/s12904-016-0082-y","volume":"15","author":"K Krug","year":"2016","unstructured":"Krug K, Miksch A, Peters-Klimm F et al (2016) Correlation between patient quality of life in palliative care and burden of their family caregivers: a prospective observational cohort study. BMC Palliat Care 15:4. https:\/\/doi.org\/10.1186\/s12904-016-0082-y","journal-title":"BMC Palliat Care"},{"issue":"3","key":"3445_CR2","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1016\/j.jacc.2017.05.030","volume":"70","author":"JG Rogers","year":"2017","unstructured":"Rogers JG, Patel CB, Mentz RJ et al (2017) Palliative Care in Heart Failure: The PAL-HF Randomized, Controlled Clinical Trial. J Am Coll Cardiol 70(3):331\u2013341. https:\/\/doi.org\/10.1016\/j.jacc.2017.05.030","journal-title":"J Am Coll Cardiol"},{"issue":"4","key":"3445_CR3","doi-asserted-by":"publisher","first-page":"828","DOI":"10.1016\/j.jpainsymman.2021.02.017","volume":"62","author":"MH Maqsood","year":"2021","unstructured":"Maqsood MH, Khan MS, Warraich HJ (2021) Association of Palliative Care Intervention With Health Care Use, Symptom Burden and Advance Care Planning in Adults With Heart Failure and Other Noncancer Chronic Illness. J Pain Symptom Manage 62(4):828\u2013835. https:\/\/doi.org\/10.1016\/j.jpainsymman.2021.02.017","journal-title":"J Pain Symptom Manage"},{"key":"3445_CR4","unstructured":"WHO palliative care [Internet] Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care"},{"issue":"5","key":"3445_CR5","doi-asserted-by":"publisher","first-page":"480","DOI":"10.1001\/archinternmed.2008.587","volume":"169","author":"B Zhang","year":"2009","unstructured":"Zhang B, Wright AA, Huskamp HA et al (2009) Health care costs in the last week of life: associations with end-of-life conversations. Arch Intern Med 169(5):480\u2013488. https:\/\/doi.org\/10.1001\/archinternmed.2008.587","journal-title":"Arch Intern Med"},{"issue":"1","key":"3445_CR6","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1186\/s12904-021-00782-7","volume":"20","author":"X Luta","year":"2021","unstructured":"Luta X, Ottino B, Hall P et al (2021) Evidence on the economic value of end-of-life and palliative care interventions: a narrative review of reviews. BMC Palliat Care 20(1):89. https:\/\/doi.org\/10.1186\/s12904-021-00782-7","journal-title":"BMC Palliat Care"},{"issue":"4","key":"3445_CR7","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1177\/0269216313518266","volume":"28","author":"X G\u00f3mez-Batiste","year":"2014","unstructured":"G\u00f3mez-Batiste X, Mart\u00ednez-Mu\u00f1oz M, Blay C, Ambl\u00e0s J, Vila L, Costa X, Espaulella J, Espinosa J, Constante C, Mitchell GK (2014) Prevalence and characteristics of patients with advanced chronic conditions in need of palliative care in the general population: a cross-sectional study. Palliat Med 28(4):302\u2013311. https:\/\/doi.org\/10.1177\/0269216313518266","journal-title":"Palliat Med"},{"issue":"e3","key":"3445_CR8","doi-asserted-by":"publisher","first-page":"e2856","DOI":"10.1136\/spcare-2023-004717","volume":"14","author":"B Hurni","year":"2024","unstructured":"Hurni B, M\u00fcller B, Hug BL, Beeler PE (2024) Palliative care inpatients in Switzerland (2012\u20132021): characteristics, in-hospital mortality and avoidable admissions. BMJ Support Palliat Care 14(e3):e2856\u2013e2863. https:\/\/doi.org\/10.1136\/spcare-2023-004717","journal-title":"BMJ Support Palliat Care"},{"issue":"10","key":"3445_CR9","doi-asserted-by":"publisher","first-page":"1260","DOI":"10.1089\/jpm.2018.0349","volume":"22","author":"E Wagner","year":"2019","unstructured":"Wagner E, Patrick DL, Khandelwal N, Brumback L, Starks H, Fausto J, Dunlap BS, Lober W, Sibley J, Loggers ET, Curtis JR, Engelberg RA (2019) The Influence of Multimorbidity on Health Care Utilization at the End of Life for Patients with Chronic Conditions. J Palliat Med 22(10):1260\u20131265. https:\/\/doi.org\/10.1089\/jpm.2018.0349","journal-title":"J Palliat Med"},{"key":"3445_CR10","doi-asserted-by":"publisher","first-page":"263235242514040","DOI":"10.1177\/26323524251404072","volume":"19","author":"A Villanueva-Quispe","year":"2025","unstructured":"Villanueva-Quispe A, Rivarola-Hidalgo M, Fuentes-Yufra A, Ale-S\u00e1nchez M, Copaja-Corzo C, Flores-Cohaila JA, Miranda-Chavez B (2025) Need for palliative care in patients with chronic diseases in a hospital in a developing country. Palliat Care Soc Pract 19:26323524251404072. https:\/\/doi.org\/10.1177\/26323524251404072","journal-title":"Palliat Care Soc Pract"},{"key":"3445_CR11","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/1472-6963-12-5","volume":"12","author":"G Onder","year":"2012","unstructured":"Onder G, Carpenter I, Finne-Soveri H, Gindin J, Frijters D, Henrard JC, Nikolaus T, Topinkova E, Tosato M, Liperoti R, Landi F, Bernabei R (2012) SHELTER project. Assessment of nursing home residents in Europe: the Services and Health for Elderly in Long TERm care (SHELTER) study. BMC Health Serv Res 12:5. https:\/\/doi.org\/10.1186\/1472-6963-12-5","journal-title":"BMC Health Serv Res"},{"key":"3445_CR12","doi-asserted-by":"publisher","first-page":"103403","DOI":"10.1016\/j.eclinm.2025.103403","volume":"87","author":"L Van den Block","year":"2025","unstructured":"Van den Block L, de Nooijer K, Pautex S, Pivodic L, Van Den Noortgate N, Nicholson C, Szczerbi\u0144ska K, Pereira SM, Tiberini R, Hanratty B, Miranda R (2025) A European Association for Palliative Care White Paper defining an integrative palliative, geriatric, and rehabilitative approach to care and support for older people living with frailty and their family carers: a 28-country Delphi study and recommendations. EClinicalMedicine 87:103403. https:\/\/doi.org\/10.1016\/j.eclinm.2025.103403","journal-title":"EClinicalMedicine"},{"issue":"9","key":"3445_CR13","doi-asserted-by":"publisher","first-page":"afae190","DOI":"10.1093\/ageing\/afae190","volume":"53","author":"P Sharratt","year":"2024","unstructured":"Sharratt P, Zacharias A, Nwosu AC, Gadoud A (2024) Hospital-initiated palliative care interventions for adults with frailty: findings from a systematic review and narrative synthesis. Age Ageing 53(9):afae190. https:\/\/doi.org\/10.1093\/ageing\/afae190","journal-title":"Age Ageing"},{"issue":"8","key":"3445_CR14","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1177\/0269216316676647","volume":"31","author":"X G\u00f3mez-Batiste","year":"2017","unstructured":"G\u00f3mez-Batiste X, Mart\u00ednez-Mu\u00f1oz M, Blay C et al (2017) Utility of the NECPAL CCOMS-ICO\u00a9 tool and the Surprise Question as screening tools for early palliative care and to predict mortality in patients with advanced chronic conditions: A cohort study. Palliat Med 31(8):754\u2013763. https:\/\/doi.org\/10.1177\/0269216316676647","journal-title":"Palliat Med"},{"key":"3445_CR15","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/1472-684X-12-9","volume":"12","author":"M Gott","year":"2013","unstructured":"Gott M, Gardiner C, Ingleton C et al (2013) What is the extent of potentially avoidable admissions amongst hospital inpatients with palliative care needs? BMC Palliat Care 12:9. https:\/\/doi.org\/10.1186\/1472-684X-12-9","journal-title":"BMC Palliat Care"},{"issue":"2","key":"3445_CR16","doi-asserted-by":"publisher","first-page":"BJGPO20200100","DOI":"10.3399\/BJGPO.2020.0100","volume":"5","author":"B Leysen","year":"2021","unstructured":"Leysen B, Van den Eynden B, Wens J (2021) Where do GPs find patients with possible palliative care needs? A cross-sectional descriptive study. BJGP Open 5(2):BJGPO20200100. https:\/\/doi.org\/10.3399\/BJGPO.2020.0100","journal-title":"BJGP Open"},{"issue":"3","key":"3445_CR17","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1136\/bmjspcare-2012-000211","volume":"3","author":"X G\u00f3mez-Batiste","year":"2013","unstructured":"G\u00f3mez-Batiste X, Mart\u00ednez-Mu\u00f1oz M, Blay C et al (2013) Identifying patients with chronic conditions in need of palliative care in the general population: development of the NECPAL tool and preliminary prevalence rates in Catalonia. BMJ Support Palliat Care 3(3):300\u2013308. https:\/\/doi.org\/10.1136\/bmjspcare-2012-000211","journal-title":"BMJ Support Palliat Care"},{"issue":"4","key":"3445_CR18","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1177\/0825859718788933","volume":"33","author":"X G\u00f3mez-Batiste","year":"2018","unstructured":"G\u00f3mez-Batiste X, Blay C, Broggi MA et al (2018) Ethical Challenges of Early Identification of Advanced Chronic Patients in Need of Palliative Care: The Catalan Experience. J Palliat Care 33(4):247\u2013251. https:\/\/doi.org\/10.1177\/0825859718788933","journal-title":"J Palliat Care"},{"key":"3445_CR19","doi-asserted-by":"publisher","unstructured":"Turrillas P, Pe\u00f1afiel J, Teb\u00e9 C et al (2021 Feb) NECPAL prognostic tool: a palliative medicine retrospective cohort study. BMJ Support Palliat Care 16:bmjspcare\u20132020. https:\/\/doi.org\/10.1136\/bmjspcare-2020-002567","DOI":"10.1136\/bmjspcare-2020-002567"},{"key":"3445_CR20","doi-asserted-by":"crossref","unstructured":"Hjermstad MJ, Fayers PM, Haugen DF et al (2011) European Palliative Care Research Collaborative (EPCRC). Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manage. ;41(6):1073-93. doi: 10.1016\/j.jpainsymman.2010.08.016. PMID: 21621130","DOI":"10.1016\/j.jpainsymman.2010.08.016"},{"issue":"4","key":"3445_CR21","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1016\/j.ajem.2018.01.008","volume":"36","author":"O Karcioglu","year":"2018","unstructured":"Karcioglu O, Topacoglu H, Dikme O et al (2018) A systematic review of the pain scales in adults: Which to use? Am J Emerg Med 36(4):707\u2013714. https:\/\/doi.org\/10.1016\/j.ajem.2018.01.008","journal-title":"Am J Emerg Med"},{"key":"3445_CR22","doi-asserted-by":"publisher","unstructured":"Warden V, Hurley AC, Volicer L (2003 Jan-Feb) Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale. J Am Med Dir Assoc 4(1):9\u201315. https:\/\/doi.org\/10.1097\/01.JAM.0000043422.31640.F7","DOI":"10.1097\/01.JAM.0000043422.31640.F7"},{"issue":"4","key":"3445_CR23","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1093\/ageing\/afu021","volume":"43","author":"G Bellelli","year":"2014","unstructured":"Bellelli G, Morandi A, Davis DH et al (2014) Validation of the 4AT, a new instrument for rapid delirium screening: a study in 234 hospitalised older people. Age Ageing 43(4):496\u2013502. https:\/\/doi.org\/10.1093\/ageing\/afu021","journal-title":"Age Ageing"},{"issue":"5","key":"3445_CR24","doi-asserted-by":"publisher","first-page":"1405","DOI":"10.1007\/s41999-024-01019-5","volume":"15","author":"AM Ornago","year":"2024","unstructured":"Ornago AM, Pinardi E, Okoye C, Mazzola P, Ferrara MC, Finazzi A, Nydahl P, von Haken R, Lindroth H, Liu K, Morandi A, Bellelli G (2024) National Collaborators; Italian Participating Clinicians. Delirium prevalence and delirium literacy across Italian hospital wards: a secondary analysis of data from the World Delirium Awareness Day 2023. Eur Geriatr Med 15(5):1405\u20131413. https:\/\/doi.org\/10.1007\/s41999-024-01019-5","journal-title":"Eur Geriatr Med"},{"issue":"1","key":"3445_CR25","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1007\/s40520-025-03183-5","volume":"37","author":"A Malara","year":"2025","unstructured":"Malara A, Zucchelli A, Trevisan C, Borselli G, Incalzi RA, Onder G, Cherubini A, Marengoni A, Morandi A, Castaldo A, Leosco D, Testa GD, Ungar A (2025) Prescription Day LTCFs Workgroup. Polypharmacy appropriateness in Italian Long-Term Care Facilities: the nationwide prescription day point survey. Aging Clin Exp Res 37(1):291. https:\/\/doi.org\/10.1007\/s40520-025-03183-5","journal-title":"Aging Clin Exp Res"},{"issue":"9","key":"3445_CR26","doi-asserted-by":"publisher","first-page":"e012340","DOI":"10.1136\/bmjopen-2016-012340","volume":"6","author":"J Ambl\u00e0s-Novellas","year":"2016","unstructured":"Ambl\u00e0s-Novellas J, Murray SA, Espaulella J, Martori JC, Oller R, Martinez-Mu\u00f1oz M, Molist N, Blay C, G\u00f3mez-Batiste X (2016) Identifying patients with advanced chronic conditions for a progressive palliative care approach: a cross-sectional study of prognostic indicators related to end-of-life trajectories. BMJ Open 6(9):e012340. https:\/\/doi.org\/10.1136\/bmjopen-2016-012340","journal-title":"BMJ Open"},{"issue":"8","key":"3445_CR27","doi-asserted-by":"publisher","first-page":"747","DOI":"10.1056\/NEJMra1404684","volume":"373","author":"AS Kelley","year":"2015","unstructured":"Kelley AS, Morrison RS (2015) Palliative Care for the Seriously Ill. N Engl J Med 373(8):747\u2013755. https:\/\/doi.org\/10.1056\/NEJMra1404684","journal-title":"N Engl J Med"},{"issue":"8","key":"3445_CR28","doi-asserted-by":"publisher","first-page":"2590","DOI":"10.1111\/jgs.18938","volume":"72","author":"CS Cole","year":"2024","unstructured":"Cole CS, Bennett CR, Carpenter JG, Fink RM, Jackson A, Unroe KT, Levy CR (2024) Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. J Am Geriatr Soc 72(8):2590\u20132594. https:\/\/doi.org\/10.1111\/jgs.18938","journal-title":"J Am Geriatr Soc"},{"key":"3445_CR29","doi-asserted-by":"publisher","unstructured":"Carpenter JG, Oduro E, Hodgson N, Zhu S, Gurlu M, Ersek M, Hanson LC Palliative Care Needs of Older Adults With and Without Dementia During Post-Acute Care in Skilled Nursing Facilities. J Appl Gerontol 2025 Aug 17:7334648251363646. https:\/\/doi.org\/10.1177\/07334648251363646","DOI":"10.1177\/07334648251363646"},{"key":"3445_CR30","doi-asserted-by":"publisher","unstructured":"Juli\u00e0-M\u00f3ra JM, Blanco-Mavillard I, Prieto-Alomar A, M\u00e1rquez-Villaverde E, Terrassa-Sol\u00e9 M, Leiva-Santos JP, Rodr\u00edguez-Calero M\u00c1 (2023 Jul-Aug) Analysis of palliative care needs in hospitalized patients. Enferm Clin (Engl Ed). 33(4):261\u2013268. https:\/\/doi.org\/10.1016\/j.enfcle.2023.06.001","DOI":"10.1016\/j.enfcle.2023.06.001"},{"issue":"17","key":"3445_CR31","doi-asserted-by":"publisher","first-page":"6244","DOI":"10.3390\/jcm14176244","volume":"14","author":"S Spadaro","year":"2025","unstructured":"Spadaro S, Azzolina D, Vuan A, Colasanto L, Manzetto C, Busnardo A, Filieri G, Fagogeni P, Ganzaroli F, Gamanji V, Poles G, Spinazzola G, Volta CA, Scaramuzzo G, Gulmini L (2025) Early Detection of Palliative Care Needs in Critically Ill Patients Using the NECPAL Tool. J Clin Med 14(17):6244. https:\/\/doi.org\/10.3390\/jcm14176244","journal-title":"J Clin Med"},{"issue":"6","key":"3445_CR32","doi-asserted-by":"publisher","first-page":"1079","DOI":"10.1016\/j.jpainsymman.2017.02.014","volume":"53","author":"D Bostwick","year":"2017","unstructured":"Bostwick D, Wolf S, Samsa G, Bull J, Taylor DH Jr, Johnson KS, Kamal AH (2017) Comparing the Palliative Care Needs of Those With Cancer to Those With Common Non-Cancer Serious Illness. J Pain Symptom Manage 53(6):1079\u20131084e1. https:\/\/doi.org\/10.1016\/j.jpainsymman.2017.02.014","journal-title":"J Pain Symptom Manage"},{"issue":"1","key":"3445_CR33","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1186\/s12904-022-01040-0","volume":"21","author":"H Jang","year":"2022","unstructured":"Jang H, Lee K, Kim S, Kim S (2022) Unmet needs in palliative care for patients with common non-cancer diseases: a cross-sectional study. BMC Palliat Care 21(1):151. https:\/\/doi.org\/10.1186\/s12904-022-01040-0","journal-title":"BMC Palliat Care"},{"key":"3445_CR34","doi-asserted-by":"publisher","unstructured":"Hamano J, Shinjo T, Fukumoto K, Kodama M, Kim H, Otomo S, Masumoto S, Hashimoto K, Matsuki T, Hisajima K, Miyata N, Suzuki R, Yokoya S, Miyake K, Takayanagi R, Shimizu M, Kataoka Y, Taira H, Ozone S, Takahashi H, Kizawa Y (2023 Jan-Dec) Unresolved Palliative Care Needs of Elderly Non-Cancer Patients at Home: A Multicenter Prospective Study. J Prim Care Community Health 14:21501319231221431. https:\/\/doi.org\/10.1177\/21501319231221431","DOI":"10.1177\/21501319231221431"},{"issue":"9","key":"3445_CR35","doi-asserted-by":"publisher","first-page":"CD012780","DOI":"10.1002\/14651858.CD012780.pub2","volume":"9","author":"S Bajwah","year":"2020","unstructured":"Bajwah S, Oluyase AO, Yi D, Gao W, Evans CJ, Grande G, Todd C, Costantini M, Murtagh FE, Higginson IJ (2020) The effectiveness and cost-effectiveness of hospital-based specialist palliative care for adults with advanced illness and their caregivers. Cochrane Database Syst Rev 9(9):CD012780. https:\/\/doi.org\/10.1002\/14651858.CD012780.pub2","journal-title":"Cochrane Database Syst Rev"},{"key":"3445_CR36","doi-asserted-by":"publisher","first-page":"102168","DOI":"10.1016\/j.ejon.2022.102168","volume":"59","author":"S McCarroll","year":"2022","unstructured":"McCarroll S, Avsar P, Moore Z, O\u2019Connor T, Nugent L, Patton D (2022) The impact of specialist community palliative care teams on acute hospital admission rates in adult patients requiring end of life care: A systematic review. Eur J Oncol Nurs 59:102168. https:\/\/doi.org\/10.1016\/j.ejon.2022.102168","journal-title":"Eur J Oncol Nurs"},{"issue":"6","key":"3445_CR37","doi-asserted-by":"publisher","first-page":"878","DOI":"10.1016\/j.jpainsymman.2016.05.017","volume":"52","author":"SC Miller","year":"2016","unstructured":"Miller SC, Dahal R, Lima JC, Intrator O, Martin E, Bull J, Hanson LC (2016) Palliative Care Consultations in Nursing Homes and End-of-Life Hospitalizations. J Pain Symptom Manage 52(6):878\u2013883. https:\/\/doi.org\/10.1016\/j.jpainsymman.2016.05.017","journal-title":"J Pain Symptom Manage"}],"container-title":["Aging Clinical and Experimental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s40520-026-03445-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40520-026-03445-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40520-026-03445-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T23:26:45Z","timestamp":1789601205000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s40520-026-03445-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,28]]},"references-count":37,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3445"],"URL":"https:\/\/doi.org\/10.1007\/s40520-026-03445-w","relation":{},"ISSN":["1720-8319"],"issn-type":[{"value":"1720-8319","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,28]]},"assertion":[{"value":"27 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Graziano Onder is Associate Editor and Nicola Veronese is Editor in Chief of Aging Clinical & Experimental Research. No other author has any conflict of interest to declare.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"193"}}