{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:36:25Z","timestamp":1790793385200,"version":"4.1.0"},"reference-count":61,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100025092","name":"Ministry of Health, Ontario","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100025092","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100030898","name":"Institut canadien d&apos;information sur la sant\u00e9","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100030898","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000226","name":"Ontario Ministry of Health and Long-Term Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000226","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011627","name":"Industrial Research and Consultancy Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011627","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012665","name":"Institute for Clinical Evaluative Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003579","name":"University of Toronto","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003579","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ajkd.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Kidney Diseases"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1053\/j.ajkd.2025.06.012","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T23:27:51Z","timestamp":1755127671000},"page":"594-604.e1","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Delivery of Palliative Care in the Last Year of Life to Individuals Receiving Maintenance Dialysis: A Population-Level Cross-Sectional Study"],"prefix":"10.1053","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4552-920X","authenticated-orcid":false,"given":"Michael J.","family":"Bonares","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrianna","family":"Bruni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Yoo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyndsay","family":"Harrison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenshan","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Talarico","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Tanuseputro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Vanita","family":"Jassal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"10","key":"10.1053\/j.ajkd.2025.06.012_bib1","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1038\/s41581-020-0315-4","article-title":"The current and future landscape of dialysis","volume":"16","author":"Himmelfarb","year":"2020","journal-title":"Nat Rev Nephrol"},{"issue":"3","key":"10.1053\/j.ajkd.2025.06.012_bib3","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1038\/ki.2015.110","article-title":"Executive summary of the KDIGO Controversies Conference on Supportive Care in Chronic Kidney Disease: developing a roadmap to improving quality care","volume":"88","author":"Davison","year":"2015","journal-title":"Kidney Int"},{"issue":"12","key":"10.1053\/j.ajkd.2025.06.012_bib4","doi-asserted-by":"crossref","first-page":"2203","DOI":"10.2215\/CJN.00650114","article-title":"A palliative approach to dialysis care: a patient-centered transition to the end of life","volume":"9","author":"Grubbs","year":"2014","journal-title":"Clin J Am Soc Nephrol"},{"issue":"6","key":"10.1053\/j.ajkd.2025.06.012_bib5","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.1093\/ckj\/sfz192","article-title":"Routinely measuring symptom burden and health-related quality of life in dialysis patients: first results from the Dutch registry of patient-reported outcome measures","volume":"14","author":"Van Der Willik","year":"2021","journal-title":"Clin Kidney J"},{"key":"10.1053\/j.ajkd.2025.06.012_bib6","doi-asserted-by":"crossref","DOI":"10.1177\/20543581241237322","article-title":"The association between intradialytic symptom clusters and recovery time in patients undergoing maintenance hemodialysis: an exploratory analysis","volume":"11","author":"Bhasin","year":"2024","journal-title":"Can J Kidney Health Dis"},{"issue":"8","key":"10.1053\/j.ajkd.2025.06.012_bib7","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1056\/NEJMra1404684","article-title":"Palliative care for the seriously ill","volume":"373","author":"Kelley","year":"2015","journal-title":"N Engl J Med"},{"issue":"1","key":"10.1053\/j.ajkd.2025.06.012_bib8","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1053\/j.ackd.2006.10.001","article-title":"The prevalence of symptoms in end-stage renal disease: a systematic review","volume":"14","author":"Murtagh","year":"2007","journal-title":"Adv Chronic Kidney Dis"},{"issue":"12","key":"10.1053\/j.ajkd.2025.06.012_bib9","doi-asserted-by":"crossref","first-page":"1719","DOI":"10.2215\/CJN.09190822","article-title":"Symptom burden before and after dialysis initiation in older patients","volume":"17","author":"De Rooij","year":"2022","journal-title":"Clin J Am Soc Nephrol"},{"issue":"1","key":"10.1053\/j.ajkd.2025.06.012_bib10","doi-asserted-by":"crossref","first-page":"72","DOI":"10.2215\/CJN.03860609","article-title":"Predicting six-month mortality for patients who are on maintenance hemodialysis","volume":"5","author":"Cohen","year":"2010","journal-title":"Clin J Am Soc Nephrol"},{"issue":"6","key":"10.1053\/j.ajkd.2025.06.012_bib11","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1053\/j.ajkd.2011.12.023","article-title":"Survival in patients treated by long-term dialysis compared with the general population","volume":"59","author":"Nordio","year":"2012","journal-title":"Am J Kidney Dis"},{"issue":"16","key":"10.1053\/j.ajkd.2025.06.012_bib12","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1056\/NEJMoa0904655","article-title":"Functional status of elderly adults before and after initiation of dialysis","volume":"361","author":"Tamura","year":"2009","journal-title":"N Engl J Med"},{"issue":"11","key":"10.1053\/j.ajkd.2025.06.012_bib13","doi-asserted-by":"crossref","first-page":"2528","DOI":"10.1093\/ndt\/gfad099","article-title":"Patient-focused outcomes after initiation of dialysis for ESRD: mortality, hospitalization and functional impairment","volume":"38","author":"Kolbrink","year":"2023","journal-title":"Nephrol Dial Transplant"},{"issue":"1","key":"10.1053\/j.ajkd.2025.06.012_bib14","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.44713","article-title":"Mortality and resource use among individuals with chronic kidney disease or cancer in Alberta, Canada, 2004-2015","volume":"5","author":"Tonelli","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"6","key":"10.1053\/j.ajkd.2025.06.012_bib15","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1053\/j.ajkd.2018.12.011","article-title":"Mortality in incident maintenance dialysis patients versus incident solid organ cancer patients: a population-based cohort","volume":"73","author":"Naylor","year":"2019","journal-title":"Am J Kidney Dis"},{"issue":"4","key":"10.1053\/j.ajkd.2025.06.012_bib16","doi-asserted-by":"crossref","first-page":"633","DOI":"10.2215\/CJN.07510715","article-title":"Comparative survival among older adults with advanced kidney disease managed conservatively versus with dialysis","volume":"11","author":"Verberne","year":"2016","journal-title":"Clin J Am Soc Nephrol"},{"issue":"9","key":"10.1053\/j.ajkd.2025.06.012_bib17","doi-asserted-by":"crossref","first-page":"1233","DOI":"10.7326\/M23-3028","article-title":"Effect of starting dialysis versus continuing medical management on survival and home time in older adults with kidney failure: a target trial emulation study","volume":"177","author":"Montez-Rath","year":"2024","journal-title":"Ann Intern Med"},{"issue":"7","key":"10.1053\/j.ajkd.2025.06.012_bib18","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1001\/jamainternmed.2019.0125","article-title":"One-year mortality after dialysis initiation among older adults","volume":"179","author":"Wachterman","year":"2019","journal-title":"JAMA Intern Med"},{"issue":"6","key":"10.1053\/j.ajkd.2025.06.012_bib19","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1001\/jamainternmed.2018.0256","article-title":"Association between hospice length of stay, health care utilization, and medicare costs at the end of life among patients who received maintenance hemodialysis","volume":"178","author":"Wachterman","year":"2018","journal-title":"JAMA Intern Med"},{"key":"10.1053\/j.ajkd.2025.06.012_bib20","doi-asserted-by":"crossref","DOI":"10.1177\/2054358118783761","article-title":"Home palliative service utilization and care trajectory among Ontario residents dying on chronic dialysis","volume":"5","author":"Nesrallah","year":"2018","journal-title":"Can J Kidney Health Dis"},{"issue":"11","key":"10.1053\/j.ajkd.2025.06.012_bib21","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.32397","article-title":"Comparison of end-of-life care between recent immigrants and long-standing residents in Ontario, Canada","volume":"4","author":"Quach","year":"2021","journal-title":"JAMA Netw Open"},{"issue":"4","key":"10.1053\/j.ajkd.2025.06.012_bib22","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0231666","article-title":"Regional variations in geographic access to inpatient hospices and place of death: a population-based study in England, UK","volume":"15","author":"Chukwusa","year":"2020","journal-title":"PLoS One"},{"issue":"1","key":"10.1053\/j.ajkd.2025.06.012_bib23","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s12942-019-0172-1","article-title":"Urban and rural differences in geographical accessibility to inpatient palliative and end-of-life (PEoLC) facilities and place of death: a national population-based study in England, UK","volume":"18","author":"Chukwusa","year":"2019","journal-title":"Int J Health Geogr"},{"issue":"7","key":"10.1053\/j.ajkd.2025.06.012_bib24","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.10810","article-title":"Regional variation in use of end-of-life care at hospitals, intensive care units, and hospices among older adults with chronic illness in the US, 2010 to 2016","volume":"3","author":"Maley","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"10","key":"10.1053\/j.ajkd.2025.06.012_bib25","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1001885","article-title":"The Reporting of Studies Conducted Using Observational Routinely-Collected Health Data (RECORD) statement","volume":"12","author":"Benchimol","year":"2015","journal-title":"PLoS Med"},{"issue":"3","key":"10.1053\/j.ajkd.2025.06.012_bib26","doi-asserted-by":"crossref","first-page":"E292","DOI":"10.9778\/cmajo.20150005","article-title":"Identification of the physician workforce providing palliative care in Ontario using administrative claims data","volume":"3","author":"Barbera","year":"2015","journal-title":"CMAJ Open"},{"issue":"1","key":"10.1053\/j.ajkd.2025.06.012_bib27","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1038\/ki.2013.252","article-title":"Worldwide, mortality risk is high soon after initiation of hemodialysis","volume":"85","author":"Robinson","year":"2014","journal-title":"Kidney Int"},{"issue":"2","key":"10.1053\/j.ajkd.2025.06.012_bib28","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0191322","article-title":"Associations between physician home visits for the dying and place of death: a population-based retrospective cohort study","volume":"13","author":"Tanuseputro","year":"2018","journal-title":"PLoS One"},{"issue":"6","key":"10.1053\/j.ajkd.2025.06.012_bib29","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1093\/ckj\/sft117","article-title":"The use of palliative care services amongst end-stage kidney disease patients in an Irish tertiary referral centre","volume":"6","author":"Redahan","year":"2013","journal-title":"Clin Kidney J"},{"issue":"7","key":"10.1053\/j.ajkd.2025.06.012_bib30","doi-asserted-by":"crossref","first-page":"2081","DOI":"10.1007\/s40620-023-01721-w","article-title":"Current trends in hospice care usage for dialysis patients in the USA","volume":"36","author":"Soipe","year":"2023","journal-title":"J Nephrol"},{"issue":"8","key":"10.1053\/j.ajkd.2025.06.012_bib31","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1001\/archinternmed.2012.268","article-title":"Treatment intensity at the end of life in older adults receiving long-term dialysis","volume":"172","author":"Wong","year":"2012","journal-title":"Arch Intern Med"},{"key":"10.1053\/j.ajkd.2025.06.012_bib32","doi-asserted-by":"crossref","DOI":"10.1177\/20543581241280698","article-title":"End-of-life care among patients with kidney failure on maintenance dialysis: a retrospective population-based study","volume":"11","author":"Hafid","year":"2024","journal-title":"Can J Kidney Health Dis"},{"key":"10.1053\/j.ajkd.2025.06.012_bib33","first-page":"28","article-title":"Ontario Renal Network Palliative Care Report","author":"Blake","year":"2016","journal-title":"Ontario Renal Network"},{"issue":"12","key":"10.1053\/j.ajkd.2025.06.012_bib34","doi-asserted-by":"crossref","first-page":"2117","DOI":"10.2215\/CJN.04110413","article-title":"Survival after dialysis discontinuation and hospice enrollment for ESRD","volume":"8","author":"O\u2019Connor","year":"2013","journal-title":"Clin J Am Soc Nephrol"},{"issue":"3","key":"10.1053\/j.ajkd.2025.06.012_bib35","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.xkme.2021.01.008","article-title":"Nephrology and palliative care collaboration in the care of patients with advanced kidney disease: results of a clinician survey","volume":"3","author":"Metzger","year":"2021","journal-title":"Kidney Med"},{"issue":"1","key":"10.1053\/j.ajkd.2025.06.012_bib36","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1186\/s12904-019-0481-y","article-title":"End-of-life and palliative care of patients on maintenance hemodialysis treatment: a focus group study","volume":"18","author":"Axelsson","year":"2019","journal-title":"BMC Palliat Care"},{"issue":"6","key":"10.1053\/j.ajkd.2025.06.012_bib37","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1001\/jamainternmed.2018.1078","article-title":"Hospice use and end-of-life care for patients with end-stage renal disease: too little, too late","volume":"178","author":"Schwarze","year":"2018","journal-title":"JAMA Intern Med"},{"issue":"2","key":"10.1053\/j.ajkd.2025.06.012_bib38","doi-asserted-by":"crossref","first-page":"E613","DOI":"10.9778\/cmajo.20210039","article-title":"Intensity of outpatient physician care in the last year of life: a population-based retrospective descriptive study","volume":"9","author":"Howard","year":"2021","journal-title":"CMAJ Open"},{"issue":"4","key":"10.1053\/j.ajkd.2025.06.012_bib39","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1089\/jpm.2016.0283","article-title":"Does primary care model effect healthcare at the end of life? A population-based retrospective cohort study","volume":"20","author":"Howard","year":"2017","journal-title":"J Palliat Med"},{"issue":"2","key":"10.1053\/j.ajkd.2025.06.012_bib40","first-page":"118","article-title":"Do family health clinics provide primary-level palliative care in Ontario and the eastern regions of Quebec?","volume":"65","author":"Gagnon","year":"2019","journal-title":"Can Fam Physician"},{"issue":"2","key":"10.1053\/j.ajkd.2025.06.012_bib41","doi-asserted-by":"crossref","first-page":"234","DOI":"10.4103\/2249-4863.192356","article-title":"Palliative care; role of family physicians","volume":"5","author":"Ramanayake","year":"2016","journal-title":"J Family Med Prim Care"},{"issue":"10441","key":"10.1053\/j.ajkd.2025.06.012_bib42","doi-asserted-by":"crossref","first-page":"2278","DOI":"10.1016\/S0140-6736(24)01036-5","article-title":"Canada\u2019s family physician shortage","volume":"403","author":"Webster","year":"2024","journal-title":"Lancet"},{"issue":"2","key":"10.1053\/j.ajkd.2025.06.012_bib43","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1053\/j.ajkd.2014.07.018","article-title":"Update on end-of-life care training during nephrology fellowship: a cross-sectional national survey of fellows","volume":"65","author":"Combs","year":"2015","journal-title":"Am J Kidney Dis"},{"issue":"12","key":"10.1053\/j.ajkd.2025.06.012_bib44","doi-asserted-by":"crossref","first-page":"1951","DOI":"10.1093\/ndt\/gfv284","article-title":"Nephrologists\u2019 perceptions regarding dialysis withdrawal and palliative care in Europe: lessons from a European Renal Best Practice survey","volume":"30","author":"Van Biesen","year":"2015","journal-title":"Nephrol Dial Transplant"},{"issue":"2","key":"10.1053\/j.ajkd.2025.06.012_bib45","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.xkme.2020.02.002","article-title":"To dialysis and beyond: the nephrologist\u2019s responsibility for advance care planning","volume":"2","author":"Ramer","year":"2020","journal-title":"Kidney Med"},{"issue":"5","key":"10.1053\/j.ajkd.2025.06.012_bib46","doi-asserted-by":"crossref","first-page":"S117","DOI":"10.1016\/j.kint.2020.07.023","article-title":"Strategic plan for integrated care of patients with kidney failure","volume":"98","author":"Harris","year":"2020","journal-title":"Kidney Int"},{"issue":"1","key":"10.1053\/j.ajkd.2025.06.012_bib47","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.kint.2023.10.001","article-title":"Conservative kidney management and kidney supportive care: core components of integrated care for people with kidney failure","volume":"105","author":"Davison","year":"2024","journal-title":"Kidney Int"},{"key":"10.1053\/j.ajkd.2025.06.012_bib48","article-title":"Association between palliative care and healthcare outcomes among adults with terminal non-cancer illness: population based matched cohort study","volume":"370","author":"Quinn","year":"2020","journal-title":"BMJ"},{"issue":"6","key":"10.1053\/j.ajkd.2025.06.012_bib49","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2023.17247","article-title":"Place of death from cancer in US states with vs without palliative care laws","volume":"6","author":"Quan Vega","year":"2023","journal-title":"JAMA Netw Open"},{"issue":"3","key":"10.1053\/j.ajkd.2025.06.012_bib50","doi-asserted-by":"crossref","first-page":"e210677","DOI":"10.1001\/jamanetworkopen.2021.0677","article-title":"Comparison of palliative care delivery in the last year of life between adults with terminal noncancer illness or cancer","volume":"4","author":"Quinn","year":"2021","journal-title":"JAMA Network Open"},{"issue":"11","key":"10.1053\/j.ajkd.2025.06.012_bib51","doi-asserted-by":"crossref","first-page":"2236","DOI":"10.1016\/j.socscimed.2007.02.016","article-title":"The value of \u201clife at any cost\u201d: talk about stopping kidney dialysis","volume":"64","author":"Russ","year":"2007","journal-title":"Soc Sci Med"},{"issue":"1","key":"10.1053\/j.ajkd.2025.06.012_bib53","doi-asserted-by":"crossref","first-page":"85","DOI":"10.3390\/ijerph19010085","article-title":"Predictors and assessment of hospice use for end-stage renal disease patients in Taiwan","volume":"19","author":"Chen","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"6","key":"10.1053\/j.ajkd.2025.06.012_bib54","doi-asserted-by":"crossref","first-page":"E1025","DOI":"10.9778\/cmajo.20220232","article-title":"Association of patient sex with use of palliative care in Ontario, Canada: a population-based study","volume":"11","author":"Gitau","year":"2023","journal-title":"CMAJ Open"},{"issue":"11","key":"10.1053\/j.ajkd.2025.06.012_bib55","doi-asserted-by":"crossref","first-page":"1370","DOI":"10.1089\/jpm.2018.0573","article-title":"Regional variation in palliative care receipt in Ontario, Canada","volume":"22","author":"Panarella","year":"2019","journal-title":"J Palliat Med"},{"issue":"2","key":"10.1053\/j.ajkd.2025.06.012_bib56","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1001\/jama.2010.924","article-title":"Regional variation in health care intensity and treatment practices for end-stage renal disease in older adults","volume":"304","author":"O\u2019Hare","year":"2010","journal-title":"JAMA"},{"issue":"5","key":"10.1053\/j.ajkd.2025.06.012_bib57","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/01.mlr.0000255248.79308.41","article-title":"Are regional variations in end-of-life care intensity explained by patient preferences? A study of the US Medicare population","volume":"45","author":"Barnato","year":"2007","journal-title":"Med Care"},{"issue":"10","key":"10.1053\/j.ajkd.2025.06.012_bib58","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1111\/j.1532-5415.1998.tb04540.x","article-title":"Influence of patient preferences and local health system characteristics on the place of death","volume":"46","author":"Pritchard","year":"1998","journal-title":"J Am Geriatr Soc"},{"issue":"4","key":"10.1053\/j.ajkd.2025.06.012_bib59","doi-asserted-by":"crossref","first-page":"273","DOI":"10.7326\/0003-4819-138-4-200302180-00006","article-title":"The implications of regional variations in Medicare spending. Part 1: The content, quality, and accessibility of care","volume":"138","author":"Fisher","year":"2003","journal-title":"Ann Intern Med"},{"key":"10.1053\/j.ajkd.2025.06.012_bib61","series-title":"Consolidated Local Health Integration Network Annual Report 2020\/21","year":"2021"},{"issue":"2","key":"10.1053\/j.ajkd.2025.06.012_bib62","doi-asserted-by":"crossref","first-page":"E87","DOI":"10.1503\/cmaj.109-3763","article-title":"Access to palliative care varies widely across Canada","volume":"183","author":"Collier","year":"2011","journal-title":"CMAJ"},{"key":"10.1053\/j.ajkd.2025.06.012_bib63","series-title":"Population Estimates, Quarterly","year":"2025"},{"issue":"22","key":"10.1053\/j.ajkd.2025.06.012_bib64","doi-asserted-by":"crossref","first-page":"2765","DOI":"10.1001\/jama.292.22.2765","article-title":"Resurrecting treatment histories of dead patients: a study design that should be laid to rest","volume":"292","author":"Bach","year":"2004","journal-title":"JAMA"}],"container-title":["American Journal of Kidney Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0272638625009722?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0272638625009722?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T01:04:21Z","timestamp":1772845461000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0272638625009722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":61,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S0272638625009722"],"URL":"https:\/\/doi.org\/10.1053\/j.ajkd.2025.06.012","relation":{},"ISSN":["0272-6386"],"issn-type":[{"value":"0272-6386","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Delivery of Palliative Care in the Last Year of Life to Individuals Receiving Maintenance Dialysis: A Population-Level Cross-Sectional Study","name":"articletitle","label":"Article Title"},{"value":"American Journal of Kidney Diseases","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1053\/j.ajkd.2025.06.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of the National Kidney Foundation, Inc.","name":"copyright","label":"Copyright"}]}}