{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T14:14:18Z","timestamp":1780668858719,"version":"3.54.1"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Ministry of Health, Labor, and Welfare of Japan","award":["23EA1021"],"award-info":[{"award-number":["23EA1021"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare patient characteristics and end-of-life treatment between designated cancer care hospitals and non-designated hospitals, focusing on non-designated hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used the National Database from 2013 to 2015, provided by the Ministry of Health, Labor and Welfare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We analyzed 491\u2009964 patients of cancer descendants (designated hospitals, 164\u2009063 and non-designated hospitals, 327\u2009901). Non-designated hospitals treated older patients, specifically aged 85\u00a0years or older (non-designated hospitals: 26% vs designated hospitals: 11%), and fewer patients without comorbidities (32% vs 45%). Regarding end-of-life treatment in the last two weeks, non-designated hospitals had lower palliative care team fees (1% vs 11%; Relative Risk\u00a0=\u00a00.14), slightly lower use of strong opioids (53% vs 65%; RR\u00a0=\u00a00.81), and less use of antipsychotics (23% vs 37%; RR\u00a0=\u00a00.63). Non-designated hospitals used anticancer drugs less frequently (5% vs 10%; RR\u00a0=\u00a00.51), however, the use of intravenous hydration over 250\u00a0mL\/day was higher (55% vs 37%; RR\u00a0=\u00a02.27). In non-designated hospitals, although ICU admission was less frequent (1% vs 5%; RR\u00a0=\u00a00.27), there was no difference in cardiopulmonary resuscitation (5% vs 5%; RR\u00a0=\u00a01.02).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Non-designated hospitals treat more complex patients. In addition, non-designated hospitals had low palliative care team fees, low opioid and other essential drug prescriptions; however, the frequency of artificial hydration was higher. Although non-designated hospitals provided a lower frequency of end-of-life aggressive treatment, no difference was observed in life-sustaining treatments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jjco\/hyag007","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T12:50:36Z","timestamp":1776430236000},"page":"741-747","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of patient characteristics and end-of-life treatments among cancer descendants between designated cancer care hospitals and non-designated hospitals using the national claims database in Japan"],"prefix":"10.1093","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7637-0409","authenticated-orcid":false,"given":"Mitsunori","family":"Miyashita","sequence":"first","affiliation":[{"name":"Department of Palliative Nursing, Health Sciences, Graduate School of Medicine, Tohoku University , 2-1, Seiryo-machi, Aoba-ku, Sendai, 980-8575 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Institute for Cancer Control National Cancer Center , 5-1-1, Tsukiji, Chuo-ku, Tokyo, 104-0045 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Kizawa","sequence":"additional","affiliation":[{"name":"Department of Palliative and Supportive Care, Faculty of Medicine, University of Tsukuba , 1-1-1, Tennodai, Tsukuba, 305-8575 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megumi","family":"Kishino","sequence":"additional","affiliation":[{"name":"Nursing Department, Sanaikai General Hospital , 2-342, Hikonari, Misato, 341-0003 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satomi","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Palliative Nursing, Health Sciences, Graduate School of Medicine, Tohoku University , 2-1, Seiryo-machi, Aoba-ku, Sendai, 980-8575 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