{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:10:48Z","timestamp":1747185048495,"version":"3.40.5"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,10,3]],"date-time":"2022-10-03T00:00:00Z","timestamp":1664755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["19dk0110038h0001"],"award-info":[{"award-number":["19dk0110038h0001"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Older adults at the end\u2010of\u2010life stage receiving home visits from physicians often experience symptoms such as dyspnea, pain and fatigue, among others. This study aimed to investigate the practices and opinions of physicians providing home visits regarding palliative care for older adults with respiratory symptoms due to non\u2010malignant diseases in Japan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A nationwide questionnaire survey on home palliative care for non\u2010cancer chronic respiratory diseases was sent to 2988 home\u2010care physicians in 2020 through postal mail and\/or email. The questions focused on their background, their use of rating scales to evaluate the intensity of dyspnea, and their practices and opinions regarding home palliative care for respiratory diseases or symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Valid responses were collected from 592 physicians (19.8%). A total of 251 participants (43.1%) used a rating scale to evaluate the intensity of dyspnea. While 87.8%, 86.6%, 67.3%, and 60.0% of physicians considered pulmonary rehabilitation, morphine, sedative medications, and non\u2010invasive positive pressure ventilation (NPPV), respectively, as effective in relieving respiratory distress, 73.0%, 66.9%, 57.3%, and 55.2% of those physicians, respectively, used each modality to relieve respiratory distress. Frequently involved physicians in the aforementioned care prescribed morphine or sedative medications and used NPPV more frequently.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study found a discrepancy between the proportion of physicians who considered palliative care as effective and those who prescribed it. <jats:bold>Geriatr Gerontol Int 2022; 22: 943\u2013949<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.14487","type":"journal-article","created":{"date-parts":[[2022,10,3]],"date-time":"2022-10-03T15:39:10Z","timestamp":1664811550000},"page":"943-949","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Palliative home care for older patients with respiratory disease in Japan: Practices and opinions of physicians"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6259-0195","authenticated-orcid":false,"given":"Takashi","family":"Yamanaka","sequence":"first","affiliation":[{"name":"Department of Home Care Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1888-0168","authenticated-orcid":false,"given":"Kiwami","family":"Kidana","sequence":"additional","affiliation":[{"name":"Department of Home Care Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine, Saitama Medical Center Jichi Medical University  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Hirahara","sequence":"additional","affiliation":[{"name":"Tokyo Fureai Medical Co\u2010op Research and Education Center  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8483-5053","authenticated-orcid":false,"given":"Yoshihisa","family":"Hirakawa","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine Nagoya University  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maiko","family":"Mizuki","sequence":"additional","affiliation":[{"name":"Department of Home Care Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9000-6849","authenticated-orcid":false,"given":"Hidenori","family":"Arai","sequence":"additional","affiliation":[{"name":"National Center for Geriatrics and Gerontology  Obu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Akishita","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4780-9857","authenticated-orcid":false,"given":"Hisayuki","family":"Miura","sequence":"additional","affiliation":[{"name":"Department of Home Care and Regional Liaison Promotion National Center for Geriatrics and Gerontology  Obu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,3]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"The Ministry of Health Labour and Welfare of Japan.Summary of Patient Survey 2019(In Japanese). 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