{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T18:52:02Z","timestamp":1773859922413,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,5,27]],"date-time":"2013-05-27T00:00:00Z","timestamp":1369612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2013,7]]},"abstract":"\n Background<\/jats:title>\n Patients with dementia constitute an increasing proportion of hospice enrollees, yet little is known about the quality of hospice care for this population. The aim of this study was to quantify differences in quality of care measures between hospice patients with and without dementia.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross\u2010sectional analysis of data.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n 2007 National Home and Hospice Care Survey.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Four thousand seven hundred eleven discharges from hospice care.<\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n A primary diagnosis of dementia at discharge was defined according to\n International Classification of Diseases, Ninth Revision<\/jats:italic>\n , codes (290.0\u2013290.4x, 294.0, 294.1, 294.8, 331.0\u2013331.2, 331.7, and 331.8). Quality\u2010of\u2010care measures included enrollment in hospice in the last 3\u00a0days of life, receiving tube feeding, depression, receiving antibiotics, lack of advanced directive or do not resuscitate order, Stage\n II<\/jats:styled-content>\n or greater pressure ulcers, emergency care, lack of continuity of residence, and a report of pain at last assessment.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Four hundred fifty (9.5%) individuals were discharged with a primary diagnosis of dementia. In multivariable analysis, individuals with dementia were more likely to receive tube feeding (odds ratio (\n OR<\/jats:styled-content>\n )\u00a0=\u00a02.6, 95% confidence interval (\n CI<\/jats:styled-content>\n )\u00a0=\u00a01.4\u20134.5) and to have greater continuity of residence (\n OR<\/jats:styled-content>\n \u00a0=\u00a01.8, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a01.1\u20133.0) than other individuals in hospice and less likely to have a report of pain at last assessment (\n OR<\/jats:styled-content>\n \u00a0=\u00a00.6, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a00.3\u20130.9).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The majority of quality\u2010of\u2010care measures examined did not differ between individuals in hospice with and without dementia. Use of tube feeding in hospice care and methods of pain assessment and treatment in individuals with dementia should be considered as potential quality\u2010of\u2010care measures.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.12316","type":"journal-article","created":{"date-parts":[[2013,5,27]],"date-time":"2013-05-27T09:48:16Z","timestamp":1369648096000},"page":"1060-1065","source":"Crossref","is-referenced-by-count":28,"title":["Quality of Hospice Care for Individuals with Dementia"],"prefix":"10.1111","volume":"61","author":[{"given":"Jennifer S.","family":"Albrecht","sequence":"first","affiliation":[{"name":"Department of Pharmaceutical Health Services Research School of Pharmacy University of Maryland Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann L.","family":"Gruber\u2010Baldini","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Public Health University of Maryland School of Medicine Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik K.","family":"Fromme","sequence":"additional","affiliation":[{"name":"Division of Hematology and Medical Oncology Knight Cancer Institute Oregon Health & Science University Portland Oregon"},{"name":"Center for Ethics in Healthcare Oregon Health & Science University Portland Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessina C.","family":"McGregor","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice Oregon State University and College of Pharmacy Oregon Health & Science University Portland Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David S. H.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice Oregon State University and College of Pharmacy Oregon Health & Science University Portland Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon P.","family":"Furuno","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice Oregon State University and College of Pharmacy Oregon Health & Science University Portland Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,27]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Report to the Congress: Medicare Payment Policy","author":"Medicare Payment Advisory Commission","year":"2010"},{"key":"e_1_2_6_3_1","volume-title":"Report to the Congress: Medicare Payment Policy","author":"Medicare Payment Advisory Commission","year":"2011"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2004.30329.x"},{"key":"e_1_2_6_5_1","volume-title":"National Consensus Project for Quality Palliative Care: Clinical Practice Guidelines for Quality Palliative Care","year":"2009"},{"key":"e_1_2_6_6_1","first-page":"1529","article-title":"The clinical course of advanced dementia","volume":"361","author":"Mitchell SL","year":"2009","journal-title":"J Am Geriatr Soc"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2010.0238"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2005.8.s-42"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.01.003"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1100347"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03385.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/104990910502200507"},{"key":"e_1_2_6_13_1","unstructured":"Technical Notes for the 2007 NHHCS Medication Public\u2010use File[on\u2010line]. Available athttp:\/\/www.cdc.gov\/nchs\/data\/nhhcsd\/NHHCS_NHHAS_web_documentation.pdfAccessed June 6 2011."},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002093-200007000-00006"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(02)00452-3"},{"key":"e_1_2_6_16_1","unstructured":"Centers for Medicare and Medicaid Services.Chronic Conditions Warehouse[on\u2010line]. Available athttp:\/\/www.ccwdata.org\/chronic-conditions\/index.htmAccessed April 3 2012."},{"key":"e_1_2_6_17_1","first-page":"CD007209","article-title":"Enteral tube feeding for older people with advanced dementia","volume":"2","author":"Sampson E","year":"2009","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_18_1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.3928\/00989134-20070601-03","article-title":"Pain assessment in older adults with dementia: Using behavioral observation methods in clinical practice","volume":"33","author":"Kaasalainen S","year":"2007","journal-title":"J Gerontol Nurs"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00391-011-0272-4"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-6-3"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(00)00113-5"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.12316","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.12316","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.12316","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.12316","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T11:55:26Z","timestamp":1762170926000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.12316"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,27]]},"references-count":20,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.1111\/jgs.12316"],"URL":"https:\/\/doi.org\/10.1111\/jgs.12316","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,27]]}}}