{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T15:43:00Z","timestamp":1767973380612,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,11,4]],"date-time":"2015-11-04T00:00:00Z","timestamp":1446595200000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe medications that older adults in hospice with cancer, dementia, debility, heart disease, and lung disease take during the last week of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Nationally representative sample of 695 U.S. hospices in the 2007 National Home and Hospice Care Survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Individuals aged 65 and older with a primary diagnosis of cancer (49%), dementia (12%), debility (14%), heart disease (16%), or lung disease (10%) who received end\u2010of\u2010life care during their last week of life (N\u00a0=\u00a02,623).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Medication data were obtained from hospice staff, who were asked, \u201cWhat are the names of all the medications and drugs the patient was taking 7\u00a0days prior to and on the day of his or her death while in hospice? Please include any standing, routine, or PRN medications.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The unweighted survey response rate was 71%. The average number of medications taken was 10.2. The most common therapeutic classes were analgesics (98%); antiemetic and antivertigo medications (78%); anxiolytics, sedatives, and hypnotics (76%); anticonvulsants (71%); and laxatives (53%). Approximately one\u2010quarter of the individuals took proton pump inhibitors, anticoagulants, and antidepressants, and fewer than 20% took antacids and antibiotics. A smaller percentage of individuals with dementia and debility than of those with cancer took opioid analgesics. Individuals with heart disease were more likely than individuals in the other clinical cohorts to take diuretics, and those with lung disease were more likely than those in the other clinical cohorts to take bronchodilators. A higher percentage of individuals with dementia and with debility than with cancer and lung disease took antidepressants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>People continue to receive disease\u2010focused therapies at the end of life rather than therapies exclusively for palliation of symptoms, suggesting that treatments may vary according to the person's primary diagnosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.13795","type":"journal-article","created":{"date-parts":[[2015,11,4]],"date-time":"2015-11-04T02:47:05Z","timestamp":1446605225000},"page":"2282-2289","source":"Crossref","is-referenced-by-count":33,"title":["Medications That Older Adults in Hospice Care in the United States Take, 2007"],"prefix":"10.1111","volume":"63","author":[{"given":"Lisa L.","family":"Dwyer","sequence":"first","affiliation":[{"name":"National Center for Health Statistics Centers for Disease Control and Prevention Hyattsville Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denys T.","family":"Lau","sequence":"additional","affiliation":[{"name":"National Center for Health Statistics Centers for Disease Control and Prevention Hyattsville Maryland"},{"name":"College of Pharmacy University of Illinois at Chicago Chicago Illinois"},{"name":"Milken Institute School of Public Health George Washington University Washington District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph W.","family":"Shega","sequence":"additional","affiliation":[{"name":"VITAS Healthcare Orlando Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,11,4]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"NHPCO Facts and Figures: Hospice Care in America.Alexandria VA:National Hospice Care and Palliative Care Organization. October 2013 [on\u2010line]. Available athttp:\/\/www.nhpco.org\/hospice-statistics-research-press-room\/facts-hospice-and-palliative-careAccessed January 14 2014."},{"key":"e_1_2_7_3_1","unstructured":"NHPCO Facts and Figures: Hospice Care in America.Alexandria VA:National Hospice Care and Palliative Care Organization. October 2012 [on\u2010line]. Available athttp:\/\/www.nhpco.org\/hospice-statistics-research-press-room\/facts-hospice-and-palliative-careAccessed January 14 2014."},{"key":"e_1_2_7_4_1","unstructured":"Centers for Medicare and Medicaid Services.Medicare Hospice Benefits. CMS Product No 02154. Revised August 2013 [on\u2010line]. 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