{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:10:05Z","timestamp":1788480605956,"version":"build-2803163510"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2010,10,11]],"date-time":"2010-10-11T00:00:00Z","timestamp":1286755200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2011,3]]},"abstract":"<jats:p>To determine the role of non-cancer palliative care in inpatient services in Germany, data from the Hospice and Palliative Care Evaluation (HOPE) were analysed. Since 1999, a three-month census has been conducted annually in German palliative care units. Pooled data from 2002\u20132005 were tested for differences between non-cancer patients (NCs) and cancer patients (Cs). A total of 4182 patients (NC: 3.5%; C: 96.5%) were documented; functional status (using Eastern Cooperative Oncology Group (ECOG) measures) in NCs was lower compared to Cs ( p\u2009=\u20090.009). NCs suffered more often from dyspnoea (40%; C: 29%; p\u2009=\u20090.004), weakness (92,3%; C: 84,5%; p\u2009=\u20090.011) and tiredness (75.4%; C: 66.7%; p\u2009=\u20090.03) and less from nausea (17.1%; C: 28.9%; p\u2009=\u20090.002), vomiting (8.2%; C: 19.4%; p\u2009=\u20090.001) or loss of appetite (55.5%; C: 67.9%; p\u2009=\u20090.002). There were no differences in pain and constipation. Other problems (nursing, psychological) were more frequent for NCs, in particular the need for support in the activities of daily life (90.3%; C: 72.8%; p\u2009&lt;\u20090.001) and disorientation\/confusion (32.1%; C: 17.2%; p\u2009&lt;\u20090.001). There were no differences in social problems. NCs are still rare in specialized inpatient palliative care institutions in Germany. The palliative care needs in patients with non-malignant disease will challenge the health care system as the workload for these services will grow over proportionally.<\/jats:p>","DOI":"10.1177\/0269216310385370","type":"journal-article","created":{"date-parts":[[2010,10,11]],"date-time":"2010-10-11T20:23:34Z","timestamp":1286828614000},"page":"148-152","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":100,"title":["Non-cancer patients in specialized palliative care in Germany: What are the problems?"],"prefix":"10.1177","volume":"25","author":[{"given":"Christoph","family":"Ostgathe","sequence":"first","affiliation":[{"name":"Division of Palliative Medicine, University of Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernd","family":"Alt-Epping","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, University of G\u00f6ttingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidrun","family":"Golla","sequence":"additional","affiliation":[{"name":"Centre for Palliative Medicine, University of Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Gaertner","sequence":"additional","affiliation":[{"name":"Centre for Palliative Medicine, University of Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Lindena","sequence":"additional","affiliation":[{"name":"Clinical Analysis, Research and Application, CLARA, Berlin-Kleinmachnow"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Radbruch","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, University of Bonn, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond","family":"Voltz","sequence":"additional","affiliation":[{"name":"Centre for Palliative Medicine, University of Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2010,10,11]]},"reference":[{"key":"bibr1-0269216310385370","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-05674-8.50040-2"},{"key":"bibr2-0269216310385370","first-page":"7","volume-title":"Oxford textbook of palliative medicine","author":"Cherny N","year":"2005"},{"key":"bibr3-0269216310385370","doi-asserted-by":"publisher","DOI":"10.1191\/026921698676226729"},{"key":"bibr4-0269216310385370","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-2-116"},{"key":"bibr5-0269216310385370","doi-asserted-by":"publisher","DOI":"10.1191\/026921698676924076"},{"key":"bibr6-0269216310385370","volume-title":"National cancer control programmes \u2013 policies and managerial guidelines","author":"WHO","year":"2002","edition":"2"},{"key":"bibr7-0269216310385370","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2005.06.007"},{"key":"bibr8-0269216310385370","unstructured":"EAPC. \u2018The EAPC Task Force on the Development of Palliative Care in Europe \u2013 Countries Report', http:\/\/www.eapcnet.org\/Policy\/CountriesReport.htm (2006). 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Accessed 15th July 2008."},{"key":"bibr18-0269216310385370","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2010.15.5.48370"},{"key":"bibr19-0269216310385370","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp212"}],"container-title":["Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269216310385370","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0269216310385370","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269216310385370","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:18:06Z","timestamp":1777659486000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0269216310385370"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,10,11]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2011,3]]}},"alternative-id":["10.1177\/0269216310385370"],"URL":"https:\/\/doi.org\/10.1177\/0269216310385370","relation":{},"ISSN":["0269-2163","1477-030X"],"issn-type":[{"value":"0269-2163","type":"print"},{"value":"1477-030X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,10,11]]}}}