{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T02:47:33Z","timestamp":1785466053336,"version":"3.56.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"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":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Multidisciplinary neuro-palliative care has been increasingly recommended for the management of patients with motor neuron disease. While international guidelines have highlighted the importance of early palliative care referral, the best model of practice has not been well-defined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The objective of this study is to evaluate the outcomes of a structured multidisciplinary neuro-palliative care model developed in regional hospitals in Hong Kong.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A 10-year retrospective chart review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>Adult motor neuron disease patients under care of three regional hospitals in Hong Kong. Data of patients under the care of multidisciplinary neuro-palliative care taskforce and those who were not were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were 140 motor neuron disease patients included in study. Patients in multidisciplinary neuro-palliative care group received more healthcare intervention and palliative care services, including occupational therapist (92.86% vs 78.57%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.021), dietician (67.35% vs 42.86%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.007) and speech therapist (96.94% vs 76.19%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.000) services, community support by non-governmental organizations (74.49% vs 19.05%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.000) and formal bereavement support (78.26% vs 17.07%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.000). Significantly more patients in multidisciplinary neuro-palliative care group had completed Advance Medical Directives (46.94% vs 4.76%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.000). Patients under multidisciplinary care had longer survival compared to those who were not (HR 0.539, 95% CI 0.372\u20130.782,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.001). This remains significant after adjusting for factors affecting survival in multivariate analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Multidisciplinary neuro-palliative care demonstrated benefits in motor neuron disease patients in terms of better care coordination and service delivery, higher rate of Advance Medical Directive completion, with possible better survival observed. Future prospective studies are warranted to assess the impact on patient-centered outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163251396020","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T08:48:48Z","timestamp":1765874928000},"page":"253-264","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A 10-year service evaluation of a multidisciplinary neuro-palliative care model in motor neuron disease: Impact on palliative care service delivery &amp; advance care planning"],"prefix":"10.1177","volume":"40","author":[{"given":"Wai Kei Vicky","family":"Chung","sequence":"first","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ka Po","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dany Young","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi Ka Samantha","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lok Yiu Eric","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shi Hon","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"},{"name":"Union Hospital Polyclinic, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siu Lun Eddie","family":"Chow","sequence":"additional","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeuk Fai","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3626-2999","authenticated-orcid":false,"given":"Yu Hong John","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiu Keung","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savio","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wai Cheung Jennifer","family":"Lui","sequence":"additional","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5302-1804","authenticated-orcid":false,"given":"Hon Wai Benjamin","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Medicine &amp; Geriatrics, Tuen Mun Hospital, New Territories, Hong Kong SAR"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)01272-7"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199403033300901"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40265-022-01769-1"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2023.06.029"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163231175696"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-020-00651-9"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.16840"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181bc01a4"},{"key":"e_1_3_3_10_2","volume-title":"Motor Neurone Disease: Assessment and Management","author":"National Clinical Guideline Centre (UK)","year":"2016","unstructured":"National Clinical Guideline Centre (UK). 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