{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:13:47Z","timestamp":1777918427724,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2023YFC3605900"],"award-info":[{"award-number":["2023YFC3605900"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The end-of-life experience is a multidimensional concept that involves multiple domains, such as physical, social, caregiving, and environmental aspects, but previous studies have examined only individual factors. Analyzing the heterogeneity of older adults\u2019 end-of-life experiences via comprehensive evaluation indicators can enhance understanding of the end-of-life process and inform the development of personalized care strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To identify end-of-life experience patterns among older adults via comprehensive evaluation indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design, setting\/participants:<\/jats:title>\n                    <jats:p>In this cross-sectional study, Chinese Longitudinal Healthy Longevity Survey (CLHLS) data were used. Older adults (aged 65\u2009years and older) who died between 2008 and 2018 were selected. Data on the physical condition, family support, caregiving, and place of death of older adults were extracted to perform a latent class analysis to identify end-of-life experience patterns. A multinomial logistic regression was employed to explore the association between demographic characteristics and class membership, and an ordinal logistic regression was used to examine the relationship between class membership and pain near death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 15,844 deceased older adults were included in the study. Latent class analysis identified three end-of-life experience patterns: \u2018limited companionship\u2013institutional death\u2019 (14.28%), \u2018functional disability\u2013family care\u2019 (60.70%), and \u2018living well\u2013affordable caregiving\u2019 (25.02%). Females who lived in cities were more likely to belong to the functional disability\u2013family care class. The living well\u2013affordable caregiving class was associated with the lowest level of pain near death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Further strategies need to be implemented to address gender and urban\u2012rural inequities in end-of-life care. It is crucial to prioritize expanding access to community-based healthcare resources and offering comprehensive training for family caregivers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163261422557","type":"journal-article","created":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T09:44:00Z","timestamp":1772531040000},"page":"574-582","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["End-of-life experience patterns among older adults and their association with pain near death: A population-based study"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0677-2664","authenticated-orcid":false,"given":"Yijing","family":"Li","sequence":"first","affiliation":[{"name":"Evidence-Based Nursing Center, West China Hospital, Sichuan University, Chengdu, China"},{"name":"West China School of Nursing, Sichuan University, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinli","family":"Zhang","sequence":"additional","affiliation":[{"name":"Business School, Sichuan University, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lean","family":"Yu","sequence":"additional","affiliation":[{"name":"Business School, Sichuan University, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanshan","family":"Liu","sequence":"additional","affiliation":[{"name":"Evidence-Based Nursing Center, West China Hospital, Sichuan University, Chengdu, China"},{"name":"West China School of Nursing, Sichuan University, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sutong","family":"Wang","sequence":"additional","affiliation":[{"name":"Business School, Sichuan University, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ting","family":"Yu","sequence":"additional","affiliation":[{"name":"Evidence-Based Nursing Center, West China Hospital, Sichuan University, Chengdu, China"},{"name":"West China School of Nursing, Sichuan University, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ziyi","family":"Hu","sequence":"additional","affiliation":[{"name":"Evidence-Based Nursing Center, West China Hospital, Sichuan University, Chengdu, China"},{"name":"West China School of Nursing, Sichuan University, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Jiang","sequence":"additional","affiliation":[{"name":"West China School of Nursing, Sichuan University, Chengdu, China"},{"name":"Department of Nursing, West China Hospital, Sichuan University, Chengdu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,3]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2023.1981"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31133-3"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00802-6"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-020-0520-8"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-6554(98)90069-0"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.profnurs.2004.08.007"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2022-004146"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(21)00097-0"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.704590"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s41999-019-00234-9"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-023-06722-y"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnac160"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2023.105319"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909119883835"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951511000691"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732318796477"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.2278"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1348214"},{"key":"e_1_3_3_20_2","volume-title":"Global atlas of palliative care","author":"Connor SR.","year":"2020","unstructured":"Connor SR. 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