{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T14:20:41Z","timestamp":1788272441889,"version":"build-2803163510"},"reference-count":36,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:00:00Z","timestamp":1731542400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:00:00Z","timestamp":1731542400000},"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":["J Palliat Care"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    The prevalence and mortality of chronic liver disease has risen significantly. In end-stage liver disease (ESLD), the survival of patients is approximately 2 years. Despite the poor prognosis and high symptom burden, integration of palliative care in ESLD is reduced, and the majority of patients continue to die in inpatient care. We aim to assess predictors and outcomes of home palliative care, as well as factors associated with death at home in patients with ESLD.\n                    <jats:bold>Methods:<\/jats:bold>\n                    Retrospective cohort study of patients with ESLD, followed by a palliative care team between 2017 and 2022. Information regarding patient demographics, ESLD etiology, decompensations, and interventions was collected. Two-sided tests were used to identify factors associated with home palliative care.\n                    <jats:bold>Results:<\/jats:bold>\n                    We analyzed 75 patients: 44% had home palliative care and 33% died at home. ESLD patients with home palliative care were older (72.52 vs 64.45;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.002), had a longer palliative care intervention time (149.97\u2009\u00b1\u2009196.23 vs 43.69\u2009\u00b1\u2009100.60 days;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.007), higher rates of ascites or hepatic encephalopathy (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u200911.024;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.029), and hepatocarcinoma (90.9% vs 64.3%;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.007). Patients with home palliative care had a reduction in-hospital admissions (2.61 vs 1.06;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.000) and a greater probability of death at home (66.7% vs 33.3%;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.000). Patients who died at home (33.3%) were older (72.20 vs 64.40;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.000) and had longer palliative care intervention time (178.80\u2009\u00b1\u2009211.78 vs 46.28\u2009\u00b1\u200999.67 days;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.006).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Home palliative care in ESLD differs based on demographics and disease complications, with a positive impact of homecare translated into a reduction in hospital admissions and an increased probability of death at home.\n                  <\/jats:p>","DOI":"10.1177\/08258597241296116","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T04:07:18Z","timestamp":1731557238000},"page":"129-136","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Palliative Homecare in Chronic Liver Disease: A Cohort Analysis of Factors and Outcomes Associated with Home Palliative Care in Patients with End-Stage Liver Disease"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3732-4530","authenticated-orcid":false,"given":"Hugo M.","family":"Oliveira","sequence":"first","affiliation":[{"name":"Department of Social Sciences and Health, Faculty of Medicine, University of Porto, Porto, Portugal"},{"name":"Palliative Care Unit, Matosinhos Local Health Unit, Matosinhos, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9u","family":"Rocha","sequence":"additional","affiliation":[{"name":"Palliative Care Unit, Matosinhos Local Health Unit, Matosinhos, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Francisca","family":"Rego","sequence":"additional","affiliation":[{"name":"Department of Social Sciences and Health, Faculty of Medicine, University of Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Nunes","sequence":"additional","affiliation":[{"name":"Department of Social Sciences and Health, Faculty of Medicine, University of Porto, Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(19)30349-8"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2019.07.060"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1159\/000484868"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2005.10.013"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318807051"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2018.05.032"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/hep.28414"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2011.314"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2017.07.007"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.04.027"},{"issue":"2","key":"e_1_3_3_12_2","first-page":"18","article-title":"Sooner rather than later: early hospice intervention in advanced liver disease abstract","volume":"98","author":"Quinn S","year":"2017","unstructured":"Quinn S, Campbell V, Sikka K. 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