{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T12:06:35Z","timestamp":1784376395351,"version":"3.55.0"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Canada Research Chair in Integrated Care for Seniors"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Palliat Care"],"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    The setting in which death occurs significantly shapes the quality of end-of-life experiences. We aimed to understand how dying in different settings (home, hospital, or hospice or palliative care units [PCU]) influences the quality of the dying experience.\n                    <jats:bold>Methods:<\/jats:bold>\n                    We conducted a secondary analysis of decedent interview data from the Canadian Longitudinal Study on Aging, between January 2012 and March 2022. Proxies of deceased participants provided information on end-of-life experiences. We examined quality of death indicators across various locations and analyzed associations between end-of-life characteristics and the location of death.\n                    <jats:bold>Results:<\/jats:bold>\n                    Among the 1287 participants with completed decedent questionnaires, 17.2% (n\u2009=\u2009222) of deceased participants died in hospice or PCU, 49% (n\u2009=\u2009631) died in hospital and 22.7% (n\u2009=\u2009292) died at home. Those who died at home died in their preferred place more frequently (89.4; standard difference (SD): 0.65), while individuals who died in PCU or hospice reported significantly lower levels of pain (81.5%; SD: 0.31). Dying in the Canadian province of Quebec (odds ratio [OR] 3.77; CI 2.28-6.37), dying of cancer (OR 6.79; CI 4.10-11.9), and having total physical impairment (OR 2.08; CI 1.41-3.08) increased the odds of dying in PCU or hospice.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Dying in PCU or hospice may allow participants to die peacefully and have their pain under control, though dying at home aligns more closely with individual preferences, suggesting a potential compromise between quality and location of death. Regional health and social policies may influence where older individuals die.\n                  <\/jats:p>","DOI":"10.1177\/08258597251339869","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T13:59:01Z","timestamp":1784123941000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Home, Palliative Care Units or Hospice, and Hospital Deaths: An Analysis of the Canadian Longitudinal Study on Aging"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5061-187X","authenticated-orcid":false,"given":"Komal","family":"Aryal","sequence":"first","affiliation":[{"name":"McMaster University"},{"name":"University of Ottawa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Downar","sequence":"additional","affiliation":[{"name":"Centre for Integrated Care, The Research Institute of St. Joseph\u2019s Hamilton, Hamilton, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Jones","sequence":"additional","affiliation":[{"name":"McMaster University"},{"name":"Centre for Integrated Care, The Research Institute of St. Joseph\u2019s Hamilton, Hamilton, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren E.","family":"Griffith","sequence":"additional","affiliation":[{"name":"McMaster University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Tanuseputro","sequence":"additional","affiliation":[{"name":"University of Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew P.","family":"Costa","sequence":"additional","affiliation":[{"name":"McMaster University"},{"name":"Centre for Integrated Care, The Research Institute of St. Joseph\u2019s Hamilton, Hamilton, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2013.12.240"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2012.0262"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-022-01023-1"},{"key":"e_1_3_2_5_2","doi-asserted-by":"crossref","DOI":"10.1177\/082585970001601S04","article-title":"Dying in Canada: is it an institutionalized, technologically supported experience?","volume":"16","author":"Heyland DK","year":"2000","unstructured":"Heyland DK, Lavery JV, Tranmer JE, Shortt SE, Taylor SJ. Dying in Canada: is it an institutionalized, technologically supported experience? J Palliat Care. 2000;16(Suppl):S10-S16.","journal-title":"J Palliat Care"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216316653524"},{"issue":"1","key":"e_1_3_2_7_2","first-page":"25","article-title":"Does inpatient palliative care facilitate home-based palliative care postdischarge? A retrospective cohort study","volume":"2","author":"Kadu M","year":"2021","unstructured":"Kadu M, Mondor L, Hsu A, Webber C, Howard M, Tanuseputro P. Does inpatient palliative care facilitate home-based palliative care postdischarge? A retrospective cohort study. Palliat Med Rep. 2021;2(1):25-33.","journal-title":"Palliat Med Rep"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(02)00419-0"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00866-4"},{"key":"e_1_3_2_10_2","volume-title":"Canadian longitudinal study on aging (CLSA) protocol","author":"Raina PWC","unstructured":"Raina PWC, Kirkland S, Wolfson C. Canadian longitudinal study on aging (CLSA) protocol. Canadian Longitudinal Study on Aging (CLSA); 2008. 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