{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T16:20:02Z","timestamp":1788970802907,"version":"build-2803163510"},"reference-count":23,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"German Innovations Fund of the Federal Joint Committee","award":["01VSF19026"],"award-info":[{"award-number":["01VSF19026"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Palliat Care"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Palliative care is more commonly provided to patients with cancer than to those with non-oncological conditions. Little is known about the prevalence of inappropriate care and whether differences exist depending on the underlying disease. This study investigates the care during the last month of life in patients with cancer and non-oncological conditions, such as amyotrophic lateral sclerosis (ALS), chronic obstructive pulmonary disease (COPD), and dementia, considering the care setting (nursing home vs. community care).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a population-based, retrospective analysis of deceased in 2016\u20132019 with COPD (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20094,036), dementia (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200940,853), or ALS (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009608). Logistic regression analyses compared the care quality with that of the deceased with cancer (n\u2009=\u200958,315). Interaction analyses examined setting effects. Outcome measures included validated quality indicators: hospital and intensive care unit (ICU) stays, emergency service utilization, and place of death.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Deceased with COPD, dementia, and ALS more frequently utilized emergency services compared to those with cancer (40.4%, 28.4%, 29.0% vs. 24.4%, respectively,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05) and were less likely to die in a hospital (excluding palliative care units; 38.2%, 15.3%, 25.7% vs. 40.3%, respectively,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05). Differences were observed in ICU (13.6%, 3.4%, 6.1% vs. 4.3%, respectively,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05) and hospital admissions (42.7% for COPD vs. 31.5% for oncological patients,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001). The same pattern was observed across all conditions: deceased in community care had higher rates in all quality indicators than those in nursing homes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results suggest differences in care quality depending on the underlying disease. Nononcological patients in community care are less frequently and less adequately cared for than oncological patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08258597251353315","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T12:45:06Z","timestamp":1756817106000},"page":"377-384","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Quality of Palliative Care in Nursing Homes and Community Care in Deceased with Chronic Obstructive Pulmonary Disease (COPD), Dementia, Amyotrophic Lateral Sclerosis (ALS), and Cancer: A Retrospective Analysis of Claims Data (2016-2019)"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5414-7689","authenticated-orcid":false,"given":"Dr. med.","family":"Ekaterina Slotina","sequence":"first","affiliation":[{"name":"Jena University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dr. rer. nat. Bianka","family":"Ditscheid","sequence":"additional","affiliation":[{"name":"Jena University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1791-2266","authenticated-orcid":false,"given":"Dr. phil. Franziska","family":"Meissner","sequence":"additional","affiliation":[{"name":"Jena University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariane","family":"Wiese","sequence":"additional","affiliation":[{"name":"Jena University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Hezel","sequence":"additional","affiliation":[{"name":"Jena University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dr. med. Ursula","family":"Marschall, Dipl. oec.","sequence":"additional","affiliation":[{"name":"Barmer Institute for Health Systems Research, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"apl. Prof. Dr. med. Ulrich","family":"Wedding","sequence":"additional","affiliation":[{"name":"Jena University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8288-2729","authenticated-orcid":false,"given":"PD Dr. rer. pol. \/ habil. med. Antje","family":"Freytag","sequence":"additional","affiliation":[{"name":"Jena University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00103-023-03746-9"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0273997"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01631-z"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/20503121241269599"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313489367"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-6961-4"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00103-020-03240-6"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.3.326"},{"key":"e_1_3_2_11_2","unstructured":"Kwietniewski L Blankart CR Schneider AM Schrey\u00f6gg J eds. Repschl\u00e4ger U Schulte C Osterkamp N. Utilization of healthcare services and resource use during the last months of life in Germany in international comparison (Englische \u00dcbersetzung des Titels: Inanspruchnahme von Gesundheitsleistungen und Ressourceneinsatz w\u00e4hrend der letzten Lebensmonate in Deutschland im internationalen Vergleich). Wuppertal: Barmer GEK; 2016. (Gesundheitswesen aktuell 2016). Pages 128\u2013155"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-022-06908-8"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-020-00679-x"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-032013-182406"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2013.0213"},{"key":"e_1_3_2_16_2","unstructured":"Repschl\u00e4ger U Schulte C Osterkamp N eds. Healthcare Today 2016: Contributions and Analyses. Barmer GEK 2016."},{"key":"e_1_3_2_17_2","unstructured":"Universit\u00e4tsklinikum Jena & BARMER. pallCompare Monitor: palliative care quality. https:\/\/www.bifg.de\/projekte\/pallcompare\/interaktive-grafiken-pallcompare\/ergebnisqualitaet-palliativer-versorgung-diagramm"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216309102987"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.0677"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216317726443"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216310385370"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216306072086"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-006-1129-x"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313493685"}],"container-title":["Journal of Palliative Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08258597251353315","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08258597251353315","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08258597251353315","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T16:05:44Z","timestamp":1788969944000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08258597251353315"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,2]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/08258597251353315"],"URL":"https:\/\/doi.org\/10.1177\/08258597251353315","relation":{},"ISSN":["0825-8597","2369-5293"],"issn-type":[{"value":"0825-8597","type":"print"},{"value":"2369-5293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,2]]}}}