{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T04:12:17Z","timestamp":1790136737173,"version":"4.0.1"},"reference-count":27,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:00:00Z","timestamp":1758672000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:00:00Z","timestamp":1758672000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Noordwest ziekenhuisgroep","award":["PJ"],"award-info":[{"award-number":["PJ"]}]}],"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>Objectives<\/jats:title>\n                    <jats:p>Some nursing home residents opt to forgo hospital admission in case of a suspected hip fracture due to the poor prognosis. However, outcomes in these patients are unknown and hamper advance care planning and expectation management. This study assesses treatment satisfaction and quality of life in nursing home residents with a suspected hip fracture and a do-not-hospitalize directive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective case series study was conducted in three nursing home organizations in The Netherlands. The primary outcome was the treatment satisfaction according to proxies and caregivers. Secondary outcomes were EuroQoL-5D-5L utility score, Qualidem scores, pain and opiate administration, adverse events, mortality, and quality of dying (Quality of Dying and Death Questionnaire).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty patients, with a median age of 87 years, were included. The treatment satisfaction as rated by proxies and caregivers was high (median numeric rating scale of 9 [P25-P75 8-10] and 9 [P25-P75 8-9], respectively). The life expectancy was short (median of 5 days [P25-P75 3-6]) with a 14-day mortality rate of 100%. The overall quality of the death was \u201cgood to almost perfect\u201d in 77% of the patients (n\u2009=\u200910\/13) and \u201cintermediate\u201d in 23% (n\u2009=\u20093\/13). Symptom control was rated as \u201cgood to almost perfect\u201d in 70% of patients. Four adverse events occurred in three patients (15%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study showed that nonoperative management of suspected proximal femoral fractures in nursing home patients that opted to forgo hospital admission, results in high treatment satisfaction, high quality of dying with good symptom control, and predictable short-term mortality rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08258597251375240","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T15:08:38Z","timestamp":1758726518000},"page":"385-393","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Treatment Satisfaction with Nonoperative Management of Suspected Hip Fractures in Nursing Home Patients with a Do-Not-Hospitalize Directive: A Prospective Case Series (NONU-HIP)"],"prefix":"10.1177","volume":"41","author":[{"given":"Sverre A.I.","family":"Loggers","sequence":"first","affiliation":[{"name":"Northwest Clinics Alkmaar"},{"name":"Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, CA Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romke","family":"Van Balen","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, Leiden University Medical Center, RC Leiden, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeroen","family":"Steens","sequence":"additional","affiliation":[{"name":"Dijklander Ziekenhuis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna C.","family":"Willems","sequence":"additional","affiliation":[{"name":"Geriatrics Section, Department of Internal Medicine, Amsterdam UMC location AMC, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Riezebos","sequence":"additional","affiliation":[{"name":"Medical department Omring"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Wagenaar-Huisman","sequence":"additional","affiliation":[{"name":"Medical department Wilgaerden, Wognum, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael H.J.","family":"Verhofstad","sequence":"additional","affiliation":[{"name":"Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, CA Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2597-7948","authenticated-orcid":false,"given":"Esther M.M.","family":"Van Lieshout","sequence":"additional","affiliation":[{"name":"Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, CA Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter","family":"Joosse","sequence":"additional","affiliation":[{"name":"Northwest Clinics Alkmaar"},{"name":"Department of Surgery, Rode Kruis Ziekenhuis, Beverwijk, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.0743"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2022.0089"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-009-0229-0"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afl103"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2198"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313493685"},{"key":"e_1_3_2_8_2","first-page":"32","article-title":"Oudere breekt heup: opereren of niet?","volume":"9","author":"Stavenuiter R","year":"2018","unstructured":"Stavenuiter R, Hermanussen H, Ree van de M. Oudere breekt heup: opereren of niet?. Med Contact (Bussum). 2018;9:32\u201333","journal-title":"Med Contact (Bussum)."},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-017-0233-1"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.3233\/RNN-2002-00203"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31802e70c7"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-021-01679-y"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/hec.1124"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1692"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.44.12.2308"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2003.10.001"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2009.05.012"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-0569"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.43.11.2412-a"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/49.4.M174"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.04.020"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.12927\/hcq.2017.25018"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-022-06638-x"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216314535962"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216314526272"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2019.02.017"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/10499091231180556"}],"container-title":["Journal of Palliative Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08258597251375240","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08258597251375240","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08258597251375240","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T16:05:50Z","timestamp":1788969950000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08258597251375240"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,24]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/08258597251375240"],"URL":"https:\/\/doi.org\/10.1177\/08258597251375240","relation":{},"ISSN":["0825-8597","2369-5293"],"issn-type":[{"value":"0825-8597","type":"print"},{"value":"2369-5293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,24]]}}}