{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:19:44Z","timestamp":1777943984050,"version":"3.51.4"},"reference-count":53,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"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":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Home-based palliative care (HBPC) is central to high-quality end-of-life care; however, most evidence and care models remain cancer-oriented, with non-cancer populations underrepresented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare clinical profiles, symptom burden, care delivery intensity, and outcomes between patients with oncological and non-oncological diagnoses enrolled in a publicly funded HBPC program in Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective cross-sectional study of 719 consecutive patients (65.5% oncological; 34.5% non-oncological) enrolled in the\n                      <jats:italic toggle=\"yes\">Servi\u00e7o de Aten\u00e7\u00e3o Domiciliar em Cuidados Paliativos<\/jats:italic>\n                      (SAD-CP) between 2013 and 2023. Medical records were reviewed for sociodemographic characteristics, Palliative Performance Scale (PPS) scores, comorbidities, symptoms, healthcare visits, and survival.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Non-oncological patients were older (mean 80.8 vs 69.6 years;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and more functionally impaired at admission (PPS \u226430: 45.6% vs 36.3%). Cancer patients reported a higher prevalence of pain, nausea, anxiety, and depression, whereas dysphagia was more frequent among non-cancer patients. Median daily medical (0.37 vs 0.31;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0206) and urgent visits (0.08 vs 0.06;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0116) were higher among oncological patients. Median survival was slightly shorter in cancer patients (48 vs 50 days;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0021). Overall, 99.6% of patients died at home.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Publicly funded HBPC can support a high intensity of medical and nursing care and enable successful home death for both oncological and non-oncological patients, even in socioeconomically vulnerable populations. While symptom profiles and care needs differ by diagnosis, functional status remains a key determinant of outcomes. These findings underscore the importance of PPS-guided care planning and workforce capacity to deliver equitable, scalable palliative care across disease groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091261444925","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:30:28Z","timestamp":1777386628000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparing Clinical Profiles, Symptom Burden, Care Delivery, and Outcomes Between Oncologic and Non-Oncologic Patients in a Public Home-Based Palliative Care Program"],"prefix":"10.1177","author":[{"given":"M\u00f4nica Isaura","family":"Corr\u00eaa","sequence":"first","affiliation":[{"name":"Faculdade de Ci\u00eancias M\u00e9dicas de Minas Gerais"},{"name":"Department of Palliative Care, Servi\u00e7o de Aten\u00e7\u00e3o Domiciliar \u2013 Cuidados Paliativos"},{"name":"Funda\u00e7\u00e3o Educacional de Caratinga"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor de Oliveira Claber","family":"Siqueira","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Servi\u00e7o de Aten\u00e7\u00e3o Domiciliar \u2013 Cuidados Paliativos"},{"name":"Funda\u00e7\u00e3o Educacional de Caratinga"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Souza","sequence":"additional","affiliation":[{"name":"Independent Biostatistics Consulting LLC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Bruera","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0289-8953","authenticated-orcid":false,"given":"Ana Paula","family":"Drummond-Lage","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias M\u00e9dicas de Minas 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