{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T15:30:58Z","timestamp":1793806258114,"version":"4.6.1"},"reference-count":20,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"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":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Nonagenarians with advanced cancer represent a growing yet understudied population in specialist palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To describe clinical characteristics, symptom profiles, palliative interventions, and end-of-life outcomes among patients aged 90 years and older admitted to a specialist palliative care unit in Japan. Design: Three-year retrospective descriptive case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      All patients aged \u2265 90 years admitted to a 24-bed specialist palliative care unit in a municipal acute-care hospital in western Japan between April 2020 and March 2023 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 71 of 684 total admissions, 10.4%). Demographics, primary cancer site, comorbidities, presenting symptoms, opioid and sedative use, delirium, length of stay, and discharge disposition were extracted from clinical records.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Comorbidities were present in 95.8% (mean 2.3 \u00b1 1.1 per patient), dementia in 56.3%; fatigue and anorexia were the most frequently documented presenting symptoms (38.0% and 33.8%), and pain was the primary complaint in 2.8%. Delirium occurred in 31.0%; 93.0% died on the unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Nonagenarians in specialist palliative care frequently have dementia and non-pain-predominant symptom profiles, underscoring the need for structured assessment of both pain and non-pain symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261471616","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T01:36:32Z","timestamp":1784597792000},"page":"1733-1736","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Palliative Care for Very Old Patients: A Three-Year Single-Center Retrospective Study"],"prefix":"10.1177","volume":"29","author":[{"given":"Makie","family":"Kohno","sequence":"first","affiliation":[{"name":"Department of Palliative Care, Ashiya Municipal Hospital, Ashiya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai","family":"Takeda","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Ashiya Municipal Hospital, Ashiya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayaka","family":"Ishimaru","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Ashiya Municipal Hospital, Ashiya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukako","family":"Sakagami","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Ashiya Municipal Hospital, Ashiya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4245-0953","authenticated-orcid":false,"given":"Ryouhei","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Graduate School of Rehabilitation Science, Osaka Metropolitan University, Osaka, Japan."},{"name":"Department of Psychiatry, Graduate School of Medicine, The University of Osaka, Osaka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinobu","family":"Matsuda","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Ashiya Municipal Hospital, Ashiya, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"e_1_3_4_2_1","volume-title":"Global strategy and action plan on ageing and health","author":"World Health Organization","year":"2017","unstructured":"1.World Health Organization. Global strategy and action plan on ageing and health. World Health Organization: Geneva; 2017."},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.18356\/6a8968ef-en"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)62167-9"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyab145"},{"key":"e_1_3_4_6_1","volume-title":"Palliative Care","author":"World Health Organization","year":"2020","unstructured":"5.World Health Organization. Palliative Care. 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