{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T07:57:42Z","timestamp":1790495862063,"version":"4.1.0"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In the Netherlands, eligibility for reimbursed end-of-life care is based on an estimated life expectancy of less than three months, despite the well-recognized difficulty of predicting survival. Objective measures such as the Palliative Performance Scale (PPS) and Palliative Prognostic Index (PPI) may better reflect patients\u2019 functional status and care needs, but their role in supporting eligibility decisions has not been evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the potential value of the PPS and PPI as objective tools to support eligibility decisions for reimbursed end-of-life care in the Dutch health care system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Prospective multicenter cohort study of patients admitted to high-care residential hospices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Thirteen high-care residential hospices were asked to include 15 consecutive patients per hospice in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 194 patients were included, of whom 179 died during hospice admission. Kaplan\u2013Meier analysis showed significantly longer survival among patients with PPS &gt; 40% than among those with PPS \u2264 40% (median 20 versus 8 days;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Both PPS and PPI were independently associated with survival. Agreement between clinicians\u2019 estimated survival and observed survival was poor (weighted Cohen\u2019s \u03ba = 0.191).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Estimated life expectancy alone appears insufficient to support eligibility decisions for end-of-life care. PPS and PPI may provide objective, standardized information to complement clinical judgment by focusing on patients\u2019 functional status and care needs. Because the PPS is simpler and applicable across disease groups, it may be the more practical tool for supporting eligibility decisions within the Dutch health care system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261483466","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:24:37Z","timestamp":1790141077000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the Palliative Performance Scale and Palliative Prognostic Index as Objective Tools to Support Eligibility Decisions for End-of-Life Care"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7911-1587","authenticated-orcid":false,"given":"Wim J.J.","family":"Jansen","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Amsterdam UMC, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bregje A.A.","family":"Huisman","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Amsterdam UMC, Amsterdam, the Netherlands."},{"name":"Hospice Kuria, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karolina M.","family":"Szadek","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Amsterdam UMC, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Schober","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Amsterdam UMC, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sana","family":"Otten","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, OLVG, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique A.H.","family":"Steegers","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Amsterdam UMC, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_3_3_2_1","first-page":"26","volume-title":"Living well at the end of life","author":"Lynn J","year":"2003","unstructured":"1.Lynn J, , Adamson DM. Living well at the end of life. Rand Corporation: Santa Monica, CA; 2003; p. 26."},{"key":"e_1_3_3_3_1","unstructured":"2.National Quality Forum. A national framework and preferred practices for palliative and hospice care quality: A consensus report. National Quality Forum: Washington DC; 2006. Available from:https:\/\/depts.washington.edu\/fammed\/wp-content\/uploads\/2019\/01\/NQF-standards-palliative-hospice_full.pdf"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0b013e3181bd03b7"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1541-9215.2007.06447.x"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp0707383"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2224-5820.2015.08.04"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/clon.2001.9256"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7233.469"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/pmr.2023.0087"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12439-014-0087-z"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/082585979601200102"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s005200050242"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2005.8.503"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2005.8.492"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2006.9.1066"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2008.05.017"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0141"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216312451613"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0885-3924(99)00040-8"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2440-8"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-018-0928-7"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692163231180657"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909118770604"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004480"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005358"},{"key":"e_1_3_3_27_1","unstructured":"26.Regionale Toetsingscommissies Euthanasie. Publicatiejaar 2013. Regionale Toetsingscommissies Euthanasie: The Hague; 2014. Available from: https:\/\/www.euthanasiecommissie.nl\/uitspraken-en-uitleg\/01-jaar-van-publicatie\/p-2013 [Last accessed: July21 2026]."},{"key":"e_1_3_3_28_1","unstructured":"27.Vrijwilligers Palliatieve Terminale Zorg Nederland Associatie Hospicezorg Nederland. Registratierapportage 2025. VPTZ Nederland and Associatie Hospicezorg Nederland: Amersfoort\/Utrecht the Netherlands; 2026. Available from: https:\/\/www.vptz.nl\/wp-content\/uploads\/2026\/05\/Registratierapportage-2025-VPTZ-AHzN-mei-2026.pdf [Last accessed: July21 2026]."},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-7-10"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.330.7498.1007"}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261483466","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218261483466","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261483466","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T07:18:10Z","timestamp":1790493490000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218261483466"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,22]]},"references-count":29,"alternative-id":["10.1177\/10966218261483466"],"URL":"https:\/\/doi.org\/10.1177\/10966218261483466","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,22]]},"article-number":"10966218261483466"}}