{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T11:46:46Z","timestamp":1789645606732,"version":"4.0.0"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"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":["Palliat&amp;#65533;Care"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The World Health Organization defines palliative care (PC) as an approach aimed at improving the quality of life of patients and families facing life-threatening illness. In developing countries, gaps persist in coverage, late referrals, and limited integration of PC into hospital care, especially for non-oncologic conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the relationship between chronic diseases and the need for PC among hospitalized patients in a hospital in southern Peru.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Analytical cross-sectional study in a public referral hospital. We included adults \u2a7e18\u2009years admitted to Internal Medicine, General Surgery, Obstetrics and Gynecology, or the Emergency Department; we excluded pregnant\/postpartum patients, those managed exclusively in the ICU\/Trauma Shock Unit, urgent surgical cases precluding assessment, and patients with cognitive impairment (Pfeiffer \u2a7e2). The need for PC was assessed using the SPICT-TM-ES (\u2a7e2 general indicators + \u2a7e1 clinical indicator). Sociodemographic and clinical variables were collected via interview and chart review. Associations were estimated using Poisson regression with robust variance, reporting adjusted prevalence ratios (aPR) and 95% confidence intervals (95% CI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We included 150 patients; 67.3% met criteria for PC need. Multimorbidity (\u2a7e2 comorbidities) and \u2a7e2 hospitalizations in the past year were associated with a higher need for PC. In adjusted models, dementia (aPR\u2009=\u20091.15; 95% CI: 1.05\u20131.26) and malignancy (aPR\u2009=\u20091.14; 95% CI: 1.05\u20131.24) were positively associated with PC need, whereas type 2 diabetes mellitus was inversely associated (aPR\u2009=\u20090.85; 95% CI: 0.77\u20130.93).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The need for PC among hospitalized patients with chronic conditions was high.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524251404072","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T05:14:15Z","timestamp":1765775655000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Need for palliative care in patients with chronic diseases in a hospital in a developing country"],"prefix":"10.1177","volume":"19","author":[{"given":"Anthony","family":"Villanueva-Quispe","sequence":"first","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Privada de Tacna, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7317-9177","authenticated-orcid":false,"given":"Marco","family":"Rivarola-Hidalgo","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Privada de Tacna, Peru"},{"name":"Grupo de Estudio e Investigaci\u00f3n en Educaci\u00f3n M\u00e9dica y Bio\u00e9tica de la FACSA. Universidad Privada de Tacna, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Fuentes-Yufra","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Privada de Tacna, Peru"},{"name":"Grupo de Estudio e Investigaci\u00f3n en Educaci\u00f3n M\u00e9dica y Bio\u00e9tica de la FACSA. Universidad Privada de Tacna, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Ale-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Privada de Tacna, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3497-0158","authenticated-orcid":false,"given":"Cesar","family":"Copaja-Corzo","sequence":"additional","affiliation":[{"name":"Unidad de investigaci\u00f3n para la generaci\u00f3n y s\u00edntesis de evidencias en salud, Universidad San Ignacio de Loyola, Lima, Per\u00fa"},{"name":"Servicio de Infectolog\u00eda, Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier A.","family":"Flores-Cohaila","sequence":"additional","affiliation":[{"name":"Grupo NEMECS: Neurociencias, Metabolismo, Efectividad Cl\u00ednica y Sanitaria, Universidad Cient\u00edfica del Sur, Carrera de Medicina Humana, Lima, Per\u00fa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9035-3317","authenticated-orcid":false,"given":"Brayan","family":"Miranda-Chavez","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Privada de Tacna, Peru"},{"name":"Grupo de Estudio e Investigaci\u00f3n en Educaci\u00f3n M\u00e9dica y Bio\u00e9tica de la FACSA. 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