{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,14]],"date-time":"2026-11-14T10:38:51Z","timestamp":1794652731268,"version":"4.9.1"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T00:00:00Z","timestamp":1669593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T00:00:00Z","timestamp":1669593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"This study has not received any funding or grant."}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Palliat Care"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The identification of patients with advanced chronic conditions and palliative care needs is essential since their care represents one of the main challenges for public health systems. The study aimed to determine the prevalence and characteristics of inpatients with palliative care needs in different services of a tertiary care hospital using the NECPAL CCOMS-ICO\u00a9 tool.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A descriptive, cross-sectional cohort study was conducted in a tertiary hospital.<\/jats:p>\n                <jats:p>The NECPAL tool identifies patients who require palliative care. Any patient with the Surprise Question with the answer \u201cNO\u201d and at least another question of the tool with a positive answer is considered a positive identification.<\/jats:p>\n                <jats:p>Patients were classified as Non-NECPAL, NECPAL I-II, and NECPAL III, depending on the NECPAL tool criteria they met. The presence of physical symptoms, emotional distress, and social risk factors was assessed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Of the 602 inpatients, 236 (39.2%) were enrolled. Of them, 34 (14.4%) non-NECPAL, 202 (85.6%) NECPAL+ [105 (44.5%) NECPAL I-II, and 97 (41.1%) NECPAL III]. Physical symptom burden was high (pain intensity\u2009\u2265\u20091 in 68.3% of patients; tiredness\u2009\u2265\u20091 in 83.5%; somnolence\u2009\u2265\u20091 in 50.6%; dyspnea\u2009\u2265\u20091 in 37.9%; anorexia\u2009\u2265\u20091 in 59.5%). 64.1% had emotional distress, and 83.6% had social risk factors. The NECPAL-III group contained a higher percentage of cancer patients, higher demand for palliative care, and greater need for palliative care (p\u2009&lt;\u20090.001). In 50.8% of cases, no referrals were made to psychology, social work, or hospital palliative and supportive care teams. The three services with the higher number of patients with palliative care needs were: Palliative Care Unit (100%), Oncology (54.54%), and Emergency Short-stay Unit (54.16%).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>A high percentage of patients admitted to tertiary care hospitals presented palliative care needs, with multiple unmet physical, emotional, and social needs. Less than 50% are referred to specialized care teams, such as hospital palliative and supportive care teams.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12904-022-01101-4","type":"journal-article","created":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T08:04:13Z","timestamp":1669622653000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO\u00a9 Tool at a Tertiary Care Hospital"],"prefix":"10.1186","volume":"21","author":[{"given":"Agn\u00e8s","family":"Calsina-Berna","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordi","family":"Ambl\u00e0s Novellas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"Gonz\u00e1lez-Barboteo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignasi","family":"Bard\u00e9s Robles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elba","family":"Beas Alba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisa","family":"Mart\u00ednez-Mu\u00f1oz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Madariaga S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"G\u00f3mez Batiste Alentorn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,11,28]]},"reference":[{"key":"1101_CR1","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1097\/SPC.0b013e328356aaed","volume":"6","author":"X G\u00f3mez-Batiste","year":"2012","unstructured":"G\u00f3mez-Batiste X, Mart\u00ednez-Mu\u00f1oz M, Blay C, Espinosa J, Contel JC, Ledesma A. Identifying needs and improving palliative care of chronically ill patients: A community-oriented, population-based, public-health approach. Curr Opin Support Palliat Care. 2012;6:371\u20138.","journal-title":"Curr Opin Support Palliat Care."},{"key":"1101_CR2","unstructured":"Zertuche T, G\u00fcell E, Fari\u00f1as O, Ramos A, G\u00f3mez-Batiste X, Pascual A. Prevalence of advanced-terminally ill inpatients in an acute tertiary care hospital. EAPC Congress Lisbon, 18\u201321 May 2011. Poster sessions, Abstract number P238. EAPC Congress Lisbon; 2011."},{"key":"1101_CR3","doi-asserted-by":"crossref","unstructured":"G\u00f3mez-Batiste X, Mart\u00ednez-Mu\u00f1oz M, Blay C, Ambl\u00e0s J, Vila L, Costa X, et al. Prevalence and characteristics of patients with advanced chronic conditions in need of palliative care in the general population: A cross-sectional study. Palliat Med. 2014 Apr;28(4):302\u201311.","DOI":"10.1177\/0269216313518266"},{"key":"1101_CR4","doi-asserted-by":"crossref","unstructured":"Murtagh FEM, Bausewein C, Verne J, Iris Groeneveld E, Kaloki YE, Higginson IJ. How many people need palliative care? A study developing and comparing methods for population-based estimates. Palliat Med. 2014 Jan;28(1):49\u201358.","DOI":"10.1177\/0269216313489367"},{"issue":"5","key":"1101_CR5","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1136\/jech-2015-206073","volume":"70","author":"L Pivodic","year":"2015","unstructured":"Pivodic L, Pardon K, Miccinesi G, Alonso TV, Moreels S, Donker GA, et al. Hospitalisations at the end of life in four European countries: A population-based study via epidemiological surveillance networks. J Epidemiol Community Health. 2015;70(5):430\u20136.","journal-title":"J Epidemiol Community Health"},{"key":"1101_CR6","doi-asserted-by":"publisher","first-page":"c4863","DOI":"10.1136\/bmj.c4863","volume":"341","author":"K Boyd","year":"2010","unstructured":"Boyd K, Murray SA. Recognising and managing key transitions in end of life care. BMJ. 2010;341:c4863.","journal-title":"BMJ"},{"issue":"7802","key":"1101_CR7","first-page":"42","volume":"342","author":"M Gott","year":"2011","unstructured":"Gott M, Ingleton C, Bennett MI, Gardiner C. Transitions to palliative care in acute hospitals in England: Qualitative study. BMJ. 2011;342(7802):42\u20138.","journal-title":"BMJ"},{"issue":"3","key":"1101_CR8","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1177\/0269216311408993","volume":"26","author":"M Gott","year":"2012","unstructured":"Gott M, Seymour J, Ingleton C, Gardiner C, Bellamy G. \u201cThat\u2019s part of everybody\u2019s job\u201d: The perspectives of health care staff in England and New Zealand on the meaning and remit of palliative care. Palliat Med. 2012;26(3):232\u201341.","journal-title":"Palliat Med"},{"issue":"2","key":"1101_CR9","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1093\/ageing\/afq172","volume":"40","author":"C Gardiner","year":"2011","unstructured":"Gardiner C, Cobb M, Gott M, Ingleton C. Barriers to providing palliative care for older people in acute hospitals. Age Ageing. 2011;40(2):233\u20138.","journal-title":"Age Ageing"},{"issue":"7774","key":"1101_CR10","first-page":"649","volume":"341","author":"K Boyd","year":"2010","unstructured":"Boyd K, Murray SA. Spotlight: Palliative Care Beyond Cancer Recognising and managing key transitions in end of life care. BMJ. 2010;341(7774):649\u201352.","journal-title":"BMJ"},{"key":"1101_CR11","doi-asserted-by":"crossref","unstructured":"Hughes PM, Bath PA, Ahmed N, Noble B. What progress has been made towards implementing national guidance on end of life care? A national survey of UK general practices. Palliat Med. 2010 Jan;24(1):68\u201378.","DOI":"10.1177\/0269216309346591"},{"issue":"1","key":"1101_CR12","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1177\/0269216312447592","volume":"27","author":"C Gardiner","year":"2013","unstructured":"Gardiner C, Gott M, Ingleton C, Seymour J, Cobb M, Noble B, et al. Extent of palliative care need in the acute hospital setting: A survey of two acute hospitals in the UK. Palliat Med. 2013;27(1):76\u201383.","journal-title":"Palliat Med"},{"issue":"5","key":"1101_CR13","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1111\/j.1445-5994.2011.02484.x","volume":"41","author":"THM To","year":"2011","unstructured":"To THM, Greene AG, Agar MR, Currow DC. A point prevalence survey of hospital inpatients to define the proportion with palliation as the primary goal of care and the need for specialist palliative care. Intern Med J. 2011;41(5):430\u20133.","journal-title":"Intern Med J"},{"key":"1101_CR14","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1136\/bmjspcare-2015-000864","volume":"9","author":"S Milnes","year":"2019","unstructured":"Milnes S, Orford NR, Berkeley L, Lambert N, Simpson N, Elderkin T, et al. A prospective observational study of prevalence and outcomes of patients with Gold Standard Framework criteria in a tertiary regional Australian Hospital. BMJ Support Palliat Care. 2019;9:92\u20139.","journal-title":"BMJ Support Palliat Care."},{"key":"1101_CR15","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1186\/1472-684X-12-15","volume":"12","author":"M Gott","year":"2013","unstructured":"Gott M, Frey R, Raphael D, O\u2019Callaghan A, Robinson J, Boyd M. Palliative care need and management in the acute hospital setting: A census of one New Zealand Hospital. BMC Palliat Care. 2013;12:15.","journal-title":"BMC Palliat Care."},{"key":"1101_CR16","unstructured":"Thomas K, Wilson J, Corner H. Improving end of life care in acute hospitals using the GSF AH training programme phase 2: 2011-12. The National GSF Centre in End of Life Care. 2011;2011:1."},{"key":"1101_CR17","unstructured":"Mart\u00ednez De La Iglesia J, Herrero RD, Vilches MCO, Tabern\u00e9 CA, Colomer CA, Luque RL. Cross-cultural adaptation and validation of Pfeiffer\u2019s test (Short Portable Mental Status Questionnaire [SPMSQ]) to screen cognitive impairment in general population aged 65 or older. Med Clin (Barc). 2001;117(4):129\u201334."},{"issue":"5","key":"1101_CR18","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","volume":"40","author":"ME Charlson","year":"1987","unstructured":"Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373\u201383.","journal-title":"J Chronic Dis"},{"issue":"4","key":"1101_CR19","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1136\/bmjspcare-2011-000083","volume":"2","author":"A Tuca-Rodriguez","year":"2012","unstructured":"Tuca-Rodriguez A, G\u00f3mez-Batiste X, Espinosa-Rojas J, Martinez-Mu\u00f1oz M, Codorniu N, Porta-Sales J. Structure, organisation and clinical outcomes in cancer patients of hospital support teams in Spain. BMJ Support Palliat Care. 2012;2(4):356\u201362.","journal-title":"BMJ Support Palliat Care"},{"issue":"12","key":"1101_CR20","doi-asserted-by":"publisher","first-page":"1863","DOI":"10.1016\/j.ejca.2011.03.027","volume":"47","author":"A Carvajal","year":"2011","unstructured":"Carvajal A, Centeno C, Watson R, Bruera E. A comprehensive study of psychometric properties of the Edmonton Symptom Assessment System (ESAS) in Spanish advanced cancer patients. Eur J Cancer. 2011;47(12):1863\u201372.","journal-title":"Eur J Cancer"},{"issue":"4","key":"1101_CR21","doi-asserted-by":"publisher","first-page":"101994","DOI":"10.1016\/j.aprim.2021.101994","volume":"53","author":"J Troncoso","year":"2021","unstructured":"Troncoso J, Morales-Meyer T, Villarroel L, Turrillas P, Rodr\u00edguez-Nu\u00f1ez A. Adaptaci\u00f3n y validaci\u00f3n en Chile del instrumento de identificaci\u00f3n de pacientes con necesidad de atenci\u00f3n paliativa: NECPAL-CCOMS-ICO 3.1\u00a9. Atenci\u00f3n Primaria. 2021;53(4):101994.","journal-title":"Atenci\u00f3n Primaria"},{"key":"1101_CR22","doi-asserted-by":"crossref","unstructured":"Santana MTEA, G\u00f3mez-Batiste X, Silva LMG da, Guti\u00e9rrez MGR de. Cross-cultural adaptation and semantic validation of an instrument to identify palliative requirements in Portuguese. Einstein (Sao Paulo). 2020;18:eAO5539.","DOI":"10.31744\/einstein_journal\/2020AO5539"},{"issue":"3","key":"1101_CR23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/healthcare8030221","volume":"8","author":"G Scaccabarozzi","year":"2020","unstructured":"Scaccabarozzi G, Amodio E, Riva L, Corli O, Maltoni M, Di Silvestre G, et al. Clinical care conditions and needs of palliative care patients from five italian regions: Preliminary data of the demetra project. Healthc. 2020;8(3):1\u20139.","journal-title":"Healthc"},{"issue":"11","key":"1101_CR24","doi-asserted-by":"publisher","first-page":"1982","DOI":"10.1111\/liv.13865","volume":"38","author":"JR Carvalho","year":"2018","unstructured":"Carvalho JR, Vasconcelos M, Marques da Costa P, Marinho RT, Fatela N, Raimundo M, et al. Identifying palliative care needs in a Portuguese liver unit. Liver Int. 2018;38(11):1982\u20137.","journal-title":"Liver Int"},{"issue":"4","key":"1101_CR25","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1016\/j.enfcli.2015.11.004","volume":"26","author":"M Rodr\u00edguez-Calero","year":"2016","unstructured":"Rodr\u00edguez-Calero M, Juli\u00e0-Mora JM, Prieto-Alomar A. Detecci\u00f3n de necesidad de atenci\u00f3n paliativa en una unidad de hospitalizaci\u00f3n de agudos. Estudio piloto. Enferm Clin. 2016;26(4):238\u201342.","journal-title":"Enferm Clin"},{"issue":"6","key":"1101_CR26","doi-asserted-by":"publisher","first-page":"735","DOI":"10.1089\/jpm.2010.0479","volume":"14","author":"DJA Janssen","year":"2011","unstructured":"Janssen DJA, Spruit MA, Uszko-Lencer NH, Schols JMGA, Wouters EFM. Symptoms, comorbidities, and health care in advanced chronic obstructive pulmonary disease or chronic heart failure. J Palliat Med. 2011;14(6):735\u201343.","journal-title":"J Palliat Med"},{"issue":"3","key":"1101_CR27","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1136\/bmjspcare-2013-000488","volume":"4","author":"G Highet","year":"2014","unstructured":"Highet G, Crawford D, Murray SA, Boyd K. Development and evaluation of the supportive and palliative care indicators tool (SPICT): A mixed-methods study. BMJ Support Palliat Care. 2014;4(3):285\u201390.","journal-title":"BMJ Support Palliat Care"},{"issue":"3","key":"1101_CR28","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1016\/j.ejim.2010.11.012","volume":"22","author":"M Bernabeu-Wittel","year":"2011","unstructured":"Bernabeu-Wittel M, Ollero-Baturone M, Moreno-Gavi\u00f1o L, Bar\u00f3n-Franco B, Fuertes A, Murcia-Zaragoza J, et al. Development of a new predictive model for polypathological patients. The PROFUND index. Eur J Intern Med. 2011;22(3):311\u20137.","journal-title":"Eur J Intern Med"},{"issue":"3","key":"1101_CR29","doi-asserted-by":"publisher","first-page":"551","DOI":"10.1016\/j.jpainsymman.2013.04.011","volume":"47","author":"M Bernabeu-Wittel","year":"2014","unstructured":"Bernabeu-Wittel M, Murcia-Zaragoza J, Hern\u00e1ndez-Quiles C, Escolano-Fern\u00e1ndez B, Jarava-Rol G, Oliver M, et al. Development of a six-month prognostic index in patients with advanced chronic medical conditions: The PALIAR score. J Pain Symptom Manage. 2014;47(3):551\u201365.","journal-title":"J Pain Symptom Manage"},{"issue":"2","key":"1101_CR30","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/j.archger.2009.10.006","volume":"51","author":"M Bernabeu-Wittel","year":"2010","unstructured":"Bernabeu-Wittel M, Jadad A, Moreno-Gavi\u00f1o L, Hern\u00e1ndez-Quiles C, Toscano F, Cassani M, et al. Peeking through the cracks: An assessment of the prevalence, clinical characteristics and health-related quality of life (HRQoL) of people with polypathology in a hospital setting. Arch Gerontol Geriatr. 2010;51(2):185\u201391.","journal-title":"Arch Gerontol Geriatr"},{"key":"1101_CR31","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1177\/0269216313487568","volume":"28","author":"J Robinson","year":"2014","unstructured":"Robinson J, Gott M, Ingleton C. Patient and family experiences of palliative care in hospital: What do we know? An integrative review. Palliat Med. 2014;Vol.\u00a028:18\u201333.","journal-title":"Palliat Med"},{"issue":"1","key":"1101_CR32","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1177\/0269216306073127","volume":"21","author":"A Holtan","year":"2007","unstructured":"Holtan A, Aass N, Nord\u00f8y T, Haugen DF, Kaasa S, Mohr W, et al. Prevalence of pain in hospitalised cancer patients in Norway: A national survey. Palliat Med. 2007;21(1):7\u201313.","journal-title":"Palliat Med"},{"issue":"6","key":"1101_CR33","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1097\/00132586-199412000-00050","volume":"38","author":"CS Cleeland","year":"1994","unstructured":"Cleeland CS, Gonin R, Hatfield AK, Edmonson JH, Blum RH, Stewart JA, et al. Pain and Its Treatment in Outpatients with Metastatic Cancer. Surv Anesthesiol. 1994;38(6):349.","journal-title":"Surv Anesthesiol"},{"issue":"SUPPLEMENT11","key":"1101_CR34","first-page":"615","volume":"24","author":"J Cleary","year":"2013","unstructured":"Cleary J, Radbruch L, Torode J, Cherny NI. Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in Asia: A report from the Global Opioid Policy Initiative (GOPI). Ann Oncol. 2013;24(SUPPLEMENT11):615\u201326.","journal-title":"Ann Oncol"},{"key":"1101_CR35","doi-asserted-by":"crossref","unstructured":"Ambl\u00e0s Novellas J, Panicot JE, Pueyo CB, Brunet NM, Lucchetti d\u2019Aniello GE, Arisa AA, et al. T\u00f3picos y reflexiones sobre la reducci\u00f3n de ingresos hospitalarios: De la evidencia a la pr\u00e1ctica. Rev Esp Geriatr Gerontol. 2013 Jan;48(6):290\u20136.","DOI":"10.1016\/j.regg.2013.05.001"},{"key":"1101_CR36","doi-asserted-by":"crossref","unstructured":"Molist Brunet N, Espaulella Panicot J, Sevilla-S\u00e1nchez D, Ambl\u00e0s Novellas J, Codina Jan\u00e9 C, Altimiras Roset J, et al. A patient-centered prescription model assessing the appropriateness of chronic drug therapy in older patients at the end of life. Eur Geriatr Med. 2015 Dec;6(6):565\u20139.","DOI":"10.1016\/j.eurger.2015.07.008"},{"key":"1101_CR37","doi-asserted-by":"crossref","unstructured":"Kane RL, Shamliyan T, Talley K, Pacala J. The association between geriatric syndromes and survival. J Am Geriatr Soc. 2012 May;60(5):896\u2013904.","DOI":"10.1111\/j.1532-5415.2012.03942.x"},{"key":"1101_CR38","doi-asserted-by":"crossref","unstructured":"G\u00f3mez-Batiste X, Porta-Sales J, Espinosa-Rojas J, Pascual-L\u00f3pez A, Tuca A, Rodriguez J. Effectiveness of palliative care services in symptom control of patients with advanced terminal cancer: A Spanish, multicenter, prospective, quasi-experimental, pre-post study. J Pain Symptom Manage. 2010 Nov;40(5):652\u201360.","DOI":"10.1016\/j.jpainsymman.2010.02.026"},{"key":"1101_CR39","doi-asserted-by":"crossref","unstructured":"Higginson IJ, Finlay IG, Goodwin DM, Hood K, Edwards AGK, Cook A, et al. Is there evidence that palliative care teams alter end-of-life experiences of patients and their caregivers? J Pain Symptom Manage. 2003;25(2):150\u201368.","DOI":"10.1016\/S0885-3924(02)00599-7"},{"key":"1101_CR40","doi-asserted-by":"crossref","unstructured":"Temel JS, Greer JA, Muzikansky A, Gallagher ER, Admane S, Jackson VA, et al. Early Palliative Care for Patients with Metastatic Non\u2013Small-Cell Lung Cancer. N Engl J Med. 2010 Aug;363(8):733\u201342.","DOI":"10.1056\/NEJMoa1000678"},{"issue":"1","key":"1101_CR41","first-page":"241","volume":"26","author":"A Tuca","year":"2018","unstructured":"Tuca A, G\u00f3mez-Mart\u00ednez M, Prat A. Predictive model of complexity in early palliative care: a cohort of advanced cancer patients (PALCOM study). Support Care Cancer Off J Multinatl Assoc Support Care Cancer. 2018;26(1):241\u20139.","journal-title":"Support Care Cancer Off J Multinatl Assoc Support Care Cancer."}],"container-title":["BMC Palliative Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12904-022-01101-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12904-022-01101-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12904-022-01101-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T07:03:24Z","timestamp":1669705404000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpalliatcare.biomedcentral.com\/articles\/10.1186\/s12904-022-01101-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,28]]},"references-count":41,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["1101"],"URL":"https:\/\/doi.org\/10.1186\/s12904-022-01101-4","relation":{},"ISSN":["1472-684X"],"issn-type":[{"value":"1472-684X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,28]]},"assertion":[{"value":"29 June 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 October 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 November 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was conducted following the principles outlined in the revised version of the Declaration of Helsinki and Good Clinical Practices (GCPs) and was approved by the Bellvitge University Hospital Ethics Committee (Reference PR069\/12). Signed informed consent was obtained from all patients who answered the questionnaires.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"210"}}