{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T23:16:23Z","timestamp":1788909383054,"version":"build-2803163510"},"reference-count":41,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T00:00:00Z","timestamp":1750377600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Japan Hospice Palliative Care Foundation","award":["JP16H05212"],"award-info":[{"award-number":["JP16H05212"]}]},{"name":"Japan Hospice Palliative Care Foundation","award":["112-2410-H-037-005-MY3"],"award-info":[{"award-number":["112-2410-H-037-005-MY3"]}]},{"name":"Japan Hospice Palliative Care Foundation","award":["KMUH113-3R66"],"award-info":[{"award-number":["KMUH113-3R66"]}]},{"name":"National Science and Technology Council of Taiwan","award":["JP16H05212"],"award-info":[{"award-number":["JP16H05212"]}]},{"name":"National Science and Technology Council of Taiwan","award":["112-2410-H-037-005-MY3"],"award-info":[{"award-number":["112-2410-H-037-005-MY3"]}]},{"name":"National Science and Technology Council of Taiwan","award":["KMUH113-3R66"],"award-info":[{"award-number":["KMUH113-3R66"]}]},{"DOI":"10.13039\/501100011645","name":"Kaohsiung Medical University Hospital","doi-asserted-by":"publisher","award":["JP16H05212"],"award-info":[{"award-number":["JP16H05212"]}],"id":[{"id":"10.13039\/501100011645","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011645","name":"Kaohsiung Medical University Hospital","doi-asserted-by":"publisher","award":["112-2410-H-037-005-MY3"],"award-info":[{"award-number":["112-2410-H-037-005-MY3"]}],"id":[{"id":"10.13039\/501100011645","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011645","name":"Kaohsiung Medical University Hospital","doi-asserted-by":"publisher","award":["KMUH113-3R66"],"award-info":[{"award-number":["KMUH113-3R66"]}],"id":[{"id":"10.13039\/501100011645","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>Background\/Objectives: The place where a person dies serves as an indicator of end-of-life care quality. This study aims to identify the congruence of place of death (POD) and the reasons behind decision-making among terminally ill cancer patients in East Asia. Methods: We conducted a prospective multicenter cohort study in palliative care units in Japan, Korea, and Taiwan. Data were collected by the responsible physicians during routine clinical practice. Sankey diagrams were applied to present changes in reasons for POD incongruence. Results: A total of 2638 participants from 37 palliative care units in the three countries were enrolled, and most of them died at PCUs (Japan: 95.7%, Korea: 94%, Taiwan: 82%, p &lt; 0.05). The congruence rate of the preferred and actual POD among PCU inpatients ranged from 70% to 80%. Availability of end-of-life care is the most common reason for preferred and eventual PCU death (78.6%, 72.2%, and 52.1%, respectively, p &lt; 0.05). However, 13\u201322% of patients admitted to PCUs still preferred to die at home, for which traditional culture (20.2%, 40.8%, and 82%, respectively, p &lt; 0.05) or family influence (44.4%, 38.8%, and 51.7%, respectively, p &gt; 0.05) are the main reasons. Cultural and environmental factors, such as influences from family members\u2019 preferences in the three countries or the ownership of housing\/housing settings in Japan, are the main challenges in achieving POD congruence. Conclusions: Culturally inclusive strategies in clinical practice and policy implementation for identifying the preferred POD, enhancing communication among stakeholders, and facilitating transitional support may improve the quality of goal-concordant care.<\/jats:p>","DOI":"10.3390\/cancers17132062","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T06:50:45Z","timestamp":1750402245000},"page":"2062","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Reasons for and Congruence Between Preferred and Actual Place of Death Among Cancer Patients Receiving End-of-Life Care: A Cross-Cultural Multicenter Prospective Cohort Study in East Asia"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9470-9704","authenticated-orcid":false,"given":"Chiu-Hsien","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807378, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0671-3947","authenticated-orcid":false,"given":"Chien-Yi","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807378, Taiwan"},{"name":"School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807378, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2224-4140","authenticated-orcid":false,"given":"Shao-Yi","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, College of Medicine and Hospital, National Taiwan University, Taipei 10051, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanori","family":"Mori","sequence":"additional","affiliation":[{"name":"Division of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu 433-8558, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6145-1150","authenticated-orcid":false,"given":"Sang-Yeon","family":"Suh","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Dongguk University Ilsan Hospital, Goyang-si 10326, Republic of Korea"},{"name":"Department of Medicine, College of Medicine, Dongguk University, Seoul 04620, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sun-Hyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, School of Medicine, Catholic Kwandong University, International St. Mary\u2019s Hospital, Incheon 22711, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Yuan","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, China Medical University Hospital, China Medical University, Taichung 40447, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Division of Palliative Medicine, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsien-Liang","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, College of Medicine and Hospital, National Taiwan University, Taipei 10051, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Hamano","sequence":"additional","affiliation":[{"name":"Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8577, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2334-3893","authenticated-orcid":false,"given":"Yusuke","family":"Hiratsuka","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, Tohoku University School of Medicine, Sendai 980-8575, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoru","family":"Tsuneto","sequence":"additional","affiliation":[{"name":"Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuya","family":"Morita","sequence":"additional","affiliation":[{"name":"Division of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu 433-8558, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7636-0801","authenticated-orcid":false,"given":"Ping-Jen","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807378, Taiwan"},{"name":"School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807378, Taiwan"},{"name":"National Center for Geriatrics and Welfare Research, National Health Research Institutes, Miaoli 350401, Taiwan"},{"name":"School of Medicine, College of Medicine, National Sun Yat-sen University, Kaohsiung 80424, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the EASED Investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,20]]},"reference":[{"key":"ref_1","unstructured":"OECD 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