Journal of pain and symptom management
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J Pain Symptom Manage · May 2020
Care and decision-making at the end of life for patients with a non-western migration background living in the Netherlands: a nationwide mortality follow-back study.
Migrant populations across Europe are aging and will increasingly need end-of-life care. ⋯ End-of-life care for patients with a non-western migration background focuses more, or longer on maximum, curative treatment and end-of-life decisions are made less often.
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J Pain Symptom Manage · Apr 2020
Does receipt of recommended elements of palliative care precede in-hospital death or hospice referral?
Palliative care aligns treatments with patients' values and improves quality of life, yet whether receipt of recommended elements of palliative care is associated with end-of-life outcomes is understudied. ⋯ Goals-of-care discussions by different types of clinicians commonly precede end-of-life care in hospital or hospice. However, engagement with specialty palliative care reduced in-hospital death and increased hospice referral. Understanding the causal pathways of goals-of-care discussions may help build primary palliative care interventions to support patients near the end of life.