ArticleJournal of the American Geriatrics Society2012
Influence of hospice on nursing home residents with advanced dementia who received Medicare-skilled nursing facility care near the end of life.
Article in Journal of the American Geriatrics Society, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 52 citations in OpenAlex.
- Results of a Feasibility Pilot Pragmatic Trial Implementing Palliative Care in Skilled Nursing Facilities.Journal of palliative medicine · 2025Trial
- Predicting hospice eligibility among dementia patients using language models.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Article
- Forced to Choose: When Medicare Policy Disrupts End-of-Life Care.Journal of aging & social policy · 2022Article
- Hospice Improves Care Quality For Older Adults With Dementia In Their Last Month Of Life.Health affairs (Project Hope) · 2022Article
- Racial and Ethnic Differences in Hospice Use and Hospitalizations at End-of-Life Among Medicare Beneficiaries With Dementia.JAMA network open · 2022Article
- High-Quality Nursing Home and Palliative Care-One and the Same.Journal of the American Medical Directors Association · 2022Review
- Implementing Primary Palliative Care in Post-acute nursing home care: Protocol for an embedded pilot pragmatic trial.Contemporary clinical trials communications · 2021Article
- Healthcare Utilization in Different Stages among Patients with Dementia: A Nationwide Population-Based Study.International journal of environmental research and public health · 2021Article
- End-of-Life Care among Nursing Home Residents with Dementia Varies by Nursing Home and Market Characteristics.Journal of the American Medical Directors Association · 2021Article
- Documentation of Dementia as a Cause of Death Among Mexican-American Decedents Diagnosed with Dementia.Journal of Alzheimer's disease : JAD · 2021Article
- The Association between Home Healthcare and Burdensome Transitions at the End-of-Life in People with Dementia: A 12-Year Nationwide Population-Based Cohort Study.International journal of environmental research and public health · 2020Article
- Palliative care for nursing home patients with dementia: service evaluation and risk factors of mortality.BMC palliative care · 2020Article
- Potentially burdensome end-of-life transitions among nursing home residents with poor-prognosis cancer.Cancer · 2020Article
- Rehabilitation Therapy for Nursing Home Residents at the End-of-Life.Journal of the American Medical Directors Association · 2019Observational
- Care in Nursing Facilities after Palliative Consult.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2018Article
- Specialty Palliative Care Consultations for Nursing Home Residents With Dementia.Journal of pain and symptom management · 2017Article
- Identification, assessment, and management of pain in patients with advanced dementia.The mental health clinician · 2016Article
- Update in hospice and palliative care.Journal of palliative medicine · 2014Review
- Geriatric palliative care in long-term care settings with a focus on nursing homes.Journal of palliative medicine · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo examine differences in outcomes according to hospice status of skilled nursing facility (SNF) care recipients.
designRetrospective cohort.
settingThree thousand three hundred fifty-three U.S. nursing homes (NHs).
participantsFour thousand three hundred forty-four persons with advanced dementia who died in NHs in 2006 and received SNF care within 90 days of death were studied, 1,086 of these also received hospice before death: 705 after SNF care, and 381 concurrent with SNF care. MEASUREMENTS: Treatments, persistent pain and dyspnea, and hospital death.
resultsDecedents with any hospice received fewer medications, injections, feeding tubes, intravenous fluids, and therapy services and more hypnotics than those without hospice (all P < .001). Decedents with hospice after SNF care received fewer antipsychotics and those with hospice concurrent with SNF care received more antipsychotics than those without (all P < .001). Multivariate logistic regressions showed that decedents with hospice after SNF had lower likelihood of persistent dyspnea (adjusted odds ratio (AOR) = 0.63, 95% confidence interval (CI) = 0.45-0.87) and hospital death (AOR = 0.02, 95% = CI 0.01, 0.07) than those without hospice. Decedents with hospice concurrent with SNF care had a higher likelihood of persistent pain (AOR = 1.65, 95% CI = 1.23, 2.19) and a lower likelihood of hospital death (AOR = 0.13, 95% CI = 0.07, 0.26) than those without hospice.
conclusionResidents dying with advanced dementia who received SNF care in the last 90 days of life had fewer aggressive treatments and lower odds of hospital death if they also received hospice care at any point during that time. Associations between hospice and persistent pain or dyspnea differed according to whether hospice care was received concurrent with or after SNF care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.