Palliative sedation rate for noncancer terminally ill patients at home in Japan.

Moyuru Shionozaki, Ryo Yamamoto, Jun Hamano

Abstract readMulticenter Study

In one paragraph

Article in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Moyuru ShionozakiDepartment of General Practice, Saku Central Hospital, 197 Usuda, Saku, Nagano, Japan. moyuru718@gmail.com.

Ryo YamamotoDepartment of Palliative Medicine, Saku Central Hospital Advanced Care Center, 3400-28 Nakagomi, Saku, Nagano, Japan.

Jun HamanoDepartment of Palliative and Supportive Care, Institute of Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki, 305-8575, Japan.

Funding

Japan Society for the Promotion of Science 19K10551

6 · The paper itself

Abstract

backgroundPrevious studies have investigated the frequency and target symptoms of palliative sedation in patients with home-based cancer. However, the status of home-based non-cancer patients remains unclear. This study aimed to determine the frequency and target symptoms of palliative sedation in home-based non-cancer patients in Japan.

methodsWe conducted a post hoc analysis of a multicenter prospective cohort study of elderly non-cancer patients at home in Japan between January 2020 and December 2020. The physicians routinely assessed and recorded symptoms and treatment every 3 months until home care was discontinued or until the patient died at home. This multicenter prospective cohort study targeted non-cancer patients aged 65 years and over receiving care at home or in nursing homes.

resultsOf the 785 patients, 195 died at home or in nursing homes. Seven patients (3.6%) received palliative sedation before death. The target symptoms for sedation were delirium and dyspnea.

conclusionsThe sedation rate for noncancer patients at home is relatively low, and the major target symptoms of sedation are delirium and dyspnea.

Indexed as

Home Care ServicesPalliative CareTerminally IllAgedAged, 80 and overCohort StudiesFemaleHumansHypnotics and SedativesJapanMaleProspective StudiesHypnotics and SedativesHome careNoncancer patientsPalliative sedation

Identifiers

PMID40468321

DOI10.1186/s12904-025-01799-y

PMCPMC12139304

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