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ArticleGeriatrics & gerontology international2025

The Japan Geriatrics Society 2025 Position Statement on End-of-Life Care for Older Adults: English Translation of the Japanese Article.

Kaoruko Aita, Mitsunori Nishikawa, Yukari Hattori, Satoshi Hirahara, Yoshihisa Hirakawa, Yoko Katayama, Tomohiro Katsuya, Madoka Yanagawa, Kazumasa Harada, Shinji Koba and 9 more

Abstract readConsensus Statement
In one paragraph

Article in Geriatrics & gerontology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Kaoruko AitaUehiro Division, Center for Death & Life Studies and Practical Ethics, Graduate School of Humanities and Sociology, The University of Tokyo, Tokyo, Japan.
Mitsunori NishikawaDepartment of Palliative Care, National Center for Geriatrics and Gerontology, Aichi, Japan.
Yukari HattoriDepartment of Geriatric Medicine, The University of Tokyo Hospital, Tokyo, Japan.
Satoshi HiraharaTraining and Research Center, Tokyo Fureai Medical & Cooperative Union, Tokyo, Japan.
Yoshihisa HirakawaDepartment of Health Development and Innovation, Aichi Comprehensive Health Science Center, Aichi, Japan.
Yoko KatayamaDepartment of Nursing, Kagawa Prefectural University of Health Sciences, Kagawa, Japan.
Tomohiro KatsuyaKatsuya Clinic, Amagasaki, Hyogo, Japan.
Madoka YanagawaDepartment of Clinical Oncology and Chemotherapy, Nagoya University Hospital, Aichi, Japan.
Kazumasa HaradaDepartment of Cardiology, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Tokyo, Japan.
Shinji KobaDivision of Cardiology, Department of Medicine, Showa Medical University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3345-2703
Nobuko AidaInstitute of Health Science, School of Medicine and Health Sciences, Shinshu University, Nagano, Japan.
Hitoshi KomiyaCentre for Community Liaison and Patient Consultations, Nagoya University Hospital, Aichi, Japan.
Tetsuro ShimizuInstitute for Clinical Ethics, Miyagi, Japan.
Hiroshi NakanoTaiyo Clinic, Hokota, Ibaraki, Japan.
Hiroshi HasegawaDepartment of Emergency and General Medicine, Geriatric Medicine, Kyorin University School of Medicine, Tokyo, Japan.
Hisayuki MiuraClinical Research Center, Yushoukai Medical Corporation, Tokyo, Japan.ORCID https://orcid.org/0000-0002-4780-9857
Yumiko MomoseJapanese Red Cross Toyota College of Nursing, Aichi, Japan.
Tokiko TsujiScience, Medical and Lifestyle News Section, The Asahi Shimbun, Tokyo, Japan.
Koichi KozakiGeriatric Medicine, Kyorin University School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper presents the official position statement of the Japan Geriatrics Society (JGS), updating the "2012 JGS Position Statement" regarding end-of-life (EOL) care for older adults. The "2025 JGS Position Statement," which was recently published in Japanese, introduces an original definition of EOL, conceptualizing it in two stages: first, based on the individual's medical condition, and subsequently, from the perspective of the individual's life story. In this statement, EOL care refers to medical treatment and care provided at the end of life, grounded in appropriate medical judgment, respecting the individual's way of life, and safeguarding their dignity until death. To the best of our knowledge, no previous definitions have conceptualized EOL in this two-stage manner. The best EOL care described in this statement centers on the principles and practices of palliative care and integrates not only medical knowledge and techniques for diagnosis and treatment but also the collective intellectual and cultural achievements from the natural sciences, humanities, and social sciences. Addressing the psychosocial needs of family members is also an essential component of EOL care. The "2025 JGS Position Statement" presents 10 positions to protect the human rights and dignity of older adults, beginning with opposition to ageism and further promoting palliative care, especially in the field of non-cancer diseases.

Indexed as

GeriatricsPalliative CareTerminal CareAgedEast Asian PeopleHumansJapanSocieties, MedicalTranslationscultureend of lifeethicsmedical treatmentolder adults

Identifiers

PMID41090568
PMCPMC12719129

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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.