Evidence map›Paper›PMID 41567707›Full record

ArticleCHEST pulmonary2025

Temporal Trends, Setting, and Timing of Palliative and Hospice Care in COPD in the Veterans Health Administration, 2010-2020.

Natalia Smirnova, Sarah H Cross, Jordan A Kempker, Donald R Sullivan, Lynn F Reinke, Natasha Smallwood, Robert Plumley, Kevin Duan, Shelli L Feder, Yanru Ma and 3 more

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Article in CHEST pulmonary, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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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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

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1 citing paper in PubMed.

  1. Article
4 · The record

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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

13 authors.

Natalia SmirnovaDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.
Sarah H CrossDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.
Jordan A KempkerDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.
Donald R SullivanDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.
Lynn F ReinkeDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.
Natasha SmallwoodDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.
Robert PlumleyDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.
Kevin DuanDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.
Shelli L FederDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.
Yanru MaDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.
Camille VaughanDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.
David AuDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.
Dio KavalieratosDivision of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine (N. Smirnova and J. A. K.) and the Division of Palliative Medicine, Department of Family and Preventive Medicine (S. H. C. and D. K.), Emory University, Atlanta, GA; the Division of Pulmonary, Allergy and Critical Care Medicine (D. R. S.), Oregon Health and Science University, Portland, OR; the Center to Improve Veteran Involvement in their Care (CIVIC) (D. R. S.), VA Portland Health Care System, Portland, OR; the Knight Cancer Institute (D. R. S.), Oregon Health and Science University, Portland, OR; The College of Nursing (L. F. R.), University of Utah, Salt Lake City, UT; the Department of Respiratory and Sleep Medicine (N. Smallwood), Alfred Hospital, Prahran, VIC, Australia; the School of Translational Medicine (N. Smallwood), Monash University, Melbourne, VIC, Australia; the Center of Innovation for Veteran-Centered and Value-Driven Care (R. P. and D. A.), Veterans Affairs Puget Sound Health Care System, Seattle, WA; the Division of Respiratory Medicine (K. D.), Department of Medicine, University of British Columbia, Vancouver, BC, Canada; the School of Nursing (S. L. F.), Yale University, New Haven, CT; the Department of Veterans Affairs (S. L. F.), West Haven, CT; the Department of Biostatistics and Bioinformatics, Rollins School of Public Health (Y. M.) and the Division of Geriatrics and Gerontology, Department of Medicine (C. V.), Emory University, Atlanta, GA; the Department of Veterans Affairs Birmingham/Atlanta Geriatric Research Education and Clinical Center (C. V.), Atlanta, GA; and the Division of Pulmonary, Critical Care, and Sleep Medicine (D. A.), University of Washington, Seattle, WA.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Institutional Career Development CoreKL2TR002381 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Anandi Nayan Sheth · 2017 to 2026
$14.1M
Understanding and Improving Palliative Care Delivery among Persons with Alzheimer's Disease and Related Dementias (ADRD): A Mixed-Methods StudyR01AG083858 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI Donald R Sullivan · 2024 to 2026
$2.2M
Identifying Successful Strategies of Specialist Palliative Care Implementation for People with Advanced Heart FailureR01HL172840 · NHLBI · YALE UNIVERSITY · PI Shelli Leore Feder · 2024 to 2026
$2.0M
Advancing Symptom Science and Management in Cystic Fibrosis: Biological, Social, and Clinical MechanismsR01HL171735 · NHLBI · EMORY UNIVERSITY · PI Dionysios Kavalieratos · 2024 to 2026
$1.9M
Evaluating the Implementation of Specialist Palliative Care for Patients with Advanced Heart FailureR56HL166523 · NHLBI · YALE UNIVERSITY · PI FEDER, SHELLI LEORE · 2023 to 2023
$571k
NCATS NIH HHS KL2 TR002381NCATS NIH HHS UL1 TR002378NHLBI NIH HHS L30 HL170378NHLBI NIH HHS R01 HL171735NHLBI NIH HHS R01 HL172840NHLBI NIH HHS R56 HL166523NIA NIH HHS R01 AG083858
6 · The paper itself

Abstract

backgroundPeople with COPD experience physical, psychosocial, and health care burdens that decrease their quality of life. Early specialist palliative care is recommended to alleviate these burdens. RESEARCH QUESTION: What factors are associated with palliative care use among decedents with COPD? STUDY DESIGN AND

methodsThis was a national retrospective cohort study of veterans with COPD who died between 2010 and 2020. Mixed-effects multivariate regression was used to assess the relationship between baseline patient characteristics and the primary outcome of receipt of palliative care within 1 year of death. Secondary outcomes included Veterans Affairs inpatient hospice, timing of palliative care, and trend in palliative care use over time.

resultsAmong 332,770 decedents, 16.8% received palliative care (61.6% in the inpatient setting) in the year before death. Patient characteristics associated with receipt of palliative care included lung cancer (adjusted OR [aOR], 2.48; 95% CI, 2.40-2.55), congestive heart failure (aOR, 2.02; 95% CI, 1.97-2.06), being underweight (aOR, 1.75; 95% CI, 1.70-1.82), housing instability (aOR, 1.38; 95% CI, 1.33-1.43), Latino/Hispanic ethnicity (aOR, 1.22; 95% CI, 1.12-1.32), and Black race (aOR, 1.21; 95% CI, 1.17-1.26). In contrast, married patients (aOR, 0.88; 95% CI, 0.86-0.90) and those receiving care in a rural facility (aOR, 0.94; 95% CI, 0.91-0.97) were less likely to receive palliative care. Palliative care use increased from 10.4% to 16.0% (

interpretationDespite an increase in palliative care use over the past decade among veterans with COPD, our findings indicate that most did not receive palliative care or Veterans Affairs inpatient hospice within their final year of life. Those who received palliative care received it late in the illness course. These results highlight the need for targeted strategies to increase access to palliative care and hospice services for patients with COPD.

Indexed as

COPDhospicepalliative care

Identifiers

PMID41567707
PMCPMC12818916

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