ArticleAnnals of medicine2026
Disparities in hospice enrollment timing and end-of-life care intensity across non-cancer diagnoses: a 10-year hospital-based cohort study.
Article in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionNon-cancer patients with advanced illnesses often experience delayed hospice referral and high-intensity care near the end of life, yet cross-diagnosis comparisons remain limited. This study examined diagnosis-specific patterns in hospice use and care intensity among non-cancer decedents. MATERIALS AND
methodsWe conducted a 10-year retrospective cohort study of adults with hospice-eligible non-cancer diagnoses who died or were discharged in a moribund condition between 2010 and 2019 at a tertiary referral hospital in Taiwan. Primary outcomes were place of death and an aggressive-care score (0-5) based on five EOL indicators in the last 28 days: hospitalisation >14 days, ≥1 intensive care unit (ICU) admission, ≥1 emergency department (ED) visit, cardiopulmonary resuscitation (CPR), and intubation with mechanical ventilation. Multivariable logistic regression identified factors associated with high aggressive-care scores (≥4).
resultsAmong 5,127 non-cancer decedents, 7% received hospice care, with rates varying across diagnostic groups. Most hospice enrolments (60.2%) occurred within 7 days before death. Hospice recipients had lower median aggressive-care scores (2 vs. 3,
conclusionHospice care among hospitalised non-cancer decedents was infrequent and often initiated in the final week across diagnoses. These findings highlight diagnostic differences in end-of-life care intensity and support referral strategies for earlier palliative care integration.
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