{"id":"https://openalex.org/W1939501239","doi":"https://doi.org/10.1370/afm.1720","title":"Functional Trajectories in the Year Before Hospice","display_name":"Functional Trajectories in the Year Before Hospice","publication_year":2015,"publication_date":"2015-01-01","ids":{"openalex":"https://openalex.org/W1939501239","doi":"https://doi.org/10.1370/afm.1720","mag":"1939501239","pmid":"https://pubmed.ncbi.nlm.nih.gov/25583890","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4291263"},"language":"en","primary_location":{"id":"doi:10.1370/afm.1720","doi":"https://doi.org/10.1370/afm.1720","is_oa":true,"landing_page_url":"https://doi.org/10.1370/afm.1720","pdf_url":"http://www.annfammed.org/content/13/1/33.full.pdf","source":{"id":"https://openalex.org/S105068684","display_name":"The Annals of Family Medicine","issn_l":"1544-1709","issn":["1544-1709","1544-1717"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316112","host_organization_name":"American Academy of Family Physicians","host_organization_lineage":["https://openalex.org/P4310316112"],"host_organization_lineage_names":["American Academy of Family Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Annals of Family Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"http://www.annfammed.org/content/13/1/33.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5040976603","display_name":"Hans Friedrich Stabenau","orcid":"https://orcid.org/0000-0001-6315-7601","observed_orcids":["https://orcid.org/0000-0001-6315-7601"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"H. F. Stabenau","raw_affiliation_strings":["Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014856789","display_name":"Laura J. Morrison","orcid":"https://orcid.org/0000-0002-9610-9435","observed_orcids":["https://orcid.org/0000-0002-9610-9435"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"L. J. Morrison","raw_affiliation_strings":["Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041287329","display_name":"Evelyne A. Gahbauer","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"E. A. Gahbauer","raw_affiliation_strings":["Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042065923","display_name":"Linda S Leo-Summers","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"L. Leo-Summers","raw_affiliation_strings":["Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035221383","display_name":"Heather Gwynn Allore","orcid":"https://orcid.org/0000-0001-7685-8175","observed_orcids":["https://orcid.org/0000-0001-7685-8175"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"H. G. Allore","raw_affiliation_strings":["Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017585651","display_name":"Thomas M. Gill","orcid":"https://orcid.org/0000-0002-6450-0368","observed_orcids":["https://orcid.org/0000-0002-6450-0368"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"T. M. Gill","raw_affiliation_strings":["Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut thomas.gill@yale.edu","Yale School of Medicine,Department of Internal Medicine, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut thomas.gill@yale.edu","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"Yale School of Medicine,Department of Internal Medicine, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I32971472"],"apc_list":null,"apc_paid":null,"fwci":4.1261,"has_fulltext":true,"cited_by_count":26,"citation_normalized_percentile":{"value":0.93332797,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"13","issue":"1","first_page":"33","last_page":"40"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.95169997215271,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.95169997215271,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11011","display_name":"Frailty in Older Adults","score":0.017500000074505806,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12811","display_name":"Aging, Health, and Disability","score":0.013700000010430813,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/functional-trajectories","display_name":"functional trajectories","score":0.8510000109672546},{"id":"https://openalex.org/keywords/hospice","display_name":"hospice","score":0.5210000276565552},{"id":"https://openalex.org/keywords/disability","display_name":"disability","score":0.5659999847412109},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.8500000238418579},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.7409999966621399},{"id":"https://openalex.org/keywords/palliative-care","display_name":"palliative care","score":0.6790000200271606},{"id":"https://openalex.org/keywords/neurodegenerative-diseases","display_name":"neurodegenerative diseases","score":0.9120000004768372},{"id":"https://openalex.org/keywords/cancer","display_name":"cancer","score":0.9800000190734863},{"id":"https://openalex.org/keywords/activities-of-daily-living","display_name":"activities of daily living","score":0.7699999809265137},{"id":"https://openalex.org/keywords/instrumental-activities-of-daily-living","display_name":"instrumental activities of daily living","score":0.875},{"id":"https://openalex.org/keywords/mobility-physical-function","display_name":"mobility (physical function)","score":0.7850000262260437},{"id":"https://openalex.org/keywords/functional-decline","display_name":"functional decline","score":0.49000000953674316}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9306952953338623},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.53634113073349},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5046314001083374},{"id":"https://openalex.org/C79544238","wikidata":"https://www.wikidata.org/wiki/Q423243","display_name":"Activities of daily living","level":2,"score":0.5007317066192627},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4907852113246918},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.47769027948379517},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.4400835931301117},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.413895845413208},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.31815117597579956},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2534053325653076},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.2530052065849304}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000375","descriptor_name":"Aging","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002318","descriptor_name":"Cardiovascular Diseases","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004185","descriptor_name":"Disability Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008137","descriptor_name":"Longitudinal Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009369","descriptor_name":"Neoplasms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012140","descriptor_name":"Respiratory Tract Diseases","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016330","descriptor_name":"Frail Elderly","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017051","descriptor_name":"Hospice Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018450","descriptor_name":"Disease Progression","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019636","descriptor_name":"Neurodegenerative Diseases","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020380","descriptor_name":"Needs Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1370/afm.1720","doi":"https://doi.org/10.1370/afm.1720","is_oa":true,"landing_page_url":"https://doi.org/10.1370/afm.1720","pdf_url":"http://www.annfammed.org/content/13/1/33.full.pdf","source":{"id":"https://openalex.org/S105068684","display_name":"The Annals of Family Medicine","issn_l":"1544-1709","issn":["1544-1709","1544-1717"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316112","host_organization_name":"American Academy of Family Physicians","host_organization_lineage":["https://openalex.org/P4310316112"],"host_organization_lineage_names":["American Academy of Family Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Annals of Family Medicine","raw_type":"journal-article"},{"id":"pmid:25583890","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25583890","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of family medicine","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:4291263","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4291263/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ann Fam Med","raw_type":"Text"},{"id":"pmh:oai:CiteSeerX.psu:10.1.1.881.7926","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.881.7926","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"http://www.annfammed.org/content/13/1/33.full.pdf","raw_type":"text"},{"id":"mag:2188053278","doi":null,"is_oa":false,"landing_page_url":"https://www.annfammed.org/content/13/1/33.full.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"doi:10.1370/afm.1720","doi":"https://doi.org/10.1370/afm.1720","is_oa":true,"landing_page_url":"https://doi.org/10.1370/afm.1720","pdf_url":"http://www.annfammed.org/content/13/1/33.full.pdf","source":{"id":"https://openalex.org/S105068684","display_name":"The Annals of Family Medicine","issn_l":"1544-1709","issn":["1544-1709","1544-1717"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316112","host_organization_name":"American Academy of Family Physicians","host_organization_lineage":["https://openalex.org/P4310316112"],"host_organization_lineage_names":["American Academy of Family Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Annals of Family Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G1900199361","display_name":"Epidemiology of Disability and Recovery in Older Persons","funder_award_id":"R37AG017560","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G4734832551","display_name":"ACADEMIC LEADERSHIP AWARD IN DISABILITY AND DISABLING DISORDERS","funder_award_id":"K07AG043587","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G9000916443","display_name":"Claude D. Pepper Older Americans Independence Center at Yale","funder_award_id":"P30AG021342","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"}],"funders":[{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1939501239.pdf","grobid_xml":"https://content.openalex.org/works/W1939501239.grobid-xml"},"referenced_works_count":61,"referenced_works":["https://openalex.org/W38490725","https://openalex.org/W1491015000","https://openalex.org/W1525176991","https://openalex.org/W1598612182","https://openalex.org/W1608166707","https://openalex.org/W1847168837","https://openalex.org/W1974630104","https://openalex.org/W1975387080","https://openalex.org/W1975635468","https://openalex.org/W1979300931","https://openalex.org/W1980285822","https://openalex.org/W1984977526","https://openalex.org/W1987082350","https://openalex.org/W1987954863","https://openalex.org/W1989789036","https://openalex.org/W1993265704","https://openalex.org/W1995945562","https://openalex.org/W1997944093","https://openalex.org/W2000429033","https://openalex.org/W2006651514","https://openalex.org/W2008559442","https://openalex.org/W2008752952","https://openalex.org/W2008854521","https://openalex.org/W2013071495","https://openalex.org/W2014506602","https://openalex.org/W2020467785","https://openalex.org/W2031548027","https://openalex.org/W2043962188","https://openalex.org/W2047233706","https://openalex.org/W2057708436","https://openalex.org/W2060724440","https://openalex.org/W2064715862","https://openalex.org/W2070934362","https://openalex.org/W2072087583","https://openalex.org/W2075971778","https://openalex.org/W2078415962","https://openalex.org/W2082921236","https://openalex.org/W2082943332","https://openalex.org/W2083640288","https://openalex.org/W2098583172","https://openalex.org/W2098915527","https://openalex.org/W2104662184","https://openalex.org/W2112737303","https://openalex.org/W2115098335","https://openalex.org/W2120732040","https://openalex.org/W2125130977","https://openalex.org/W2129565410","https://openalex.org/W2139524347","https://openalex.org/W2147941070","https://openalex.org/W2148080316","https://openalex.org/W2153032490","https://openalex.org/W2158938545","https://openalex.org/W2167311298","https://openalex.org/W2322272917","https://openalex.org/W2416473829","https://openalex.org/W2765897007","https://openalex.org/W2797563284","https://openalex.org/W3041047318","https://openalex.org/W4245652022","https://openalex.org/W4285719527","https://openalex.org/W6654009149"],"related_works":["https://openalex.org/W2046867396","https://openalex.org/W2188053278","https://openalex.org/W4252218049","https://openalex.org/W2808898731","https://openalex.org/W1975635468","https://openalex.org/W2045588217","https://openalex.org/W2009274172","https://openalex.org/W2142431573","https://openalex.org/W4401217193","https://openalex.org/W2158938545"],"abstract_inverted_index":{"PURPOSE:":[0],"We":[1],"undertook":[2],"a":[3,126],"study":[4,46],"to":[5,15,24,31,71,233],"identify":[6],"distinct":[7,101],"functional":[8,102,134,164],"trajectories":[9,21,37,135],"in":[10,66,75,152,169,175,188,193,212],"the":[11,33,93,131,148,170,176,180,194,213,238,261],"year":[12,94,214],"before":[13,95,215,248],"hospice,":[14,96,249],"determine":[16],"how":[17],"patients":[18],"with":[19,125,143,167,228,242],"these":[20,36],"differ":[22,161],"according":[23],"demographic":[25],"characteristics":[26],"and":[27,30,38,79,120,158,185],"hospice":[28,67,153,197,216,234],"diagnosis,":[29],"evaluate":[32],"association":[34],"between":[35],"subsequent":[39],"outcomes.":[40],"METHODS:":[41],"From":[42],"an":[43],"ongoing":[44],"cohort":[45],"of":[47,108,139,183,210,245,263],"754":[48],"community-living":[49],"persons":[50,61,221,259],"aged":[51],"70":[52],"years":[53],"or":[54],"older,":[55],"we":[56,97],"evaluated":[57],"data":[58],"on":[59],"213":[60],"who":[62],"were":[63],"subsequently":[64],"enrolled":[65],"from":[68],"March":[69],"1998":[70],"December":[72],"2011.":[73],"Disability":[74],"13":[76],"basic,":[77],"instrumental,":[78],"mobility":[80],"activities":[81],"was":[82,154],"assessed":[83],"during":[84],"monthly":[85],"telephone":[86],"interviews":[87],"through":[88],"June":[89],"2012.":[90],"RESULTS:":[91],"In":[92],"identified":[98],"5":[99],"clinically":[100],"trajectories,":[103],"representing":[104],"worsening":[105],"cumulative":[106],"burden":[107,138],"disability:":[109],"late":[110],"decline":[111],"(10.8%),":[112,114],"accelerated":[113],"moderate":[115,177],"(21.1%),":[116],"progressively":[117],"severe":[118,122,172,246],"(24.9%),":[119],"persistently":[121,171],"(32.4%).":[123],"Participants":[124],"cancer":[127],"diagnosis":[128],"(34.7%)":[129],"had":[130,147,179],"most":[132],"favorable":[133],"(ie,":[136],"lowest":[137],"disability),":[140],"whereas":[141],"those":[142,174,227],"neurodegenerative":[144,229],"disease":[145],"(21.1%)":[146],"worst.":[149],"Median":[150],"survival":[151],"only":[155],"14":[156],"days":[157],"did":[159],"not":[160],"significantly":[162],"by":[163,237],"trajectory.":[165],"Compared":[166],"participants":[168],"trajectory,":[173],"trajectory":[178],"highest":[181],"likelihood":[182],"surviving":[184],"being":[186],"independent":[187],"at":[189,260],"least":[190],"1":[191],"activity":[192],"month":[195],"after":[196],"admission":[198,232],"(adjusted":[199],"odds":[200],"ratio":[201],"=":[202],"5.5;":[203],"95%":[204],"CI,":[205],"1.9-35.9).":[206],"CONCLUSIONS:":[207],"The":[208],"course":[209],"disability":[211,247],"differs":[217],"greatly":[218],"among":[219,226],"older":[220,258],"but":[222],"is":[223],"particularly":[224],"poor":[225],"disease.":[230],"Late":[231],"(as":[235],"shown":[236],"short":[239],"survival),":[240],"coupled":[241],"high":[243],"levels":[244],"highlight":[250],"potential":[251],"unmet":[252],"palliative":[253],"care":[254],"needs":[255],"for":[256],"many":[257],"end":[262],"life.":[264]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":3}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}