{"id":"https://openalex.org/W4403813638","doi":"https://doi.org/10.1001/jamanetworkopen.2024.40977","title":"Timing of Palliative Care, End-of-Life Quality Indicators, and Health Resource Utilization","display_name":"Timing of Palliative Care, End-of-Life Quality Indicators, and Health Resource Utilization","publication_year":2024,"publication_date":"2024-10-28","ids":{"openalex":"https://openalex.org/W4403813638","doi":"https://doi.org/10.1001/jamanetworkopen.2024.40977","pmid":"https://pubmed.ncbi.nlm.nih.gov/39466244"},"language":"en","primary_location":{"id":"doi:10.1001/jamanetworkopen.2024.40977","doi":"https://doi.org/10.1001/jamanetworkopen.2024.40977","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamanetworkopen.2024.40977","pdf_url":null,"source":{"id":"https://openalex.org/S4210217848","display_name":"JAMA Network Open","issn_l":"2574-3805","issn":["2574-3805"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Network Open","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1001/jamanetworkopen.2024.40977","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090456386","display_name":"Sarah Jill Mah","orcid":"https://orcid.org/0000-0003-1104-7763","observed_orcids":["https://orcid.org/0000-0003-1104-7763"]},"institutions":[{"id":"https://openalex.org/I98251732","display_name":"McMaster University","ror":"https://ror.org/02fa3aq29","country_code":"CA","type":"education","lineage":["https://openalex.org/I98251732"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Sarah J. Mah","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, McMaster University, Hamilton, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, McMaster University, Hamilton, Ontario, Canada","institution_ids":["https://openalex.org/I98251732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109212697","display_name":"Daniel M. Carter Ramirez","orcid":"https://orcid.org/0009-0002-0805-1171","observed_orcids":["https://orcid.org/0009-0002-0805-1171"]},"institutions":[{"id":"https://openalex.org/I98251732","display_name":"McMaster University","ror":"https://ror.org/02fa3aq29","country_code":"CA","type":"education","lineage":["https://openalex.org/I98251732"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Daniel M. Carter Ramirez","raw_affiliation_strings":["Department of Family Medicine, Division of Palliative Care, McMaster University, Hamilton, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Division of Palliative Care, McMaster University, Hamilton, Ontario, Canada","institution_ids":["https://openalex.org/I98251732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050334498","display_name":"Kara Lynne Schnarr","orcid":"https://orcid.org/0000-0001-8511-1540","observed_orcids":["https://orcid.org/0000-0001-8511-1540"]},"institutions":[{"id":"https://openalex.org/I98251732","display_name":"McMaster University","ror":"https://ror.org/02fa3aq29","country_code":"CA","type":"education","lineage":["https://openalex.org/I98251732"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Kara Schnarr","raw_affiliation_strings":["Department of Oncology, Division of Radiation Oncology, McMaster University, Hamilton, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Oncology, Division of Radiation Oncology, McMaster University, Hamilton, Ontario, Canada","institution_ids":["https://openalex.org/I98251732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067411692","display_name":"Lua Ruhiyyih Eiriksson","orcid":"https://orcid.org/0000-0003-4626-3730","observed_orcids":["https://orcid.org/0000-0003-4626-3730"]},"institutions":[{"id":"https://openalex.org/I98251732","display_name":"McMaster University","ror":"https://ror.org/02fa3aq29","country_code":"CA","type":"education","lineage":["https://openalex.org/I98251732"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Lua R. Eiriksson","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, McMaster University, Hamilton, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, McMaster University, Hamilton, Ontario, Canada","institution_ids":["https://openalex.org/I98251732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067049847","display_name":"Anastasia Gayowsky","orcid":"https://orcid.org/0000-0001-9608-0305","observed_orcids":["https://orcid.org/0000-0001-9608-0305"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anastasia Gayowsky","raw_affiliation_strings":["ICES McMaster, Hamilton, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ICES McMaster, Hamilton, Ontario, Canada","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5011213291","display_name":"Hsien Yeang Seow","orcid":"https://orcid.org/0000-0001-6701-1714","observed_orcids":["https://orcid.org/0000-0001-6701-1714"]},"institutions":[{"id":"https://openalex.org/I98251732","display_name":"McMaster University","ror":"https://ror.org/02fa3aq29","country_code":"CA","type":"education","lineage":["https://openalex.org/I98251732"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Hsien Seow","raw_affiliation_strings":["Department of Oncology, McMaster University, Hamilton, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Oncology, McMaster University, Hamilton, Ontario, Canada","institution_ids":["https://openalex.org/I98251732"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5090456386"],"corresponding_institution_ids":["https://openalex.org/I98251732"],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":{"value":3000,"currency":"USD","value_usd":3000},"fwci":17.0997,"has_fulltext":true,"cited_by_count":45,"citation_normalized_percentile":{"value":0.99625768,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":100},"biblio":{"volume":"7","issue":"10","first_page":"e2440977","last_page":"e2440977"},"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":0.9887999892234802,"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":0.9887999892234802,"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/T13340","display_name":"Palliative and Oncologic Care","score":0.010700000450015068,"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/T11199","display_name":"Pain Management and Opioid Use","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"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/timing-of-palliative-care","display_name":"timing of palliative care","score":0.8999999761581421},{"id":"https://openalex.org/keywords/ovarian-cancer","display_name":"ovarian cancer","score":0.7170000076293945},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.9440000057220459},{"id":"https://openalex.org/keywords/quality-indicators","display_name":"quality indicators","score":0.5419999957084656},{"id":"https://openalex.org/keywords/aggressive-end-of-life-care","display_name":"aggressive end-of-life care","score":0.7680000066757202},{"id":"https://openalex.org/keywords/intensive-care-unit-admission","display_name":"intensive care unit admission","score":0.7599999904632568},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.7409999966621399},{"id":"https://openalex.org/keywords/emergency-department-use","display_name":"emergency department utilization","score":0.7770000100135803},{"id":"https://openalex.org/keywords/gynecologic-oncology","display_name":"gynecologic oncology","score":0.871999979019165},{"id":"https://openalex.org/keywords/health-resource-utilization","display_name":"health resource utilization","score":0.765999972820282},{"id":"https://openalex.org/keywords/ontario","display_name":"Ontario","score":0.3019999861717224},{"id":"https://openalex.org/keywords/decedents","display_name":"deceased persons","score":0.6150000095367432}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8566863536834717},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.8496904373168945},{"id":"https://openalex.org/C2780879335","wikidata":"https://www.wikidata.org/wiki/Q2045105","display_name":"End-of-life care","level":3,"score":0.6215242743492126},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.5246206521987915},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5158442854881287},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.49868297576904297},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.47032177448272705},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4590211808681488},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.4473676383495331},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3331344723701477},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.20302525162696838},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1530531644821167},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.12330994009971619},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"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":"D000369","descriptor_name":"Aged, 80 and over","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":"D000369","descriptor_name":"Aged, 80 and over","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":"D005260","descriptor_name":"Female","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":"D005260","descriptor_name":"Female","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":"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":"D006801","descriptor_name":"Humans","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":"D006801","descriptor_name":"Humans","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":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009864","descriptor_name":"Ontario","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009864","descriptor_name":"Ontario","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009864","descriptor_name":"Ontario","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009864","descriptor_name":"Ontario","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009864","descriptor_name":"Ontario","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010051","descriptor_name":"Ovarian Neoplasms","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D010051","descriptor_name":"Ovarian Neoplasms","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D010051","descriptor_name":"Ovarian Neoplasms","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D010051","descriptor_name":"Ovarian Neoplasms","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D010051","descriptor_name":"Ovarian Neoplasms","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D010051","descriptor_name":"Ovarian Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D010051","descriptor_name":"Ovarian Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D010051","descriptor_name":"Ovarian Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D010051","descriptor_name":"Ovarian Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D010051","descriptor_name":"Ovarian Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","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":"D013997","descriptor_name":"Time Factors","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":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019984","descriptor_name":"Quality Indicators, Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D019984","descriptor_name":"Quality Indicators, Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D019984","descriptor_name":"Quality Indicators, Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D019984","descriptor_name":"Quality Indicators, Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D019984","descriptor_name":"Quality Indicators, Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1001/jamanetworkopen.2024.40977","doi":"https://doi.org/10.1001/jamanetworkopen.2024.40977","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamanetworkopen.2024.40977","pdf_url":null,"source":{"id":"https://openalex.org/S4210217848","display_name":"JAMA Network Open","issn_l":"2574-3805","issn":["2574-3805"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Network Open","raw_type":"journal-article"},{"id":"pmid:39466244","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39466244","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":"JAMA network open","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11519754","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11519754","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/instance/11519754/bin/jamanetwopen-e2440977-s001.pdf","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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JAMA Netw Open","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1001/jamanetworkopen.2024.40977","doi":"https://doi.org/10.1001/jamanetworkopen.2024.40977","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamanetworkopen.2024.40977","pdf_url":null,"source":{"id":"https://openalex.org/S4210217848","display_name":"JAMA Network Open","issn_l":"2574-3805","issn":["2574-3805"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","medline","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Network Open","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":34,"referenced_works":["https://openalex.org/W1502426630","https://openalex.org/W1563814119","https://openalex.org/W1764513046","https://openalex.org/W1977915223","https://openalex.org/W1985988693","https://openalex.org/W2000445173","https://openalex.org/W2026839563","https://openalex.org/W2129168200","https://openalex.org/W2147016542","https://openalex.org/W2154104512","https://openalex.org/W2169678441","https://openalex.org/W2189592539","https://openalex.org/W2431589543","https://openalex.org/W2549006299","https://openalex.org/W2558685144","https://openalex.org/W2617281648","https://openalex.org/W2753178964","https://openalex.org/W2787326767","https://openalex.org/W2885646694","https://openalex.org/W2891258991","https://openalex.org/W2913108514","https://openalex.org/W2941823018","https://openalex.org/W2981576461","https://openalex.org/W3022423927","https://openalex.org/W3091900513","https://openalex.org/W3187819879","https://openalex.org/W3195208071","https://openalex.org/W3198236819","https://openalex.org/W4206443904","https://openalex.org/W4296875653","https://openalex.org/W4306168168","https://openalex.org/W4323870655","https://openalex.org/W4382600403","https://openalex.org/W4387326004"],"related_works":["https://openalex.org/W2058617385","https://openalex.org/W2063812039","https://openalex.org/W2025873296","https://openalex.org/W1874715432","https://openalex.org/W2964068677","https://openalex.org/W2902677702","https://openalex.org/W2002865216","https://openalex.org/W4285227254","https://openalex.org/W2989438442","https://openalex.org/W1984420825"],"abstract_inverted_index":{"Importance:":[0],"Despite":[1],"research":[2],"supporting":[3],"the":[4,22,30,33,40,116,119,139,154,229,351],"benefits":[5],"of":[6,24,32,35,42,63,121,143,150,160,220,233,236,257,303,353],"early":[7,319,336],"palliative":[8,25,36,75,122,164,226,243,287,320,331,337],"care,":[9],"timely":[10],"initiation":[11,38,339],"by":[12],"gynecologic":[13],"oncology":[14],"patients":[15,50,205,221],"is":[16],"reportedly":[17],"low,":[18],"which":[19],"may":[20,322],"limit":[21],"effectiveness":[23],"care.":[26,162,332],"Objective:":[27],"To":[28],"investigate":[29],"association":[31],"timing":[34,120],"care":[37,44,71,76,81,85,123,135,165,227,244,260,278,321,328,338,344],"with":[39,51,206,213,254,300,325],"aggressiveness":[41],"end-of-life":[43,91,125,259,327],"using":[45],"established":[46],"quality":[47,92,126,345],"indicators":[48,93],"among":[49],"ovarian":[52,64,180],"cancer.":[53],"Design,":[54],"Setting,":[55],"and":[56,83,88,90,110,124,156,193,276,346],"Participants:":[57],"This":[58],"population-based":[59],"retrospective":[60],"cohort":[61,315],"study":[62,316],"cancer":[65,181,208],"decedents":[66],"used":[67],"linked":[68],"administrative":[69],"health":[70,80,84,347],"data":[72],"to":[73,99,174,293,342],"identify":[74],"provision":[77],"across":[78],"all":[79],"sectors":[82],"professionals":[86],"(specialist":[87],"nonspecialist)":[89],"in":[94,138,146,153,228,269],"Ontario,":[95],"Canada,":[96],"from":[97,289,313],"2006":[98],"2018.":[100],"Data":[101],"analyses":[102],"were":[103,178],"performed":[104],"July":[105],"12,":[106],"2024.":[107],"Main":[108],"Outcomes":[109],"Measures:":[111],"The":[112],"primary":[113],"outcome":[114],"was":[115,166,189,199,252,298],"associations":[117],"between":[118],"indicators,":[127],"including":[128],"emergency":[129],"department":[130],"use,":[131],"hospital":[132,270],"or":[133,171,216],"intensive":[134,277],"unit":[136,279],"admission":[137,280],"last":[140,147],"30":[141],"days":[142,149],"life,":[144,151],"chemotherapy":[145,305],"14":[148],"death":[152,188,251,268,297],"hospital,":[155],"a":[157],"composite":[158],"measure":[159],"aggressive":[161,258],"Late":[163],"defined":[167],"as":[168],"3":[169,231,248,290],"months":[170,232,249,291],"less":[172],"prior":[173],"death.":[175],"Results:":[176],"There":[177],"8297":[179],"decedents.":[182],"Their":[183],"mean":[184,195],"(SD)":[185,196],"age":[186],"at":[187,350],"69.6":[190],"(13.1)":[191],"years,":[192],"their":[194],"oncologic":[197],"survival":[198],"2.8":[200],"(3.9)":[201],"years.":[202],"Among":[203],"3958":[204],"known":[207],"stage,":[209],"3495":[210],"(88.3%)":[211],"presented":[212],"stage":[214],"III":[215],"IV":[217],"disease.":[218],"One-third":[219],"(2667":[222],"[32.1%])":[223],"received":[224],"late":[225,304,330],"final":[230],"life.":[234,354],"Results":[235],"multivariable":[237],"regression":[238],"analysis":[239],"indicated":[240],"that":[241,318],"any":[242],"initiated":[245],"earlier":[246],"than":[247,329],"before":[250,296],"associated":[253,299,324],"lower":[255],"rates":[256],"(odds":[261],"ratio":[262],"[OR],":[263],"0.47":[264],"[95%":[265,273,283,308],"CI,":[266,274,284,309],"0.37-0.60]),":[267],"(OR,":[271,281,306],"0.54":[272],"0.45-0.65]),":[275],"0.46":[282,307],"0.27-0.76]).":[285],"Specialist":[286],"consultation":[288],"up":[292],"6":[294],"monts":[295],"decreased":[301],"likelihood":[302],"0.24-0.88]).":[310],"Conclusions:":[311],"Findings":[312],"this":[314],"suggested":[317],"be":[323],"less-aggressive":[326],"Implementation":[333],"strategies":[334],"for":[335],"are":[340],"needed":[341],"optimize":[343],"resource":[348],"utilization":[349],"end":[352]},"counts_by_year":[{"year":2026,"cited_by_count":32},{"year":2025,"cited_by_count":12},{"year":2024,"cited_by_count":1}],"updated_date":"2026-10-10T09:11:00.788812","created_date":"2025-10-10T00:00:00"}