Cited by 290Palliative Care and End-of-Life IssuesPalliative and Oncologic CareFrailty in Older Adults

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Dying Trajectory in the Last Year of Life: Does Cancer Trajectory Fit Other Diseases?

Teno, Joan M., Weitzen, Sherry, Fennell, Mary L., Mor, Vincent·2001·Journal of Palliative Medicine

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Abstract

PURPOSE: To examine differences in the pattern of functional decline among persons dying of cancer and other leading noncancer causes of death. DESIGN: Mortality followback survey of next of kin listed on death certificate. SETTING: Probability sample of all deaths in the United States. PARTICIPANTS: Next of kin for 3,614 decedents that represented 914,335 deaths. MEASUREMENTS: Days of difficulty with activities of daily living and mobility in the last year of life. RESULTS: Relative to other decedents, patients with cancer experienced an increased rate of functional impairment beginning as late as 5 months prior to death. For example, only 13.9% of patients with cancer had difficulty getting out of bed or a chair 1-year prior to death. This increased from 22.2% to 63.0% in the last five months of life. In contrast, decedents from other diseases had higher rates of functional impairment 1 year prior to death (approximately 35% had difficulty getting out of bed or chair) and they manifested a more gradual increase in the level of functional decline (approximately 50% had difficulty getting out of bed). Precipitous functional decline was associated with hospice involvement and dying at home. CONCLUSION: Persons dying of cancer experienced sharp functional decline in the last months of life whereas other decedents' have a more gradual decline. The more precipitous functional decline was associated with hospice involvement and dying at home.

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Authors: Teno, J. M., Weitzen, S., Fennell, M. L., & Mor, V.
Affiliations: Brown University (US)
ORCID: Teno, Joan M.
Mor, Vincent
Venue: Journal of Palliative Medicine
Publisher: SAGE Publications
Published: 2001-12
Volume: 4
Issue: 4
Pages: 457-464
ISSN: 1096-6218 (ISSN-L)
1557-7740
DOI: 10.1089/109662101753381593
OpenAlex: W2046867396
Cited by: 290
References: 22
Citations by year: 2026: 3 · 2025: 2 · 2024: 5 · 2023: 11 · 2022: 9 · 2021: 11 · 2020: 7 · 2019: 18 · 2018: 14 · 2017: 14 · 2016: 16 · 2015: 10 · 2014: 12 · 2013: 10 · 2012: 18
FWCI: 8.87
Type: journal article
Language: en
Open access: closed
Licence: www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/ (tdm)
Locations: Journal of Palliative Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: Robert Wood Johnson Foundation
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords: functional decline, last year of life, cancer mortality, activities of daily living, mobility impairment, hospice care, home death, next of kin
MeSH terms: Activities of Daily Living, Data Collection, Death, Death Certificates, Diabetes Mellitus, Heart Failure, Humans, Neoplasms, Prognosis, United States, Hospice Care, Disease Progression, Stroke, Pulmonary Disease, Chronic Obstructive

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