The DOI matches its Crossref record; 23 of the 23 references it cites were found in a registry or an index.
Dying Trajectory in the Last Year of Life: Does Cancer Trajectory Fit Other Diseases?
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“When controlling for potential covariates, subjective sleep quality (assessed by the PSQI) and insomnia status were predictive of the influenza antibody response”
From The Sleep-Immune Crosstalk in Health and Disease (2019) · cites this paper as [536]
In the citing paper
“the vaccination response to influenza did not differ between 133 healthy college students with or without insomnia (based on DSM-V criteria), although the insomnia group had overall lower antibody amounts pre- and post-vaccination”
From The Sleep-Immune Crosstalk in Health and Disease (2019) · cites this paper as [536]
In the citing paper
“Such abnormalities reported for basal immune and inflammatory markers in insomnia disorder may underlie inadequate influenza vaccine responses as recently reported”
From The Sleep-Immune Crosstalk in Health and Disease (2019) · cites this paper as [536]
In the citing paper
“which led the authors to suggest that both may attenuate immunity to the influenza virus”
From The Sleep-Immune Crosstalk in Health and Disease (2019) · cites this paper as [536]
Citations
Cites
Glaser, B. G., & Strauss, A. L. (1968) · Medical Entomology and Zoology · Cited by 655
Survival of Medicare Patients after Enrollment in Hospice Programs
Christakis, N. A., & Escarce, J. J. (1996) · New England Journal of Medicine · doi:10.1056/nejm199607183350306 · Cited by 536
Longer Life but Worsening Health? Trends in Health and Mortality of Middle-Aged and Older Persons
Verbrugge, L. M. (1984) · The Milbank Memorial Fund Quarterly Health and Society · doi:10.2307/3349861 · Cited by 522
American Medical Association Council on Scientific Affairs
Goodman, C. S. (1988) · Cited by 496
Fox, E. (1999) · JAMA · doi:10.1001/jama.282.17.1638 · Cited by 369
Will to live in the terminally ill
Chochinov, H. M. (1999) · The Lancet · doi:10.1016/s0140-6736(98)11448-4 · Cited by 243
Last days: A study of the quality of life of terminally ill cancer patients
Morris, J. N., Suissa, S., Sherwood, S., Wright, S. M., & Greer, D. S. (1986) · Journal of Chronic Diseases · doi:10.1016/0021-9681(86)90106-2 · Cited by 226
Good Care of the Dying Patient
Davis, R. M. (1996) · JAMA · doi:10.1001/jama.1996.03530300058041 · Cited by 223
Are bereaved family members a valid proxy for a patient's assessment of dying?
Higginson, I. J., Priest, P. C., & McCarthy, M. I. (1994) · Social Science & Medicine · doi:10.1016/0277-9536(94)90251-8 · Cited by 197
Preferences for cardiopulmonary resuscitation
the SUPPORT Investigators, Teno, J. M., Hakim, R. B., Knaus, W. A., Wenger, N. S., Phillips, R. S., Wu, A. W., Layde, P. M., Connors, A. F., Dawson, N. V., et al. (1995) · Journal of General Internal Medicine · doi:10.1007/bf02600252 · Cited by 135
Self-citation
Cited by
Sorted by citations
Items 201–290 of 290
Late-Life Disability Trends and Trajectories
Wolf, D. A. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-417235-7.00004-4 · Cited by 6
Palliative Care: Innovation in Care at the End of Life
Hanson, L. C. (2004) · North Carolina Medical Journal · doi:10.18043/ncm.65.4.202 · Cited by 6
Maetens, A., Beernaert, K., Deliëns, L., Gielen, B., & Cohen, J. (2019) · PLoS ONE · doi:10.1371/journal.pone.0213731 · Cited by 6
Iwashyna, T. J., & Christakis, N. A. (2001) · Journal of Palliative Medicine · doi:10.1089/109662101753381575 · Cited by 6
Chronic Obstructive Pulmonary Disease and Lung Cancer in New Zealand
Broad, J., & Jackson, R. (2003) · ResearchSpace (University of Auckland) · Cited by 6
Ozeki, S., Tatematsu, N., & Sugiura, H. (2024) · BMJ Supportive & Palliative Care · doi:10.1136/spcare-2024-005032 · Cited by 5
Neuropalliative care in India – Barriers, challenges and future directions
Dhamija, R. K., Baruah, U., Sharma, P., & Thomas, P. (2023) · Annals of Indian Academy of Neurology · doi:10.4103/aian.aian_1021_22 · Cited by 5
Adjusting to a Diagnosis of Cancer: Processes for Building Patient Capacity for Decision-Making
Emanuel, L. L., Johnson, R., & Taromino, C. (2016) · Journal of Cancer Education · doi:10.1007/s13187-016-1008-3 · Cited by 5
Cha, E., Lee, J., Lee, K., & Hwang, Y. (2019) · The Korean Journal of Hospice and Palliative Care · doi:10.14475/kjhpc.2019.22.1.8 · Cited by 4
The Content of Hope in Ambulatory Patients with Colon Cancer
Beckman, E. S., Helft, P. R., & Torke, A. M. (2013) · Narrative Inquiry in Bioethics · doi:10.1353/nib.2013.0031 · Cited by 4
Potential Pitfalls in Collecting and Analyzing Longitudinal Data From Chronically Ill Populations
Holditch‐Davis, D., & Levy, J. A. (2010) · Newborn and Infant Nursing Reviews · doi:10.1053/j.nainr.2009.12.003 · Cited by 4
Ethical aspects of palliative care in lung cancer and end stage lung disease
Neerkin, J., & Riley, J. L. (2006) · Chronic Respiratory Disease · doi:10.1191/1479972306cd104rs · Cited by 4
Cancer caregivers at the end-of-life: How much me vs. how much we?
Bybee, S., Hebdon, M., Cloyes, K. G., Hiatt, S. O., Iacob, E., Reblin, M., Clayton, M. F., & Ellington, L. (2023) · PEC Innovation · doi:10.1016/j.pecinn.2023.100193 · Cited by 4
[ADD psychosis: treatment with antipsychotics and methylphenidate?].
Blom, J. D., & Kooij, J. J. S. (2012) · PubMed · Cited by 4
Opting not to dialyse : a practitioner research study to explore patient experience
Noble, H. R. (2009) · City Research Online (City University London) · Cited by 4
Disability Occurrence and Proximity to DeathPreprint
Mackenbach, J. P., Kunst, A. E., & Klijs, B. (2010) · SSRN Electronic Journal · doi:10.2139/ssrn.1626182 · Cited by 4
Palliative care programs for patients with breast cancer: the benefits of home-based care
Seow, H. Y., Bainbridge, D. B., & Bryant, D. (2013) · Breast Cancer Management · doi:10.2217/bmt.13.39 · Cited by 3
添田, 遼., Mitsuhashi, M., Okano, S., Yokosawa, A., Okutsu, T., & Tsuji, T. (2020) · Palliative Care Research · doi:10.2512/jspm.15.167 · Cited by 3
Gidwani, R. A., Asch, S. M., Needleman, J., Faricy‐Anderson, K., Boothroyd, D. B., Illarmo, S., Lorenz, K., Patel, M. I., Hsin, G., Ramchandran, K. J., et al. (2020) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16941 · Cited by 3
"You can't always get what you want" -- Or can you?
Teno, J. M. (2006) · Canadian Medical Association Journal · doi:10.1503/cmaj.060029 · Cited by 3
Self-citationDying trajectories and palliation in a care home setting
Nazarko, L. (2009) · Nursing and Residential Care · doi:10.12968/nrec.2009.11.12.45246 · Cited by 3
Heart-Failure Patients' Thoughts and Fears Concerning Dying
Reeman, K., & Noble, H. R. (2011) · End of Life Journal · doi:10.1136/eoljnl-01-03.2 · Cited by 3
Gadoud, A., & Johnson, M. J. (2014) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2014-000706 · Cited by 3
Oral health trajectories in community‐dwelling older adults in the last 3 years of life
Chen, X., Douglas, C. E., Preisser, J. S., Naorungroj, S., & Beck, J. D. (2018) · Special Care in Dentistry · doi:10.1111/scd.12320 · Cited by 3
A Study on Locations of Death and Factors Associated with Death among Cancer Patients in South Korea
Rhee, Y., Tae, Y., Lee, Y. J., Jang, S., Cohen, J., & Choi, Y.-S. (2019) · Journal of Biosciences and Medicines · doi:10.4236/jbm.2019.72003 · Cited by 3
Managing symptoms for frail older people at the end of life
Kinley, J., & Hockley, J. (2012) · Nursing and Residential Care · doi:10.12968/nrec.2012.14.2.82 · Cited by 2
Multimorbidity and End of Life Care in Patients with Cardiovascular Disease
Pak, E. S., Wald, J. W., & Kirkpatrick, J. N. (2016) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2016.01.005 · Cited by 2
Who Are High Users of Hospitals in Canada? Findings From a Population-Based Study
Wilson, D. M., Shen, Y., & Birch, S. (2019) · Canadian Journal of Nursing Research · doi:10.1177/0844562119833584 · Cited by 2
Cancer Decedents’ Hospital End-of-Life Care Documentation: A Retrospective Review of Patient Records
Russell, L., Howard, R., Street, M., Johnson, C. E., Berry, D., Flemming-Judge, E., Brean, S., William, L., & Considine, J. (2023) · Journal of Palliative Care · doi:10.1177/08258597231170836 · Cited by 2
Similar dynamics of terminal functional decline in nursing home residents with and without dementia
Theill, N., Gerstorf, D., Eicher, S., Geschwindner, H. M., Roecke, C., Martin, M., Wolf, H., & Riese, F. (2023) · GLOBAL PSYCHIATRY ARCHIVES · doi:10.52095/gpa.2023.6282.1067 · Cited by 2
What Can Be Done to Improve Outcomes for Caregivers of Patients With Serious Illness?
Waldrop, D. P., & Kutner, J. S. (2012) · Elsevier eBooks · doi:10.1016/b978-1-4377-3796-7.00073-2 · Cited by 2
Telerehabilitation in Cancer Care
Davidoff, C., & Maltser, S. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-82486-6.00006-x · Cited by 2
Health status and the end-of-life stage
Johnson, R. J., Mossakowski, K. N., & Hill, T. D. (2011) · Advances in Life Course Research · doi:10.1016/j.alcr.2011.08.002 · Cited by 2
Describing the Social Environment of Elderly Persons at the Time of Death
Werner, P., Miron, E., Beeri, M. S., Davidson, M., & Noy, S. (2005) · Journal of Palliative Medicine · doi:10.1089/jpm.2005.8.440 · Cited by 2
Palliative Care and Chronic Obstructive Lung Disease
Karwa, M. L., Chandra, A., & Mirza, A. (2007) · Springer eBooks · doi:10.1007/978-0-387-70875-1_7 · Cited by 2
Quality of Life in the Gynecologic Cancer Patient
Bodurka, D. C., Sun, C. C., & Basen-Engquist, K. M. (2004) · Elsevier eBooks · doi:10.1016/b978-0-443-07142-3.50063-4 · Cited by 2
Machine learning in healthcare : an investigation into model stability
Gopakumar, S. (2017) · Figshare · Cited by 2
Hospice Among Hemodialysis Patients: Too Little, Too Late to Impact Care Delivery or Costs?
O’Connor, N. R. (2018) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2018.06.003 · Cited by 2
Kousovista, R., Cosma, G., Abakasanga, E., Akbari, A., Zaccardi, F., Jun, G. T., Kiani, R., & Gangadharan, S. K. (2025) · Frontiers in Digital Health · doi:10.3389/fdgth.2025.1528882 · Cited by 2
Psychological Resilience and End‐of‐Life Symptom Burden: Evidence From a National Cohort Study
Omid, N. B. E., Kotwal, A., Cenzer, I. S., Boscardin, W. J., Hunt, L. J., & Smith, A. K. (2026) · Journal of the American Geriatrics Society · doi:10.1111/jgs.70631 · Cited by 1
Cuidados paliativos en el paciente respiratorio terminal.
Polo, C. G. (2007) · Neumosur: revista de la Asociación de Neumólogos del Sur · Cited by 1
Management of Advanced Heart Failure Patients
Anwar, D., & Anwar, A. (2012) · Springer eBooks · doi:10.1007/978-1-4614-5164-8_21 · Cited by 1
Bronchopneumopathie chronique obstructive : quelle place pour les soins palliatifs ?
Sauty, A., & Mazzocato, C. (2009) · InfoKara · doi:10.3917/inka.093.0099 · Cited by 1
Hospice for the Terminally Ill and End-of-Life Care
Capasso, J., Kim, R. B., & Perret, D. M. (2012) · Springer eBooks · doi:10.1007/978-1-4614-5164-8_4 · Cited by 1
Bond, S. M. (2019) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/j4k3-kx24 · Cited by 1
Location of Death and End-of-Life Care
Rhee, Y. (2016) · The Korean Journal of Hospice and Palliative Care · doi:10.14475/kjhpc.2016.19.1.5 · Cited by 1
Heart failure as a subject for palliative care
Sobański, P., Stec, S. M., & Opolski, G. (2009) · Via Medica Journals · Cited by 1
Developing a Set of Indicators to Assess End-of-Life Care in Massachusetts Nursing Homes
Beaman, R., & McGee, S. M. (2006) · Cited by 1
Sato, I., Yamamoto‐Mitani, N., Takemori, S., Hirano, Y., Miyata, N., Fukahori, H., Ueno, M., Kashiwagi, M., Kimata, M., & Yamada, M. (2011) · Journal of Japan Academy of Nursing Science · doi:10.5630/jans.31.1_68 · Cited by 1
Illness Trajectories: Description and Clinical Use #326
Barker, P. C., & Scherer, J. S. (2017) · Journal of Palliative Medicine · doi:10.1089/jpm.2016.0554 · Cited by 1
Time to Address “Frailty Creepage” in the Canadian Healthcare System
Young, J. B. (2018) · The Journal of Frailty & Aging · doi:10.14283/jfa.2018.28 · Cited by 1
Rodin, M. B. (2012) · Wiley eBooks · doi:10.1002/9781119952930.ch111 · Cited by 1
Anstey, S. (2012) · ORCA Online Research @Cardiff (Cardiff University) · Cited by 1
Krajnik, M., Szymanowska, A., Adamczyk, A., Kozaka, J., Skrzypski, M. T., Szostakiewicz, B., & Jassem, E. (2008) · Via Medica Journals · Cited by 1
Krajnik, M., Szymanowska, A., Adamczyk, A., Kozaka, J., Skrzypski, M. T., Szostakiewicz, B., & Jassem, E. (2008) · Via Medica Journals · Cited by 1
Gu, D., Gu, D., & Zhou, J. (2009) · SSRN Electronic Journal · Cited by 1
Maintaining functional status among older adult cancer patients and survivors
Rodin, M. B. (2022) · Wiley eBooks · doi:10.1002/9781119484288.ch95 · Cited by 1
Ellis, K. R. (2015) · Deep Blue (University of Michigan) · Cited by 1
Kwak, J. (2006) · Digital Commons - University of South Florida (University of South Florida)
Krajnik, M., Szymanowska, A., Adamczyk, A., Kozaka, J., Skrzypski, M. T., Szostakiewicz, B., & Jassem, E. (2008) · Via Medica Journals
Cancer at the End Stages: Palliation Is Multifaceted
Sattinger, A. M. (2006) · Caring for the Ages · doi:10.1016/s1526-4114(06)60019-x
Niewydolność serca jako cel dla medycyny paliatywnej
Sobański, P., Stec, S. M., & Opolski, G. (2009) · Via Medica Journals
Demographical Priors for Health Conditions Diagnosis Using Medicare DataPreprint
Alhasoun, F., Alhazzani, M., & González, M. C. (2016) · arXiv (Cornell University) · doi:10.48550/arxiv.1612.02460
Practical Use of Feedback Report of Nationwide Bereavement Survey in Participated Institutions
Igarashi, N., Aoyama, M., Sato, K., Morita, T., Kizawa, Y., Tsuneto, S., Shima, Y., & Miyashita, M. (2017) · Palliative Care Research · doi:10.2512/jspm.12.131
The Challenges of Prognosis Near the End of Life
Perkins, H. S. (2016) · Springer eBooks · doi:10.1007/978-1-4939-6804-6_5
Palliative Home Care and Chinese Immigrants: The Meanings of Home and Negotiations of Care
Seto, L. (2012) · TSpace (University of Toronto)
Kwaliteit van het levenseinde in Nederland
Echteld, M. A., Brandt, H. E., & Deliëns, L. (2006) · gedrag en gezondheid · doi:10.1007/bf03071137
Scope for Integration of Palliative Care in Neurological and Neurosurgical Patients
Bharati, S. J., & Bhatanagar, S. (2019) · Journal of Neuroanaesthesiology and Critical Care · doi:10.1055/s-0039-1679195
Symptom monitoring and quality of life of patients with cancer in the palliative phase
Hoekstra, J. B. L. (2008) · UvA-DARE (University of Amsterdam)
Enhanced Surgical Recovery and Cancer
Agboh, D. S., & Afonso, A. M. (2021) · Springer eBooks · doi:10.1007/978-981-16-0006-7_36
Gagnon, B. (2009) · CRC Press eBooks · doi:10.1201/b13272-43
Frost, F. (2009) · Elsevier eBooks · doi:10.1016/b978-0-323-05674-8.50193-6
Davis, M. P. (2010) · Elsevier eBooks · doi:10.1016/b978-1-4160-6643-9.00103-x
Boyce-Fappiano, D. R., Liao, K.-P. E., Miller, C. B., Peterson, S. K., Elting, L. S., & Guadagnolo, B. A. (2021) · Research Square · doi:10.21203/rs.3.rs-160684/v1
Enhanced Surgical Recovery and Cancer
Afonso, A. M., & Gottumukkala, V. N. R. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-69584-8.00054-2
Palliative care in neurology patients
Hoda, W., & Bharati, S. J. (2023) · International Anesthesiology Clinics · doi:10.1097/aia.0000000000000403
Qu’est-ce qui motive les demandes d’AMM?
Downar, J., MacDonald, S. E., & Buchman, S. (2024) · Canadian Medical Association Journal · doi:10.1503/cmaj.230259-f
Advanced Care Planning Prior to Oncologic Surgery: An Assessment of Utilization and Implications
Joseph, E. A., Anees, M., Barrett, T. S., Aliu, O., Wagner, P. L., Bartlett, D. L., & Allen, C. J. (2024) · Annals of Surgical Oncology · doi:10.1245/s10434-024-15417-3
Palliative Care in Advanced Heart Failure
Gadoud, A. (2024) · doi:10.1002/9781119784395.ch17
Per-Patient Illness Trajectory Analyses
Jacobsen, J. C., Hammas, K. B., Segerlantz, M., Ekstrand, J., Mahajan, S., & Klintman, J. (2024) · Journal of Palliative Medicine · doi:10.1089/jpm.2024.0181
Two decades of end-of-life conditions of older adults: older and more protracted?
Deeg, D. J. H., Pasman, H. R. W., Huisman, M. A., & Onwuteaka-Philipsen, B. D. (2025) · SSM - Population Health · doi:10.1016/j.ssmph.2025.101858
Waters, L. (2012) · VCU Scholars Compass (Virginia Commonwealth University) · doi:10.25772/d33m-wd40
Near-End-of-Life Trajectory in Patients with Advanced Lung Cancer
Kinoshita, N., Yamamoto, M., Ikeuchi, T., Touge, H., Tomita, K., & Yamasaki, A. (2026) · Yonago acta medica · doi:10.33160/yam.2026.02.009
Reitzinger, S., Czypionka, T., & Rinnerthaler, G. (2026) · Health Economics Review · doi:10.1186/s13561-026-00809-w
Metadata
- Authors
- Teno, J. M., Weitzen, S., Fennell, M. L., & Mor, V.
- Affiliations
- Brown University (US)
- 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
- 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
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review