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

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?

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

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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Crossref · 10.1089/109662101753381593

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Metadata

Authors
Teno, J. M., Weitzen, S., Fennell, M. L., & Mor, V.
Affiliations
Brown University (US)
Venue
Journal of Palliative Medicine
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

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