Palliative care access: a matter of life and death

Rosa, William E.; McDarby, Meghan; Chochinov, Harvey Max

doi:10.1016/j.lanepe.2023.100586

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Access to palliative care and the improvement of the quality of life during the later stages of life remains a pertinent and globally discussed topic [33,34]. This underscores the significance of this service in affording individuals a dignified end to their lives.…”

Section: Discussionmentioning

confidence: 99%

Palliative Care in the Ageing European Population: A Cross-Country Comparison

Cerullo,

Figueiredo,

Coelho

et al. 2024

IJERPH

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With Europe’s ageing population and rising demand for palliative care, it is crucial to examine the use of palliative care among older adults during their last years of life and understand the factors influencing their access and end-of-life circumstances. This study employed a cohort of SHARE participants aged 65 years or older who had passed away between Wave 6 (2015) and Wave 7 (2017). Information on death circumstances, palliative care utilization, and associated variables were analysed. The study revealed that nearly 13.0% of individuals across these countries died under palliative care, with Slovenia having the lowest rate (0.3%) and France the highest (30.4%). Palliative care utilization in the last 30 days before death was observed in over 24.0% of participants, with the Czech Republic having the lowest rate (5.0%) and Greece the highest (48.8%). A higher risk of using or dying in palliative care was significantly associated with cognitive impairment (low verbal fluency), physical inactivity, and good to excellent self-perceived health. This work highlights the urgent need for enhanced global access to palliative care and advocates for the cross-country comparison of effective practices within Europe, tailored to the unique healthcare needs of older adults.

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Section: Discussionmentioning

confidence: 99%

Palliative Care in the Ageing European Population: A Cross-Country Comparison

Cerullo,

Figueiredo,

Coelho

et al. 2024

IJERPH

View full text Add to dashboard Cite

show abstract

“…If curative treatments prove efficacious and become accessible, early identification of eligible patients could be imperative 59 . Furthermore, timely access to interventions have shown efficiency in slowing the progress of cognitive decline 60 , in addition to improving the quality of life for those afflicted and their caregivers 26,61 . Widely accessible technology that allows for early detection with high precision could play a key role in the collective response to the impending surge of patients and provide an early window of opportunity for more effective treatments.…”

Section: Discussionmentioning

confidence: 99%

Characterizing personalized neuropathology in dementia and mild cognitive impairment with explainable artificial intelligence

Leonardsen,

Persson,

Grødem

et al. 2023

Preprint

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Deep learning applied to magnetic resonance imaging data have shown great promise as a translational technology for diagnosis and prognosis in dementia, but its impact clinically has thus far been limited. This is partially attributed to the opaqueness of deep learning models, causing insufficient understanding of what underlies their decisions. To overcome this, we trained convolutional neural nets to differentiate patients with dementia from healthy controls, and applied layerwise relevance propagation to procure individual-level explanations of the model predictions. Through extensive validations we demonstrate that patterns recognized by the model corroborate existing knowledge of neuropathology in dementia. Then, employing the explainable dementia classifier in a longitudinal dataset of patients with mild cognitive impairment, we show that the spatially rich explanations complement the prediction for prognosis, and help characterize the personalized manifestation of disease. Overall, our work exemplifies the clinical potential of explainable artificial intelligence in precision medicine.

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Palliative care access: a matter of life and death

Cited by 2 publications

References 5 publications

Palliative Care in the Ageing European Population: A Cross-Country Comparison

Palliative Care in the Ageing European Population: A Cross-Country Comparison

Characterizing personalized neuropathology in dementia and mild cognitive impairment with explainable artificial intelligence

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