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Cluster Analysis of Palliative Care Patients’ Trajectories in Primary Care: Hospitalization Yes, but Home and Nursing Home Care Above All
Guillaume Robert, Daouda Niaré, Sophie Pennec, Elisabeth Morand, Loïc de Geyer, Maguy Frin, Thomas Hanslik, Thierry Blanchon et al.. Journal of Palliative Medicine, 2025-04-18
Topic: Risk, prevention and care in population studies
Plain-language summary
Three hundred adult patients were included in the study. Cluster analysis revealed three main trajectories during the last three months of life: “staying at home” (57%), “staying in a nursing home” (29%), and “moving from home to hospital” (14%). Dementia and having children limited hospitalization. Not having an informal caregiver and having dementia were associated with staying in a nursing home. Palliative care patients’ living situations and transitions can be tracked using primary care practice data. This study highlights the unique needs of palliative care in home and nursing home settings. Additionally, factors such as dementia and family dynamics play a significant role in determining where patients live, which can help inform clinical practices and research strategies in palliative care.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Robert, G., Niaré, D., Pennec, S., Morand, E., de Geyer, L., Frin, M., et al. (2025). Cluster Analysis of Palliative Care Patients’ Trajectories in Primary Care: Hospitalization Yes, but Home and Nursing Home Care Above All. Journal of Palliative Medicine. https://doi.org/10.1089/jpm.2024.0303
Vancouver
Robert G, Niaré D, Pennec S, Morand E, de Geyer L, Frin M, et al. Cluster Analysis of Palliative Care Patients’ Trajectories in Primary Care: Hospitalization Yes, but Home and Nursing Home Care Above All. Journal of Palliative Medicine. 2025. doi:10.1089/jpm.2024.0303. PMID: 40248841.
BibTeX
@article{robert2025-40248841,
author = {Robert, Guillaume and Niaré, Daouda and Pennec, Sophie and Morand, Elisabeth and de Geyer, Loïc and Frin, Maguy and Hanslik, Thomas and Blanchon, Thierry and others},
title = {{Cluster Analysis of Palliative Care Patients’ Trajectories in Primary Care: Hospitalization Yes, but Home and Nursing Home Care Above All}},
journal = {Journal of Palliative Medicine},
year = {2025},
doi = {10.1089/jpm.2024.0303},
pmid = {40248841},
url = {https://doi.org/10.1089/jpm.2024.0303}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- Three hundred adult patients were included in the study.
- Cluster analysis revealed three main trajectories during the last three months of life: “staying at home” (57%), “staying in a nursing home” (29%), and “moving from home to hospital” (14%).
- Dementia and having children limited hospitalization.
- Not having an informal caregiver and having dementia were associated with staying in a nursing home.
- Palliative care patients’ living situations and transitions can be tracked using primary care practice data.
Why it matters
This cluster analysis of 300 palliative care patients found three main trajectories in the last three months of life, with dementia and having children limiting hospitalization. Not having an informal caregiver and having dementia were associated with staying in a nursing home.
Study details
- Evidence strengthLow
How this study scored 33/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Palliative Medicine) |
| Journal's citation record | 1 / 4 | Journal of Palliative Medicine: journal h-index 134 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 2 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 1.7× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Louise Rossignol: h-index 14 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Inserm: institution h-index 1,988 (OpenAlex) |
| Multicenter collaboration | 2 / 3 | OpenAlex lists 8 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40248841) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 33 / 100 | — |
What each of these 20 components measures, and what this score is not →
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