Home › Research › End-of-life care
Interventions and Predictors of Transition to Hospice for People Living With Dementia: An Integrative Review
Komal Patel Murali, Srija Gogineni, Karen Bullock, Margaret V. McDonald, Tina R. Sadarangani, Dena Schulman‐Green, Abraham A. Brody. The Gerontologist, 2025-02-04
Topic: Risk, prevention and care in population studies
Fourteen articles met inclusion criteria after critical appraisal. Most were cross-sectional in design and conducted in nursing homes and hospitals in the U.S. persons living with dementia had multiple chronic conditions including cancer, diabetes, heart disease, and stroke. Interventions included components of hospice decision-making delivered through advance care planning, checklist-based care management for hospice transition, and palliative care for those with severe dementia. Predictors included increasing severity of illness including functional decline, organ failure, intensive care use, and the receipt of palliative care. Other predictors were related to insurance status, race and ethnicity, and caregiver burden. Overall, despite moderate to high-quality evidence, the studies were limited in scope and sample and lacked racial and ethnic diversity. DISCUSSION AND Prospective, multisite randomized trials and population-based analyses including larger and diverse samples are needed for improved end-of-life dementia illness counseling and hospice care transitions for persons living with dementia and their caregivers.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Murali, K. P., Gogineni, S., Bullock, K., McDonald, M. V., Sadarangani, T. R., Schulman‐Green, D., et al. (2025). Interventions and Predictors of Transition to Hospice for People Living With Dementia: An Integrative Review. The Gerontologist. https://doi.org/10.1093/geront/gnaf046
Vancouver
Murali KP, Gogineni S, Bullock K, McDonald MV, Sadarangani TR, Schulman‐Green D, et al. Interventions and Predictors of Transition to Hospice for People Living With Dementia: An Integrative Review. The Gerontologist. 2025. doi:10.1093/geront/gnaf046. PMID: 39903194.
BibTeX
@article{murali2025-39903194,
author = {Murali, Komal Patel and Gogineni, Srija and Bullock, Karen and McDonald, Margaret V. and Sadarangani, Tina R. and Schulman‐Green, Dena and Brody, Abraham A.},
title = {{Interventions and Predictors of Transition to Hospice for People Living With Dementia: An Integrative Review}},
journal = {The Gerontologist},
year = {2025},
doi = {10.1093/geront/gnaf046},
pmid = {39903194},
url = {https://doi.org/10.1093/geront/gnaf046}
}
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 names 7 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
Key findings
- Fourteen articles met inclusion criteria after critical appraisal.
- Most were cross-sectional in design and conducted in nursing homes and hospitals in the U.S. persons living with dementia had multiple chronic conditions including cancer, diabetes, heart disease, and stroke.
- Interventions included components of hospice decision-making delivered through advance care planning, checklist-based care management for hospice transition, and palliative care for those with severe dementia.
- Predictors included increasing severity of illness including functional decline, organ failure, intensive care use, and the receipt of palliative care.
- Other predictors were related to insurance status, race and ethnicity, and caregiver burden.
Why it matters
This review looked at what helps or predicts the move to hospice care for people living with dementia, and found the existing studies were limited in scope and lacked racial and ethnic diversity. It calls for larger, more diverse trials but does not test any treatment, cure or prevention.
Study details
- Study designcross-sectional
- Evidence strengthHigh
How this study scored 48/100
Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for 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 (The Gerontologist) |
| Journal's citation record | 2 / 4 | The Gerontologist: journal h-index 238 (OpenAlex, 2026-10-29) |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 5 / 5 | Rated “high” 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 | 2 / 7 | Cited 5 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 1.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 3 / 6 | Cited 4.2× 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 | 1 / 4 | Cited 5 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Abraham A. Brody: h-index 28 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | New York University: institution h-index 1,612 (OpenAlex) |
| Multicenter collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 39903194) |
| Free to read | 2 / 2 | Free to read |
| Total | 48 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Related
Studies in the library that share something with this one. The line above each title says what.
Studies this one cites
Referenced by this study and also in the alzhub library, so you can read them here.
Related studies in End-of-life care
Also tagged “care”
995 studies in the library carry the topic tag “care”; these are this study's neighbours in a fixed, alphabetical-by-hash tour of them, not the closest in content. All 995 tagged studies.