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PalC/Resources/Learning Materials/Doctors/[Journal article] Referral Criteria for Specialist Palliative Care for Patients With Dementia
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Year 2025
May 2025

[Journal article] Referral Criteria for Specialist Palliative Care for Patients With Dementia

21 May 2025

Authors: Yuchieh Kathryn Chang; Jennifer Philip; Jenny T. van der Steen; Lieve Van den Block; Allyn Yin Mei Hum; Pedro E. Pérez-Cruz; Carlos Paiva; Masanori Mori; Ping-Jen Chen; Meera R. Agar; Laura Hanson; Catherine J. Evans; David Hui

Published in: JAMA Network Open. Published online: 14 May 2025. DOI: 10.1001/jamanetworkopen.2025.10298

Summary points:

  1. 75% of the expert panelists in the Delphi study believed that patients with dementia were referred too late for specialist palliative care
  2. Referral criteria fell into needs based (symptom distress, psychosocial factors, decision making) and disease based criteria (dementia type, comorbidities, hospital use).
  3. Specialist palliative care can be integrated earlier, in the moderate, rather than advanced stage of dementia.

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