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NUR 440 Evidence TableStudy CitationDesignMethodSampleData CollectionData AnalysisValidityReliabilityAmano, K., Morita, T., Tatara, R., Katayama, H., Uno, T., & Takagi, I. (2015). Association between early palliative care referrals, inpatient hospice utilization, and aggressiveness of care at the end of life. Journal of Palliative Medicine, 18(3), 270–273. Retrieved from -org.ezproxy.snhu.edu/10.1089/jpm.2014.0132This study was designed to explore the association between early palliative care referrals, inpatienthospice utilization, and aggressiveness of EOL care by investigating cancer decedents.A retrospective cohort study in a cancer hospital in Japan.265 cancer decedentsfrom a cancer hospital in JapanThe association between early referrals (> 3 months before death) and inpatienthospice utilization and the relationshipbetween the timing of referrals and aggressive EOL care measured by acomposite score -adapted from the only existing instrumentavailable to quantify the levels of aggressiveness of EOLcare.Early palliative care referrals were associated with increased inpatient hospiceutilization and less aggressive end of life care.Supports other research with similar results. Limitations due to: retrospectiveevaluation, lack of patient-reporting, lack early palliative care referral group,single-institution study, lack ofinformation about patientsdischarged home/movedto nursing home/another hospital.