ArticleBMC geriatrics2025
How do the oldest old die in very fast ageing territories? The case of overseas France.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesWorldwide, the elderly population is steadily growing. A new population of very elderly patients is emerging, with specific management requirements, particularly at the end of life. However, data is scarce concerning the end-of-life care in these patients. The territories where this population is growing rapidly, like overseas France, was therefore of the utmost interest, to describe how they are provided end-of-life care and die. The aim of the study was to describe end-of-life care and death in overseas France nonagenarians and over, and to compare them with the rest of the population in these territories.
methodsA retrospective study of a representative sample of adult patients who died between March 2020 and February 2021 was conducted in overseas France. Physicians who certified the deaths were asked to describe end-of-life care and medical decisions in a questionnaire.
resultsA total of 1815 deaths were analysed over 8730 questionnaires sent, with a total of 1082 questionnaires collecting data on non-sudden informed deaths. The nonagenarians were mostly women (p<0.0001) with cognitive impairment (p<0.0001) and died at home (p < 0.0001). Physicians were mostly experienced (p=0.0022) general practitioners (p<0.0001). Nonagenarians were less provided with palliative care than the rest of the population (64.36% vs 74.83%), with a lower use of deep and continuous sedation maintained until death (2.84% vs 15.19%) and less intensification of treatments to relieve symptoms (23.45% vs 32.56%).
conclusionsThe population of nonagenarians was specific in causes of death and comorbidities. Improving end-of-life care for these patients can include a high access to specialist palliative care and symptoms management.
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