Online citations, reference lists, and bibliographies.

Hospice Utilization Among Medicare Beneficiaries Dying From Pancreatic Cancer.

Anghela Z. Paredes, J. Madison Hyer, Diamantis I Tsilimigras, Rittal Mehta, Kota Sahara, Susan White, Mary E. Dillhoff, Aslam Ejaz, Jordan M Cloyd, Timothy M. Pawlik
Published 2019 · Medicine
Cite This
Download PDF
Analyze on Scholarcy
BACKGROUND Use of hospice services among patients with pancreatic cancer following pancreatic resection remains unknown. METHODS Patients with pancreatic cancer who underwent resection were identified in the Medicare Standard Analytic Files. Outcomes included overall hospice use, early hospice enrollment (≥4 weeks before death), late hospice enrollment (initiation within 3 days of death), and Medicare expenditures. RESULTS Among the 4369 deceased individuals, three-fourths of patients (n = 3252, 74.4%) used hospice at the time of death. Patients who did not use hospice were more likely to be male, have a complication on index admission and receive life sustaining treatments on subsequent admissions (P < .05). Only one-third (32.2%) of patients initiated hospice services early. Medicare expenditure during the last month of life was $10 000 lower among patients who initialized hospice services at least 1 month before death versus within 3 days of death (late: $10 581 [$5454-$17 200], early: $221 [$46-$733]; P < .001) CONCLUSION: While three-fourths of patients utilized hospice services after pancreatic resection, only one-third of patients initiated hospice services at least one-month before death. Late hospice use was associated with higher Medicare expenditures during the last month of life. Further research is needed to understand barriers to early hospice utilization.
This paper references
Palliative Care and Symptom Burden in the Last Year of Life: A Population-Based Study of Patients with Gastrointestinal Cancer
Shaila J Merchant (2019)
Symptom Burden and End-of-Life Treatment Preferences in the Very Old.
Steven M. Albert (2016)
The symptom burden of seriously ill hospitalized patients. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcome and Risks of Treatment.
Norman A. Desbiens (1999)
Medicare Payments and System-Level Health-Care Use: The Spillover Effects of Medicare Managed Care
Katherine Baicker (2015)
Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries.
Hude Quan (2011)
Surgery, palliative care, and the American College of Surgeons.
Geoffrey P. Dunn (2015)
Survival and cost-effectiveness of hospice care for metastatic melanoma patients.
Jinhai Huo (2014)
Longer Periods Of Hospice Service Associated With Lower End-Of-Life Spending In Regions With High Expenditures.
Shi-Yi Wang (2017)
Association between the Medicare hospice benefit and health care utilization and costs for patients with poor-prognosis cancer.
Ziad Obermeyer (2014)
FOLFIRINOX or Gemcitabine as Adjuvant Therapy for Pancreatic Cancer
Thierry Conroy (2018)
Barriers to Hospice Care in Trauma Patients: The Disparities in End-of-Life Care
Krista L. Haines (2018)
Impact of Immunotherapy after Resection of Pancreatic Cancer.
Thuy Tran (2019)
Understanding patient expectations around therapeutic benefits, risks, and the chance of cure.
Elizabeth Palmer Kelly (2019)
Comparing hospice and nonhospice patient survival among patients who die within a three-year window.
Stephen Connor (2007)
The Impact of Serious Illness on Patients' Families
Kenneth E. Covinsky (1994)
Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries.
Nicholas H. Osborne (2015)
Merging Digital Medicine and Economics: Two Moving Averages Unlock Biosignals for Better Health
Mohamed Elgendi (2018)
Association of Early Patient-Physician Care Planning Discussions and End-of-Life Care Intensity in Advanced Cancer.
Sangeeta C Ahluwalia (2015)
Burden of hospital admissions and utilization of hospice care in metastatic prostate cancer patients.
Jesse D Sammon (2015)
Early Impact of Medicare Accountable Care Organizations on Inpatient Surgical Spending
H Chiroma Nathan. (2019)
Symptom experience in the last year of life among individuals with cancer.
Ardith Z Doorenbos (2006)
Disparities in hospice care among older women dying with ovarian cancer.
Kathleen M. Fairfield (2012)
Determinants of Palliative Care Utilization Among Patients Hospitalized With Metastatic Gastrointestinal Malignancies
Philip N. Okafor (2017)
Practical Guide to Surgical Data Sets: Medicare Claims Data.
Amir A. Ghaferi (2018)
Assessing the Efficacy of Adjustable Moving Averages Using ASEAN-5 Currencies
Jacinta Chan Phooi M’ng (2016)
The Cost of Hospice Services in Terminally Ill Patients With Head and Neck Cancer.
Laura M Enomoto (2015)
Adjuvant treatment of surgically resectable pancreatic ductal adenocarcinoma.
Anteneh Tesfaye (2019)
Association between survival time with metastatic breast cancer and aggressive end-of-life care
Melissa Kate Accordino (2017)
The impact of inpatient palliative care on end-of-life care among older trauma patients who die after hospital discharge
Elizabeth J. Lilley (2018)
Racial disparities in the use of hospice services according to geographic residence and socioeconomic status in an elderly cohort with nonsmall cell lung cancer.
Dale Hardy (2011)
Pain and symptom management in palliative care and at end of life.
Diana J. Wilkie (2012)
The effect of palliative care on patient functioning.
Donald Hugh Taylor (2013)
Use of palliative care and hospice among surgical and medical specialties in the Veterans Health Administration.
Courtney L Olmsted (2014)
Restricting Symptoms Before and After Admission to Hospice.
Shayan Cheraghlou (2016)
Exploring the influence of short-term temperature patterns on temperature-related mortality: a case-study of Melbourne, Australia
John L. Pearce (2016)
Coding Algorithms for Defining Comorbidities in ICD-9-CM and ICD-10 Administrative Data
Hude Quan (2005)
Identifying Complications of Care Using Administrative Data
Lisa I. Iezzoni (1994)
Does hospice improve quality of care for persons dying from dementia?
Joan M. Teno (2011)
Association Between Hospice Length of Stay, Health Care Utilization, and Medicare Costs at the End of Life Among Patients Who Received Maintenance Hemodialysis
Melissa W. Wachterman (2018)
Hospice Use Among Patients With Lymphoma: Impact of Disease Aggressiveness and Curability.
Oreofe O. Odejide (2016)
The impact of serious illness on patients' families. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment.
Kenneth E. Covinsky (1994)
Long-term trends in Medicare payments in the last year of life.
Gerald F. Riley (2010)

This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar