Timing of do-not-resuscitate orders and health care utilization near the end of life in cancer patients: a retrospective cohort study

2020 ◽  
Author(s):  
Panpan Cui ◽  
Zhiguang Ping ◽  
Panpan Wang ◽  
Wenqian Bie ◽  
Chao Hsing Yeh ◽  
...  
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Health Care Utilization ◽  
End Of Life ◽  
Cancer Patients ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Care Utilization ◽  
Do Not Resuscitate ◽  
Do Not Resuscitate Orders

Health care utilization by people with HIV on release from provincial prison in Ontario, Canada in 2010: a retrospective cohort study

AIDS Care ◽  
2018 ◽  
Vol 31 (7) ◽  
pp. 785-792 ◽  
Author(s):  
Sumeet Khanna ◽  
Jessica Leah ◽  
Kinwah Fung ◽  
Tony Antoniou ◽  
Fiona Kouyoumdjian
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Health Care Utilization ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Care Utilization

scholarly journals Associations Between Physical Therapy Continuity of Care and Health Care Utilization and Costs in Patients With Low Back Pain: A Retrospective Cohort Study

2018 ◽  
Vol 98 (12) ◽  
pp. 990-999 ◽  
Author(s):  
John Magel ◽  
Jaewhan Kim ◽  
Anne Thackeray ◽  
Charles Hawley ◽  
Sterling Petersen ◽  
...  
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Continuity Of Care ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Care Utilization ◽  
Low Back

Palliative care and end-of-life health utilization in elder patients with pancreatic cancer.

2018 ◽  
Vol 36 (4_suppl) ◽  
pp. 488-488
Author(s):  
Nizar Bhulani ◽  
Ang Gao ◽  
Arjun Gupta ◽  
Jenny Jing Li ◽  
Chad Guenther ◽  
...  
Keyword(s):  
Health Care ◽  
Pancreatic Cancer ◽  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Health Care Utilization ◽  
End Of Life ◽  
Cancer Patients ◽  
Cost Of Care ◽  
Care Utilization

488 Background: Prospective trials have shown that palliative care is associated with improved survival and quality of life, with lower rate of end-of-life health care utilization and cost. We examined trends in palliative care utilization in older pancreatic cancer patients. Methods: Pancreatic cancer patients with and without palliative care consults were identified using the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database between 2000 and 2009. Trend of palliative care use was studied. Emergency room and Intensive Care utilization and costs in the last 30 days of life were assessed. Statistical analyses were performed with SAS version 9.4 (SAS Institute, Inc., Cary, NC). Results: Of the 72205 patients with pancreatic cancer, 3383 (4.1%) received palliative care. The proportion of patients receiving palliative care increased from 1.8% in 2000 to 7.8% in 2009 (p for trend < 0.001). Patients with palliative care were more likely to be Asian and women. Of those who received palliative care, 73% received it in the last 30 days of life, and only 11% at least 12 weeks before death. The average number of visits to the ED in the last 30 days of life were significantly higher for patients who received palliative care (0.93±0.62) versus those who did not (0.79±0.61), p < 0.001, and had a significantly higher cost of care ($1317 vs $842, p < 0.001). Intensive care unit length of stay in the last 30 days of life did not differ between patients who did and did not receive palliative care (1.14 days vs 1.04 days, p 0.08). Intensive care unit cost of care was significantly higher for patients with palliative care compared to their counterparts ($5202.641 vs $3896.750, p < 0.001). Conclusions: Palliative care use for pancreatic cancer patients has increased between 2000 and 2009 in this study of Medicare patients. However, it was largely offered close to the end of life and was not associated with reduced health care utilization or cost. Early palliative care referral may be more beneficial.

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