Health Care Utilization and Costs for Patients With End-Stage Liver Disease Are Significantly Higher at the End of Life Compared to Those of Other Decedents

2019 ◽  
Vol 17 (11) ◽  
pp. 2339-2346.e1 ◽  
Author(s):  
Erin M. Kelly ◽  
Paul D. James ◽  
Sanjay Murthy ◽  
Lilia Antonova ◽  
Florence Wong ◽  
...  
Keyword(s):  
Health Care ◽  
Liver Disease ◽  
Health Care Utilization ◽  
End Of Life ◽  
Care Utilization ◽  
End Stage Liver Disease ◽  
End Stage

scholarly journals Palliative Care and Health Care Utilization for Patients With End-Stage Liver Disease at the End of Life

2017 ◽  
Vol 15 (10) ◽  
pp. 1612-1619.e4 ◽  
Author(s):  
Arpan A. Patel ◽  
Anne M. Walling ◽  
Joni Ricks-Oddie ◽  
Folasade P. May ◽  
Sammy Saab ◽  
...  
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Liver Disease ◽  
Health Care Utilization ◽  
End Of Life ◽  
Care Utilization ◽  
End Stage Liver Disease ◽  
End Stage

scholarly journals Symptom Distress in Patients With End-Stage Liver Disease Toward the End of Life

2015 ◽  
Vol 38 (3) ◽  
pp. 201-210 ◽  
Author(s):  
Lissi Hansen ◽  
Michael C. Leo ◽  
Michael F. Chang ◽  
Atif Zaman ◽  
Willscott Naugler ◽  
...  
Keyword(s):  
Liver Disease ◽  
End Of Life ◽  
Symptom Distress ◽  
End Stage Liver Disease ◽  
End Stage

Trends in Health-Care Utilization at the End of Life Among Patients With Hematologic Malignancies in a Middle-Income Country: Challenges and Opportunities in Brazil

2019 ◽  
Vol 36 (9) ◽  
pp. 775-779 ◽  
Author(s):  
Luiz Guilherme L. Soares ◽  
Renato Vieira Gomes ◽  
André M. Japiassu
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
End Of Life ◽  
End Of Life Care ◽  
Hematologic Malignancies ◽  
Emergency Department Visits ◽  
Care Utilization ◽  
Blood Transfusions ◽  
Life Care ◽  
To Receive

Patients with hematologic malignancies (HMs) often receive poor-quality end-of-life care. This study aimed to identify trends in end-of-life care among patients with HM in Brazil. We conducted a retrospective cohort study (2015-2018) of patients who died with HM, using electronic medical records linked to health insurance databank, to evaluate outcomes consistent with health-care resource utilization at the end of life. Among 111 patients with HM, in the last 30 days of life, we found high rates of emergency department visits (67%, n = 75), intensive care unit admissions (56%, n = 62), acute renal replacement therapy (10%, n = 11), blood transfusions (45%, n = 50), and medical imaging utilization (59%, n = 66). Patients received an average of 13 days of inpatient care and the majority of them died in the hospital (53%, n = 58). We also found that almost 40% of patients (38%, n = 42) used chemotherapy in the last 14 days of life. These patients were more likely to be male (64% vs 22%; P < .001), to receive blood transfusions (57% vs 38%; P = .05), and to die in the hospital (76% vs 39%; P = .009) than patients who did not use chemotherapy in the last 14 days of life. This study suggests that patients with HM have high rates of health-care utilization at the end of life in Brazil. Patients who used chemotherapy in the last 14 days of life were more likely to receive blood transfusions and to die in the hospital.

scholarly journals Health care utilization and end-of-life care for older patients with acute myeloid leukemia

Cancer ◽  
2015 ◽  
Vol 121 (16) ◽  
pp. 2840-2848 ◽  
Author(s):  
Areej R. El-Jawahri ◽  
Gregory A. Abel ◽  
David P. Steensma ◽  
Thomas W. LeBlanc ◽  
Amir T. Fathi ◽  
...  
Keyword(s):  
Health Care ◽  
Acute Myeloid Leukemia ◽  
Health Care Utilization ◽  
End Of Life ◽  
End Of Life Care ◽  
Older Patients ◽  
Myeloid Leukemia ◽  
Care Utilization ◽  
Life Care ◽  
Acute Myeloid

scholarly journals Health Care Utilization and End-of-Life Care Outcomes for Patients With Decompensated Cirrhosis Based on Transplant Candidacy

2020 ◽  
Vol 59 (3) ◽  
pp. 590-598 ◽  
Author(s):  
Nneka N. Ufere ◽  
Jennifer L. Halford ◽  
Joshua Caldwell ◽  
Min Young Jang ◽  
Sunil Bhatt ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
End Of Life ◽  
End Of Life Care ◽  
Decompensated Cirrhosis ◽  
Care Utilization ◽  
Life Care ◽  
Care Outcomes
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