ArticleArchives of internal medicine2009
Continuity of care and intensive care unit use at the end of life.
Article in Archives of internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- Do hospitalist physicians improve the quality of inpatient care delivery? A systematic review of process, efficiency and outcome measures.BMC medicine · 2011Pooled it
- Impact of Tele-Intensive Care Units on the Clinical Outcomes of Critically Ill Patients With COVID-19: Retrospective Cohort Study.Journal of medical Internet research · 2026Article
- Continuity of care and treatment intensity at the end of life in Swiss cancer patients.European journal of public health · 2023Article
- Primary care physician continuity, survival, and end-of-life care intensity.Health services research · 2022Article
- Continuity of care and receipt of aggressive end of life care among women dying of ovarian cancer.Gynecologic oncology · 2021Article
- Variation among hospitals in the continuity of care for older hospitalized patients: a cross-sectional cohort study.BMC health services research · 2021Article
- Better continuity of care improves the quality of end-of-life care among elderly patients with end-stage renal disease.Scientific reports · 2020Article
- Association of the Work Schedules of Hospitalists With Patient Outcomes of Hospitalization.JAMA internal medicine · 2020Article
- Association of Physician Specialty with Hospice Referral for Hospitalized Nursing Home Patients with Advanced Dementia.Journal of the American Geriatrics Society · 2017Article
- Regional Variation in Primary Care Involvement at the End of Life.Annals of family medicine · 2017Article
- Trends in the Aggressiveness of End-of-Life Cancer Care in the State of Qatar.Journal of global oncology · 2016Article
- Escalation of oncologic services at the end of life among patients with gynecologic cancer at an urban, public hospital.Journal of oncology practice · 2015Article
- Resource use, costs and quality of end-of-life care: observations in a cohort of elderly Australian cancer decedents.Implementation science : IS · 2015Observational
- Article
- Patient-centred care: making cancer treatment centres accountable.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014Review
- Redesigning care for patients at increased hospitalization risk: the Comprehensive Care Physician model.Health affairs (Project Hope) · 2014Article
- Cardiopulmonary resuscitation among mechanically ventilated patients.Intensive care medicine · 2014Article
- High burden of palliative needs among older intensive care unit survivors transferred to post-acute care facilities. a single-center study.Annals of the American Thoracic Society · 2013Article
- Provider connectedness and communication patterns: extending continuity of care in the context of the circle of care.BMC health services research · 2013Article
- Measuring fragmentation of ambulatory care in a tripartite healthcare system.BMC health services research · 2013Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThere is increasing concern about discontinuity of care across transitions (eg, from home to the hospital) and how it might affect appropriate medical management.
methodsWe examined changes over time in outpatient-to-inpatient continuity of care in individuals hospitalized with advanced lung cancer and its relationship to end-of-life intensive care unit (ICU) use via retrospective analysis of the linked Surveillance, Epidemiology, and End Results-Medicare database. Patients were 21 183 Medicare beneficiaries 66 years or older and diagnosed as having stage IIIB or IV lung cancer between January 1, 1992, and December 31, 2002, who died within a year of diagnosis. Outpatient-to-inpatient continuity of care was defined as an inpatient visit by the patient's usual care provider during the last hospitalization. The primary outcome measure was ICU use during the last hospitalization.
resultsOutpatient-to-inpatient continuity decreased from 60.1% in 1992 to 51.5% in 2002 (P < .001). Factors associated with decreased continuity included male sex, black race, low socioeconomic status, being unmarried, treatment by a hospitalist, and treatment in a teaching hospital. Use of the ICU increased by 5.8% per year from 1993 to 2002. After adjustment for patient characteristics, patients with outpatient-to-inpatient continuity of care had a 25.1% reduced odds of entering the ICU during their terminal hospitalization.
conclusionsOutpatient-to-inpatient continuity of care declined during the 1990s and early 2000s. Patients with terminal lung cancer who experienced outpatient-to-inpatient continuity of care were less likely to spend time in the ICU before death.
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