ArticleHealth services research2009
Hospice characteristics and the disenrollment of patients with cancer.
Article in Health services research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
What it found
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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
34 citing papers in PubMed.
- Hospice Quality, Race, and Disenrollment in Hospice Enrollees With Dementia.Journal of palliative medicine · 2023Article
- Healthcare Utilization and Mortality After Hospice Live Discharge Among Medicare Patients With and Without Alzheimer's Disease and Related Dementias.Journal of general internal medicine · 2023Article
- Trends in hospice referral timing and location among individuals dying of ovarian cancer: persistence of missed opportunities.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023Article
- A national study of disenrollment from hospice among people with dementia.Journal of the American Geriatrics Society · 2022Observational
- Factors influencing place of death and disenrollment among patients receiving specialist palliative care.Acta bio-medica : Atenei Parmensis · 2022Article
- End-of-life care quality outcomes among Medicare beneficiaries with hematologic malignancies.Blood advances · 2020Article
- Use of Hospital Referral Regions in Evaluating End-of-Life Care.Journal of palliative medicine · 2020Article
- Paying for Frequent Dialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019Article
- Hospice Care for Patients With Dementia in the United States: A Longitudinal Cohort Study.Journal of the American Medical Directors Association · 2018Article
- Persistent Variation in Medicare Payment Authorization for Home Hemodialysis Treatments.Health services research · 2018Article
- Quality of Hospice Care at Home Versus in an Assisted Living Facility or Nursing Home.Journal of the American Geriatrics Society · 2018Article
- Racial Disparities in Hospice Outcomes: A Race or Hospice-Level Effect?Journal of the American Geriatrics Society · 2018Article
- Association between survival time with metastatic breast cancer and aggressive end-of-life care.Breast cancer research and treatment · 2017Article
- Associations of Hospice Disenrollment and Hospitalization With Continuous Home Care Provision.Medical care · 2017Article
- End-of-Life Racial and Ethnic Disparities Among Patients With Ovarian Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017Article
- Hospice Enrollment in Patients With Advanced Heart Failure Decreases Acute Medical Service Utilization.Circulation. Heart failure · 2017Observational
- The Impact of Reported Hospice Preferred Practices on Hospital Utilization at the End of Life.Medical care · 2016Article
- Effect of Ownership on Hospice Service Use: 2005-2011.Journal of the American Geriatrics Society · 2016Article
- Are Hospice Admission Practices Associated With Hospice Enrollment for Older African Americans and Whites?Journal of pain and symptom management · 2016Article
- Transitions Between Healthcare Settings of Hospice Enrollees at the End of Life.Journal of the American Geriatrics Society · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo characterize the types of hospices with higher rates of patient disenrollment from the Medicare Hospice Benefit and the markets in which these hospices operate. DATA SOURCE: Secondary analyses of Surveillance, Epidemiology and End Results-Medicare data. Analyses included patients who died of cancer from 1998 to 2002 and who used hospice (n=90,826). STUDY
designWe used generalized estimating equations to estimate the association of patient disenrollment with hospice size, years since Medicare certification, ownership, staff mix, competition, urban/rural status, region, and fiscal intermediary. Other covariates included patient demographic and clinical characteristics. PRINCIPAL
findingsPatients were more likely to disenroll from hospice if they were served by newer hospices (OR=1.14; 95 percent CI 1.03, 1.26), by smaller hospices (OR=1.11; 95 percent CI 1.02, 1.20), or by hospices in more competitive markets (OR=1.17; 95 percent CI 1.03, 1.35). There was an independent effect of the hospice's fiscal intermediary on disenrollment, particularly disenrollment after 6 months with hospice (Wald chi(2)=21.2, p=.007).
conclusionsThe reasons for higher disenrollment rates for newer hospices, for smaller hospices, and for hospices in highly competitive markets are likely complex; however, results suggest that there are organizational-level barriers to keeping patients with cancer enrolled with hospice. Variation across fiscal intermediaries may indicate that regulatory oversight, particularly of long-stay patients, influences hospice disenrollment.
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Registered trials
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