ArticleOncology2011
End-of-life hospital costs in cancer patients: do advance directives or routes of hospital admission make a difference?
Article in Oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- Healthcare use and healthcare costs for patients with advanced cancer; the international ACTION cluster-randomised trial on advance care planning.Palliative medicine · 2023Trial
- Association of Advance Care Planning Visits With Intensity of Health Care for Medicare Beneficiaries With Serious Illness at the End of Life.JAMA health forum · 2021Article
- Association of Billed Advance Care Planning with End-of-Life Care Intensity for 2017 Medicare Decedents.Journal of the American Geriatrics Society · 2020Article
- Advance care planning in England: Is there an association with place of death? Secondary analysis of data from the National Survey of Bereaved People.BMJ supportive & palliative care · 2019Article
- Geographical disparities in treatment and health care costs for end-of-life cancer patients in China: a retrospective study.BMC cancer · 2019Article
- Analysis of cancer patients admitted to intensive care unit.Northern clinics of Istanbul · 2016Article
- Costs and advance directives at the end of life: a case of the 'Coaching Older Adults and Carers to have their preferences Heard (COACH)' trial.BMC health services research · 2015Article
- Article
- From hospice to hospital: short-term follow-up study of hospice patient outcomes in a US acute care hospital surveillance system.BMJ open · 2014Article
- Factors associated with the designation of a health care proxy and writing advance directives for patients suffering from haematological malignancies.BMC palliative care · 2014Article
- Medical manuscripts impact of hospice enrollment on cost and length of stay of a terminal admission.The American journal of hospice & palliative care · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
objectiveEnd-of-life cancer care is costly. The current study explored whether advance directives or route of hospital admission reduced cancer patients' terminal hospitalization costs.
methodsThis single-institution study focused on solid tumor patients who died on an inpatient oncology service in 2008 and 2009. Patients' total costs were compared based on advance directives and route of hospitalization.
resultsAmong 120 patients, all except 4 had an incurable malignancy. Forty-six (38%) had an advance directive. Sixteen (13%) were admitted after an oncology clinic visit and 6 (5%) from hospice; others were admitted via other routes, most commonly from the emergency department. The median total cost for hospitalization (range) per patient was USD 12,962 (1,244-138,877). Patients with advance directives had no statistically significant difference in cost (p = 0.30), even after adjusting for age and time in the hospital. Those admitted after an oncology clinic or from hospice also had no difference in cost compared to those admitted via another route. Use of cardiopulmonary resuscitation, intensive care unit monitoring and intubation were similar between all compared groups.
conclusionAdvance directives and route of admission do not appear to impact the cost of terminal hospitalization for cancer patients.
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Registered trials
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