ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2013
Underuse of hospice care by Medicaid-insured patients with stage IV lung cancer in New York and California.
Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.
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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
37 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Duration of palliative care before death in international routine practice: a systematic review and meta-analysis.BMC medicine · 2020Pooled it
- Health Insurance Coverage Disruptions and Cancer Care and Outcomes: Systematic Review of Published Research.Journal of the National Cancer Institute · 2020Pooled it
- Socioeconomic position and use of healthcare in the last year of life: A systematic review and meta-analysis.PLoS medicine · 2019Pooled it
- Systemic Therapy for Stage IV Non-Small-Cell Lung Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2015Guideline
- The inverse palliative care law in advanced lung disease: a mixed-methods systematic review and meta-analysis.EClinicalMedicine · 2026Article
- Racial and Ethnic Differences in Hospice Use Among Medicaid-Only and Dual-Eligible Decedents.JAMA health forum · 2023Article
- Effect of the COVID-19 Pandemic on Place of Death Among Medicaid and Commercially Insured Patients With Cancer in Washington State.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023Article
- Medical complexity and concurrent hospice care: A national study of Medicaid children from 2011 to 2013.Journal for specialists in pediatric nursing : JSPN · 2021Article
- Disparities in Care Management During Terminal Hospitalization Among Adults With Metastatic Cancer From 2010 to 2017.JAMA network open · 2021Observational
- Intensity of End-of-Life Care in a Cohort of Commercially Insured Women With Metastatic Breast Cancer in the United States.JCO oncology practice · 2021Article
- High-Intensity End-of-Life Care Among Patients With GI Cancer in Puerto Rico: A Population-Based Study.JCO oncology practice · 2021Article
- Shock Index: A Simple and Effective Clinical Adjunct in Predicting 60-Day Mortality in Advanced Cancer Patients at the Emergency Department.International journal of environmental research and public health · 2020Article
- Racial Disparities in Health Care Utilization at the End of Life Among New Jersey Medicaid Beneficiaries With Advanced Cancer.JCO oncology practice · 2020Article
- Updated Overview of the SEER-Medicare Data: Enhanced Content and Applications.Journal of the National Cancer Institute. Monographs · 2020Review
- Patient-physician discordance in goals of care for patients with advanced cancer.Current oncology (Toronto, Ont.) · 2019Article
- Combining Nonclinical Determinants of Health and Clinical Data for Research and Evaluation: Rapid Review.JMIR public health and surveillance · 2019Review
- Palliative Care in Lung Cancer: When to Start.Current oncology reports · 2018Review
- Social Inequalities in Palliative Care for Cancer Patients in the United States: A Structured Review.Seminars in oncology nursing · 2018Review
- Maintaining quality of life near the end of life: hospice in neuro-oncology.Neuro-oncology · 2018Article
- Association between survival time with metastatic breast cancer and aggressive end-of-life care.Breast cancer research and treatment · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
purposeMedicare patients with advanced cancer have low rates of hospice use. We sought to evaluate hospice use among patients in Medicaid, which insures younger and indigent patients, relative to those in Medicare. PATIENTS AND
methodsUsing linked patient-level data from California (CA) and New York (NY) state cancer registries, state Medicaid programs, NY Medicare, and CA Surveillance, Epidemiology, and End Results-Medicare data, we identified 4,797 CA Medicaid patients and 4,001 NY Medicaid patients ages 21 to 64 years, as well as 27,416 CA Medicare patients and 16,496 NY Medicare patients ages ≥ 65 years who were diagnosed with stage IV lung cancer between 2002 and 2006. We evaluated hospice use, timing of enrollment, and location of death (inpatient hospice; long-term care facility or skilled nursing facility; acute care facility; home with hospice; or home without hospice). We used multiple logistic regressions to evaluate clinical and sociodemographic factors associated with hospice use.
resultsAlthough 53% (CA) and 44% (NY) of Medicare patients ages ≥ 65 years used hospice, fewer than one third of Medicaid-insured patients ages 21 to 64 years enrolled in hospice after a diagnosis of stage IV lung cancer (CA, 32%; NY, 24%). A minority of Medicaid patient deaths (CA, 19%; NY, 14%) occurred at home with hospice. Most Medicaid patient deaths were either in acute-care facilities (CA, 28%; NY, 36%) or at home without hospice (CA, 39%; NY, 41%). Patient race/ethnicity was not associated with hospice use among Medicaid patients.
conclusionGiven low rates of hospice use among Medicaid enrollees and considerable evidence of suffering at the end of life, opportunities to improve palliative care delivery should be prioritized.
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