ArticleJournal of the American Geriatrics Society2016
Emergency Care Use and the Medicare Hospice Benefit for Individuals with Cancer with a Poor Prognosis.
Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Duration of palliative care before death in international routine practice: a systematic review and meta-analysis.BMC medicine · 2020Pooled it
- Hospice Enrollments From The Emergency Department Feature Short Admissions And High-Acuity Hospice Care.Health affairs (Project Hope) · 2026Article
- Healthy days at home and prognosis of older adults with cancer and non-cancer serious life-limiting illnesses.BMC geriatrics · 2025Article
- Validation of the Palliative Care and Rapid Emergency Screening (P-CaRES) Tool in Germany.Journal of clinical medicine · 2025Article
- End-of-life emergency department use and healthcare expenditures among older adults: A nationally representative study.Journal of the American Geriatrics Society · 2025Article
- Community Palliative Care: What are the Best Models?Current treatment options in oncology · 2024Review
- Prospective assessment of end-of-life symptoms and quality of life in patients with high-grade glioma.Neuro-oncology practice · 2024Article
- Association of patient socioeconomic status with outcomes after palliative treatment for disseminated cancer.Cancer medicine · 2024Article
- Implementation and evaluation of a palliative care training unit for EMS providers.Frontiers in pediatrics · 2023Article
- Palliative care models for patients living with advanced cancer: a narrative review for the emergency department clinician.Emergency cancer care · 2022Review
- Epidemiologic trends in cancer-related emergency department utilization in Korea from 2015 to 2019.Scientific reports · 2021Article
- Caregiver perceptions of end-of-life care in patients with high-grade glioma.Neuro-oncology practice · 2021Article
- Conceptualizing and Counting Discretionary Utilization in the Final 100 Days of Life: A Scoping Review.Journal of pain and symptom management · 2020Article
- Models of Palliative Care Delivery for Patients With Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020Review
- Pain and Emergency Department Use in the Last Month of Life Among Older Adults With Dementia.Journal of pain and symptom management · 2018Article
- Article
- Integrated Palliative Care and Oncologic Care in Non-Small-Cell Lung Cancer.Current treatment options in oncology · 2016Review
- Beyond Enrollment: Providing the Highest-Quality Care within Hospice.Journal of the American Geriatrics Society · 2016Article
- Impact of Applying Palliative Care on Symptoms and Survival of Patients with Advanced Chronic Disease Admitted to the Emergency Department.Indian journal of palliative careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectivesTo compare patterns of emergency department (ED) use and inpatient admission rates for elderly adults with cancer with a poor prognosis who enrolled in hospice to those of similar individuals who did not.
designMatched case-control study.
settingNationally representative sample of Medicare fee-for-service beneficiaries with cancer with a poor prognosis who died in 2011.
participantsBeneficiaries in hospice matched to individuals not in hospice on time from diagnosis of cancer with a poor prognosis to death, region, age, and sex. MEASUREMENTS: Comparison of ED use and inpatient admission rates before and after hospice enrollment for beneficiaries in hospice and controls.
resultsOf 272,832 matched beneficiaries, 81% visited the ED in the last 6 months of life. At baseline, daily ED use and admission rates were not significantly different between beneficiaries in and not in hospice. By the week before death, nonhospice controls averaged 69.6 ED visits/1,000 beneficiary-days, versus 7.6 for beneficiaries in hospice (rate ratio (RR) = 9.7, 95% confidence interval (CI) = 9.3-10.0). Inpatient admission rates in the last week of life were 63% for nonhospice controls and 42% for beneficiaries in hospice (RR = 1.51, 95% CI = 1.45-1.57). Of all beneficiaries in hospice, 28% enrolled during inpatient stays originating in EDs; they accounted for 35.7% (95% CI = 35.4-36.0%) of all hospice stays of less than 1 month and 13.9% (95% CI = 13.6-14.2%) of stays longer than 1 month.
conclusionMost Medicare beneficiaries with cancer with a poor prognosis visited EDs at the end of life. Hospice enrollment was associated with lower ED use and admission rates. Many individuals enrolled in hospice during inpatient stays that followed ED visits, a phenomenon linked to shorter hospice stays. These findings must be interpreted carefully given potential unmeasured confounders in matching.
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