ArticleCritical care medicine2016
Potential Influence of Advance Care Planning and Palliative Care Consultation on ICU Costs for Patients With Chronic and Serious Illness.
Article in Critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed.
- Serious Illness Conversations in the Emergency Department for Older Adults With Advanced Illnesses: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Trial
- What Surrogates Understand (and Don't Understand) About Patients' Wishes After Engaging Advance Care Planning: A Qualitative Analysis.The American journal of hospice & palliative care · 2022Trial
- The Cost-Effectiveness of Palliative Care: Insights from the PAL-HF Trial.Journal of cardiac failure · 2021Trial
- The Impact of Race and Physician-Patient Racial Concordance on the Incidence of Inpatient Advance Care Planning.Journal of general internal medicine · 2026Observational
- Advance Care Planning Engagement of Older Adults in the Emergency Department.The American journal of hospice & palliative care · 2026Article
- Embedding a Palliative Care Nurse Consultant Within a General Medicine Ward: A Prospective Exploratory Study.Journal of clinical nursing · 2026Article
- Refinement of an Emergency Department-Based, Advance Care Planning Intervention for Patients With Cognitive Impairment and Their Caregivers.The Gerontologist · 2024Article
- The differences in code status conversation approaches reported by emergency medicine and palliative care clinicians: A mixed-method study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Article
- Benefits of Early Utilization of Palliative Care Consultation in Trauma Patients.Critical care explorations · 2023Article
- Barriers to Effective Communication about Advance Care Planning and Palliative Care: A Qualitative Study.Journal of hospice and palliative care · 2023Article
- Early Palliative Care Consults Reduce Patients' Length of Stay and Overall Hospital Costs.The American journal of hospice & palliative care · 2022Article
- Article
- Improving Outcomes Measurement in Palliative Care: The Lasting Impact of Randy Curtis and his Collaborators.Journal of pain and symptom management · 2022Article
- Article
- Individual, interpersonal, and health care factors associated with informal and formal advance care planning in a nationally-representative sample of midlife and older adults.Patient education and counseling · 2021Article
- Nurses' Perceptions of Facilitating Advance Care Planning Conversations in the Emergency Department.Palliative medicine reports · 2021Article
- Patient Risk Factor Profiles Associated With the Timing of Goals-of-Care Consultation Before Death: A Classification and Regression Tree Analysis.The American journal of hospice & palliative care · 2020Observational
- A Review of the Literature on Native Hawaiian End-of-Life Care: Implications for Research and Practice.Hawai'i journal of health & social welfare · 2019Review
- Estimating the Impact of Words Used by Physicians in Advance Care Planning Discussions: The "Do You Want Everything Done?" Effect.Critical care explorations · 2019Article
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Authors and funding
4 authors.
Funding
Abstract
objectivesTo estimate the potential ICU-related cost savings if in-hospital advance care planning and ICU-based palliative care consultation became standard of care for patients with chronic and serious illness. DESIGN AND
settingDecision analysis using literature estimates and inpatient administrative data from Premier. PATIENTS: Patients with chronic, life-limiting illness admitted to a hospital within the Premier network.
interventionsNone. MEASUREMENTS AND MAIN
resultsUsing Premier data (2008-2012), ICU resource utilization and costs were tracked over a 1-year time horizon for 2,097,563 patients with chronic life-limiting illness. Using a Markov microsimulation model, we explored the potential cost savings from the hospital system perspective under a variety of scenarios by varying the interventions' efficacies and availabilities. Of 2,097,563 patients, 657,825 (31%) used the ICU during the 1-year time horizon; mean ICU spending per patient was 11.3k (SD, 17.6k). In the base-case analysis, if in-hospital advance care planning and ICU-based palliative care consultation were systematically provided, we estimated a mean reduction in ICU costs of 2.8k (SD, 14.5k) per patient and an ICU cost saving of 25%. Among the simulated patients who used the ICU, the receipt of both interventions could have resulted in ICU cost savings of 1.9 billion, representing a 6% reduction in total hospital costs for these patients.
conclusionsIn-hospital advance care planning and palliative care consultation have the potential to result in significant cost savings. Studies are needed to confirm these findings, but our results provide guidance for hospitals and policymakers.
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