ArticleJournal of palliative medicine2017
Validation of the V66.7 Code for Palliative Care Consultation in a Single Academic Medical Center.
Article in Journal of palliative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 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
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Who cites it
82 citing papers in PubMed, 149 citations in OpenAlex.
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- Validation of a Claims-Based Algorithm for Specialist Palliative Care Delivery in Metastatic Cancer.Journal of pain and symptom management · 2026Article
- Palliative care impact on hospital utilization and trends among lung cancer admissions with a high risk of mortality in U.S. hospitals.Frontiers in health services · 2026Article
- Trends in Opioid Prescriptions in Individuals With Axial Spondyloarthritis in the United States and United Kingdom in the Last Two Decades: Analysis of Electronic Health Records and Insurance Claims Data.Arthritis care & research · 2026Observational
- Temporal trends and predictors of inpatient palliative care in metastatic upper urinary tract carcinoma: An observational study.Palliative care and social practice · 2026Article
- Article
- Inpatient Palliative Care and Post-operative Healthcare Utilization Among Older Surgical Patients.Annals of surgery · 2025Article
- Time and location of specialty palliative care for women dying with metastatic breast cancer.Breast cancer research and treatment · 2025Article
- Early Specialist Palliative Care in Patients with Metastatic Cancer: A Population-Based Cohort Study.Journal of pain and symptom management · 2025Article
- Racial disparities in palliative care among hospitalized older adults with traumatic brain injury.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- Temporal Trends and Differences in Inpatient Palliative Care Use in Metastatic Penile Cancer Patients.Biomedicines · 2025Article
- Falling Short: Low Palliative Care Use Among Patients With Heart Failure Receiving Palliative Continuous Intravenous Inotrope Support.Journal of the American Heart Association · 2025Article
- Disease and Race-Based Differences in Inpatient Palliative Care Consultation in Cancer and Noncancer Serious Illnesses.Journal of the American Geriatrics Society · 2025Article
- Palliative Care Specialist Use Among Medicare Decedents Who Had Poor-Prognosis Cancers.JAMA network open · 2025Article
- Palliative Care Program Characteristics and End-of-Life Outcomes for Patients With Metastatic Cancer.Journal of pain and symptom management · 2025Article
- Trend and Provider- and Organizational-Level Factors Associated With Early Palliative Care Billing Among Patients Diagnosed With Distant-Stage Cancers in 2010-2019 in the United States.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025Article
- Lexical associations can characterize clinical documentation trends related to palliative care and metastatic cancer.Scientific reports · 2025Article
- Utilization of inpatient palliative care services in cardiac arrest complicating acute pulmonary embolism.Resuscitation plus · 2024Article
- Article
- Veterans' use of inpatient and outpatient palliative care: The national landscape.Journal of the American Geriatrics Society · 2024Article
22 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundUse of administrative data to study the effectiveness of specialized palliative care is limited by the lack of a reliable method to identify patients receiving palliative care consultation. The International Classification of Diseases, Ninth Revision (ICD-9) code V66.7 has been used, but its validity for this purpose is unknown.
objectiveTo examine the validity of the ICD-9 code V66.7 for identifying whether hospitalized patients received palliative care consultation.
designRetrospective cohort study. SETTING/SUBJECTS: All patients of age ≥18 years admitted to a single academic medical center between August 2013 and August 2015. MEASUREMENTS: Sensitivity and specificity of the V66.7 code for palliative care consultation for all patients and several a priori identified subgroups. The reference standard was the presence of a palliative care consultation note in the electronic medical record.
resultsOf 100,910 admissions, 1999 received a palliative care consultation (2.0%) and 1846 (1.8%) had usage of the V66.7 code. Sensitivity and specificity for the V66.7 code were 49.9% and 99.1%, respectively. Sensitivity was considerably higher for certain subgroups, such as patients with dementia (76.3%) and metastatic cancer (66.3%); addition of age restrictions further improved sensitivity while maintaining high specificity. Specificity was substantially lower for patients who died during hospitalization (sensitivity 53.9%, specificity 75.1%).
conclusionsIn a single center, the ICD-9 code V66.7 had poor sensitivity and high specificity for identifying hospitalized patients who received a palliative care consultation. Appropriate use of this code for this purpose should take these characteristics into consideration.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.