Observational studyJournal of pain and symptom management2018
Does Modality Matter? Palliative Care Unit Associated With More Cost-Avoidance Than Consultations.
Observational study in Journal of pain and symptom management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 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
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Economics of Palliative Care for Hospitalized Adults With Serious Illness: A Meta-analysis.JAMA internal medicine · 2018Pooled it
- How good are we at reporting the socioeconomic position, ethnicity, race, religion and main language of research participants? A review of the quality of reporting in palliative care intervention studies.Palliative medicine · 2024Review
- Healthcare costs of cancer among children, adolescents, and young adults: A scoping review.Cancer medicine · 2024Article
- Financial cost of end-of-life cancer care in palliative care units (PCUs) and non-PCUs in Iran: insights from low- and middle-income countries.Palliative care and social practice · 2024Article
- Using predicted length of stay to define treatment and model costs in hospitalized adults with serious illness: an evaluation of palliative care.Health economics review · 2021Article
- A supportive care dedicated hospitalization ward in comprehensive cancer center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Evaluating Hospital Readmissions for Persons With Serious and Complex Illness: A Competing Risks Approach.Medical care research and review : MCRR · 2020Article
- The association between palliative care team consultation and hospital costs for patients with advanced cancer: An observational study in 12 Dutch hospitals.European journal of cancer care · 2020Observational
- The effect of different classification of hospitals on medical expenditure from perspective of classification of hospitals framework: evidence from China.Cost effectiveness and resource allocation : C/E · 2020Article
- A Palliative Radiation Oncology Consult Service Reduces Total Costs During Hospitalization.Journal of pain and symptom management · 2018Observational
- Redefining diagnosis-related groups (DRGs) for palliative care - a cross-sectional study in two German centres.BMC palliative care · 2018Article
- Aligning policy objectives and payment design in palliative care.BMC palliative care · 2018Review
- Understanding the Organization of Hospital-Based Palliative Care in a Nigerian Hospital: An Ethnographic Study.Indian journal of palliative careArticle
- Economic Analysis of Hospital Palliative Care: Investigating Heterogeneity by Noncancer Diagnoses.MDM policy & practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
contextInpatient palliative care (PC) is associated with reduced costs, but the optimal model for providing inpatient PC is unknown.
objectivesTo estimate the effect of palliative care consultations (PCCs) and care in a palliative care unit (PCU) on cost of care, in comparison with usual care (UC) only and in comparison with each other.
methodsRetrospective cohort study, using multinomial propensity scoring to control for observed confounding between treatment groups. Participants were adults admitted as inpatients between 2009 and 2015, with at least one of seven life-limiting conditions who died within a year of admission (N = 6761).
resultsPC within 10 days of admission is estimated to reduce costs compared with UC in the case of both PCU (-$6333; 95% CI: -7871 to -4795; P < 0.001) and PCC (-$3559; 95% CI: -5732 to -1387; P < 0.001). PCU is estimated to reduce costs compared with PCC (-$2774; 95% CI: -5107 to -441; P = 0.02) and length of stay compared with UC (-1.5 days; -2.2 to -0.9; P < 0.001). The comparatively larger effect of PCU over PCC is not observable when the treatment groups are restricted to those who received PC early in their admission (within six days).
conclusionBoth PCU and PCC are associated with lower hospital costs than UC. PCU is associated with a greater cost-avoidance effect than PCC, except where both interventions are provided early in the hospitalization. Both timely provision of PC for appropriate patients and creation of more PCUs may decrease hospital costs.
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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.