ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2018
Predictors of Posthospital Transitions of Care in Patients With Advanced Cancer.
Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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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
17 citing papers in PubMed.
- Effect of Collaborative Telerehabilitation on Functional Impairment and Pain Among Patients With Advanced-Stage Cancer: A Randomized Clinical Trial.JAMA oncology · 2019Trial
- Pilot randomized trial of an electronic symptom monitoring intervention for hospitalized patients with cancer.Annals of oncology : official journal of the European Society for Medical Oncology · 2019Trial
- A mobile health app for real-time symptom monitoring in patients with cancer during COVID-19: feasibility, acceptability, and utility.BMC cancer · 2026Article
- Caring for carers of people with advanced cancer at hospital discharge (CARENET): A single-arm open label feasibility trial.Palliative & supportive care · 2025Article
- Palliative Rehabilitation in Patients with Cancer: Definitions, Structures, Processes and Outcomes.Current oncology reports · 2024Review
- Preventing Future Harm: Identifying the Drivers of an Unsafe Discharge to Improve Safety on an Inpatient Oncology Service.JCO oncology practice · 2023Article
- Preferred versus Actual Place of Care and Factors Associated with Home Discharge among Korean Patients with Advanced Cancer: A Retrospective Cohort Study.Healthcare (Basel, Switzerland) · 2023Article
- Integrating Functional Assessment Into Clinical Decision-Making for Older Adults Across the Cancer Care Continuum.JCO oncology practice · 2022Article
- Functional Status and Survival in Older Nursing Home Residents With Advanced Non-Small-Cell Lung Cancer: A SEER-Medicare Analysis.JCO oncology practice · 2022Article
- Associations of patient-reported care satisfaction with symptom burden and healthcare use in hospitalized patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Article
- Development of a Machine Learning Model Using Limited Features to Predict 6-Month Mortality at Treatment Decision Points for Patients With Advanced Solid Tumors.JCO clinical cancer informatics · 2022Article
- Percentile-based averaging and skeletal muscle gauge improve body composition analysis: validation at multiple vertebral levels.Journal of cachexia, sarcopenia and muscle · 2022Article
- Thirty-day hospital readmission rate, reasons, and risk factors after acute inpatient cancer rehabilitation.Cancer medicine · 2021Article
- Mortality Risk for Patients With Stage IV Cancer and Acute Illness Hospitalization.Journal of pain and symptom management · 2021Article
- Sexual Function, Quality of Life, and Mood After Radiation Therapy in Patients with Anal Cancer.Journal of gastrointestinal cancer · 2020Article
- Potentially Avoidable Hospital Readmissions in Patients With Advanced Cancer.Journal of oncology practice · 2019Article
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Authors and funding
16 authors.
Funding
Abstract
Purpose Patients with advanced cancer experience potentially burdensome transitions of care after hospitalizations. We examined predictors of discharge location and assessed the relationship between discharge location and survival in this population. Methods We conducted a prospective study of 932 patients with advanced cancer who experienced an unplanned hospitalization between September 2014 and March 2016. Upon admission, we assessed patients' physical symptoms (Edmonton Symptom Assessment System) and psychological distress (Patient Health Questionnaire-4). The primary outcome was discharge location (home without hospice, postacute care [PAC], or hospice [any setting]). The secondary outcome was survival. Results Of 932 patients, 726 (77.9%) were discharged home without hospice, 118 (12.7%) were discharged to PAC, and 88 (9.4%) to hospice. Those discharged to PAC and hospice reported high rates of severe symptoms, including dyspnea, constipation, low appetite, fatigue, depression, and anxiety. Using logistic regression, patients discharged to PAC or hospice versus home without hospice were more likely to be older (odds ratio [OR], 1.03; 95% CI, 1.02 to 1.05; P < .001), live alone (OR, 1.95; 95% CI, 1.25 to 3.02; P < .003), have impaired mobility (OR, 5.08; 95% CI, 3.46 to 7.45; P < .001), longer hospital stays (OR, 1.15; 95% CI, 1.11 to 1.20; P < .001), higher Edmonton Symptom Assessment System physical symptoms (OR, 1.02; 95% CI, 1.003 to 1.032; P < .017), and higher Patient Health Questionnaire-4 depression symptoms (OR, 1.13; 95% CI, 1.01 to 1.25; P < .027). Patients discharged to hospice rather than PAC were more likely to receive palliative care consultation (OR, 4.44; 95% CI, 2.12 to 9.29; P < .001) and have shorter hospital stays (OR, 0.84; 95% CI, 0.77 to 0.91; P < .001). Patients discharged to PAC versus home had lower survival (hazard ratio, 1.53; 95% CI, 1.22 to 1.93; P < .001). Conclusion Patients with advanced cancer who were discharged to PAC facilities and hospice had substantial physical and psychological symptom burden, impaired physical function, and inferior survival compared with those discharged to home. These patients may benefit from interventions to enhance their quality of life and care.
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