ArticleThe American journal of hospice & palliative care2018
Validation of the ICD-9 Diagnostic Code for Palliative Care in Patients Hospitalized With Heart Failure Within the Veterans Health Administration.
Article in The American journal of hospice & palliative care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.
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Who cites it
46 citing papers in PubMed, 83 citations in OpenAlex.
- Racial and Socioeconomic Disparities in Palliative Care Utilization Among Patients with In-Hospital Mortality After Mechanical Thrombectomy for Stroke.Neurocritical care · 2026Article
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- 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
- 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
- Trends, Predictors, and Potential Disparities of Palliative Care Utilization Among Older Adults With Hip Fractures: A Retrospective Analysis of the National Inpatient Sample, 2016-2020.Journal of palliative care · 2025Article
- Utilization of inpatient palliative care services in cardiac arrest complicating acute pulmonary embolism.Resuscitation plus · 2024Article
- Veterans' use of inpatient and outpatient palliative care: The national landscape.Journal of the American Geriatrics Society · 2024Article
- The Paradox of Palliative Care at the End of Life: Higher Rates of Aggressive Interventions in Patients with Pancreatic Cancer.Journal of clinical medicine · 2024Article
- Use of Palliative Care Among Adults With Newly Diagnosed Heart Failure: Insights From a US National Insured Patient Sample.Journal of the American Heart Association · 2024Article
- Racial differences in palliative care and hospice among adults with chronic obstructive pulmonary disease.Respiratory medicine · 2024Article
- A roadmap to artificial intelligence (AI): Methods for designing and building AI ready data to promote fairness.Journal of biomedical informatics · 2024Article
- Predictors of high-intensity care at the end of life among older adults with solid tumors: A population-based study.Journal of geriatric oncology · 2024Article
- Disparities in Palliative Care Among Critically Ill Patients With and Without COVID-19 at the End of Life: A Population-Based Analysis.Journal of clinical medicine research · 2023Article
- Validation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs.Journal of pain and symptom management · 2023Article
- Racial disparities in inpatient palliative care consultation among frail older patients undergoing high-risk elective surgical procedures in the United States: a cross-sectional study of the national inpatient sample.Health affairs scholar · 2023Article
- Palliative care and healthcare utilization among metastatic breast cancer patients in U.S. Hospitals.Scientific reports · 2023Article
Corrections and comments
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Authors and funding
11 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundPatients with heart failure (HF) are at increased risk of unmet palliative care needs. The International Classification of Diseases, Ninth Revision ( ICD-9) code, V66.7, can identify palliative care services. However, code validity for specialist palliative care in the Veterans Health Administration (VHA) has not been determined.
objectiveTo validate the ICD-9 code for specialist palliative care and determine common reasons for specialist palliative care consultation among VHA patients hospitalized with HF.
designElectronic health record review of data from the Veterans Aging Cohort Study. SETTING/
participantsThe sample included 100 patients hospitalized with HF from 2003 to 2012. MEASUREMENTS: Data from 50 patients with V66.7 were matched by age, race, site of care, hospital length of stay, intensive care unit admission, and fiscal year of study discharge to 50 patients with HF without V66.7 who had died within a year of hospitalization. We calculated positive and negative predictive values (PPV, NPV), sensitivity, and specificity.
resultsAll patients included in the sample were male, 66% black ethnicity, and mean age = 65 years (standard deviations [SD] ± 10.5 for cases; SD ± 9.8 for matches). Specialist palliative care was documented for 49 of 50 patients with V66.7 (PPV = 98%, 95% confidence interval [CI]: 88-99) and 9 of 50 patients without the code (NPV = 82%, 95% CI: 68-91). Sensitivity was 84% (95% CI: 72-92), and specificity was 98% (95% CI: 86-99). Establishing goals of care was the most frequent reason for palliative care consultation (43% of the sample).
conclusionThe ICD-9 code V66.7 identifies specialist palliative care for hospitalized patients with HF in the VHA. Replication of findings in other data sources and populations is needed.
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