Evidence map›Paper›PMID 31564110›Full record

ArticleThe American journal of hospice & palliative care2020

Impact of Hospice on Spending and Utilization Among Patients With Lung Cancer in Medicare.

Yamini Kalidindi, Joel Segel, Jeah Jung

Abstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Yamini KalidindiPennsylvania State University, University Park, PA, USA.ORCID https://orcid.org/0000-0002-2972-4569
Joel SegelPennsylvania State University, University Park, PA, USA.ORCID https://orcid.org/0000-0001-8937-0531
Jeah JungPennsylvania State University, University Park, PA, USA.ORCID https://orcid.org/0000-0001-7574-0677

Funding

Population Research InstituteR24HD041025 · NICHD · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI LANDALE, NANCY S · 2001 to 2016
$9.7M
Use of New Hepatitis C Drugs and Patients' Health Outcomes in MedicareR01AG055636 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI JUNG, JEAH · 2018 to 2020
$1.5M
Benefit Generosity, Specialty Drug Use, and Other Health Service Use in MedicareR01AG047934 · NIA · PENNSYLVANIA STATE UNIVERSITY, THE · PI JUNG, JEAH · 2014 to 2016
$783k
NIA NIH HHS R01 AG047934NIA NIH HHS R01 AG055636NICHD NIH HHS R24 HD041025
6 · The paper itself

Abstract

objectivesTo compare patterns and understand drivers of spending and utilization by month in the last 6 months of life between patients with lung cancer who used hospice versus those who did not. STUDY

designRetrospective cohort analysis using 2009 to 2013 Medicare claims.

methodsWe used a 10% random sample of Medicare fee-for-service beneficiaries with lung cancer who died between 2010 and 2013 (43 789 beneficiaries). Patients were assigned to 2 groups depending on whether they used hospice care in the last 6 months of life. The following outcomes were constructed by month: (1) all-cause Medicare spending, (2) indicator of hospitalization, (3) indicator of emergency department (ED) visit, (4) number of part B chemotherapy claims, and (5) number of radiation therapy sessions. We used a combination of propensity score matching and regression analysis to compare outcomes between the 2 groups.

resultsPatients who used hospice had significantly lower spending in the last month of life compared to nonusers (US$16 907 vs US$26 906,

conclusionsTimely hospice enrollment of patients with lung cancer-the group suffering from high morbidity and mortality among patients with cancer-may lead to significant cost savings.

Indexed as

AgedAged, 80 and overAge FactorsAntineoplastic AgentsEmergency Service, HospitalFemaleHealth ExpendituresHospice CareHumansInsurance Claim ReviewLung NeoplasmsMaleMedicareRadiotherapyRetrospective StudiesSex FactorsAntineoplastic Agentscost impact of hospiceend-of-life utilization trendslength of hospice uselung cancerMedicaremonthly end-of-life costs

Identifiers

PMID31564110
PMCPMC7054142

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.