ArticleThe American journal of hospice & palliative care2020
Eliminating the Surprise Question Leaves Home Care Providers With Few Options for Identifying Mortality Risk.
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 4 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
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
4 citing papers in PubMed.
- The Paradox of Choice in Palliative Care Decision-Making in Managed Long-Term Care: A Qualitative Study.Home health care management & practice · 2025Article
- Identifying High-Need Primary Care Patients Using Nursing Knowledge and Machine Learning Methods.Applied clinical informatics · 2023Article
- Machine learning applied to electronic health record data in home healthcare: A scoping review.International journal of medical informatics · 2023Article
- TILE-12 index: an interpretable instrument for identifying older adults at risk for transitions in living environment within the next 12-months.Home health care services quarterlyArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundPrecision health initiatives for end-of-life planning require robust methods for identifying patient risk for decline and mortality. The Outcome and Assessment Information Set (OASIS) surprise question (SQ; M1034 Overall Status) is the primary tool for evaluating risks in homebound older adults. However, the OASIS-D, Released in 2019, eliminates this question. This study examines the prognostic ability of 12- and 24-month mortality risk reflected in the OASIS-SQ and develops an alternative approach for classifying mortality risk to support decision-making in the absence of the OASIS-SQ.
designRetrospective secondary data analysis. SETTING/
participantsA nationally representative sample of 69 097 OASIS-C assessments (2012) linked to the Master Beneficiary Summary file (2012 and 2013). MEASUREMENTS: Survival analysis, k-means clustering, and Cohen κ coefficient with
resultsThe OASIS-SQ predicts mortality (35% at 12 and 45% at 24 months;
conclusionThe OASIS-SQ and "ADL total score" are almost equally likely to predict 24-month mortality; therefore, it was reasonable to use the "ADL total score" as a substitute for the OASIS-SQ. Removal of the OASIS-SQ leaves home care providers with few clear options for risk screening resulting in missed opportunities to refer to palliative or hospice services.
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Identifiers
What OpenQuestion holds
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.