ArticleCancer medicine2020
End-of-life quality metrics among medicare decedents at minority-serving cancer centers: A retrospective study.
Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04819191 (Improving Communication for Primary Care Patients), which is not on this map. Cited by 26 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.
Improving Communication for Primary Care Patients (SHARING Choices)
Who cites it
26 citing papers in PubMed.
- Practice Variability in the SHARING Choices Pragmatic Trial of Primary Care Advance Care Planning.Journal of the American Geriatrics Society · 2026Trial
- Return to homeland: Bereaved caregiver perceptions of immigrant patient quality of death after repatriation to their country of origin, a retrospective cohort study.Palliative & supportive care · 2026Article
- Anticipatory Advance Care Planning Visits and COVID-19 Treatment Intensity Among Medicare Fee-for-Service Beneficiaries: A Retrospective Observational Study.Journal of general internal medicine · 2026Observational
- A Bayesian-driven approach to identify racial inequities in longitudinal care delivery.NPJ digital medicine · 2025Article
- Hidden figures underlying quality measures: revealing hidden racial inequalities in end-of-life cancer care delivery: a cohort study.Lancet regional health. Americas · 2025Article
- Three Days Was Enough.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024Article
- Naming racism as a root cause of inequities in palliative care research: a scoping review.BMC palliative care · 2024Article
- Clinically informed machine learning elucidates the shape of hospice racial disparities within hospitals.NPJ digital medicine · 2023Article
- Association of rurality with utilization of palliative care and hospice among Medicare beneficiaries who died from pancreatic cancer: A cohort study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Article
- From measures to action: can integrating quality measures provide system-wide insights for quality improvement decision making?BMJ health & care informatics · 2023Article
- Structure and integration of specialty palliative care in three NCI-designated cancer centers: a mixed methods case study.BMC palliative care · 2023Article
- Characteristics Associated With Mexican-American Hospice Use: Retrospective Cohort Study Using the Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE).The American journal of hospice & palliative care · 2023Article
- Goals of care documentation by medical oncologists and oncology patient end-of-life care outcomes.Cancer · 2022Article
- Global Research Trend and Bibliometric Analysis of Current Studies on End-of-Life Care.International journal of environmental research and public health · 2022Review
- Systemic Therapy Decision Making in Advanced Cancer: A Qualitative Analysis of Patient-Oncologist Encounters.JCO oncology practice · 2022Article
- SHARING Choices: Design and rationale for a pragmatic trial of an advance care planning intervention for older adults with and without dementia in primary care.Contemporary clinical trials · 2022Article
- Development of dynamic health care delivery heatmaps for end-of-life cancer care: a cohort study.BMJ open · 2022Article
- Different Associations Between Inpatient or Outpatient Palliative Care and End-of-Life Outcomes for Hospitalized Patients With Cancer.JCO oncology practice · 2022Article
- 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
- Greater preferences for death in hospital and mechanical ventilation at the end of life among non-whites recently diagnosed with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundWe calculated the performance of National Cancer Institute (NCI)/National Comprehensive Cancer Network (NCCN) cancer centers' end-of-life (EOL) quality metrics among minority and white decedents to explore center-attributable sources of EOL disparities.
methodsWe conducted a retrospective cohort study of Medicare beneficiaries with poor-prognosis cancers who died between April 1, 2016 and December 31, 2016 and had any inpatient services in the last 6 months of life. We attributed patients' EOL treatment to the center at which they received the preponderance of EOL inpatient services and calculated eight risk-adjusted metrics of EOL quality (hospice admission ≤3 days before death; chemotherapy last 14 days of life; ≥2 emergency department (ED) visits; intensive care unit (ICU) admission; or life-sustaining treatment last 30 days; hospice referral; palliative care; advance care planning last 6 months). We compared performance between patients across and within centers.
resultsAmong 126,434 patients, 10,119 received treatment at one of 54 NCI/NCCN centers. In aggregate, performance was worse among minorities for ED visits (10.3% vs 7.4%, P < .01), ICU admissions (32.9% vs 30.4%, P = .03), no hospice referral (39.5% vs 37.0%, P = .03), and life-sustaining treatment (19.4% vs 16.2%, P < .01). Despite high within-center correlation for minority and white metrics (0.61-0.79; P < .01), five metrics demonstrated worse performance as the concentration of minorities increased: ED visits (P = .03), ICU admission (P < .01), no hospice referral (P < .01), and life-sustaining treatments (P < .01).
conclusionEOL quality metrics vary across NCI/NCCN centers. Within center, care was similar for minority and white patients. Minority-serving centers had worse performance on many metrics.
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