Evidence map›Paper›PMID 33423523›Full record

ArticleThe American journal of hospice & palliative care2021

Cost Savings Associated With Palliative Care Among Older Adults With Advanced Cancer.

Paige E Sheridan, Wendi G LeBrett, Daniel P Triplett, Eric J Roeland, Andrew R Bruggeman, Heidi N Yeung, James D Murphy

Registry-linked trialAbstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05897229 (Palliative Care in Patients With COVID-19), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

NCT05897229 not yet recruitingnot on this mapstarted 2023, after this paper: background citation

Palliative Care in Patients With COVID-19: Analysis of Costs of Hospitalization in Wards and Intensive Care Units

TypeobservationalSponsorUniversity of Sao Paulo General HospitalRan2023 to 2026Enrolled200ConditionsCOVID-19, Palliative CareArmsAnalysis of costs with patient care during hospitalization
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
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

7 authors.

Paige E SheridanDepartment of Radiation Medicine and Applied Science, Moores Cancer Center, 8784University of California San Diego, La Jolla, CA, USA.ORCID https://orcid.org/0000-0002-2099-6760
Wendi G LeBrettDepartment of Radiation Medicine and Applied Science, Moores Cancer Center, 8784University of California San Diego, La Jolla, CA, USA.
Daniel P TriplettDepartment of Radiation Medicine and Applied Science, Moores Cancer Center, 8784University of California San Diego, La Jolla, CA, USA.
Eric J RoelandCenter for Palliative Care, 2348Harvard Medical School, Boston, MA, USA.
Andrew R BruggemanDepartment of Radiation Medicine and Applied Science, Moores Cancer Center, 8784University of California San Diego, La Jolla, CA, USA.
Heidi N YeungDoris A. Howell Palliative Care Service, Moores Cancer Center, 8784University of California San Diego, La Jolla, CA, USA.
James D MurphyDepartment of Radiation Medicine and Applied Science, Moores Cancer Center, 8784University of California San Diego, La Jolla, CA, USA.

Funding

Improving the Health of Aging Women and Men.T32AG058529 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LACROIX, ANDREA Z. · 2019 to 2023
$1.2M
NIA NIH HHS T32 AG058529
6 · The paper itself

Abstract

backgroundThere is inconsistent evidence that palliative care intervention decreases total healthcare expenditure at end-of-life for oncology patients. This inconsistent evidence may result from small sample sizes at single institution studies and disparate characterization of costs across studies. Comprehensive studies in population-based datasets are needed to fully understand the impact of palliative care on total healthcare costs. This study analyzed the impact of palliative care on total healthcare costs in a nationally representative sample of advanced cancer patients.

methodsWe conducted a matched cohort study among Medicare patients with metastatic lung, colorectal, breast and prostate cancers. We matched patients who received a palliative care consultation to similar patients who did not receive a palliative care consultation on factors related to both the receipt of palliative care and end of life costs. We compared direct costs between matched patients to determine the per-patient economic impact of a palliative care consultation.

resultsPatients who received a palliative care consultation experienced an average per patient cost of $5,834 compared to $7,784 for usual care patients (25% decrease; p < 0.0001). Palliative care consultation within 7 days of death decreased healthcare costs by $451, while palliative care consultation more than 4 weeks from death decreased costs by $4,643.

conclusionThis study demonstrates that palliative care has the capacity to substantially reduce healthcare expenditure among advanced cancer patients. Earlier palliative care consultation results in greater cost reductions than consultation in the last week of life.

Indexed as

NeoplasmsPalliative CareAgedCohort StudiesCost SavingsHumansMaleMedicareUnited StatesCancerCost AnalysisCost SavingsMedicarePalliative Care

Identifiers

PMID33423523
PMCPMC9019862

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.