Evidence map›Paper›PMID 33999660›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021

Evaluation of Oncology Hospital at Home: Unplanned Health Care Utilization and Costs in the Huntsman at Home Real-World Trial.

Kathi Mooney, Karen Titchener, Benjamin Haaland, Lorinda A Coombs, Brock O'Neil, Richard Nelson, Jordan P McPherson, Anne C Kirchhoff, Anna C Beck, John H Ward

Abstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
–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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Quality indicators for integrating oncology and home palliative care in Japan: modified Delphi study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  3. Pooled it
  4. Article
  5. Acute oncology hospital care at home for post-chemotherapy monitoring.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  6. Characteristics associated with accepting hospital at home among patients with cancer and their caregivers: a cross-sectional survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  7. Article
  8. Smart Home Technologies for Monitoring Cancer Symptoms and Enhancing Palliative Care.Proceedings of the World Congress on Electrical Engineering and Computer Systems and Science · 2025
    Article
  9. Opportunities for Home Cancer Care: The Final Frontier.NEJM catalyst innovations in care delivery · 2025
    Article
  10. Observational
  11. Article
  12. "The biggest challenge is there's never a routine": a qualitative study of the time burdens of cancer care at home.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
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  14. Article
  15. Review
  16. Article
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  20. 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

10 authors.

Kathi MooneyHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0003-3371-5646
Karen TitchenerHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0002-8834-3379
Benjamin HaalandHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.
Lorinda A CoombsSchool of Nursing, University of North Carolina, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC.ORCID 0000-0003-1096-8974
Brock O'NeilHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.
Richard NelsonHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.
Jordan P McPhersonHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0003-4038-7951
Anne C KirchhoffHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.
Anna C BeckHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.
John H WardHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Interdisciplinary Training in Cancer, Caregiving and End-of-Life CareT32NR013456 · NINR · UNIVERSITY OF UTAH · PI ELLINGTON, LEE A, MOONEY, KATHLEEN H · 2013 to 2022
$3.4M
Competition, Bundled Care Payment, and Low-Value Cancer CareK08CA234431 · NCI · UNIVERSITY OF UTAH · PI O'NEIL, BROCK · 2019 to 2023
$1.3M
NCATS NIH HHS UL1 TR002538NCI NIH HHS K08 CA234431NINR NIH HHS T32 NR013456
6 · The paper itself

Abstract

purposePatients with cancer experience high rates of morbidity and unplanned health care utilization and may benefit from new models of care. We evaluated an adult oncology hospital at home program's rate of unplanned hospitalizations and health care costs and secondarily, emergency department (ED) use, length of hospital stays, and intensive care unit (ICU) admissions during the 30 days after enrollment.

methodsWe conducted a prospective, nonrandomized, real-world cohort comparison of 367 hospitalized patients with cancer-169 patients consecutively admitted after hospital discharge to Huntsman at Home (HH), a hospital-at-home program, compared with 198 usual care patients concurrently identified at hospital discharge. All patients met clinical criteria for HH admission, but those in usual care lived outside the HH service area. Primary outcomes were the number of unplanned hospitalizations and costs during the 30 days after enrollment. Secondary outcomes included length of hospital stays, ICU admissions, and ED visits during the 30 days after enrollment.

resultsGroups were comparable except that more women received HH care. In propensity-weighted analyses, the odds of unplanned hospitalizations was reduced in the HH group by 55% (odds ratio, 0.45, 95% CI, 0.29 to 0.70;

conclusionThis oncology hospital at home program shows initial promise as a model for oncology care that may lower unplanned health care utilization and health care costs.

Indexed as

FemaleHealth Care CostsHospitalizationHumansMaleMedical OncologyMiddle AgedPatient Acceptance of Health CareProspective Studies

Identifiers

PMID33999660
PMCPMC8478372

What OpenQuestion holds

Textmetadata
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.