ArticleBritish journal of cancer2022
Intensity of care in cancer patients in the last year of life: a retrospective data linkage study.
Article in British journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 26 citations in OpenAlex.
- The Impact of Specialist Palliative Care on the Utilization of Health Care Services at the End of Life Among Patients With Prostate Cancer: A Nationwide Register-based Study.European urology open science · 2026Article
- Dyadic-concordance death-preparedness states and end-of-life care received by cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Predicting 1-year mortality in older cancer patients: performance of G8, SPPB, and IF-VIG in the PROFIT Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Financial Hardship, End-of-Life Health Care Use, and Costs in Patients With Cancer.JAMA network open · 2026Article
- Health and care service utilisation in the last year of life before non-sudden death in Wales, 2014-2023, by palliative care registration: a population-based retrospective cohort study.The Lancet regional health. Europe · 2025Article
- Hospital care trajectories of older adults with cancer and the associated clinical profiles.The oncologist · 2025Article
- Article
- General practice utilisation by Australian cancer patients in the last year of life.Family practice · 2025Article
- Factors impacting hospitalisation and related health service costs in cancer survivors in Australia: Results from a population data linkage study in Queensland (COS-Q).Cancer medicine · 2024Article
- Predictors of high-intensity care at the end of life among older adults with solid tumors: A population-based study.Journal of geriatric oncology · 2024Article
- Towards proactive palliative care in oncology: developing an explainable EHR-based machine learning model for mortality risk prediction.BMC palliative care · 2024Article
- Exploring End-of-Life Care for Patients with Breast Cancer, Dementia or Heart Failure: A Register-Based Study of Individual and Institutional Factors.Healthcare (Basel, Switzerland) · 2024Article
- Factors Associated With and Characteristics of Patients Receiving Proton Therapy at the End of Life.International journal of particle therapy · 2024Article
- Potentially burdensome care at the end-of-life for cancer decedents: a retrospective population-wide study.BMC palliative care · 2024Article
- Design of an interface to communicate artificial intelligence-based prognosis for patients with advanced solid tumors: a user-centered approach.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Economic Burden of Cancer for the First Five Years after Cancer Diagnosis in Patients with Human Immunodeficiency Virus in Korea.Journal of cancer prevention · 2023Article
- Article
- Variation in hospital cost trajectories at the end of life by age, multimorbidity and cancer type.International journal of population data science · 2023Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelivering high-quality palliative and end-of-life care for cancer patients poses major challenges for health services. We examine the intensity of cancer care in England in the last year of life.
methodsWe included cancer decedents aged 65+ who died between January 1, 2010 and December 31, 2017. We analysed healthcare utilisation and costs in the last 12 months of life including hospital-based activities and primary care.
resultsHealthcare utilisation and costs increased sharply in the last month of life. Hospital costs were the largest cost elements and decreased with age (0.78, 95% CI: 0.73-0.72, p < 0.005 for age group 90+ compared to age 65-69 and increased substantially with comorbidity burden (2.2, 95% CI: 2.09-2.26, p < 0.005 for those with 7+ comorbidities compared to those with 1-3 comorbidities). The costs were highest for haematological cancers (1.45, 95% CI: 1.38-1.52, p < 0.005) and those living in the London region (1.10, 95% CI: 1.02-1.19, p < 0.005).
conclusionsHealthcare in the last year of life for advanced cancer patients is costly and offers unclear value to patients and the healthcare system. Further research is needed to understand distinct cancer populations' pathways and experiences before recommendations can be made about the most appropriate models of care.
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