Evidence map›Paper›PMID 36681729›Full record

ArticleScientific reports2023

Predicting mortality and visualizing health care spending by predicted mortality in Danes over age 65.

Anne Vinkel Hansen, Laust Hvas Mortensen, Claus Thorn Ekstrøm, Stella Trompet, Rudi Westendorp

Abstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Article
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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

5 authors.

Anne Vinkel HansenMethods and Analysis, Statistics Denmark, , Danmarks Statistik, Sejrøgade 11, 2100, Copenhagen, Denmark. anviha@dcm.aau.dk.ORCID 0000-0003-4523-3521
Laust Hvas MortensenMethods and Analysis, Statistics Denmark, , Danmarks Statistik, Sejrøgade 11, 2100, Copenhagen, Denmark.ORCID 0000-0002-6399-495X
Claus Thorn EkstrømSection of Biostatistics, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-1191-373X
Stella TrompetDepartment of Internal Medicine, Section of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.
Rudi WestendorpMethods and Analysis, Statistics Denmark, , Danmarks Statistik, Sejrøgade 11, 2100, Copenhagen, Denmark.ORCID 0000-0002-0672-8372

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health care expenditure in the last year of life makes up a high proportion of medical spending across the world. This is often framed as waste, but this framing is only meaningful if it is known at the time of treatment who will go on to die. We analyze the distribution of health care spending by predicted mortality for the Danish population over age 65 over the year 2016, with one-year mortality predicted by a machine learning model based on sociodemographics and use of health care services for the two years before entry into follow-up. While a reasonably good model can be built, extremely few individuals have high ex-ante probability of dying, and those with a predicted mortality of more than 50% account for only 2.8% of total health care expenditure. Decedents outspent survivors by a factor of more than ten, but compared to survivors with similar predicted mortality they spent only 2.5 times as much. Our results suggest that while spending in the last year of life is indeed high, this is nearly all spent in situations where there is a reasonable expectation that the patient can survive.

Indexed as

Delivery of Health CareHealth ExpendituresAgedDenmarkHealth FacilitiesHumansScandinavians and Nordic People

Identifiers

PMID36681729
PMCPMC9867694

What OpenQuestion holds

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Registered trials

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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.