Evidence map›Paper›PMID 37550691›Full record

ArticleBMC health services research2023

The effects of hospice care on healthcare expenditure among cancer patients.

Hoyol Jhang, Wonjeong Jeong, Hyun-Soo Zhang, Dong-Woo Choi, Hyejung Kang, Sohee Park

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 2 institutions in 1 country.

Hoyol Jhang *Department of Health Informatics & Biostatistics, Graduate School of Public Health, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Seoul, 03722, Republic of Korea.
Wonjeong Jeong *Cancer Knowledge & Information Center, National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea.
Hyun-Soo ZhangDepartment of Health Informatics & Biostatistics, Graduate School of Public Health, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Seoul, 03722, Republic of Korea.
Dong-Woo ChoiCancer Big Data Center, National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea.
Hyejung KangDepartment of Health Informatics & Biostatistics, Graduate School of Public Health, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Seoul, 03722, Republic of Korea.
Sohee ParkDepartment of Health Informatics & Biostatistics, Graduate School of Public Health, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, Seoul, 03722, Republic of Korea. soheepark@yuhs.ac.
Yonsei University · KRNational Cancer Center · KR

Funding

National Research foundation 2020R1A2C1012488.
6 · The paper itself

Abstract

purposeIt is necessary to estimate the hospice usage and hospice-related cost for entire cancer patients using nationwide cohort data to establish a suitable ethical and cultural infrastructure. This study aims to show the effects of hospital hospice care on healthcare expenditure among South Korean cancer patients.

methodsThis study is a retrospective cohort study using customized health information data provided by the National Health Insurance Service. Individuals who were diagnosed with stomach, colorectal, or lung cancer between 2003 and 2012 were defined as new cancer patients, which included 7,176 subjects. Patients who died under hospital-based hospice care during the follow-up period from January 2016 to December 2018 comprised the treatment group. Healthcare expenditure was the dependent variable. Generalized estimating equations was used.

resultsAmong the subjects, 2,219 (30.9%) had used hospice care at an average total cost of 948,771 (± 3,417,384) won. Individuals who had used hospice care had a lower odds ratio (EXP(β)) of healthcare expenditure than those who did not (Total cost: EXP(β) = 0.27, 95% confidence intervals (CI) = 0.25-0.30; Hospitalization cost: EXP(β) = 0.32, 95% CI = 0.29-0.35; Outpatient cost: EXP(β) = 0.02, 95% CI = 0.02-0.02).

conclusionHealthcare expenditure was reduced among those cancer patients in South Korea who used hospice care compared with among those who did not. This emphasizes the importance of using hospice care and encourages those hesitant to use hospice care. The results provide useful insights into both official policy and the existing practices of healthcare systems.

Indexed as

Hospice CareLung NeoplasmsHealth ExpendituresHealth FacilitiesHumansRetrospective StudiesCancerEnd-of-life decisionHealthcare expenditureHospiceLife-sustaining treatment

Identifiers

PMID37550691
PMCPMC10405473
OpenAlexW4385636073

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.