Evidence map›Paper›PMID 37958010›Full record

ArticleHealthcare (Basel, Switzerland)2023

Effects of the Time of Hospice and Palliative Care Enrollment before Death on Morphine, Length of Stay, and Healthcare Expense in Patients with Cancer in Taiwan.

Yi-Shu Liao, Wen-Chen Tsai, Li-Ting Chiu, Pei-Tseng Kung

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. Article
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

4 authors.

Yi-Shu LiaoDepartment of Pathology, Taichung Armed Forces General Hospital, National Defense Medical Center, Taichung 411228, Taiwan.
Wen-Chen TsaiDepartment of Health Services Administration, College of Public Health, China Medical University, Taichung 406040, Taiwan.ORCID 0000-0002-9684-0789
Li-Ting ChiuDepartment of Health Services Administration, College of Public Health, China Medical University, Taichung 406040, Taiwan.
Pei-Tseng KungDepartment of Healthcare Administration, Asia University, No. 500 Lioufeng Road, Wufeng, Taichung 413305, Taiwan.ORCID 0000-0001-5323-7210

Funding

China Medical University, Taiwan CMU1111-S-11Ministry of Science and Technology, Taiwan MOST110-2410-H-468-013
6 · The paper itself

Abstract

We aimed to investigate the effects of the time from hospice and palliative care enrollment to death on the quality of care and the effectiveness and trend of healthcare utilization in patients with terminal cancer. Data on the cancer-related mortality rates between 2005 and 2018 reported in the National Health Insurance Research Database in Taiwan were obtained. The effect of hospice and palliative care enrollment at different timepoints before death on healthcare utilization was explored. This retrospective cohort study included 605,126 patients diagnosed with terminal cancer between 2005 and 2018; the percentage of patients receiving hospice and palliative care before death increased annually. Terminal cancer patients who enrolled in hospice and palliative care at different timepoints before death received higher total morphine doses; the difference in the total morphine doses between the two groups decreased as the time to death shortened. The difference in the total morphine doses between the groups gradually decreased from 2005 to 2018. The enrolled patients had longer hospital stays; the length of hospital stays for both groups increased as the time to death lengthened, but the difference was not significant. The enrolled patients incurred lower total medical expenses, but the difference between the two groups increased as the time to death shortened.

Indexed as

healthcare utilizationhospice caremorphine dosepalliative carepatient with terminal cancertotal length of hospital staytotal medical expenses

Identifiers

PMID37958010
PMCPMC10648820

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.