Evidence map›Paper›PMID 38240819›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Exploring the effects of acceptable palliative care models on survival time and healthcare expenditure among patients with cancer: a national longitudinal population-based study.

Cheng-Hsi Wu, Kai-Jie Ma, Ya-Wen Liang, Wei-Sheng Chung, Jong-Yi Wang

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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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
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Cheng-Hsi WuDepartment of Family Medicine, Jen-Ai Hospital, Taichung, 41265, Taiwan.
Kai-Jie MaDepartment of Public Health, China Medical University, Taichung, Taiwan.
Ya-Wen LiangDepartment of Senior Citizen Service Management, National Taichung University of Science and Technology, Taichung, 40343, Taiwan.
Wei-Sheng ChungDepartment of Internal Medicine, Taichung Hospital, Ministry of Health and Welfare, Taichung, 40343, Taiwan. chung.w53@msa.hinet.net.
Jong-Yi WangDepartment of Health Services Administration, China Medical University, Taichung, Taiwan. ericwang@mail.cmu.edu.tw.

Funding

China Medical University, Taiwan CMU112-MF-87Ministry of Science and Technology, Taiwan MOST109-2410-H-039-001
6 · The paper itself

Abstract

objectiveHospice care ensures better end-of-life quality by relieving terminal symptoms. Prior research has indicated that hospice care could prolong survival and reduce end-of-life medical expenditures among patients with cancer. However, the dearth of studies on the effects of hospice care type and use sequence on survival time and end-of-life medical expenditures substantiates the need for investigation. DATA SOURCES AND STUDY

settingTwo million random records were obtained from the National Health Insurance Research Database. STUDY

designWe estimated the effects of the type and sequence of hospice care use on survival time and medical expenditures among advanced cancer patients. This was a cross-sectional study. DATA COLLECTION/EXTRACTION

methodsPatient data were collected from 2 million random records provided by the National Health Insurance Research Database of Taiwan. We included people with cancer and excluded patients under 20 years of age; 2860 patients remained after matching. PRINCIPAL

findingsThe results indicated that the average survival time of patients who received inpatient palliative care (1022 days) was significantly shorter than that of patients who did not receive palliative care (P < 0.001), but the health care expenditure during the entire course of cancer therapy was not the lowest. Interestingly, patients who received inpatient palliative care had the lowest health care expenditure at 1 year or month before the end of life (P < 0.001).

conclusionThe type and sequence of palliative care affected the survival time and health care expenditures of cancer patients. Receiving palliative care did not prolong survival but rather reduced health care expenditures. The sequence of receiving palliative care significantly affected health care expenditures.

Indexed as

Hospice CareNeoplasmsTerminal CareCross-Sectional StudiesDeathHealth ExpendituresHumansPalliative CareCancerHealth care expenditurePalliative careSurvival timeTransition of care type

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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.