Ten-Year Trends of Utilization of Palliative Care Services and Life-Sustaining Treatments and Hospital Costs Associated With Patients With Terminally Ill Lung Cancer in the United States From 2005 to 2014
DC Field | Value | Language |
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dc.contributor.author | Hwang, Jinwook | - |
dc.contributor.author | Shen, Jay | - |
dc.contributor.author | Kim, Sun Jung | - |
dc.contributor.author | Chun, Sung-Youn | - |
dc.contributor.author | Kioka, Mutsumi | - |
dc.contributor.author | Sheraz, Faizan | - |
dc.contributor.author | Kim, Pearl | - |
dc.contributor.author | Byun, David | - |
dc.contributor.author | Yoo, Ji Won | - |
dc.date.accessioned | 2021-08-31T22:49:11Z | - |
dc.date.available | 2021-08-31T22:49:11Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2019-12 | - |
dc.identifier.issn | 1049-9091 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/61438 | - |
dc.description.abstract | Background: Palliative care services and life-sustaining treatments are provided to dying patients with lung cancer in the United States. However, data on the utilization trends of palliative care services and life-sustaining treatments of dying patients with lung cancer are not available. Methods: This study was a retrospective analysis of the National Inpatient Sample data (2005-2014) and included patients with lung cancer, aged >= 18 years, who died in the hospitals. Claims data of palliative care services and life-sustaining treatments that contained systemic procedures, local procedures, or surgeries were extracted. Compound annual growth rates (CAGRs) using Rao-Scott correction for chi(2) tests were used to determine the statistical significance of temporal utilization trends of palliative care services and life-sustaining treatments and their hospital costs. Multilevel multivariate regressions were performed to identify factors associated with hospital costs. Results: A total of 120 144 weighted patients with lung cancer died in the hospitals and 41.9% of them received palliative care services. The CAGRs of systemic procedures, local procedures, surgeries, palliative care services, and hospital cost were 3.42%, 3.48%, 6.08%, 18.5%, and 5.0% (all P < .001), respectively. Increased hospital cost was attributed to systemic procedures (50.6%), local procedures (74.4%), and surgeries (68.5%; all P < .001), respectively. Palliative care services were related to decreasing hospital costs by 28.6% (P < .001). Conclusion: The temporal trends of palliative care services indicate that their utilization has increased gradually. Palliative care services were associated with reduced hospital costs. However, life-sustaining treatments were associated with increased hospital costs. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | SAGE PUBLICATIONS INC | - |
dc.subject | OBSTRUCTIVE PULMONARY-DISEASE | - |
dc.subject | HEALTH-CARE | - |
dc.subject | END | - |
dc.subject | CONSULTATION | - |
dc.subject | TRAJECTORIES | - |
dc.subject | MEDICARE | - |
dc.subject | QUALITY | - |
dc.subject | ADULTS | - |
dc.title | Ten-Year Trends of Utilization of Palliative Care Services and Life-Sustaining Treatments and Hospital Costs Associated With Patients With Terminally Ill Lung Cancer in the United States From 2005 to 2014 | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Hwang, Jinwook | - |
dc.identifier.doi | 10.1177/1049909119852082 | - |
dc.identifier.scopusid | 2-s2.0-85066829106 | - |
dc.identifier.wosid | 000484508100009 | - |
dc.identifier.bibliographicCitation | AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, v.36, no.12, pp.1105 - 1113 | - |
dc.relation.isPartOf | AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | - |
dc.citation.title | AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | - |
dc.citation.volume | 36 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 1105 | - |
dc.citation.endPage | 1113 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Health Care Sciences & Services | - |
dc.relation.journalWebOfScienceCategory | Health Care Sciences & Services | - |
dc.subject.keywordPlus | OBSTRUCTIVE PULMONARY-DISEASE | - |
dc.subject.keywordPlus | HEALTH-CARE | - |
dc.subject.keywordPlus | END | - |
dc.subject.keywordPlus | CONSULTATION | - |
dc.subject.keywordPlus | TRAJECTORIES | - |
dc.subject.keywordPlus | MEDICARE | - |
dc.subject.keywordPlus | QUALITY | - |
dc.subject.keywordPlus | ADULTS | - |
dc.subject.keywordAuthor | hospital costs | - |
dc.subject.keywordAuthor | lung neoplasm | - |
dc.subject.keywordAuthor | palliative care | - |
dc.subject.keywordAuthor | terminal care | - |
dc.subject.keywordAuthor | hospices | - |
dc.subject.keywordAuthor | length of stay | - |
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