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Palliative Care Utilization among Patients Admitted for Gastrointestinal and Thoracic Cancers.


ABSTRACT: BACKGROUND:Although a growing body of literature recommends the early initiation of palliative care (PC), the use of PC remains variable. OBJECTIVE:The current study sought to describe the use of PC and to identify factors associated with the use of inpatient PC. DESIGN:Retrospective, cross-sectional analysis of data from the National Inpatient Sample. SETTING AND SUBJECTS:Patients admitted with a primary diagnosis of gastrointestinal and/or thoracic cancer from 2012 to 2013. MEASUREMENTS:In-hospital length of stay (LOS), morbidity, mortality, and total charges. RESULTS:A total of 282,899 patients were identified who met inclusion criteria of whom, 24,100 (8.5%) patients received a PC consultation during their inpatient admission. Patients who received PC were more likely to have a longer LOS (LOS >14 days: 5.4% vs. 9.4%) and were more likely to develop a postoperative complication (28.3% vs. 45.9%, both p?6: OR?=?2.60, 95% CI: 2.48-2.74), and admission to larger hospitals (reference small: OR?=?1.20, 95% CI: 1.14-1.25) were associated with greater odds of receiving PC (all p?

SUBMITTER: Gani F 

PROVIDER: S-EPMC6016727 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature

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Palliative Care Utilization among Patients Admitted for Gastrointestinal and Thoracic Cancers.

Gani Faiz F   Enumah Zachary O ZO   Conca-Cheng Alison M AM   Canner Joseph K JK   Johnston Fabian M FM  

Journal of palliative medicine 20171103 4


<h4>Background</h4>Although a growing body of literature recommends the early initiation of palliative care (PC), the use of PC remains variable.<h4>Objective</h4>The current study sought to describe the use of PC and to identify factors associated with the use of inpatient PC.<h4>Design</h4>Retrospective, cross-sectional analysis of data from the National Inpatient Sample.<h4>Setting and subjects</h4>Patients admitted with a primary diagnosis of gastrointestinal and/or thoracic cancer from 2012  ...[more]

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