Community Health Network

Ranked among the nation's most integrated healthcare systems, Community Health Network is Central Indiana's leader in providing convenient access to exceptional healthcare services, where and when patients need them—in hospitals, health pavilions, workplaces, schools and homes.

Explore Community

Close
News

Physician News

Factors ID'd for Late Hospice Admission for Cancer Patients

FRIDAY, Aug. 29, 2014 (HealthDay News) -- For patients with cancer, factors associated with late admission to hospice have been identified, according to a study published online Aug. 25 in the Journal of Clinical Oncology.

Nina R. O'Connor, M.D., from the University of Pennsylvania, and colleagues evaluated electronic health records for patients with cancer admitted to 12 hospices in the Coalition of Hospices Organized to Investigate Comparative Effectiveness network. The authors examined patient characteristics associated with hospice enrollment in the last three days of life.

The researchers found that 16.3 percent of the 64,264 patients admitted to hospice with cancer had a length of stay of three days or less. The proportion of patients enrolled in the last three days of life varied considerably among hospices (range, 11.4 to 24.5 percent). In multivariable analysis, patients who were admitted in the last three days of life were more likely to have a hematologic malignancy; were more likely to be male and married; and were younger (age < 65 years). Admission to hospice within three days of death was less likely for those with Medicaid or self-insurance.

"Quality measures of hospice lengths of stay should include patient-mix adjustments for type of cancer and site of care," the authors write.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2014 HealthDay. All rights reserved.

Health Day

Proud sponsors

  • Indiana Fever
  • Indianapolis Indians
  • Indiana Pacers
  • Sarah Fisher Hartman Racing
  • Indy Eleven
  • Indy Fuel

Health and wellness shopping

  • Home Health Medical online store for medical supplies and equipment
  • Wellspring Pharmacy
  • FigLeaf Boutique
  • Jasmine gift shop