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
- Authors
- Hwang, Jinwook; Shen, Jay; Kim, Sun Jung; Chun, Sung-Youn; Kioka, Mutsumi; Sheraz, Faizan; Kim, Pearl; Byun, David; Yoo, Ji Won
- Issue Date
- Dec-2019
- Publisher
- SAGE Publications
- Keywords
- hospital costs; lung neoplasm; palliative care; terminal care; hospices; length of stay
- Citation
- American Journal of Hospice and Palliative Medicine, v.36, no.12, pp 1105 - 1113
- Pages
- 9
- Journal Title
- American Journal of Hospice and Palliative Medicine
- Volume
- 36
- Number
- 12
- Start Page
- 1105
- End Page
- 1113
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4068
- DOI
- 10.1177/1049909119852082
- ISSN
- 1049-9091
1938-2715
- 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.
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Collections - College of Medical Sciences > Department of Health Administration and Management > 1. Journal Articles
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