A population-based study on the determinants of hospice utilization in the last year of life for Taiwanese cancer decedents, 2001-2006

Psycho-oncology
Siew Tzuh TangJen-Shi Chen

Abstract

No population-based studies conducted outside Western countries have identified determinants of hospice utilization for all ages and cancer groups. To evaluate associations between hospice utilization in the last year of life and patient demographics, disease characteristics, physician specialty, hospital characteristics, and availability of healthcare resources at the hospital and regional levels in Taiwan. Retrospective cohort study using administrative data among 204, 850 Taiwanese cancer decedents, 2001-2006. Rates of hospice utilization increased significantly (12.99-17.24%) over the study period. Hospice utilization was more likely for cancer patients who were female; over 65 years old; currently or formerly married; with ≤1 concurrent disease; diagnosed with breast cancer or cancer having a poorer prognosis; with distant metastasis, and longer illness duration (>2 months since diagnosis); receiving care in a teaching hospital or hospital with an inpatient-hospice unit; and receiving care in a region with greater density of inpatient-hospice beds. However, patients with hematological malignancies and esophageal cancer were less likely to use hospice care. Despite the 1.33 times increase in hospice utilization among cancer...Continue Reading

References

Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
Oct 10, 1997·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Y L Lai, W H Su
Jun 5, 1998·Journal of Gerontological Nursing·Y T Dai, M F Dimond
Jun 12, 1998·JAMA : the Journal of the American Medical Association·J C WeeksR S Phillips
Dec 19, 2001·Medical Care·Beth A VirnigRishi Dholakia
Apr 16, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Elizabeth H BradleySarah M Horwitz
Sep 17, 2002·Journal of Pain and Symptom Management·Cynthia R Goh
Sep 17, 2002·Journal of Pain and Symptom Management·Anica Jusić, Marijana Persoli-Gudelj
Sep 24, 2002·Journal of Palliative Medicine·Theodore J IwashynaNicholas A Christakis
Jan 28, 2003·Health Services Research·Theodore J IwashynaNicholas A Christakis
Feb 15, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Ellen P McCarthyRussell S Phillips
May 22, 2003·Journal of the American Geriatrics Society·Hongbin ChenRonald S Schonwetter
Jan 15, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Craig C EarleJane C Weeks
Apr 7, 2005·Palliative Medicine·Nuha A LackanJean L Freeman
Aug 1, 2006·Palliative Medicine·L K Rosenwax, B A McNamara
Aug 3, 2006·Journal of the National Cancer Institute·Nancy L KeatingJohn Z Ayanian
Aug 18, 2006·Journal of the American Geriatrics Society·Julie L LocherChristine S Ritchie
May 16, 2007·The American Journal of Hospice & Palliative Care·David M Mintzer, Kathryn Zagrabbe
Jun 26, 2007·Journal of Pain and Symptom Management·Stephen R ConnorNicholas A Christakis
Oct 17, 2007·Journal of General Internal Medicine·Nancy L KeatingJohn Z Ayanian
Jan 16, 2008·Annals of Internal Medicine·Karl A LorenzPaul G Shekelle
Apr 10, 2008·JAMA : the Journal of the American Medical Association·Camilla ZimmermannIan Tannock
Aug 9, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Craig C EarleJohn Z Ayanian
Sep 4, 2008·Annals of Oncology : Official Journal of the European Society for Medical Oncology·S T TangT-W Liu
Sep 10, 2008·Archives of Internal Medicine·Lieve Van den BlockLuc Deliens
Oct 9, 2008·JAMA : the Journal of the American Medical Association·Alexi A WrightHolly G Prigerson
Nov 13, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Soko SetoguchiJennifer S Haas
Dec 23, 2008·Journal of Pain and Symptom Management·Catherine WalsheCarolyn Chew-Graham

❮ Previous
Next ❯

Citations

Apr 21, 2011·Journal of Palliative Medicine·Song-Seng LokeChih-Fang Huang
May 10, 2013·PloS One·Yi-Hsuan LinLi-Fang Chou
Sep 6, 2015·Journal of the Chinese Medical Association : JCMA·Hsiao-Ting ChangYu-Chun Chen
Oct 7, 2015·Journal of the National Cancer Institute·Oreofe O OdejideGregory A Abel
Jun 26, 2013·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Kathy L SchulmanAlex Shteynshlyuger
Apr 18, 2015·Implementation Science : IS·Julia M LangtonUNKNOWN End-of-Life in Cancer Care (EoL-CC) Investigators
Jul 15, 2017·Cancer Research and Treatment : Official Journal of Korean Cancer Association·Shin Hye YooDae Seog Heo
Jul 19, 2020·BMJ Supportive & Palliative Care·Matthieu FrascaSimone Mathoulin-Pelissier
May 21, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Yan-Mei DaiChih-Chung Shiao
Aug 21, 2020·Public Health·H-J PanH-C Lin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Breast Invasive Carcinoma

Invasive breast cancers indicate a spread into breast tissues and lymph nodes. Here are the latest discoveries pertaining to breast invasive carcinomas.

Breast Invasive Carcinoma (Keystone)

Invasive breast cancers indicate a spread into breast tissues and lymph nodes. Here are the latest discoveries pertaining to breast invasive carcinomas.