Hospital-based palliative care consultation: effects on hospital cost

Journal of Palliative Medicine
Joan D PenrodR Sean Morrison

Abstract

Palliative care consultation teams in hospitals are becoming increasingly more common. Palliative care improves the quality of hospital care for patients with advanced disease. Less is known about its effects on hospital costs. To evaluate the relationship between palliative care consultation and hospital costs in patients with advanced disease. An observational study of 3321 veterans hospitalized with advanced disease between October 1, 2004 and September 30, 2006. The sample includes 606 (18%) veterans who received palliative care and 2715 (82%) who received usual hospital care. October 1, 2004 and September 30, 2006. We studied the costs and intensive care unit (ICU) use of palliative versus usual care for patients in five Veterans Affairs hospitals over a 2-year period. We used an instrumental variable approach to control for unmeasured characteristics that affect both treatment and outcome. The average daily total direct hospital costs were $464 a day lower for the 606 patients receiving palliative compared to the 2715 receiving usual care (p < 0.001). Palliative care patients were 43.7 percentage points less likely to be admitted to ICU during the hospitalization than usual care patients (p < 0.001). Palliative care for p...Continue Reading

References

Sep 21, 1994·JAMA : the Journal of the American Medical Association·M McClellanJ P Newhouse
Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
Jun 5, 1998·Annual Review of Public Health·J P Newhouse, M McClellan
Jun 9, 1998·Palliative Medicine·B Axelsson, P O Sjödén
May 27, 1999·Journal of Health Economics·D K BloughM C Hornbrook
Apr 3, 2001·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·N A DesbiensJ Lynn
Jul 27, 2001·Journal of Health Economics·W G Manning, J Mullahy
Sep 18, 2001·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·M S JordhøyS Kaasa
Feb 13, 2002·Journal of Palliative Medicine·Philip H Santa-EmmaRobert M Taylor
Aug 17, 2002·Journal of Pain and Symptom Management·Gerd Inger RingdalStein Kaasa
Oct 29, 2002·Annals of Oncology : Official Journal of the European Society for Medical Oncology·I G FinlayC E Normand
Feb 19, 2003·Journal of Pain and Symptom Management·Irene J HigginsonCharles E Normand
Nov 19, 2003·Journal of Palliative Medicine·Thomas J SmithMary Ann Hager
Nov 19, 2003·Journal of Palliative Medicine·Kenneth Rosenfeld, Jennifer Rasmussen
Jan 8, 2004·JAMA : the Journal of the American Medical Association·Joan M TenoVincent Mor
Jan 28, 2004·Archives of Internal Medicine·Chad T WhelanDavid Meltzer
Mar 23, 2004·Health Services Research·Amber E BarnatoAlan M Garber
Apr 30, 2005·Journal of Palliative Medicine·E BrueraJ Hanson
Sep 2, 2005·Health Affairs·Todd GilmerErnlé Young
Dec 2, 2005·The New England Journal of Medicine·Philip S WangM Alan Brookhart
Dec 15, 2005·Journal of Palliative Medicine·R Sean MorrisonDiane E Meier
Dec 31, 2005·Statistics in Medicine·Jay BhattacharyaDaniel McCaffrey
Aug 17, 2006·Journal of Palliative Medicine·Joan D PenrodR Sean Morrison
Jul 5, 2007·Journal of the American Geriatrics Society·Richard BrumleyJorge Gonzalez
Dec 22, 2007·Journal of Palliative Medicine·Elizabeth L CieminsJeffrey M Newman
Jan 22, 2008·Journal of the American Geriatrics Society·David CasarettJudy A Shea
Feb 12, 2008·Journal of Pain and Symptom Management·Laura C HansonStephen Bernard
Mar 13, 2008·Journal of Palliative Medicine·Glenn GadeRichard Della Penna
Sep 5, 2008·JAMA : the Journal of the American Medical Association·Joan PenrodDiane E Meier
Sep 10, 2008·Archives of Internal Medicine·R Sean MorrisonUNKNOWN Palliative Care Leadership Centers' Outcomes Group
Oct 4, 2008·Journal of Palliative Medicine·Benjamin GoldsmithR Sean Morrison
May 7, 2009·Journal of Palliative Medicine·Joan D PenrodPartha Deb
Jul 21, 2009·Journal of Pain and Symptom Management·Thomas J Smith, J Brian Cassel
Sep 17, 2009·JAMA : the Journal of the American Medical Association·Grace L Lu-YaoSiu-Long Yao

❮ Previous
Next ❯

Citations

May 11, 2011·Current Oncology Reports·Arif H KamalAmy P Abernethy
Apr 12, 2011·Journal of Palliative Medicine·Jeanie Youngwerth, Martha Twaddle
Sep 6, 2013·Journal of Palliative Medicine·Helene StarksJ Randall Curtis
Jan 19, 2012·The Oncologist·Eduardo Bruera, Sriram Yennurajalingam
Sep 27, 2012·The Permanente Journal·Karen TallmanLaurel Pantel
Apr 4, 2014·The Permanente Journal·Susanne M Mierendorf, Vinita Gidvani
Mar 29, 2014·BMC Health Services Research·Tim LuckettPatricia M Davidson
Feb 27, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Wen-Yuan LinCheng-Chieh Lin
Jun 22, 2013·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Pooja SinghMark Unruh
Apr 22, 2014·Journal of Pain and Symptom Management·Christopher W KerrAmin M Serehali
Dec 3, 2014·Critical Care Nursing Clinics of North America·Jame Restau, Pamela Green
Nov 26, 2015·American Journal of Respiratory and Critical Care Medicine·Christopher E Cox, J Randall Curtis
Apr 22, 2014·Annals of Emergency Medicine·UNKNOWN American College of Emergency PhysiciansUNKNOWN Geriatric Emergency Department Guidelines Task Force
Oct 15, 2013·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Melissa M GarridoHolly G Prigerson
Nov 28, 2012·Clinics in Geriatric Medicine·Mark RosenbergSumi Misra
Mar 13, 2012·Anesthesiology Clinics·Geoffrey P Dunn
Nov 30, 2011·Critical Care Clinics·Hannah WunschDamon C Scales
Jun 18, 2011·Journal of Pain and Symptom Management·Julie W Childers, Robert M Arnold
Mar 23, 2011·The Surgical Clinics of North America·Geoffrey P Dunn
Mar 23, 2011·The Surgical Clinics of North America·Margaret J Tarpley, John L Tarpley
Sep 4, 2015·Journal of Pain and Symptom Management·Naomi GeorgeCorita Grudzen
Sep 24, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Sara A CombsAlvin H Moss
Apr 25, 2012·Health Services Research·Melissa M GarridoJoan D Penrod
Aug 13, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Jeanie M YoungwerthJean S Kutner
Aug 4, 2011·Cancer·Joshua HauserMary Kathryn Rodrigue
Nov 14, 2013·Journal of the American Geriatrics Society·Angela G CaticSusan L Mitchell
Jul 17, 2014·Alzheimer's & Dementia : the Journal of the Alzheimer's Association·Caroline E StephensCharlene Harrington
Aug 2, 2011·Journal of Pain and Symptom Management·Corita R GrudzenR Sean Morrison
Dec 3, 2014·Clinical Therapeutics·Erin K Zahradnik, Hillel Grossman
Dec 3, 2014·Clinical Therapeutics·Melissa M GarridoKenneth S Boockvar
Aug 27, 2016·Journal of Palliative Medicine·R Sean Morrison, Diane E Meier
Nov 12, 2016·Journal of Palliative Medicine·Melissa M GarridoKenneth S Boockvar
Sep 10, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Naomi R GeorgeTimothy F Platts-Mills
Jul 11, 2013·Palliative Medicine·Samantha SmithCharles Normand
Sep 2, 2016·Journal of Intensive Care Medicine·Kwadwo KyeremantengGianni D'Egidio

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The New England Journal of Medicine
Jennifer S TemelThomas J Lynch
Archives of Internal Medicine
R Sean MorrisonPalliative Care Leadership Centers' Outcomes Group
Journal of Palliative Medicine
American Academy of Hospice and Palliative MedicineNational Hospice and Palliative Care Organization
© 2021 Meta ULC. All rights reserved