Evaluating claims-based indicators of the intensity of end-of-life cancer care

Earle, Craig C.; Neville, Bridget A.; Landrum, Mary Beth; Souza, Jeffrey M.; Weeks, Jane C.; Block, Susan D.; Grunfeld, Eva; Ayanian, John Z.

doi:10.1093/intqhc/mzi061

Cited by 337 publications

(362 citation statements)

References 19 publications

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“…Policy implications some of the outcomes described in this study have been suggested as valid indicators for evaluating the quality of end-of-life care (Earle et al 2003(Earle et al , 2004(Earle et al , 2005. using administrative data in this way is consistent with a previously published quality framework for palliative and end-of-life care (stewart et al 1999).…”

Section: Other Findings From the Literaturesupporting

confidence: 86%

Factors Associated with End-of-Life Health Service Use in Patients Dying of Cancer

Barbera¹,

Sussman²,

Viola³

et al. 2010

hcpol

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This study describes acute care hospital death, physician house calls and home care near the end of life among patients who died of cancer and the factors that are associated with these events and services. It is a population-based retrospective study that uses linked administrative healthcare data. The cohort includes all patients who died of cancer between 2000 and 2004 in Ontario, Canada.Fifty-five per cent of patients died in acute care hospital, 68% received home care in the last 6 months of life and 24% received at least one physician house call in the last 2 weeks of life. Increased age was associated with a decreased likelihood of each event or service. women were less likely to die in acute care and more likely to receive home care. Residents in low-income neighbourhoods were less likely to receive house calls or home care. Patients who received home care or house calls were less likely to die in acute care.Our observations add to those in the literature, suggesting a need to increase the use of supportive care services at the end of life in hopes of decreasing the need for acute care. They also serve as a baseline for future comparison, which is of particular interest since new government policies directed at end-of-life care were recently introduced.

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Section: Other Findings From the Literaturesupporting

confidence: 86%

Factors Associated with End-of-Life Health Service Use in Patients Dying of Cancer

Barbera¹,

Sussman²,

Viola³

et al. 2010

hcpol

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show abstract

“…In research on claims-based measurement of cancer treatment quality, Earle et al define the 10th percentile as the benchmark for health care systems to set as a goal. 19 In their work evaluating the intensity of end-of-life cancer care, for example, this meant that hospitals would be providing appropriate-intensity care if less than 2% of patients started a new chemotherapy regimen in the last 30 days of life. We report the 25th percentile for each measure in Table 2 as a conservative initial benchmark for clinicians and health systems to work toward.…”

Section: Discussionmentioning

confidence: 99%

Choosing Wisely: Prevalence and Correlates of Low-Value Health Care Services in the United States

et al. 2014

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“…Not all aggressive care at the end of life is inappropriate and the ''right'' rates of the measures are not zero. Yet, these measures are well suited for comparing systems of care, 34 and recent data suggest that they provide comparable information to measures collected from medical record abstractions, collected either prospectively or retrospectively. 35,36 Moreover, some have questioned the validity of retrospective studies of end-of-life care for cancer patients because it is not always possible to identify the point at which physicians perceive patients' terminal status.…”

Section: Discussionmentioning

confidence: 99%

End‐of‐life care for older cancer patients in the Veterans Health Administration versus the private sector

Keating

Landrum

Lamont

et al. 2010

Cancer

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SiC‐ and B4C‐filled NBR rubber composites were prepared with various volume fractions of filler by a conventional roll‐mill method. The morphological structures of the NBR–SiC and NBR–B4C composites were analyzed by scanning electron microscopy. The dependence of room‐temperature volume resistivity (ρv) on the concentration of filler in the two systems was studied. In addition, variation in the number of current carriers (n), mobility carriers (μ), dielectric constant (ε), and dielectric loss factor (tan δ) on filler concentration in the two systems were investigated in detail. The applicability of composites as negative temperature coefficient (NTCR) linear thermistors was studied by the dependence of volume resistivity on temperature. The resistivity showed negative temperature dependence and changed linearly with temperature parallel. The conduction mechanism of the conductivity of the two composites was analyzed in terms of the computed activation energy and hopping energy. Change in volume resistivity as a function of frequency for the two systems was also investigated. Finally, the dependence of volume resistivity on applied pressure and possible real applications of these composites as transducers in pressure sensors were also studied. © 2006 Wiley Periodicals, Inc. J Appl Polym Sci 103: 2158–2165, 2007

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Evaluating claims-based indicators of the intensity of end-of-life cancer care

Abstract: The usefulness of these measures will depend on whether the concept of intensity of care near death can be further validated as an acceptable and important quality issue among patients, their families, health care providers, and other stakeholders in oncology.

Cited by 337 publications

References 19 publications

Factors Associated with End-of-Life Health Service Use in Patients Dying of Cancer

Factors Associated with End-of-Life Health Service Use in Patients Dying of Cancer

Choosing Wisely: Prevalence and Correlates of Low-Value Health Care Services in the United States

End‐of‐life care for older cancer patients in the Veterans Health Administration versus the private sector

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