The impact of hospice care on survival and cost saving among patients with liver cancer: a national longitudinal population-based study in Taiwan
@article{Chiang2015TheIO, title={The impact of hospice care on survival and cost saving among patients with liver cancer: a national longitudinal population-based study in Taiwan}, author={Jui-Kun Chiang and Yee-Hsin Kao}, journal={Supportive Care in Cancer}, year={2015}, volume={23}, pages={1049-1055} }
PurposeThe aim of this study was to compare health-care expenditures and survival of these terminally ill patients receiving or not receiving hospice care in their last month of life.MethodsUsing Taiwan’s National Health Insurance Claims Database, we analyzed hospitalizations, OPD visits, associated costs, and survival. Logistic regression was used to identify predictors of high cost.ResultsWe identified 3850 liver cancer patients who died during the 1997–2011 study period, 644 (16.6 %) of whom…
19 Citations
Effect of hospice care on health-care costs for Taiwanese patients with cancer during their last month of life in 2004–2011: A trend analysis
- Medicine, Political ScienceCi ji yi xue za zhi = Tzu-chi medical journal
- 2020
Health-care costs in the last month of life are increasing over time in Taiwan, and patients receiving hospice care can be as much as 16.3% lower than patients not receiving Hospice care.
Differences in medical costs for end-of-life patients receiving traditional care and those receiving hospice care: A retrospective study
- Medicine, Political SciencePloS one
- 2020
Hospice care can effectively save a large amount of end-of-life medical costs, and more medical costs are saved when patients are referred to hospice care earlier.
Costs of care at the end of life among elderly patients with chronic kidney disease: patterns and predictors in a nationwide cohort study
- Medicine, Political ScienceBMC Nephrology
- 2017
Overall EOL costs and rates of intensive service use among older patients with CKD were high, with significant variability across various patient and provider characteristics.
How we use hospice: Hospice enrollment patterns and costs in elderly ovarian cancer patients.
- MedicineGynecologic oncology
- 2019
Predicting 1-year mortality among patients with decompensated cirrhosis: results of a multicentre evaluation of the Bristol Prognostic Score
- MedicineBMJ open gastroenterology
- 2022
BPS was unable to accurately predict mortality in this Scottish cohort, highlighting the ongoing challenge of prognostication in patients with chronic liver disease and furthering the call for more work in this field.
Palliative Care and Hospice Interventions in Decompensated Cirrhosis and Hepatocellular Carcinoma: A Rapid Review of Literature.
- MedicineJournal of palliative medicine
- 2018
It is suggested that PC and hospice interventions in patients with DC/HCC reduce HRU, impact EOLC, and improve symptoms, given the few number of studies, heterogeneity of interventions and outcomes, and high risk of bias.
Hospice care for end stage liver disease in the United States
- MedicineExpert review of gastroenterology & hepatology
- 2021
This review examines the evidence support for hospice for ESLD, compares this evidence to that supporting hospice more broadly, and identifies potential criteria that may be useful in determining hospice appropriateness.
Cancer survival in Qidong between 1972 and 2011: A population-based analysis.
- MedicineMolecular and clinical oncology
- 2017
Improved survival rates in the most recent two 5-year calendar periods were identified for stomach, lung, colon and rectum, oesophagus, female breast and bladder cancer, as well as leukaemia and NHL.
Economic Implications of Hepatocellular Carcinoma Surveillance and Treatment: A Guide for Clinicians
- MedicinePharmacoEconomics
- 2019
A focused review of studies investigating the economic burden and cost effectiveness of HCC surveillance treatment modalities published between January 2000 and January 2019 found that Liver transplantation is a cost-effective strategy for early-stage HCC treatment in selected patients.
Cost-effectiveness analysis of donafenib versus lenvatinib for first-line treatment of unresectable or metastatic hepatocellular carcinoma
- MedicineExpert review of pharmacoeconomics & outcomes research
- 2022
Donafenib appears to be a cost-effective strategy compared with lenvatinib for the first-line treatment of patients with unresectable or metastatic HCC in China.
References
SHOWING 1-10 OF 26 REFERENCES
Association of healthcare expenditures with aggressive versus palliative care for cancer patients at the end of life: a cross-sectional study using claims data in Japan.
- Medicine, Political ScienceInternational journal for quality in health care : journal of the International Society for Quality in Health Care
- 2014
Indicators of both aggressive and palliative EOL care were associated with higher healthcare expenditures, which may support the coherent development of measures to optimize aggressive care and reduce the financial burdens of terminal cancer care.
Hospice shared-care saved medical expenditure and reduced the likelihood of intensive medical utilization among advanced cancer patients in Taiwan—a nationwide survey
- MedicineSupportive Care in Cancer
- 2014
HSC is associated with significant medical expenditure savings and reduced likelihood of intensive medical utilization by advanced cancer patients and all types of HPC are associated withmedical expenditure savings.
Trends in quality of end-of-life care for Taiwanese cancer patients who died in 2000-2006.
- MedicineAnnals of oncology : official journal of the European Society for Medical Oncology
- 2009
The quality of end-of-life care for Taiwanese cancer decedents was substantially inferior to that previously reported and to that recommended as benchmarks for not providing overly aggressive care near the end of life.
Resource consumption and costs of palliative care services in Spain: a multicenter prospective study.
- Medicine, Political ScienceJournal of pain and symptom management
- 2006
Hospice care and survival among elderly patients with lung cancer.
- MedicineJournal of palliative medicine
- 2011
Hospice enrollment did not compromise length of survival following advanced lung cancer diagnosis and patients experiencing short-term hospice admissions within 3 days of death received less aggressive end-of-life care compared to nonhospice patients.
Comparing hospice and nonhospice patient survival among patients who die within a three-year window.
- MedicineJournal of pain and symptom management
- 2007
Impact of hospice disenrollment on health care use and medicare expenditures for patients with cancer.
- Medicine, Political ScienceJournal of clinical oncology : official journal of the American Society of Clinical Oncology
- 2010
Hospitalization, emergency department, and intensive care unit admission and hospital death for hospice disenrollees and those who remained with hospice until death and per-day Medicare expenditures across the two groups are compared.
Trends in the aggressiveness of cancer care near the end of life.
- MedicineJournal of clinical oncology : official journal of the American Society of Clinical Oncology
- 2004
The treatment of cancer patients near death is becoming increasingly aggressive over time and greater local availability of hospices was associated with less aggressive treatment near death on multivariate analysis.
Multivariate Analyses to Assess the Effects of Surgeon and Hospital Volume on Cancer Survival Rates: A Nationwide Population-Based Study in Taiwan
- Medicine, Political SciencePloS one
- 2012
After adjusting for differences in the case mix, cancer patients treated by low-volume surgeons in low- volume hospitals had poorer 5-year survival rates, and patients’ demographic variables, co-morbidities, and treatment modality may need to be adjusted for.
Cost savings at the end of life. What do the data show?
- MedicineJAMA
- 1996
The existing data suggest that hospice and advance directives can save between 25% and 40% of health care costs during the last month of life, with savings decreasing to 10% to 17% over the last 6 months of life and decreasing further to 0% to 10%, less than most people anticipate.