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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Trends in end-of-life cancer care in the Medicare program

TitleTrends in end-of-life cancer care in the Medicare program
Publication TypeJournal Article
Year of Publication2016
AuthorsWang, SY, Hall, J, Pollack, CE, Adelson, K, Bradley, EH, Long, JB, Gross, CP
JournalJ Geriatr Oncol
Volume7
Pagination116-25
Date PublishedMar
ISBN Number1879-4076 (Electronic)1879-4068 (Linking)
Accession Number26783015
KeywordsEnd-of-life care, Geographic variation, Intensity
Abstract

OBJECTIVES: To examine contemporary trends in end-of-life cancer care and geographic variation of end-of-life care aggressiveness among Medicare beneficiaries. MATERIALS AND METHODS: Using the Surveillance, Epidemiology, and End Results-Medicare data, we identified 132,051 beneficiaries who died as a result of cancer in 2006-2011. Aggressiveness of end-of-life care was measured by chemotherapy received within 14days of death, >1 emergency department (ED) visit within 30days of death, >1 hospitalization within 30days of death, >/=1 intensive care unit (ICU) admission within 30days of death, in-hospital death, or hospice enrollment