Identifying Potential Indicators of the Quality of End-of-Life Cancer Care From Administrative Data

Earle, Craig C.; Park, Elyse R.; Lai, Bonnie; Weeks, Jane C.; Ayanian, John Z.; Block, Susan D.

doi:10.1200/jco.2003.03.059

Cited by 772 publications

(779 citation statements)

References 22 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

View full text Add to dashboard Cite

show abstract

“…Validity and reliability-Face validity, 15 of these indicators has been established by the preliminary work of Earle et al, 23 and Teno et al 26 To assess content validity and reliability, we obtained a random sample of the study subjects who received their care at a tertiary cancer treatment facility and its host hospital in each province: the QEII Health Sciences Centre in NS -the sole tertiary care treatment facility in the province, serving a population of 950 thousand; and the Ottawa Hospital in Ontario -the tertiary care treatment facility, serving a population of 1.5 million in Eastern Ontario. Electronic data abstraction forms were developed in MS Access and pilot tested.…”

Section: Study Design and Subjectsmentioning

confidence: 99%

Towards using administrative databases to measure population-based indicators of quality of end-of-life care: testing the methodology

et al. 2006

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This study is concerned with methods to measure population-based indicators of quality end-oflife care. Using a retrospective cohort approach, we assessed the feasibility, validity and reliability of using administrative databases to measure quality indicators of end-of-life care in two Canadian provinces. The study sample consisted of all females who died of breast cancer between 1 January 1998 and 31 December 2002, in Nova Scotia or Ontario, Canada. From an initial list of 19 quality indicators selected from the literature, seven were determined to be fully measurable in both provinces. An additional seven indicators in one province and three in the other province were partially measurable. Tests comparing administrative and chart data show a high level of

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“…Similarly, previously studies have reported that most patients with malignancy prefer to die at home (Bruera et al, 2002;Earle et al, 2003). But this is not the real situation in clinical practice.…”

Section: Introductionmentioning

confidence: 93%

Evaluation of Cancer Patients Admitted to the Emergency Department within One Month before Death in Turkey: What are the Problems Needing Attention?

Yıldırım

Tanrıverdi²

2014

Asian Pacific Journal of Cancer Prevention

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Background: Although previously studies have reported that most patients with malignancy prefer to die at home, this is not the real situation in clinical practice. Aim: In this study, we aimed to determine the characteristics of Turkish cancer patients admitted to the emergency department (ED) within one month before death. Materials and Method: This descriptive retrospective study focused on questions about how often and why patients with cancer visited the ED before death. A total of 107 individuals with cancer were divided into 2 groups: Group 1, patients with at least one visit in the final 4 weeks; and Group 2, patients with no visit to ED. Demographic and clinical features were compared between the two groups. Statistical analyses: Descriptive statistical methods, statistical analysis for correlation, Student's t-test, chi-square tests and logistic regression were used. Results: At least one visit to ED within one month before death was reported for 64 (60%) of the 107 cases. Of these 64 (Group 1), 38% (n=24) were discharged and 9% (n=6) died in the ED. The most common site of the primary tumor was the lung (n=24, 38%) and the most common symptom was dyspnea (92%). With the other 43 (40%) cancer patients not presenting to the ED within one month before death, they were more likely to be female with another type of cancer. Conclusions: Guidelines are needed for better management of cancer patients benefiting from visits to ED within the last month of life .

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Identifying Potential Indicators of the Quality of End-of-Life Cancer Care From Administrative Data

Abstract: Several promising claims-based quality indicators were identified that, if found to be valid and reliable within data systems, could be useful in identifying health-care systems in need of improving end-of-life services.

Cited by 772 publications

References 22 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

Towards using administrative databases to measure population-based indicators of quality of end-of-life care: testing the methodology

Evaluation of Cancer Patients Admitted to the Emergency Department within One Month before Death in Turkey: What are the Problems Needing Attention?

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