Validation of the Diagnostic Tool for Complexity in Palliative Care—Criterion Validity Study (S738)

Abstract

electronic health record. Travel time from a patient's home to closest OSPC clinic was determined with Arc-GIS 10.5 (ESRI, Redlands, CA). Results. 9485 unique patients with advanced solid tumor cancer received oncologic care within UPMCCCN in 2016. 385 patients (4%) used OSPC, while 9100 patients (96%) did not. Patients who utilized OSPC were younger (mean age 60 v. 69 years; p<0.0001) and lived closer to an OSPC clinic (mean travel time 42 v. 61 min; p<0.0001). Patients receiving care at a primary oncology practice with a collocated OSPC clinic had significantly higher utilization of OSPC (11.4%) compared to those without a collocated OSPC clinic (0.62%, p<0.0001). Conclusion. OSPC utilization was low among patients with advanced solid tumor cancer. Older and more remote populations are at higher risk for decreased utilization.