Cost Savings Associated With Palliative Care Among Older Adults With Advanced Cancer Article Swipe
Paige Sheridan
,
Wendi G. LeBrett
,
Daniel P. Triplett
,
Eric Roeland
,
Andrew Bruggeman
,
Heidi N. Yeung
,
James D. Murphy
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1177/1049909120986800
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1177/1049909120986800
Background: There is inconsistent evidence that palliative care intervention decreases total healthcare expenditure at end-of-life for oncology patients. This inconsistent evidence may result from small sample sizes at single institution studies and disparate characterization of costs across studies. Comprehensive studies in population-based datasets are needed to fully understand the impact of palliative care on total healthcare costs. This study analyzed the impact of palliative care on total healthcare costs in a nationally representative sample of advanced cancer patients. Methods: We conducted a matched cohort study among Medicare patients with metastatic lung, colorectal, breast and prostate cancers. We matched patients who received a palliative care consultation to similar patients who did not receive a palliative care consultation on factors related to both the receipt of palliative care and end of life costs. We compared direct costs between matched patients to determine the per-patient economic impact of a palliative care consultation. Results: Patients who received a palliative care consultation experienced an average per patient cost of $5,834 compared to $7,784 for usual care patients (25% decrease; p < 0.0001). Palliative care consultation within 7 days of death decreased healthcare costs by $451, while palliative care consultation more than 4 weeks from death decreased costs by $4,643. Conclusion: This study demonstrates that palliative care has the capacity to substantially reduce healthcare expenditure among advanced cancer patients. Earlier palliative care consultation results in greater cost reductions than consultation in the last week of life.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/1049909120986800
- OA Status
- green
- Cited By
- 38
- References
- 42
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3119725381
All OpenAlex metadata
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https://openalex.org/W3119725381Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1177/1049909120986800Digital Object Identifier
- Title
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Cost Savings Associated With Palliative Care Among Older Adults With Advanced CancerWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-01-11Full publication date if available
- Authors
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Paige Sheridan, Wendi G. LeBrett, Daniel P. Triplett, Eric Roeland, Andrew Bruggeman, Heidi N. Yeung, James D. MurphyList of authors in order
- Landing page
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https://doi.org/10.1177/1049909120986800Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/9019862Direct OA link when available
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Palliative care, Medicine, Health care, Receipt, Population, Curative care, Cancer, Family medicine, Emergency medicine, Ambulatory care, Nursing, Internal medicine, Environmental health, Economic growth, World Wide Web, Computer science, EconomicsTop concepts (fields/topics) attached by OpenAlex
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38Total citation count in OpenAlex
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2025: 10, 2024: 16, 2023: 5, 2022: 7Per-year citation counts (last 5 years)
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42Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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