Explanipedia

The value equation for specialist palliative care: design and delivery principles Open

Kathleen Kerr, Torrie Fields, Martha Twaddle, J. Brian Cassel · 2024

The value of specialist palliative care (SPC) is multi-faceted. Patients, families, healthcare providers, health systems and payors all benefit in different ways when SPC is included in the care of those with serious illness; they all have…

A narrative review of supportive and end of life care considerations in advanced hepatocellular carcinoma Open

Irma Hashmi, Hannah M. Lee, Joel Wedd, Richard K. Sterling, Teri E Dulong-Rae , et al. · 2023

While PC is not routinely integrated into HCC care, recent guideline recommendations and a growing number of studies may change this over time. Although further evidence is needed, PC and hepatology teams partnering together can explore wa…

Using predicted length of stay to define treatment and model costs in hospitalized adults with serious illness: an evaluation of palliative care Open

Peter May, Charles Normand, Danielle Noreika, Nevena Skoro, J. Brian Cassel · 2021

Comparison of opioid rotation on pain, symptoms, and daily opioid dose in a supportive care clinic Open

L. Legakis, Wendy Woo, J. Brian Cassel, Egidio Del Fabbro · 2021

These findings suggest OR is associated with decreased pain scores without increasing MEDD. Of the agents compared, only rotations to methadone correlated with both a significant reduction in pain scores and in MEDD.

Economic Analysis of Hospital Palliative Care: Investigating Heterogeneity by Noncancer Diagnoses Open

Peter May, Charles Normand, Egidio Del Fabbro, Robert L. Fine, R. Sean Morrison , et al. · 2019

Background. Single-disease-focused treatment and hospital-centric care are poorly suited to meet complex needs in an era of multimorbidity. Understanding variation in palliative care’s association with treatment choices is essential to opt…

Evaluating Hospital Readmissions for Persons With Serious and Complex Illness: A Competing Risks Approach Open

Peter May, Melissa M. Garrido, Egidio Del Fabbro, Danielle Noreika, Charles Normand , et al. · 2019

Hospital readmission rate is a ubiquitous measure of efficiency and quality. Individuals with life-limiting illnesses account heavily for admissions but evaluation is complicated by high-mortality rates. We report a retrospective cohort st…

Economic outcomes in palliative and end-of-life care: current state of affairs Open

Peter May, J. Brian Cassel · 2018

The status of economic research in palliative care is evaluated. Significant limitations are observed in research to date. Recommendations are made for broadening the scope of economic enquiry in palliative care.

Economics of Palliative Care for Hospitalized Adults With Serious Illness Open

Peter May, Charles Normand, J. Brian Cassel, Egidio Del Fabbro, Robert L. Fine , et al. · 2018

The estimated association of early hospital PCC with hospital costs may vary according to baseline clinical factors. Estimates may be larger for primary diagnosis of cancer and more comorbidities compared with primary diagnosis of noncance…

Fashioning Appropriate Regulation of Opioids for Palliative Care Open

J. Brian Cassel, Egidio Del Fabbro, Danielle Noreika, Tara Albrecht, Jessica Tsukanov · 2018

Palliative care specialists, who care for patients with serious, life-limiting illnesses such as cancer, are experts in evaluating and managing acute pain. Amid concerns of substance abuse and diversion in patients with cancer, including t…

Health Literacy Is an Independent Predictor of Cancer Patients' Hospitalizations Open

Laura Cartwright, Levent Dumenci, J. Brian Cassel, Maria D. Thomson, Robin K. Matsuyama · 2017

Background: Lower levels of health literacy predict higher hospitalization rates. Hospitalization is expensive and many admissions are potentially avoidable. Research examining the relationship between health literacy and health outcomes f…

Does Modality Matter? Palliative Care Unit Associated With More Cost-Avoidance Than Consultations Open

Peter May, Melissa M. Garrido, Egidio Del Fabbro, Danielle Noreika, Charles Normand , et al. · 2017

An economic view on the current state of the economics of palliative and end-of-life care Open

Nikki McCaffrey, J. Brian Cassel, Joanna Coast · 2017

Funding models in palliative care: Lessons from international experience Open

E. Iris Groeneveld, J. Brian Cassel, Claudia Bausewein, Ágnes Csikós, Małgorzata Krajnik , et al. · 2017

Background: Funding models influence provision and development of palliative care services. As palliative care integrates into mainstream health care provision, opportunities to develop funding mechanisms arise. However, little has been re…

Effect of a Home‐Based Palliative Care Program on Healthcare Use and Costs Open

J. Brian Cassel, Kathleen Kerr, Donna K. McClish, Nevena Skoro, Suzanne M. Johnson , et al. · 2016

Objectives To evaluate the nonclinical outcomes of a proactive palliative care program funded and operated by a health system for Medicare Advantage plan beneficiaries. Design Observational, retrospective study using propensity‐based match…

Rationale and Design of the Randomized Evaluation of Default Access to Palliative Services (REDAPS) Trial Open

Katherine R. Courtright, Vanessa Madden, Nicole B. Gabler, Elizabeth Cooney, Dylan S. Small , et al. · 2016

The substantial nationwide investment in inpatient palliative care services stems from their great promise to improve patient-centered outcomes and reduce costs. However, robust experimental evidence of these benefits is lacking. The Rando…

Phase I Cancer Trials and Palliative Care: Antagonism, Irrelevance, or Synergy? Open

J. Brian Cassel, Egidio Del Fabbro, Tobias Arkenau, Irene J Higginson, Samia Hurst , et al. · 2016

This article synthesizes the presentations and conclusions of an international symposium on Phase 1 oncology trials, palliative care, and ethics held in 2014. The purpose of the symposium was to discuss the intersection of three independen…

Using Length of Stay to Control for Unobserved Heterogeneity When Estimating Treatment Effect on Hospital Costs with Observational Data: Issues of Reliability, Robustness, and Usefulness Open

Peter May, Melissa M. Garrido, J. Brian Cassel, R. Sean Morrison, Charles Normand · 2016

Objective To evaluate the sensitivity of treatment effect estimates when length of stay ( LOS ) is used to control for unobserved heterogeneity when estimating treatment effect on cost of hospital admission with observational data. Data So…

Embedding Palliative Care into Bone Marrow Transplantation Clinic (S746) Open

Danielle Noreika, Egidio Del Fabbro, J. Brian Cassel · 2016

Proactive, Community-Based Palliative Care Reduces End-of-Life (EOL) Hospital Utilization and Costs (FR419C) Open

J. Brian Cassel, Daniel Hoefer, Suzanne Johnson, Kathleen Kerr, Donna K. McClish · 2016

Palliative Care Teams’ Cost-Saving Effect Is Larger For Cancer Patients With Higher Numbers Of Comorbidities Open

Peter May, Melissa M. Garrido, J. Brian Cassel, Amy S. Kelley, Diane E. Meier , et al. · 2016

Patients with multiple serious conditions account for a high proportion of health care spending. Such spending is projected to continue to grow substantially as a result of increased insurance eligibility, the ever-rising cost of care, the…

Data Challenges for Planning and Evaluating Palliative Care Programs Open

J. Brian Cassel, Kathleen Kerr, Lewis A. Broome · 2015

Bringing the economic cost of informal caregiving into focus Open

Nikki McCaffrey, J. Brian Cassel, Joanna Coast · 2015

The Business Case for Palliative Care: Translating Research Into Program Development in the U.S. Open

J. Brian Cassel, Kathleen Kerr, Noah S. Kalman, Thomas J. Smith · 2015

Prospective Cohort Study of Hospital Palliative Care Teams for Inpatients With Advanced Cancer: Earlier Consultation Is Associated With Larger Cost-Saving Effect Open

Peter May, Melissa M. Garrido, J. Brian Cassel, Amy S. Kelley, Diane E. Meier , et al. · 2015

Purpose Previous studies report that early palliative care is associated with clinical benefits, but there is limited evidence on economic impact. This article addresses the research question: Does timing of palliative care have an impact …

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