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Palliative care inpatient service in a comprehensive cancer center: clinical and financial outcomes.
J Clin Oncol. 2004 May 15; 22(10):2008-14.JC

Abstract

PURPOSE

Inpatient palliative care units are unavailable in most cancer centers and tertiary hospitals. The purpose of this article is to review the outcomes of the first 344 admissions to the Palliative Care Inpatient Service (PCIS) at our comprehensive cancer center.

PATIENTS AND METHODS

We retrospectively reviewed our computerized database for clinical and demographic information, length of stay, and hospital billing during the first year of the service's operation.

RESULTS

Three hundred twenty patients were admitted during the study period. Their median age was 57 years. The main cancer diagnoses were thoracic or head and neck (44%), gastrointestinal (25%), and hematologic malignancy (8%). The main referral symptoms were pain (44%), nausea (41%), fatigue (39%), and dyspnea (38%). The median length of stay in the PCIS was 7 days (range, 1 to 58 days). Fifty-nine patients died while in the PCIS. However, the overall hospital mortality rate was not increased compared with that in the year before the establishment of the PCIS (3.58% v 3.59%). The mean reimbursement rate for all palliative care charges was approximately 57%, and the mean daily charges in the PCIS were 38% lower than the mean daily charges for the rest of the hospital. Symptom intensity data showed severe distress on admission and significant improvement in the main target symptoms. Most patients were discharged to a hospice.

CONCLUSION

The PCIS has been accepted in our tertiary cancer center on the basis of its clinical utility and financial viability.

Authors+Show Affiliations

Department of Palliative Care and Rehabilitation Medicine, University of Texas M.D. Anderson Cancer Center, Houston, 77030, USA. aelsayem@mdanderson.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15143094

Citation

Elsayem, Ahmed, et al. "Palliative Care Inpatient Service in a Comprehensive Cancer Center: Clinical and Financial Outcomes." Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, vol. 22, no. 10, 2004, pp. 2008-14.
Elsayem A, Swint K, Fisch MJ, et al. Palliative care inpatient service in a comprehensive cancer center: clinical and financial outcomes. J Clin Oncol. 2004;22(10):2008-14.
Elsayem, A., Swint, K., Fisch, M. J., Palmer, J. L., Reddy, S., Walker, P., Zhukovsky, D., Knight, P., & Bruera, E. (2004). Palliative care inpatient service in a comprehensive cancer center: clinical and financial outcomes. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 22(10), 2008-14.
Elsayem A, et al. Palliative Care Inpatient Service in a Comprehensive Cancer Center: Clinical and Financial Outcomes. J Clin Oncol. 2004 May 15;22(10):2008-14. PubMed PMID: 15143094.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Palliative care inpatient service in a comprehensive cancer center: clinical and financial outcomes. AU - Elsayem,Ahmed, AU - Swint,Kay, AU - Fisch,Michael J, AU - Palmer,J Lynn, AU - Reddy,Suresh, AU - Walker,Paul, AU - Zhukovsky,Donna, AU - Knight,Patti, AU - Bruera,Eduardo, PY - 2004/5/15/pubmed PY - 2004/6/4/medline PY - 2004/5/15/entrez SP - 2008 EP - 14 JF - Journal of clinical oncology : official journal of the American Society of Clinical Oncology JO - J Clin Oncol VL - 22 IS - 10 N2 - PURPOSE: Inpatient palliative care units are unavailable in most cancer centers and tertiary hospitals. The purpose of this article is to review the outcomes of the first 344 admissions to the Palliative Care Inpatient Service (PCIS) at our comprehensive cancer center. PATIENTS AND METHODS: We retrospectively reviewed our computerized database for clinical and demographic information, length of stay, and hospital billing during the first year of the service's operation. RESULTS: Three hundred twenty patients were admitted during the study period. Their median age was 57 years. The main cancer diagnoses were thoracic or head and neck (44%), gastrointestinal (25%), and hematologic malignancy (8%). The main referral symptoms were pain (44%), nausea (41%), fatigue (39%), and dyspnea (38%). The median length of stay in the PCIS was 7 days (range, 1 to 58 days). Fifty-nine patients died while in the PCIS. However, the overall hospital mortality rate was not increased compared with that in the year before the establishment of the PCIS (3.58% v 3.59%). The mean reimbursement rate for all palliative care charges was approximately 57%, and the mean daily charges in the PCIS were 38% lower than the mean daily charges for the rest of the hospital. Symptom intensity data showed severe distress on admission and significant improvement in the main target symptoms. Most patients were discharged to a hospice. CONCLUSION: The PCIS has been accepted in our tertiary cancer center on the basis of its clinical utility and financial viability. SN - 0732-183X UR - https://www.unboundmedicine.com/medline/citation/15143094/Palliative_care_inpatient_service_in_a_comprehensive_cancer_center:_clinical_and_financial_outcomes_ L2 - https://ascopubs.org/doi/10.1200/JCO.2004.11.003?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -