Palliative care and healthcare utilization among metastatic breast cancer patients in U.S. Hospitals
Abstract There is a lack of research focused on understanding the different characteristics and healthcare utilization of metastatic breast cancer patients by palliative care use. This study aims to investigate trend of in-patient palliative care and its association with healthcare utilization among...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-03-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-31404-2 |
| _version_ | 1797864670615306240 |
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| author | Sun Jung Kim Isha Patel Chanhyun Park Dong Yeong Shin Jongwha Chang |
| author_facet | Sun Jung Kim Isha Patel Chanhyun Park Dong Yeong Shin Jongwha Chang |
| author_sort | Sun Jung Kim |
| collection | DOAJ |
| description | Abstract There is a lack of research focused on understanding the different characteristics and healthcare utilization of metastatic breast cancer patients by palliative care use. This study aims to investigate trend of in-patient palliative care and its association with healthcare utilization among hospitalized metastatic breast cancer patients in the US. National Inpatient Sample (NIS) was used to identify nationwide metastatic breast cancer patients (n = 5209, weighted n = 25,961) from 2010 to 2014. We examined the characteristics of the study sample by palliative care and its association with healthcare utilization, measured by discounted hospital charges and length of stay. Multivariable survey regression models were used to identify predictors. Among 26,961 breast cancer patients, 19.0% had palliative care. Percentage of receiving palliative care during the period were gradually increased. Social factors including race, insurance types were also associated with a receipt of palliative care. Survey linear regression results showed that patients with palliative care were associated with 31% lower hospital charges, however, length of stays were not significantly associated. This study found evidence of who was associated with the receipt of palliative care and its relationship with healthcare utilization. This study also emphasizes the importance of receiving palliative care in patients with breast cancer, paving the way for future research into ways to improve palliative care in cancer patients. This study also found social differences and gave evidence of programs that could be used to help vulnerable groups in future health policy decisions. |
| first_indexed | 2024-04-09T22:55:39Z |
| format | Article |
| id | doaj.art-0739e46142024236a5781f3d02659312 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-09T22:55:39Z |
| publishDate | 2023-03-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-0739e46142024236a5781f3d026593122023-03-22T11:13:55ZengNature PortfolioScientific Reports2045-23222023-03-0113111010.1038/s41598-023-31404-2Palliative care and healthcare utilization among metastatic breast cancer patients in U.S. HospitalsSun Jung Kim0Isha Patel1Chanhyun Park2Dong Yeong Shin3Jongwha Chang4Department of Health Administration and Management, College of Medical Science, Soonchunhyang UniversityDepartment of Health Care Management, Brad D. Smith School of Business, Marshall UniversityHealth Outcomes and Pharmacy Practice, College of Pharmacy, University of TexasDepartment of Public Health Sciences, College of Health, Education and Social Transformation, New Mexico State UniversityDepartment of Pharmaceutical Sciences, Irma Lerma Rangel School of Pharmacy, Texas A&M UniversityAbstract There is a lack of research focused on understanding the different characteristics and healthcare utilization of metastatic breast cancer patients by palliative care use. This study aims to investigate trend of in-patient palliative care and its association with healthcare utilization among hospitalized metastatic breast cancer patients in the US. National Inpatient Sample (NIS) was used to identify nationwide metastatic breast cancer patients (n = 5209, weighted n = 25,961) from 2010 to 2014. We examined the characteristics of the study sample by palliative care and its association with healthcare utilization, measured by discounted hospital charges and length of stay. Multivariable survey regression models were used to identify predictors. Among 26,961 breast cancer patients, 19.0% had palliative care. Percentage of receiving palliative care during the period were gradually increased. Social factors including race, insurance types were also associated with a receipt of palliative care. Survey linear regression results showed that patients with palliative care were associated with 31% lower hospital charges, however, length of stays were not significantly associated. This study found evidence of who was associated with the receipt of palliative care and its relationship with healthcare utilization. This study also emphasizes the importance of receiving palliative care in patients with breast cancer, paving the way for future research into ways to improve palliative care in cancer patients. This study also found social differences and gave evidence of programs that could be used to help vulnerable groups in future health policy decisions.https://doi.org/10.1038/s41598-023-31404-2 |
| spellingShingle | Sun Jung Kim Isha Patel Chanhyun Park Dong Yeong Shin Jongwha Chang Palliative care and healthcare utilization among metastatic breast cancer patients in U.S. Hospitals Scientific Reports |
| title | Palliative care and healthcare utilization among metastatic breast cancer patients in U.S. Hospitals |
| title_full | Palliative care and healthcare utilization among metastatic breast cancer patients in U.S. Hospitals |
| title_fullStr | Palliative care and healthcare utilization among metastatic breast cancer patients in U.S. Hospitals |
| title_full_unstemmed | Palliative care and healthcare utilization among metastatic breast cancer patients in U.S. Hospitals |
| title_short | Palliative care and healthcare utilization among metastatic breast cancer patients in U.S. Hospitals |
| title_sort | palliative care and healthcare utilization among metastatic breast cancer patients in u s hospitals |
| url | https://doi.org/10.1038/s41598-023-31404-2 |
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