Impact of Palliative Care Utilization among Kidney Cancer Patients in US Hospitals: A National-Scale Analysis
The objective of this study was to examine the characteristics and utilization patterns of palliative care among the kidney cancer patients using a large-scale representative population-based sample. We retrospectively analyzed National Inpatient Sample hospitalization data from January 2020 to Dec...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Codon Publications
2024-02-01
|
| Series: | Journal of Kidney Cancer and VHL |
| Subjects: | |
| Online Access: | https://jkcvhl.com/index.php/jkcvhl/article/view/314 |
| _version_ | 1797194963520323584 |
|---|---|
| author | Rushin Patel Mrunal Patel Darshil Patel Chieh Yang Afoma Onyechi Jessica Ohemeng-Dapaah Zalak Patel Safia Shaikh |
| author_facet | Rushin Patel Mrunal Patel Darshil Patel Chieh Yang Afoma Onyechi Jessica Ohemeng-Dapaah Zalak Patel Safia Shaikh |
| author_sort | Rushin Patel |
| collection | DOAJ |
| description |
The objective of this study was to examine the characteristics and utilization patterns of palliative care among the kidney cancer patients using a large-scale representative population-based sample. We retrospectively analyzed National Inpatient Sample hospitalization data from January 2020 to December 2020 to explore disparities in delivering palliative care to deceased kidney cancer patients and assess its impact on healthcare usage, focusing on hospital costs and length of stay (LoS). We used ICD-10 CM codes (International Classification of Diseases-classifying diagnoses and reasons for visits in all healthcare settings) to categorize the study population. We conducted univariable and multivariable linear and logistic regression analyses to calculate coefficients and odds ratios, considering relevant variables and addressing potential confounding factors. We studied 1437 deceased kidney cancer patients, with 53.9% receiving palliative care. Those receiving palliative care had lower total costs ($99,804 vs. $1,34,731) and a shorter LoS (7.19 days vs. 7.66 days), compared to those who didn’t. No significant difference was discovered in LoS. Private insurance, higher income, and female patients were more likely to receive palliative care. Race, hospital teaching status, and hospital size showed no significant differences. This study revealed insights into palliative care use among deceased kidney cancer patients, with cost-saving benefits evident. Disparities showed that individuals with private insurance and higher income more likely accessed palliative care, and females received it more often than males. Physicians and policymakers must consider these findings for equitable resource allocation and improved access.
|
| first_indexed | 2024-03-07T14:03:19Z |
| format | Article |
| id | doaj.art-b451e93527f94988b0aec9aaf739577b |
| institution | Directory Open Access Journal |
| issn | 2203-5826 |
| language | English |
| last_indexed | 2024-04-24T06:04:38Z |
| publishDate | 2024-02-01 |
| publisher | Codon Publications |
| record_format | Article |
| series | Journal of Kidney Cancer and VHL |
| spelling | doaj.art-b451e93527f94988b0aec9aaf739577b2024-04-23T05:30:07ZengCodon PublicationsJournal of Kidney Cancer and VHL2203-58262024-02-0111110.15586/jkcvhl.v11i1.314Impact of Palliative Care Utilization among Kidney Cancer Patients in US Hospitals: A National-Scale AnalysisRushin Patel0Mrunal Patel1Darshil Patel2Chieh Yang3Afoma Onyechi4Jessica Ohemeng-Dapaah5Zalak Patel6Safia Shaikh7Department of Internal Medicine, Community Hospital of San Bernardino, CA, USA.Department of Internal Medicine, Trumbull Regional Medical Center, OH, USA.Clinical Research Program, Graduate College, Rush University, IL, USA.Department of Internal Medicine, University of California Riverside, CA, USA.Department of Internal Medicine, SSM Health St. Mary’s Hospital, MO, USA.Department of Internal Medicine, SSM Health St. Mary’s Hospital, MO, USA.Department of Internal Medicine, University of California Riverside, CA, USA.Department of Internal Medicine, Washington University, MO, USA. The objective of this study was to examine the characteristics and utilization patterns of palliative care among the kidney cancer patients using a large-scale representative population-based sample. We retrospectively analyzed National Inpatient Sample hospitalization data from January 2020 to December 2020 to explore disparities in delivering palliative care to deceased kidney cancer patients and assess its impact on healthcare usage, focusing on hospital costs and length of stay (LoS). We used ICD-10 CM codes (International Classification of Diseases-classifying diagnoses and reasons for visits in all healthcare settings) to categorize the study population. We conducted univariable and multivariable linear and logistic regression analyses to calculate coefficients and odds ratios, considering relevant variables and addressing potential confounding factors. We studied 1437 deceased kidney cancer patients, with 53.9% receiving palliative care. Those receiving palliative care had lower total costs ($99,804 vs. $1,34,731) and a shorter LoS (7.19 days vs. 7.66 days), compared to those who didn’t. No significant difference was discovered in LoS. Private insurance, higher income, and female patients were more likely to receive palliative care. Race, hospital teaching status, and hospital size showed no significant differences. This study revealed insights into palliative care use among deceased kidney cancer patients, with cost-saving benefits evident. Disparities showed that individuals with private insurance and higher income more likely accessed palliative care, and females received it more often than males. Physicians and policymakers must consider these findings for equitable resource allocation and improved access. https://jkcvhl.com/index.php/jkcvhl/article/view/314disparitieskidney cancerlength of staypalliative caretotal costs |
| spellingShingle | Rushin Patel Mrunal Patel Darshil Patel Chieh Yang Afoma Onyechi Jessica Ohemeng-Dapaah Zalak Patel Safia Shaikh Impact of Palliative Care Utilization among Kidney Cancer Patients in US Hospitals: A National-Scale Analysis Journal of Kidney Cancer and VHL disparities kidney cancer length of stay palliative care total costs |
| title | Impact of Palliative Care Utilization among Kidney Cancer Patients in US Hospitals: A National-Scale Analysis |
| title_full | Impact of Palliative Care Utilization among Kidney Cancer Patients in US Hospitals: A National-Scale Analysis |
| title_fullStr | Impact of Palliative Care Utilization among Kidney Cancer Patients in US Hospitals: A National-Scale Analysis |
| title_full_unstemmed | Impact of Palliative Care Utilization among Kidney Cancer Patients in US Hospitals: A National-Scale Analysis |
| title_short | Impact of Palliative Care Utilization among Kidney Cancer Patients in US Hospitals: A National-Scale Analysis |
| title_sort | impact of palliative care utilization among kidney cancer patients in us hospitals a national scale analysis |
| topic | disparities kidney cancer length of stay palliative care total costs |
| url | https://jkcvhl.com/index.php/jkcvhl/article/view/314 |
| work_keys_str_mv | AT rushinpatel impactofpalliativecareutilizationamongkidneycancerpatientsinushospitalsanationalscaleanalysis AT mrunalpatel impactofpalliativecareutilizationamongkidneycancerpatientsinushospitalsanationalscaleanalysis AT darshilpatel impactofpalliativecareutilizationamongkidneycancerpatientsinushospitalsanationalscaleanalysis AT chiehyang impactofpalliativecareutilizationamongkidneycancerpatientsinushospitalsanationalscaleanalysis AT afomaonyechi impactofpalliativecareutilizationamongkidneycancerpatientsinushospitalsanationalscaleanalysis AT jessicaohemengdapaah impactofpalliativecareutilizationamongkidneycancerpatientsinushospitalsanationalscaleanalysis AT zalakpatel impactofpalliativecareutilizationamongkidneycancerpatientsinushospitalsanationalscaleanalysis AT safiashaikh impactofpalliativecareutilizationamongkidneycancerpatientsinushospitalsanationalscaleanalysis |