{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:49:41Z","timestamp":1777384181526,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,9,29]],"date-time":"2019-09-29T00:00:00Z","timestamp":1569715200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R24 HD041025"],"award-info":[{"award-number":["R24 HD041025"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To compare patterns and understand drivers of spending and utilization by month in the last 6 months of life between patients with lung cancer who used hospice versus those who did not.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Retrospective cohort analysis using 2009 to 2013 Medicare claims.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We used a 10% random sample of Medicare fee-for-service beneficiaries with lung cancer who died between 2010 and 2013 (43 789 beneficiaries). Patients were assigned to 2 groups depending on whether they used hospice care in the last 6 months of life. The following outcomes were constructed by month: (1) all-cause Medicare spending, (2) indicator of hospitalization, (3) indicator of emergency department (ED) visit, (4) number of part B chemotherapy claims, and (5) number of radiation therapy sessions. We used a combination of propensity score matching and regression analysis to compare outcomes between the 2 groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Patients who used hospice had significantly lower spending in the last month of life compared to nonusers (US$16 907 vs US$26 906, P &lt; .00). The spending differences in the last month of life between the 2 groups were largely driven by lower likelihood of hospitalization (54% vs 80%, P &lt; .01) and ED visits (15% vs 22%, P &lt; .01) and fewer chemotherapy (0.12 vs 0.32, P &lt; .01) and radiation therapy sessions (0.80 vs 1.26, P &lt; .01). During the other months in the 6-month period, spending was similar between the 2 groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Timely hospice enrollment of patients with lung cancer\u2014the group suffering from high morbidity and mortality among patients with cancer\u2014may lead to significant cost savings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1049909119878446","type":"journal-article","created":{"date-parts":[[2019,9,30]],"date-time":"2019-09-30T01:09:10Z","timestamp":1569805750000},"page":"286-293","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Impact of Hospice on Spending and Utilization Among Patients With Lung Cancer in Medicare"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2972-4569","authenticated-orcid":false,"given":"Yamini","family":"Kalidindi","sequence":"first","affiliation":[{"name":"Pennsylvania State University, University Park, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8937-0531","authenticated-orcid":false,"given":"Joel","family":"Segel","sequence":"additional","affiliation":[{"name":"Pennsylvania State University, University Park, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7574-0677","authenticated-orcid":false,"given":"Jeah","family":"Jung","sequence":"additional","affiliation":[{"name":"Pennsylvania State University, University Park, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,9,29]]},"reference":[{"key":"bibr2-1049909119878446","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.7313.1"},{"issue":"9","key":"bibr3-1049909119878446","doi-asserted-by":"crossref","DOI":"10.1093\/jnci\/djx030","volume":"109","author":"Jemal A","year":"2017","journal-title":"J Natl Cancer Inst"},{"key":"bibr4-1049909119878446","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1000678"},{"key":"bibr5-1049909119878446","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0690(18)30237-4"},{"key":"bibr6-1049909119878446","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03505.x"},{"issue":"4","key":"bibr7-1049909119878446","first-page":"407","volume":"20","author":"Mor V","year":"1985","journal-title":"Health Serv 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