{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:23:44Z","timestamp":1777944224589,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Palliative care involvement in cancer care has demonstrated benefits in end-of-life outcomes, but its impact on upstream healthcare utilization in diverse populations remains understudied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate the effect of supportive oncology consultation on upstream acute care utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a retrospective cohort study. Healthcare utilization was measured as emergency department (ED) visits and hospitalizations within 90 days before and after the first appointment. Patients with high healthcare utilization (HHCU) were defined as patients in the top 10% of combined ED visits and hospitalizations pre-consultation. Paired t-tests compared utilization before and after supportive oncology initiation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Participants<\/jats:title>\n                    <jats:p>The study included 682 patients with metastatic solid tumors who attended their first supportive oncology appointment at Mount Sinai Health System between January 2021 and June 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The cohort was ethnically diverse. No significant demographic or clinical differences distinguished HHCU from other patients at baseline. Overall, ED visits decreased significantly after supportive oncology consultation (0.28 vs 0.19 visits per 90-day period,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), while hospitalizations showed no significant change. Among patients with HHCU (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 44), the apparent impact was more pronounced: ED visits decreased by 78% (1.75 vs 0.39 visits,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) and hospitalizations by 53% (1.59 vs 0.75 stays,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). However, these reductions were largely explained by regression to the mean.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Supportive oncology consultation was associated with reduced ED utilization in the overall cohort. Apparent dramatic reductions among patients with high utilization were largely explained by regression to the mean, highlighting the need for randomized controlled trials to definitively assess intervention effects in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091261446629","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:36:47Z","timestamp":1777387007000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Supportive Oncology Visits on Healthcare Utilization"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9101-3912","authenticated-orcid":false,"given":"Fionnuala","family":"Crowley","sequence":"first","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"},{"name":"Icahn School of Medicine at Mount Sinai"},{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tianxiang","family":"Sheng","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"},{"name":"Icahn School of Medicine at Mount Sinai"},{"name":"Mount Sinai Health System at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Zeng","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mollie","family":"Hobensack","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadeem","family":"Bilani","sequence":"additional","affiliation":[{"name":"Mount Sinai Morningside-West"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kari","family":"Brown","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"},{"name":"Icahn School of Medicine at Mount Sinai"},{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beth","family":"Popp","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debora","family":"Afezolli","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Kelly","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Winston","family":"Wey","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Chen","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Arnold","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Austin","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleena","family":"Bajwa","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eve","family":"Easton","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arlyn","family":"Pagala","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcio","family":"Diniz","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"},{"name":"Icahn School of Medicine at Mount Sinai"},{"name":"Mount Sinai Health System at Mount Sinai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Gelfman","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"},{"name":"James J Peters VA Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cardinale","family":"Smith","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"},{"name":"Icahn School of Medicine at Mount Sinai"},{"name":"Icahn School of Medicine at Mount Sinai"},{"name":"Memorial Sloan Kettering Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"Care CtAP. About palliative care. https:\/\/www.capc.org\/about\/palliative-care\/"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1000678"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62416-2"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2016.70.5046"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.26304"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28628"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11212907"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2016-0227"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1200\/jop.2016.017814"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-020-00547-8"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2016.0417"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-024-08814-7"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318815794"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2020.0006"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1200\/OP.24.00291"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4239-2"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2019.1004"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.835881"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-23928-w"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.50423"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.07.007"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.19352"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/mlr.0000000000000568"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2004.00505.x"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-119"}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091261446629","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10499091261446629","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091261446629","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:51:12Z","timestamp":1777708272000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10499091261446629"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,28]]},"references-count":25,"alternative-id":["10.1177\/10499091261446629"],"URL":"https:\/\/doi.org\/10.1177\/10499091261446629","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,28]]},"article-number":"10499091261446629"}}