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- W1998199327 abstract "One-quarter of nursing home residents in a hospice program for end-of-life care required hospitalization in the 30 days prior to death, compared with 43% of residents who did not enroll in a hospice program, a large study shows. The study's finding provides further evidence that offering hospice as an end-of-life option for nursing home residents is beneficial, lead study author Pedro L. Gozalo, Ph.D., said in an interview. The researcher said prognosis is the big problem. Dr. Gozalo, of the Center for Gerontology and Health Care Research at Brown University, Providence, R.I., said, “some medical directors feel more aggressive about trying to cure people at the end of life than others. “But once it's clear that the person is entering the last stages in life, hospice appears to be a valid alternative that can save unnecessary hospitalizations.” Dr. Gozalo and his associate, Susan C. Miller, Ph.D., used Minimum Data Set and Centers for Medicare and Medicaid Services files to review the records of a total of 183,742 nursing home residents in five states who died between 1995 and 1997. The states that were represented in the study are Kansas, Maine, New York, Ohio, and South Dakota (Health Services Research 2006;doi:10.1111/j.1475–6773.2006.00623.x). Of 183,742 nursing home residents, most (169,127) did not enroll into hospice in their last 30 days of life. As expected, the rates of hospice enrollment varied among the states: 12.5% in Ohio, 11.6% in Kansas, 6.6% in New York, 5.4% in South Dakota, and 2.4% in Maine. Almost twice as many hospice residents had do-not-hospitalize and do-not-resuscitate orders and had diagnoses of cancer, compared with nonhospice residents (47% vs. 22%). The researchers also found that in the patients' last 30 days of life, 26% of the hospice patients (3,730) and 43% of the nonhospice patients (73,410) were hospitalized. The researcher said the research project was funded by the Agency for Healthcare Research and Quality." @default.
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- W1998199327 date "2006-10-01" @default.
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- W1998199327 title "Hospice Enrollment Leads to Fewer Hospitalizations in EOL Care" @default.
- W1998199327 doi "https://doi.org/10.1016/s1526-4114(06)60263-1" @default.
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