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- W2891729269 abstract "6578 Background: The increasing proportion of geriatric cancer patients in the general population has contributed to rising health care costs. The disposition of hematopoietic stem cell transplant (HSCT) recipients in the geriatric population is an important factor determining the cost of their health care. A database with nationwide representation for outcomes of HSCT over a 12 year period was analyzed. Methods: Data regarding patients who underwent HSCT was extracted from the Nationwide Inpatient Sample (NIS) from 2000 to 2011 using ICD-9-CM codes. HSCT hospitalizations were classified into allogeneic transplantation, autologous transplantation, subsequent hospitalization (s/p transplant) with graft versus host disease (GVHD) and subsequent hospitalization (s/p transplant) with other complications. NIS variables were used to identify in-hospital complications and discharge disposition. Results: The proportion of elderly patients (≥ 65 years) who received any type of transplant or were admitted with GVHD or other related complications who were discharged with additional support and to specialized facilities has increased over the past decade. The exception to this trend has been noted for allogeneic transplants and may be due to a more conservative approach towards their disposition (ie, higher level of care and longer length of stay). The trends from 2000 to 2011 are summarized in the table below. Conclusions: A higher percentage of geriatric cancer patients who receive HSCT are being discharged to nursing homes. These rates have significantly changed over the past decade (p > 0.05) and represents an additional contribution to the rising health care costs. This proportion of patients are expected to rise as increasingly older patients are being allowed to receive HSCT and represents a higher future demand for health care services. [Table: see text]" @default.
- W2891729269 created "2018-09-27" @default.
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- W2891729269 date "2017-05-20" @default.
- W2891729269 modified "2023-09-26" @default.
- W2891729269 title "Correlation of changes in disposition of geriatric (≥ 65 years) cancer patients receiving hematopoietic stem cell transplantation with an increase in healthcare costs." @default.
- W2891729269 doi "https://doi.org/10.1200/jco.2017.35.15_suppl.6578" @default.
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