Non-beneficial treatments in hospital at the end of life: a systematic review on extent of the problem

M Cardona-Morrell, JCH Kim, RM Turner… - … Journal for Quality in …, 2016 - academic.oup.com
Purpose To investigate the extent of objective 'non-beneficial treatments (NBTs)'(too much)
anytime in the last 6 months of life in routine hospital care. Data sources English language …

Management of the critically ill geriatric patient

PE Marik - Surgical Intensive Care Medicine, 2016 - Springer
Population aging is accelerating rapidly worldwide with increasing numbers of elderly
patients being admitted to ICUs. In the USA elderly patients currently account for 42–52% of …

End-of-life discussions, goal attainment, and distress at the end of life: predictors and outcomes of receipt of care consistent with preferences

JW Mack, JC Weeks, AA Wright, SD Block… - Journal of Clinical …, 2010 - ascopubs.org
Purpose Physicians have an ethical obligation to honor patients' values for care, including at
the end of life (EOL). We sought to evaluate factors that help patients to receive care …

Health care costs in the last week of life: associations with end-of-life conversations

B Zhang, AA Wright, HA Huskamp… - Archives of internal …, 2009 - jamanetwork.com
Background Life-sustaining medical care of patients with advanced cancer at the end of life
(EOL) is costly. Patient-physician discussions about EOL wishes are associated with lower …

Association between the Medicare hospice benefit and health care utilization and costs for patients with poor-prognosis cancer

Z Obermeyer, M Makar, S Abujaber, F Dominici… - Jama, 2014 - jamanetwork.com
Importance More patients with cancer use hospice currently than ever before, but there are
indications that care intensity outside of hospice is increasing, and length of hospice stay …

Long‐term trends in Medicare payments in the last year of life

GF Riley, JD Lubitz - Health services research, 2010 - Wiley Online Library
Objective. To update research on Medicare payments in the last year of life. Data Sources.
Continuous Medicare History Sample, containing annual summaries of claims data on a 5 …

The intensity and variation of surgical care at the end of life: a retrospective cohort study

AC Kwok, ME Semel, SR Lipsitz, AM Bader… - The Lancet, 2011 - thelancet.com
Background Although the extent of hospital and intensive-care use at the end of life is well
known, patterns of surgical care during this period are poorly understood. We examined …

Three-year outcomes for Medicare beneficiaries who survive intensive care

H Wunsch, C Guerra, AE Barnato, DC Angus, G Li… - Jama, 2010 - jamanetwork.com
Context Although hospital mortality has decreased over time in the United States for patients
who receive intensive care, little is known about subsequent outcomes for those discharged …

Are regional variations in end-of-life care intensity explained by patient preferences?: A Study of the US Medicare Population

AE Barnato, MB Herndon, DL Anthony… - Medical care, 2007 - journals.lww.com
Objective: We sought to test whether variations across regions in end-of-life (EOL) treatment
intensity are associated with regional differences in patient preferences for EOL care …

Comparison of medical admissions to intensive care units in the United States and United Kingdom

H Wunsch, DC Angus, DA Harrison… - American journal of …, 2011 - atsjournals.org
Rationale: The United States has seven times as many intensive care unit (ICU) beds per
capita as the United Kingdom; the effect on care of critically ill patients is unknown …