Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

CLD Patients Don’t Reach Hospice Soon Enough

Am J Gastroenterol; 2017 Nov; Fukui, et al

Patients with chronic liver disease (CLD) are discharged to a hospice relatively late in the course of their disease, suggesting that they lose many of the benefits of hospice care they would have gained had they been sent to hospice earlier.

  • Researchers looked at Medicare patients discharged to hospice from 2010 to 2014, comparing those with and without CLD, which included non-alcoholic fatty liver disease, alcoholic liver disease, and hepatitis C virus.
  • More than 2,000 CLD patients were compared to nearly 35,000 patients with other conditions.
  • CLD patients experienced longer and more costly hospital stays before being admitted to a hospice, when compared to patients without CLD.

Citation:

Fukui N, Golabi P, Otgonsuren M, et al. Demographics, resource utilization, and outcomes of elderly patients with chronic liver disease receiving hospice care in the United States. Am J Gastroenterol. 2017;112:1700-1708. doi:10.1038/ajg.2017.290.