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Hospice Discharge and Inpatient Mortality in OVCA Patients

Gynecol Oncol; ePub 2016 Aug 16; Uppal, Rice, et al

Hospice discharge and subsequent palliative care services are relatively low but are increasing among metastatic ovarian cancer patients, a recent study found. Patients aged ≥18 years with metastatic ovarian cancer and a non-elective admission between January 1, 2006 and December 31, 2011 were identified from the National Inpatient Sample. Primary outcome was the temporal trend in the annual proportion of hospitalizations for metastatic ovarian cancer patients where discharge destination was hospice. Among the findings:

• 106,203 non-elective hospitalizations were identified.

• From 2004 to 2011, the rate of hospice discharge increase from 9.2% to 11.1%.

• Similarly, the rate of palliative care services increased from 2.7% in 2004 to 10.4% in 2011.

• Inpatient mortality decreased from 9.6% in 2004 to 7.4% in 2011.

• One-fifth of the patients who died in the hospital received palliative care services.

Citation: Uppal S, Rice LW, Beniwal A, Spencer RJ. Trends in hospice discharge, documented inpatient palliative care services and inpatient mortality in ovarian carcinoma. [Published online ahead of print August 16, 2016]. Gynecol Oncol. doi:10.1016/j.ygyno.2016.08.238.