دورية أكاديمية
أعرض في EDS

Discharge status and post-discharge healthcare costs after skeletal-related event hospitalizations among medicare patients with bone metastatic solid tumors or multiple myeloma

التفاصيل البيبلوغرافية
العنوان: Discharge status and post-discharge healthcare costs after skeletal-related event hospitalizations among medicare patients with bone metastatic solid tumors or multiple myeloma
المؤلفون: Suying Li, Haifeng Guo, Yi Peng, Tingting Gong, Alan Fu, Debajyoti Bhowmik, Rohini K. Hernandez, Katherine B. Carlson, Kimberly A. Lowe, Jitesh Rana, Shuling Li
المصدر: Journal of Bone Oncology, Vol 26, Iss , Pp 100328- (2021)
بيانات النشر: Elsevier, 2021.
سنة النشر: 2021
المجموعة: LCC:Diseases of the musculoskeletal system
LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
مصطلحات موضوعية: Bone metastasis, Costs, Discharge status, Medicare, Multiple myeloma, Skeletal-related event, Diseases of the musculoskeletal system, RC925-935, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
الوصف: Background: Previous studies have quantified direct inpatient costs of skeletal-related events (SREs); however, costs associated with subsequent post-SRE care have not been examined. Methods: We identified two study cohorts using 2011–2015 Medicare 20% sample data: patients diagnosed with 1) bone metastases from solid tumors or 2) multiple myeloma (MM), both with SRE-related hospitalization discharge dates January 1, 2011-September 30, 2015. We assessed discharge status and costs from discharge to the earliest of death, end of Medicare enrollment, or December 31, 2015. Discharge status was defined as: skilled nursing facility (SNF), rehabilitation facility, hospice, home health agency (HHA), long-term care (LTC) nursing home, LTC hospital, or rehospitalization within or after 30 days. Percentage, stay duration, and Medicare costs were calculated for each setting. All analyses were descriptive. Results: We identified 7988 bone metastases patients and 4277 MM patients discharged from index SRE-related hospitalizations; corresponding mean ages were 76.9 and 76.6 years. The largest proportion of bone metastases patients were discharged to SNF (32.9%), then HHA (13.7%), hospice (13.5%), and LTC (11.3%); the pattern was similar for MM patients (SNF, 35.9%; HHA, 18.2%; hospice, 7.2%; LTC, 1.5%). Almost 10% of patients in both cohorts were re-hospitalized within 30 days. Mean Medicare cost per patient per facility stay was < $10,000 for hospice, and from $15,517 for LTC nursing home to $49,729 for LTC hospital for MM patients. Conclusion: Most elderly cancer patients (>75%) require healthcare facility support after SRE-related hospitalization, with substantial associated costs. Post-discharge management is clinically and economically important.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2212-1374
Relation: http://www.sciencedirect.com/science/article/pii/S221213742030083X; https://doaj.org/toc/2212-1374
DOI: 10.1016/j.jbo.2020.100328
URL الوصول: https://doaj.org/article/2a2cc7621a0c45d4b85836b6d409742a
رقم الأكسشن: edsdoj.2a2cc7621a0c45d4b85836b6d409742a
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22121374
DOI:10.1016/j.jbo.2020.100328