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Fewer Readmissions for Cancer Patients After Hospice

2017 ASCO Quality Care Symposium; Mayo Manzano, et al

Patients with cancer who are discharged to hospice care are less likely to be readmitted to the hospital; however, there remains a proportion of patients who rescind hospice care after enrolling, according to a recent study. In order to examine this subgroup of patients and determine their readmission rate, researchers conducted a retrospective cohort study using administrative data of adult patients discharged from a non-surgical solid tumor service at University of Texas-The MD Anderson Cancer Center in Houston who were discharged to hospice care. Readmission was defined as any re-hospitalization after discharge regardless of timing. They found:

  • There were 1,452 discharge encounters with a disposition of hospice in the cohort with 50 resulting in readmission (readmission rate=3.4%).
  • Majority of the readmitted patients were female (60%), had a religious affiliation (83%), and were English-speaking (85%); mean age was 59 years.
  • 75% of the patients had metastatic disease at time of first presentation at MD Anderson.

Citation:

Mayo Manzano J-G, Barbo AG, Lin HY, Zhao H, Halm J, Suarez-Almazor ME; The University of Texas MD Anderson Cancer Center, Houston, TX. Readmission among patients with cancer who were discharged with hospice care. Paper presented at: 2017 ASCO Quality Care Symposium; March 3-4, 2017; Orlando, FL. http://meetinglibrary.asco.org/content/180232-198. Accessed March 8, 2017.