Hospice visit number affects ability to die at home

June 27, 2012
Hospice visit number affects ability to die at home
Hospice patients with cancer are more likely to be able to die in the setting of their choice if they receive at least one hospice visit per day during the first four days of hospice care, according to research published online June 25 in the Journal of Clinical Oncology.

(HealthDay) -- Hospice patients with cancer are more likely to be able to die in the setting of their choice if they receive at least one hospice visit per day during the first four days of hospice care, according to research published online June 25 in the Journal of Clinical Oncology.

Neha Jeurkar, M.D., of the University of Pennsylvania Perelman School of Medicine in Lancaster, and colleagues conducted a retrospective, electronic health record-based cohort study involving 7,391 patients in three hospice programs in Pennsylvania, Florida, and Wisconsin. The authors sought to determine preferences and factors associated with an increased likelihood for to die at home.

The researchers found that patients who preferred to die at home were more than twice as likely to die at home. Factors associated with an increased likelihood of patients who preferred to die at home actually dying at home included having at least one visit per day in the first four days of , being married, and having an advance directive. Cancer patients with a higher functional status or who were experiencing moderate or severe pain were significantly less likely to die at home.

"The results of this study add to our understanding of the factors that facilitate death at home and highlight the importance of early visits by hospice team members," the authors write.

Two study authors are employed by Suncoast Solutions, which developed the electronic health record used by the hospices in the study.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Recommended for you

Study reveals new insight into DNA repair

August 3, 2015

DNA double-strand breaks (DSBs) are the worst possible form of genetic malfunction that can cause cancer and resistance to therapy. New information published this week reveals more about why this occurs and how these breaks ...

Strange circular DNA may offer new way to detect cancers

July 30, 2015

Strange rings of DNA that exist outside chromosomes are distinct to the cell types that mistakenly produced them, researchers have discovered. The finding raises the tantalizing possibility that the rings could be used as ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.