Cited by 564Palliative Care and End-of-Life IssuesPalliative and Oncologic CarePain Management and Opioid Use

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Impact of an Inpatient Palliative Care Team: A Randomized Controlled Trial

Gade, Glenn, Venohr, Ingrid, Conner, Douglas, McGrady, Kathleen, Beane, Jeffrey, Richardson, Robert H., Williams, Marilyn P., Liberson, Marcia, Blum, Mark, Penna, Richard Della·2008·Journal of Palliative Medicine

DOI 10.1089/jpm.2007.0055

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Abstract

BACKGROUND: Palliative care improves care and reduces costs for hospitalized patients with life-limiting illnesses. There have been no multicenter randomized trials examining impact on patient satisfaction, clinical outcomes, and subsequent health care costs. OBJECTIVE: Measure the impact of an interdisciplinary palliative care service (IPCS) on patient satisfaction, clinical outcomes, and cost of care for 6 months posthospital discharge. METHODS: Multicenter, randomized, controlled trial. IPCS provided consultative, interdisciplinary, palliative care to intervention patients. Controls received usual hospital care (UC). SETTING AND SAMPLE: Five hundred seventeen patients with life-limiting illnesses from a hospital in Denver, Portland, and San Francisco enrolled June 2002 to December 2003. MEASURES: Modified City of Hope Patient Questionnaire, total health care costs, hospice utilization, and survival. RESULTS: IPCS reported higher scores for the Care Experience scale (IPCS: 6.9 versus UC: 6.6, p = 0.04) and for the Doctors, Nurses/Other Care Providers Communication scale (IPCS: 8.3 versus UC: 7.5, p = 0.0004). IPCS patients had fewer intensive care admissions (ICU) on hospital readmission (12 versus 21, p = 0.04), and lower 6-month net cost savings of $4,855 per patient (p = 0.001). IPCS had longer median hospice stays (24 days versus 12 days, p = 0.04). There were no differences in survival or symptom control. CONCLUSIONS: IPCS patients reported greater satisfaction with their care experience and providers' communication, had fewer ICU admissions on readmission, and lower total health care costs following hospital discharge.

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Authors: Gade, G., Venohr, I., Conner, D., McGrady, K., Beane, J., Richardson, R. H., Williams, M. P., Liberson, M., Blum, M., & Penna, R. D.
Affiliations: Department of Internal Medicine, Denver, Colorado.
Kaiser Permanente (US)
Colorado Permanente Medical Group (US)
Oregon Health & Science University (US)
Kaiser Foundation Hospital (US)
Palliative Care Service, Permanente Medical Group, Sacramento, California.
Care Management Institute, Kaiser Permanente, Oakland, California.
Venue: Journal of Palliative Medicine
Publisher: SAGE Publications
Published: 2008-03
Volume: 11
Issue: 2
Pages: 180-190
ISSN: 1096-6218 (ISSN-L)
1557-7740
DOI: 10.1089/jpm.2007.0055
OpenAlex: W1987578786
Cited by: 564
References: 53
Citations by year: 2026: 10 · 2025: 14 · 2024: 28 · 2023: 14 · 2022: 37 · 2021: 30 · 2020: 43 · 2019: 40 · 2018: 39 · 2017: 66 · 2016: 46 · 2015: 42 · 2014: 46 · 2013: 40 · 2012: 26
FWCI: 14.18
Type: journal article
Language: en
Open access: closed
Licence: www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/ (tdm)
Locations: Journal of Palliative Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Keywords: palliative care, inpatient palliative care, life-limiting illness, patient satisfaction, health care costs, hospital readmission, intensive care unit admission, hospice use, physician-patient communication, post-discharge outcomes
MeSH terms: Aged, Cooperative Behavior, Hospitalization, Humans, Palliative Care, Patient Care Team, Prospective Studies, Quality of Life, Survival Rate, Advance Directives, Critical Illness, Hospice Care, Patient Satisfaction

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Impact of an Inpatient Palliative Care Team: A Randomized Controlled Trial

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