The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Increased Satisfaction with Care and Lower Costs: Results of a Randomized Trial of In‐Home Palliative Care
Abstract
OBJECTIVES: To determine whether an in‐home palliative care intervention for terminally ill patients can improve patient satisfaction, reduce medical care costs, and increase the proportion of patients dying at home. DESIGN: A randomized, controlled trial. SETTING: Two health maintenance organizations in two states. PARTICIPANTS: Homebound, terminally ill patients (N=298) with a prognosis of approximately 1 year or less to live plus one or more hospital or emergency department visits in the previous 12 months. INTERVENTION: Usual versus in‐home palliative care plus usual care delivered by an interdisciplinary team providing pain and symptom relief, patient and family education and training, and an array of medical and social support services. MEASUREMENTS: Measured outcomes were satisfaction with care, use of medical services, site of death, and costs of care. RESULTS: Patients randomized to in‐home palliative care reported greater improvement in satisfaction with care at 30 and 90 days after enrollment ( P <.05) and were more likely to die at home than those receiving usual care ( P <.001). In addition, in‐home palliative care subjects were less likely to visit the emergency department ( P =.01) or be admitted to the hospital than those receiving usual care ( P <.001), resulting in significantly lower costs of care for intervention patients ( P =.03). CONCLUSION: In‐home palliative care significantly increased patient satisfaction while reducing use of medical services and costs of medical care at the end of life. This study, although modest in scope, presents strong evidence for reforming end‐of‐life care.
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“Outcomes were worse with first-line erlotinib, followed by an immediate switch to chemotherapy at progression.”
From Systemic Therapy for Stage IV Non–Small-Cell Lung Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update (2015) · cites this paper as [102]
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“There was crossover in this study, so the authors could not analyze the association of mutation status with OS.”
From Systemic Therapy for Stage IV Non–Small-Cell Lung Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update (2015) · cites this paper as [102]
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“In the trial by Gridelli et al,102 which was stopped early and is discussed under Recommendation B1, participants were unselected for EGFR mutation status; 13.8% of the participants in the intervention arm and 14.6% in the control arm had EGFR mutation–positive disease.”
From Systemic Therapy for Stage IV Non–Small-Cell Lung Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update (2015) · cites this paper as [102]
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Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,603
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,417
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,421
Unützer, J., Katon, W., Callahan, C. M., Williams, Jr., Hunkeler, E., Harpole, L., Hoffing, M., Della Penna, R. D., Noël, P. H., Lin, E. H. B., et al. (2002) · JAMA · doi:10.1001/jama.288.22.2836 · Cited by 2,405
Palliative Performance Scale (PPS): A New Tool
Anderson, F., Downing, G. M., Hill, J., Casorso, L., & Lerch, N. (1996) · Journal of Palliative Care · doi:10.1177/082585979601200102 · Cited by 1,059
Trends in Medicare Payments in the Last Year of Life
Lubitz, J. D., & Riley, G. F. (1993) · New England Journal of Medicine · doi:10.1056/nejm199304153281506 · Cited by 714
Heyland, D. K. (2006) · Canadian Medical Association Journal · doi:10.1503/cmaj.050626 · Cited by 686
Terminal cancer care and patients' preference for place of death: a prospective study.
Townsend, J. L., Frank, A. O., Fermont, D. A., Dyer, S., Karran, O., Walgrove, A., & Piper, M. (1990) · BMJ · doi:10.1136/bmj.301.6749.415 · Cited by 553
Effectiveness of a Home-Based Palliative Care Program for End-of-Life
Brumley, R. D., Enguidanos, S. M., & Cherin, D. A. (2003) · Journal of Palliative Medicine · doi:10.1089/109662103322515220 · Cited by 304
Self-citationFactors Associated With Site of Death
Weitzen, S. H., Teno, J. M., Fennell, M. L., & Mor, V. (2003) · Medical Care · doi:10.1097/01.mlr.0000044913.37084.27 · Cited by 195
Research works printed but not linked: 1
- NHPCO.What Is Hospice and Palliative Care? Vol. 2004. National Hospice and Palliative Care Organization 2004.
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Rehospitalizations among Patients in the Medicare Fee-for-Service Program
Jencks, S. F., Williams, M. V., & Coleman, E. A. (2009) · New England Journal of Medicine · doi:10.1056/nejmsa0803563 · Cited by 5,164
FERRELL, B. R., Temel, J. S., Temin, S., Alesi, E. R., Balboni, T. A., Basch, E., Firn, J. I., Paice, J. A., Peppercorn, J. M., Phillips, T., et al. (2017) · Journal of Clinical Oncology · doi:10.1200/jco.2016.70.1474 · Cited by 2,148
Smith, T. J., Temin, S., Alesi, E. R., Abernethy, A. P., Balboni, T. A., Basch, E., FERRELL, B. R., Loscalzo, M., Meier, D. E., Paice, J. A., et al. (2012) · Journal of Clinical Oncology · doi:10.1200/jco.2011.38.5161 · Cited by 1,313
Zwarenstein, M., Goldman, J., & Reeves, S. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000072.pub2 · Cited by 1,187
Association Between Palliative Care and Patient and Caregiver Outcomes
Kavalieratos, D., Corbelli, J. A., Zhang, D., Dionne-Odom, J. N., Ernecoff, N. C., Hanmer, J., Hoydich, Z., Ikejiani, D. Z., Klein‐Fedyshin, M., Zimmermann, C., et al. (2016) · JAMA · doi:10.1001/jama.2016.16840 · Cited by 1,183
Metadata
- Authors
- Brumley, R., Enguidanos, S., Jamison, P., Seitz, R., Morgenstern, N., Saito, S., McIlwane, J., Hillary, K., & Gonzalez, J.
- Affiliations
- Kaiser Permanente (US)
- Partners in Care Foundation (US)
- ORCID
- Enguidanos, Susan
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2007-06-18
- Volume
- 55
- Issue
- 7
- Pages
- 993-1000
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W2108517568
- Cited by
- 845
- References
- 28
- Citations by year
- 2026: 20 · 2025: 20 · 2024: 39 · 2023: 25 · 2022: 46 · 2021: 56 · 2020: 67 · 2019: 54 · 2018: 56 · 2017: 69 · 2016: 76 · 2015: 63 · 2014: 66 · 2013: 54 · 2012: 41
- FWCI
- 19.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Geriatrics Society (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
- end-of-life care, patient satisfaction, health care costs, home death, dying patients, homebound patients, emergency department visits, hospitalization, interdisciplinary care teams, symptom management, health maintenance organizations
- MeSH terms
- Aged, Female, Health Maintenance Organizations, Home Care Services, Humans, Male, Palliative Care, Patient Education as Topic, Prognosis, Retrospective Studies, Health Care Costs, Patient Satisfaction, Terminally Ill
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