Figure 1. Trends in Hospice Use and Timing of Enrollment.
Panel A. Percentage of patients enrolled in hospice before death increased from 64.9% in 2007 to 70.6% in 2013, a 8% relative decrease (p<0.001 for trend). Panel B. Mean days from lung cancer diagnosis to hospice enrollment decreased from 206 days in 2007 to 141 days in 2013, a 32% relative decrease (p<0.001 for trend). Panel C. Percentage of patients enrolled in hospice in the last month of life decreased from 54.7% in 2007 to 51.1% in 2013, a 7% relative decrease (p=0.04 for trend). Panel D. Percentage of patients enrolled in hospice in the last three days of life decreased from 17.2% in 2007 to 12.8% in 2013, a 26% relative decrease (p<0.001 for trend). Trend analyses were adjusted for age, sex, race, marital status, income, FCI, CCI, cancer stage and histology.