Table 1.
Definition of used healthcare indicators in end-of-life care.
| Healthcare indicator | In claims data identified by | Subpopulation |
|---|---|---|
| Place of death: hospital | Discharge type “death” in hospital case data 1 | All patients with palliative care |
| Hospital care | Begin or end of a hospital case without palliative care service (OPS 2 : 8-98e or 8-982) during the observation period | All patients with palliative care |
| Intensive care treatment | A corresponding hospital procedure code (OPS: 8-980 or 8-98f) during the observation period | All patients with palliative care |
| Chemotherapy | A chemotherapeutic treatment code (ATC 3 : L01 without L01CH or L01CP, PZN 4 : 09999092, GOP 5 : 86510, 86512, 86514, 86516, OPS: 8-54) during the observation period | Patients with palliative care and a diagnosis of cancer (ICD: C00 to C97) |
| Parenteral nutrition | A parenteral treatment code (ATC: B05BA, OPS: 8-016, OPS 8-018) during the observation period | Patients with palliative care and without gastrointestinal cancer or gastrointestinal metastases (ICD: C15 to C26, C78.4 to C78.8) |
| Insertion or change of a PEG 6 | An insertion or change of a PEG (GOP: 13412, OPS: 431.2, 5-431.2, 8-123.0, 5-431.2, 8-123.0) during the observation period | Patients with palliative care and without gastrointestinal cancer or gastrointestinal metastases (ICD: C15 to C26, C78.4 to C78.8) |
1
Other places of death were considered as “not in a hospital” and include all deaths in a domestic environment: at home, in a nursing home, hospice, or other “domestic” places.
2
OPS German version of the international classification of procedures in medicine.
3
ATC Anatomical Therapeutic Chemical Code.
4
PZN Central Pharmaceutical Number.
5
GOP fee schedule item.
6
PEG percutaneous endoscopic gastrostomy.