Table 2.
Outcomes at 6 Months – Unestablished Cancer Patients
| Adjusted ± OR (95% CI) vs Home | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Home | Homecare | SNF | p-value | Homecare | Adjusted p-value | SNF | Adjusted p-value | |||
| N=41834 | N=23294 | N=9241 | N=9299 | |||||||
| Any Treatment | N=4116* | 13646 (59.5%) | 4530 (50.0%) | 2649 (28.8%) | <0.001 | 0.78 (0.73–0.82) | <0.001 | 0.40 (0.37–0.42) | <0.001 | |
| Any Chemotherapy Infusion | N=4121* | 11677 (50.9%) | 3592 (39.6%) | 1675 (18.2%) | <0.001 | 0.74 (0.70–0.79) | <0.001 | 0.32 (0.30–0.34) | <0.001 | |
| Radiation | N=4176* | 6279 (27%) | 2251 (24.4%) | 1490 (16%) | <0.001 | 0.94 (0.88–1.00) | 0.04 | 0.66 (0.62–0.71) | <0.001 | |
| Targeted Chemotherapy | N=4175* | 1265 (5.4%) | 448 (4.9%) | 194 (2.0%) | <0.001 | 0.89 (0.78–1.004) | 0.06 | 0.41 (0.34–0.48) | <0.001 | |
| Death 6 months following admission | 8178 (35.1%) | 3966 (42.9%) | 5141 (55.3%) | <0.001 | 1.36 (1.28–1.45) | <0.001 | 2.49 (2.31–2.67) | <0.001 | ||
| Hospice use 6 months following admission | N=1728** | 5159 (63.1%) | 2619 (66.0%) | 2706 (52.6%) | <0.001 | 1.14 (1.05–1.24) | 0.003 | 0.64 (0.59–0.70) | <0.001 | |
| Hospice LOS < 3 days | N=1048*** | 616 (11.9%) | 307 (11.7%) | 368 (13.6%) | 0.06 | 1.01 (0.86–1.17) | 0.95 | 1.22 (1.05–1.42) | 0.01 | |
| 30-day Readmission | 6693 (28.7%) | 2699 (29.2%) | 2688 (28.9%) | 0.69 | 1.00 (0.95–1.06) | 0.98 | 1.03 (0.97–1.09) | 0.37 | ||
Excludes few cases with data error where prior cancer treatment is indicated
Number of patients who died
Number of patients who received hospice before death
prior treatment (prior chemotherapy, prior radiation, and prior targeted chemotherapy; or prior any therapy for any treatment outcome), discharge year, cancer type and stage, grade, age at index admission, months between diagnosis and index admission, male, white NH, urban, index hospital region and characteristics, prior hypertension, prior diabetes, prior COPD, prior heart disease, prior stroke, prior cognitive disorder, index admission LOS, Charlson comorbidity index categories, per capita income, median income, percent of non-high school grads, percent of residents below poverty, married or partnered, prior depressive disorders, prior alcohol use disorder, prior drug use, prior tobacco use.