The health care cost of palliative care for cancer patients: a systematic review

Sandhya Yadav¹, Isaac W Heller², Nancy Schaefer³, Ramzi G Salloum⁴, Sheri M Kittelson⁵, Diana J Wilkie⁶, Jinhai Huo²

Affiliations

¹ Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, 1225 Center Drive, HPNP 3111, PO Box 100195, Gainesville, FL, 32610, USA. sandhya.yadav@ufl.edu.
² Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, 1225 Center Drive, HPNP 3111, PO Box 100195, Gainesville, FL, 32610, USA.
³ Health Science Center Libraries, The George A. Smathers Libraries, University of Florida, Gainesville, FL, USA.
⁴ Department of Health Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USA.
⁵ Palliative Care Program, College of Medicine, University of Florida, Gainesville, FL, USA.
⁶ Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL, USA.

PMID: 32440909
DOI: 10.1007/s00520-020-05512-y

The health care cost of palliative care for cancer patients: a systematic review

Sandhya Yadav et al. Support Care Cancer. 2020 Oct.

. 2020 Oct;28(10):4561-4573.

doi: 10.1007/s00520-020-05512-y. Epub 2020 May 21.

Authors

Sandhya Yadav¹, Isaac W Heller², Nancy Schaefer³, Ramzi G Salloum⁴, Sheri M Kittelson⁵, Diana J Wilkie⁶, Jinhai Huo²

Affiliations

¹ Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, 1225 Center Drive, HPNP 3111, PO Box 100195, Gainesville, FL, 32610, USA. sandhya.yadav@ufl.edu.
² Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, 1225 Center Drive, HPNP 3111, PO Box 100195, Gainesville, FL, 32610, USA.
³ Health Science Center Libraries, The George A. Smathers Libraries, University of Florida, Gainesville, FL, USA.
⁴ Department of Health Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USA.
⁵ Palliative Care Program, College of Medicine, University of Florida, Gainesville, FL, USA.
⁶ Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL, USA.

PMID: 32440909
DOI: 10.1007/s00520-020-05512-y

Abstract

Objectives: Several delivery models of palliative care are currently available: hospital-based, outpatient-based, home-based, nursing home-based, and hospice-based. Weighing the differences in costs of these delivery models helps to advise on the future direction of expanding palliative care services. The objective of this review is to identify and summarize the best available evidence in the US on cost associated with palliative care for patients diagnosed with cancer.

Methods: The systematic review was carried out of studies conducted in the US between 2008 and 2018, searching PubMed, Medline, the Cochrane library, CINAHL, EconLit, the Social Science Citation Index, Embase, and Science Citation Index, using the following terms: palliative, cancer, carcinoma, cost, and reimbursement.

Results: The initial search identified 748 articles, of which 16 met the inclusion criteria. Eight studies (50%) were inpatient-based, four (25%) were combined outpatient/inpatient, two (12.5%) reported only on home-based palliative services, and two (12.5%) were in multiple settings. Most included studies showed that palliative care reduced the cost of health care by $1285-$20,719 for inpatient palliative care, $1000-$5198 for outpatient and inpatient combined, $4258 for home-based, and $117-$400 per day for home/hospice, combined outpatient/inpatient palliative care.

Conclusion: Receiving palliative care after a cancer diagnosis was associated with lower costs for cancer patients, and remarkable differences exist in cost saving across different palliative care models.

Keywords: Cancer; Cost; Palliative care; Systematic review.

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The health care cost of palliative care for cancer patients: a systematic review

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The health care cost of palliative care for cancer patients: a systematic review

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