Resource use, costs and quality of end-of-life care: Observations in a cohort of elderly Australian cancer decedents

Julia M. Langton, Preeyaporn Srasuebkul, Rebecca Reeve, Bonny Parkinson, Yuanyuan Gu, Nicholas A. Buckley, Marion Haas, Rosalie Viney, Sallie Anne Pearson, The End-of-Life in Cancer Care (EoL-CC) Investigators

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: The last year of life is one of the most resource-intensive periods for people with cancer. Very little population-based research has been conducted on end-of-life cancer care in the Australian health care setting. The objective of this program is to undertake a series of observational studies examining resource use, costs and quality of end-of-life care in a cohort of elderly cancer decedents using linked, routinely collected data. Methods/Design: This study forms part of an ongoing cancer health services research program. The cohorts for the end-of-life research program comprise Australian Government Department of Veterans' Affairs decedents with full health care entitlements, residing in NSW for the last 18 months of life and dying between 2005 and 2009. We used cancer and death registry data to identify our decedent cohorts and their causes of death. The study population includes 9,862 decedents with a cancer history and 15,483 decedents without a cancer history. The median age at death is 86 and 87 years in the cancer and non-cancer cohorts, respectively. We will examine resource use and associated costs in the last 6 months of life using linked claims data to report on health service use, hospitalizations, emergency department visits and medicines use. We will use best practice methods to examine the nature and extent of resource use, costs and quality of care based on previously published indicators. We will also examine factors associated with these outcomes. Discussion: This will be the first Australian research program and among the first internationally to combine routinely collected data from primary care and hospital-based care to examine comprehensively end-of-life care in the elderly. The research program has high translational value, as there is limited evidence about the nature and quality of care in the Australian end-of-life setting.

LanguageEnglish
Article number25
Pages1-14
Number of pages14
JournalImplementation Science
Volume10
DOIs
Publication statusPublished - 26 Feb 2015

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Terminal Care
Quality of Life
Costs and Cost Analysis
Neoplasms
Quality of Health Care
Research
Delivery of Health Care
Emergency Medicine
Health Services Research
Veterans
Practice Guidelines
Population
Health Services
Observational Studies
Registries
Hospital Emergency Service
Cause of Death
Primary Health Care
Hospitalization

Bibliographical note

Copyright 2015 Commonwealth of Australia; licensee BioMed Central Ltd. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Cite this

Langton, J. M., Srasuebkul, P., Reeve, R., Parkinson, B., Gu, Y., Buckley, N. A., ... The End-of-Life in Cancer Care (EoL-CC) Investigators (2015). Resource use, costs and quality of end-of-life care: Observations in a cohort of elderly Australian cancer decedents. Implementation Science, 10, 1-14. [25]. https://doi.org/10.1186/s13012-014-0148-2
Langton, Julia M. ; Srasuebkul, Preeyaporn ; Reeve, Rebecca ; Parkinson, Bonny ; Gu, Yuanyuan ; Buckley, Nicholas A. ; Haas, Marion ; Viney, Rosalie ; Pearson, Sallie Anne ; The End-of-Life in Cancer Care (EoL-CC) Investigators. / Resource use, costs and quality of end-of-life care : Observations in a cohort of elderly Australian cancer decedents. In: Implementation Science. 2015 ; Vol. 10. pp. 1-14.
@article{35482e4e424a449c9624e689c61b901b,
title = "Resource use, costs and quality of end-of-life care: Observations in a cohort of elderly Australian cancer decedents",
abstract = "Background: The last year of life is one of the most resource-intensive periods for people with cancer. Very little population-based research has been conducted on end-of-life cancer care in the Australian health care setting. The objective of this program is to undertake a series of observational studies examining resource use, costs and quality of end-of-life care in a cohort of elderly cancer decedents using linked, routinely collected data. Methods/Design: This study forms part of an ongoing cancer health services research program. The cohorts for the end-of-life research program comprise Australian Government Department of Veterans' Affairs decedents with full health care entitlements, residing in NSW for the last 18 months of life and dying between 2005 and 2009. We used cancer and death registry data to identify our decedent cohorts and their causes of death. The study population includes 9,862 decedents with a cancer history and 15,483 decedents without a cancer history. The median age at death is 86 and 87 years in the cancer and non-cancer cohorts, respectively. We will examine resource use and associated costs in the last 6 months of life using linked claims data to report on health service use, hospitalizations, emergency department visits and medicines use. We will use best practice methods to examine the nature and extent of resource use, costs and quality of care based on previously published indicators. We will also examine factors associated with these outcomes. Discussion: This will be the first Australian research program and among the first internationally to combine routinely collected data from primary care and hospital-based care to examine comprehensively end-of-life care in the elderly. The research program has high translational value, as there is limited evidence about the nature and quality of care in the Australian end-of-life setting.",
author = "Langton, {Julia M.} and Preeyaporn Srasuebkul and Rebecca Reeve and Bonny Parkinson and Yuanyuan Gu and Buckley, {Nicholas A.} and Marion Haas and Rosalie Viney and Pearson, {Sallie Anne} and {The End-of-Life in Cancer Care (EoL-CC) Investigators}",
note = "Copyright 2015 Commonwealth of Australia; licensee BioMed Central Ltd. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",
year = "2015",
month = "2",
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Langton, JM, Srasuebkul, P, Reeve, R, Parkinson, B, Gu, Y, Buckley, NA, Haas, M, Viney, R, Pearson, SA & The End-of-Life in Cancer Care (EoL-CC) Investigators 2015, 'Resource use, costs and quality of end-of-life care: Observations in a cohort of elderly Australian cancer decedents', Implementation Science, vol. 10, 25, pp. 1-14. https://doi.org/10.1186/s13012-014-0148-2

Resource use, costs and quality of end-of-life care : Observations in a cohort of elderly Australian cancer decedents. / Langton, Julia M.; Srasuebkul, Preeyaporn; Reeve, Rebecca; Parkinson, Bonny; Gu, Yuanyuan; Buckley, Nicholas A.; Haas, Marion; Viney, Rosalie; Pearson, Sallie Anne; The End-of-Life in Cancer Care (EoL-CC) Investigators.

In: Implementation Science, Vol. 10, 25, 26.02.2015, p. 1-14.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Resource use, costs and quality of end-of-life care

T2 - Implementation Science

AU - Langton, Julia M.

AU - Srasuebkul, Preeyaporn

AU - Reeve, Rebecca

AU - Parkinson, Bonny

AU - Gu, Yuanyuan

AU - Buckley, Nicholas A.

AU - Haas, Marion

AU - Viney, Rosalie

AU - Pearson, Sallie Anne

AU - The End-of-Life in Cancer Care (EoL-CC) Investigators

N1 - Copyright 2015 Commonwealth of Australia; licensee BioMed Central Ltd. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2015/2/26

Y1 - 2015/2/26

N2 - Background: The last year of life is one of the most resource-intensive periods for people with cancer. Very little population-based research has been conducted on end-of-life cancer care in the Australian health care setting. The objective of this program is to undertake a series of observational studies examining resource use, costs and quality of end-of-life care in a cohort of elderly cancer decedents using linked, routinely collected data. Methods/Design: This study forms part of an ongoing cancer health services research program. The cohorts for the end-of-life research program comprise Australian Government Department of Veterans' Affairs decedents with full health care entitlements, residing in NSW for the last 18 months of life and dying between 2005 and 2009. We used cancer and death registry data to identify our decedent cohorts and their causes of death. The study population includes 9,862 decedents with a cancer history and 15,483 decedents without a cancer history. The median age at death is 86 and 87 years in the cancer and non-cancer cohorts, respectively. We will examine resource use and associated costs in the last 6 months of life using linked claims data to report on health service use, hospitalizations, emergency department visits and medicines use. We will use best practice methods to examine the nature and extent of resource use, costs and quality of care based on previously published indicators. We will also examine factors associated with these outcomes. Discussion: This will be the first Australian research program and among the first internationally to combine routinely collected data from primary care and hospital-based care to examine comprehensively end-of-life care in the elderly. The research program has high translational value, as there is limited evidence about the nature and quality of care in the Australian end-of-life setting.

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DO - 10.1186/s13012-014-0148-2

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