Family Members Prefer Compassionate End-of-Life Care for Cancer Patients
The results of a new JAMA study underscore the importance of advance care planning in improving the quality of care that patients receive at the end of life.
A new claims-based retrospective study in a Medicare population, published in JAMA, has found that family members of patients who died of cancer were more likely to report the patient’s end-of-life (EOL) care as “excellent” if hospice care was longer than 3 days, if patients were not admitted to the intensive care unit (ICU) within the last 30 days of death, or if the patient died outside of a hospital setting.
The results of this study underscore the importance of advance care planning in improving the quality of care that patients receive at EOL, ensuring that the treatment or care the patient receives meets their goals of care.
The
Of the 1146 patients, 51.3% family members reported EOL care as excellent. Additionally, about 59% of family members were happy if hospice care extended beyond 3 days, but 45% were unhappy if the patients was in the ICU 30 days prior to death. More than 42% of family members of patients who died in the hospital setting reported being unhappy with EOL care.
The authors concluded that earlier hospice enrollment, avoidance of ICU admissions within 30 days of death, and death occurring outside the hospital were associated with perceptions of better EOL care, and that their findings are supportive of advance care planning consistent with the preferences of patients.
“Interventions should focus more on increasing early hospice enrollment and decreasing ICU admissions and hospital deaths,” lead study author Alexi A. Wright, MD, MPH, of Harvard Medical School and Dana-Farber Cancer Institute in Boston, told Reuters. “The best way to do this is to encourage patients, physicians and family members to talk about their end-of-life wishes.”
Read more about palliative care and its value proposition from palliative care specialists and healthcare policy researchers in a special issue of
Newsletter
Stay ahead of policy, cost, and value—subscribe to AJMC for expert insights at the intersection of clinical care and health economics.
Related Articles
- Rural-Urban Disparities in Colorectal Cancer Screening Persist
September 21st 2025
- Medicaid Work Rules Could Strain Hospitals: Laxmi Patel
September 21st 2025
- AML Survival After 3 Years in Remission Comparable With General Population
September 20th 2025
- AHA Launches New Initiative to Help Patients With Heart Failure
September 20th 2025