Evidence on the cost and cost-effectiveness of palliative care: A literature review

Palliative Medicine

Volumn 28, Issue 2, 2014, Pages 130-150

  Smith, Samantha ^a   Brick, Aoife ^a   O'Hara, Sinéad ^a   Normand, Charles ^a  

^a TRINITY COLLEGE DUBLIN   (Ireland)

Author keywords

cost effectiveness; Costs; palliative care; review literature

Indexed keywords

ARTICLE; COST EFFECTIVENESS ANALYSIS; HEALTH CARE COST; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HOME CARE; HOSPICE CARE; HOSPITAL READMISSION; HUMAN; OUTPATIENT CARE; PALLIATIVE THERAPY; SYSTEMATIC REVIEW; COST; COST BENEFIT ANALYSIS; ECONOMICS; ORGANIZATION AND MANAGEMENT; STATISTICS AND NUMERICAL DATA;

COST-BENEFIT ANALYSIS; COSTS AND COST ANALYSIS; HEALTH CARE COSTS; HUMANS; PALLIATIVE CARE;

EID: 84892697581     PISSN: 02692163     EISSN: 1477030X     Source Type: Journal    
DOI: 10.1177/0269216313493466     Document Type: Article

References (59)

1. Riley GF, Lubitz JD. Long-term trends in Medicare payments in the last year of life. Health Serv Res. 2010 ; 45: 565-576
2. Hatziandreu E, Archontakis F, Daly A, et al The potential cost savings of greater use of home- and hospice-based end of life care in England. Cambridge: RAND Corporation ; 2008 :
3. Higginson IJ, Finlay IG, Goodwin DM, et al. Is there evidence that palliative care teams alter end-of-life experiences of patients and their caregivers?. J Pain Symptom Manage. 2003 ; 25: 150-168
4. Zimmermann C, Riechelmann R, Krzyzanowska M, et al. Effectiveness of specialized palliative care: a systematic review. JAMA. 2008 ; 299: 1698-1709
5. Gomes B, Harding R, Foley KM, et al. Optimal approaches to the health economics of palliative care: report of an international think tank. J Pain Symptom Manage. 2009 ; 38: 4-10
6. Normand C. Setting priorities in and for end-of-life care: challenges in the application of economic evaluation. Health Econ Policy Law. 2012 ; 7: 431-439
7. Simoens S, Kutten B, Keirse E, et al. The costs of treating terminal patients. J Pain Symptom Manage. 2010 ; 40: 436-448
8. Higgins JP, Green S Cochrane handbook for systematic reviews of interventions. Chichester: The Cochrane Collaboration and John Wiley & Sons Ltd ; 2008 :
9. Systematic reviews: CRD's guidance for undertaking reviews in health care. York: Centre for Reviews and Dissemination, University of York ; 2009 :
10. Drummond MF, Jefferson TO. Guidelines for authors and peer reviewers of economic submissions to the BMJ. The BMJ Economic Evaluation Working Party. BMJ. 1996 ; 313: 275-283
11. Moher D, Schulz KF, Altman D. The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials. JAMA. 2001 ; 285: 1987-1991
12. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary?. Control Clin Trials. 1996 ; 17: 1-12
13. Verhagen AP, De Vet HCW, De Bie RA, et al. The Delphi list: a criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus. J Clin Epidemiol. 1998 ; 51: 1235-1241
14. Higginson IJ, McCrone P, Hart SR, et al. Is short-term palliative care cost-effective in multiple sclerosis? A randomized phase II trial. J Pain Symptom Manage. 2009 ; 38: 816-826
15. Taylor DH. The effect of hospice on Medicare and informal care costs: the U.S. experience. J Pain Symptom Manage. 2009 ; 38: 110-114
16. Engelhardt JB, McClive-Reed KP, Toseland RW, et al. Effects of a program for coordinated care of advanced illness on patients, surrogates, and healthcare costs: a randomized trial. Am J Manag Care. 2006 ; 12: 93-100
17. Gade G, Venohr I, Conner D, et al. Impact of an inpatient palliative care team: a randomized control trial. J Palliat Med. 2008 ; 11: 180-190
18. Brumley R, Enguidanos S, Jamison P, et al. Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care. J Am Geriatr Soc. 2007 ; 55: 993-1000
19. Bakitas M, Lyons KD, Hegel MT, et al. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the project ENABLE II randomized controlled trial. JAMA. 2009 ; 302: 741-749
20. Brumley RD, Enguidanos S, Cherin DA. Effectiveness of a home-based palliative care program for end-of-life. J Palliat Med. 2003 ; 6: 715-724
21. Rabow MW, Dibble SL, Pantilat SZ, et al. The comprehensive care team: a controlled trial of outpatient palliative medicine consultation. Arch Intern Med. 2004 ; 164: 83-91
22. Lo JC. The impact of hospices on health care expenditures - the case of Taiwan. Soc Sci Med. 2002 ; 54: 981-991
23. Enguidanos SM, Cherin D, Brumley R. Home-based palliative care study: site of death, and costs of medical care for patients with congestive heart failure, chronic obstructive pulmonary disease, and cancer. J Soc Work End Life Palliat Care. 2005 ; 1: 37-56
24. Penrod JD, Deb P, Luhrs C, et al. Cost and utilization outcomes of patients receiving hospital-based palliative care consultation. J Palliat Med. 2006 ; 9: 855-860
25. Taylor DH, Ostermann J, Van Houtven CH, et al. What length of hospice use maximizes reduction in medical expenditures near death in the US Medicare program?. Soc Sci Med. 2007 ; 65: 1466-1478
26. Shnoor Y, Szlaifer M, Aoberman AS, et al. The cost of home hospice care for terminal patients in Israel. Am J Hosp Palliat Care. 2007 ; 24: 284-290
27. Morrison RS, Penrod JD, Cassel JB, et al. Cost savings associated with US hospital palliative care consultation programs. Arch Intern Med. 2008 ; 168: 1783-1790
28. Bendaly EA, Groves J, Juliar B, et al. Financial impact of palliative care consultation in a public hospital. J Palliat Med. 2008 ; 11: 1304-1308
29. Penrod JD, Deb P, Dellenbaugh C, et al. Hospital-based palliative care consultation: effects on hospital cost. J Palliat Med. 2010 ; 13: 973-979
30. Ciemins EL, Blum L, Nunley M, et al. The economic and clinical impact of an inpatient palliative care consultation service: a multifaceted approach. J Palliat Med. 2007 ; 10: 1347-1355
31. Campbell DE, Lynn J, Louis TA, et al. Medicare program expenditures associated with hospice use. Ann Intern Med. 2004 ; 140: 269-277
32. Gozalo PL, Miller SC, Intrator O, et al. Hospice effect on government expenditures among nursing home residents. Health Serv Res. 2008 ; 43: 134-153
33. Miccinesi G, Crocetti E, Morino P, et al. Palliative home care reduces time spent in hospital wards: a population-based study in the Tuscany region, Italy. Cancer Causes Control. 2003 ; 14: 971-977
34. Smith TJ, Coyne P, Cassel B, et al. A high-volume specialist palliative care unit and team may reduce in-hospital end-of-life care costs. J Palliat Med. 2003 ; 6: 699-705
35. Lewin SN, Buttin BM, Powell MA, et al. Resource utilization for ovarian cancer patients at the end of life: how much is too much?. Gynecol Oncol. 2005 ; 99: 261-266
36. Tamir O, Singer Y, Shvartzman P. Taking care of terminally-ill patients at home - the economic perspective revisited. Palliat Med. 2007 ; 21: 537-541
37. Morrison RS, Dietrich J, Ladwig S, et al. Palliative care consultation teams cut hospital costs for Medicaid beneficiaries. Health Aff. 2011 ; 30: 454-463
38. Gomez-Batiste X, Tuca A, Corrales E, et al. Resource consumption and costs of palliative care services in Spain: a multicenter prospective study. J Pain Symptom Manage. 2006 ; 31: 522-532
39. Cowan JD. Hospital charges for a community inpatient palliative care program. Am J Hosp Palliat Care. 2004 ; 21: 177-190
40. Miller SC, Intrator O, Gozalo P, et al. Government expenditures at the end of life for short- and long-stay nursing home residents: differences by hospice enrollment status. J Am Geriatr Soc. 2004 ; 52: 1284-1292
41. Pyenson B, Connor S, Fitch K, et al. Medicare cost in matched hospice and non-hospice cohorts. J Pain Symptom Manage. 2004 ; 28: 200-210
42. Hanson LC, Usher B, Spragens L, et al. Clinical and economic impact of palliative care consultation. J Pain Symptom Manage. 2008 ; 35: 340-346
43. Simoens S, Kutten B, Keirse E, et al. Costs of terminal patients who receive palliative care or usual care in different hospital wards. J Palliat Med. 2010 ; 13: 1365-1369
44. Tzala S, Lord J, Ziras N, et al. Cost of home palliative care compared with conventional hospital care for patients with haematological cancers in Greece. Eur J Health Econ. 2005 ; 6: 102-106
45. Emanuel EJ, Ash A, Yu W, et al. Managed care, hospice use, site of death, and medical expenditures in the last year of life. Arch Intern Med. 2002 ; 162: 1722-1728
46. Fassbender K, Fainsinger R, Brenneis C, et al. Utilization and costs of the introduction of system-wide palliative care in Alberta, 1993-2000. Palliat Med. 2005 ; 19: 513-520
47. White KR, Stover KG, Cassel JB, et al. Nonclinical outcomes of hospital-based palliative care. J Healthc Manag. 2006 ; 51: 260-273
48. Cassel JB, Webb-Wright J, Holmes J, et al. Clinical and financial impact of a palliative care program at a small rural hospital. J Palliat Med. 2010 ; 13: 1339-1343
49. Ward-Smith P, Korphage RM, Hutto CJ. Where health care dollars are spent when pediatric palliative care is provided. Nurs Econ. 2008 ; 26: 175-178
50. Stevenson DG, Huskamp HA, Grabowski DC, et al. Differences in hospice care between home and institutional settings. J Palliat Med. 2007 ; 10: 1040-1047
51. Tibi-Levy Y, Le VM, De PG. Determinants of resource utilization in four palliative care units. Palliat Med. 2006 ; 20: 95-106
52. O'Mahony S, Blank AE, Zallman L, et al. The benefits of a hospital-based inpatient palliative care consultation service: preliminary outcome data. J Palliat Med. 2005 ; 8: 1033-1039
53. Raphael R, Yves D, Giselle C, et al. Cancer treatment at home or in the hospital: what are the costs for French public health insurance? Findings of a comprehensive-cancer centre. Health Policy. 2005 ; 72: 141-148
54. Seow H, Barbera L, Howell D, et al. Using more end-of-life homecare services is associated with using fewer acute care services: a population-based cohort study. Med Care. 2010 ; 48: 118-124
55. Pascuet E, Cowin L, Vaillancourt R, et al. A comparative cost-minimization analysis of providing paediatric palliative respite care before and after the opening of services at a paediatric hospice. Healthc Manage Forum. 2010 ; 23: 63-66
56. Davis MP, Walsh D, LeGrand SB, et al. The financial benefits of acute inpatient palliative medicine: an inter-institutional comparative analysis by all patient refined-diagnosis related group and case mix index. J Support Oncol. 2005 ; 3: 313-316
57. Back AL, Li YF, Sales AE. Impact of palliative care case management on resource use by patients dying of cancer at a Veterans Affairs medical center. J Palliat Med. 2005 ; 8: 26-35
58. Costantini M, Higginson IJ, Boni L, et al. Effect of a palliative home care team on hospital admissions among patients with advanced cancer. Palliat Med. 2003 ; 17: 315-321
59. Douglas HR, Normand CE, Higginson IJ, et al. Palliative day care: what does it cost to run a centre and does attendance affect use of other services?. Palliat Med. 2003 ; 17: 628-637