Outpatient Embedded Palliative Care for Patients With Advanced Thoracic Malignancy: A High-Value Practice

• DOI: 10.20944/preprints202312.0124.v1
• Publication Date: 2023-12-05T00:51:21Z
• Authors: Mary C. Boulanger; Margaret D. Krasne; Ethan K. Gough; Samantha Myers; Ilene S. Browner; Josephine L. Feli...
• Keywords: Inpatient care; End-of-Life Care

Although cancer care is often contextualized in terms of survival, there are other important outcomes, such as quality life and cost care. The ASCO Value Framework assesses the value therapies not only survival but with consideration financial cost. Early palliative for patients advanced associated improved life, mood, symptoms, overall savings. While has been shown to have numerous benefits, impact real-world implementation outpatient embedded on value-based metrics fully understood. We sought describe association a multidisciplinary thoracic oncology clinic inpatient metrics. performed retrospective cohort study 215 being treated malignancies non-curative intent. evaluated clinical outcomes including emergency room visits, hospitalizations, intensive unit admissions, hospital charges, well 30-day readmissions, admissions within 30 days death, mortality, charges. Outpatient was lower charges per day ($3,807 versus $4,695, p=0.024). Furthermore, who received had decreased death (O.R. 0.50; 95% CI 0.34, 0.74; P<0.001) mortality 0.46; 95%CI 0.23, 0.94; p=0.032). Our further supports that high-value intervention alternative models care, one into clinic,