Impact of a Palliative Care Consult Service

Kevin Whitford, Nilay D. Shah, James Moriarty, Megan Branda, Bjoerg Thorsteinsdottir

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Established hospital palliative care consult services (PCCS) have been associated with reduced costs and length of stay, decreased symptom burden, and increased satisfaction with care. Using a retrospective case-control design, we analyzed administrative data of patients seen by PCCS while hospitalized at the Rochester, Minnesota Mayo Clinic hospitals from 2003 to 2008. The PCCS patients were matched to 3:1. A total of 1477 patients seen by the PCCS were matched with 4431 patients not seen. Costs for patients seen and discharged alive were US$35 449 (95% confidence interval [CI] US$34 157-US$36 686) compared to US$37 447 (95% CI US$36 734-US$38 126), without PCCS consultation. Costs for PCCS patients that died during hospitalization were US$54 940 (95% CI US$51 483-US$58 576) and non-PCCS patients were US$79 660 (95% CI US$76 614-US$83 398).

Original languageEnglish (US)
Pages (from-to)175-182
Number of pages8
JournalAmerican Journal of Hospice and Palliative Medicine
Volume31
Issue number2
DOIs
StatePublished - Mar 2014

Keywords

  • administrative data
  • case-control
  • costs
  • outcomes
  • palliative care
  • propensity score

ASJC Scopus subject areas

  • Medicine(all)

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