Quality of care and rehospitalization rate in the last stage of disease in brain tumor patients assisted at home: A cost effectiveness study

Andrea Pace, Cherubino Di Lorenzo, Alessandra Capon, Veronica Villani, Dario Benincasa, Lara Guariglia, Maurizio Salvati, Christian Brogna, Valentino Mantini, Antonio Mastromattei, Alfredo Pompili

Research output: Contribution to journalArticle

Abstract

Despite aggressive multimodality treatment the prognosis of patients with primary brain tumors (BT) remains poor. At present, there are no data about the role of palliative home-care services and their impact on quality of care. We report the results of a pilot project of palliative home care for BT patients started in 2000 in the National Cancer Institute Regina Elena of Rome. We report also the result of a cost/effectiveness analysis utilizing administrative data on re-hospitalization rate in the last two months of life. Methods: Since October 2000 until December 2009, 572 patients have been followed by our home care staff. Among 394 patients who died, 276 (70%) were followed at home until death. A cost/effectiveness analysis was carried out evaluating the rehospitalization rate in the last 2 months of life in a subgroup of patients (group 1 assisted at home, 72 patients; group 2 not assisted at home, 71). The number of hospital readmission in the last 2 months of life, and length and cost of hospitalization were retrospectively analyzed from hospital discharge records. Results: Hospitalization rate of group 1 (16.7%) was lower than group 2 (38%) (95% CI: 0.18-0.65, p=0.001). Costs of hospitalization also differed substantially: 517 £ (95% CI: 512-522) in represent an alternative to in-hospital care for the management of brain tumor patients and may improve the end-of-life quality of care.

Original languageEnglish
Pages (from-to)225-227
Number of pages3
JournalJournal of Palliative Medicine
Volume15
Issue number2
DOIs
Publication statusPublished - Feb 1 2012

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ASJC Scopus subject areas

  • Medicine(all)
  • Anesthesiology and Pain Medicine
  • Nursing(all)

Cite this

Pace, A., Di Lorenzo, C., Capon, A., Villani, V., Benincasa, D., Guariglia, L., Salvati, M., Brogna, C., Mantini, V., Mastromattei, A., & Pompili, A. (2012). Quality of care and rehospitalization rate in the last stage of disease in brain tumor patients assisted at home: A cost effectiveness study. Journal of Palliative Medicine, 15(2), 225-227. https://doi.org/10.1089/jpm.2011.0306