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Association of expanded VA hospice care with aggressive care and cost for veterans with terminal lung cancer

JAMA Oncology May 07, 2019

Mor V, et al. - Researchers performed this cohort study of 13,085 veterans, to examine how increasing availability of hospice for veterans may influence the aggressive treatments and medical care costs at the end of life. Observations revealed a significantly higher likelihood of receiving chemotherapy or radiation therapy after hospice enrollment but a lower likelihood of having aggressive treatment or intensive care unit use among patients with newly diagnosed end-stage lung cancer treated at Veterans Affairs Medical Centers (VAMCs) with the most expansion in hospice use, compared with similar veterans treated in VAMCs with low hospice growth. These findings suggest less aggressive medical treatment and significantly lower medical costs in correlation to increasing hospice availability without restricting treatment access for veterans with advanced lung cancer while still enabling veterans to receive cancer treatment.
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