ORIGINAL ARTICLE
Quality of End-of-Life Care Among Rural Medicare Beneficiaries With Colorectal Cancer Shinobu Watanabe-Galloway, PhD;1 Wanqing Zhang, PhD, MD;2 Kate Watkins, MPH;1 KM Islam, PhD, MD;3 Preethy Nayar, PhD;3 Eugene Boilesen, BS;4 Lina Lander, ScD;1 Hongmei Wang, PhD;3 & Fang Qiu, MS5 1 Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska 2 Department of Allied Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 3 Department of Health Services Research and Administration, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska 4 Center for Collaboration on Research Design and Analysis, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska 5 Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska
Abstract Funding: Nebraska Department of Health and Human Services, Cancer and Smoking Disease Research Funds Grant (NE LB506). For further information, contact: Shinobu Watanabe-Galloway, PhD, Department of Epidemiology, College of Public Health, 984395 Nebraska Medical Center, Omaha, NE 68198-4395; e-mail: [email protected]. doi: 10.1111/jrh.12074
Background: Although previous research has documented rural disparities in hospice use, limited data exist on the roles of geographic access in different types of end-of-life indicators among cancer survivors. Methods: Medicare claims data were used to identify beneficiaries with colorectal cancer who died in 2008 (N = 34,975). We evaluated rural-urban differences in ER visits 90 days before death, inpatient hospital admissions ࣘ90 days before death, intensive care unit (ICU) use ࣘ90 days before death, hospice care use at any time, and hospice enrollment
Quality of End-of-Life Care Among Rural Medicare Beneficiaries With Colorectal Cancer Shinobu Watanabe-Galloway, PhD;1 Wanqing Zhang, PhD, MD;2 Kate Watkins, MPH;1 KM Islam, PhD, MD;3 Preethy Nayar, PhD;3 Eugene Boilesen, BS;4 Lina Lander, ScD;1 Hongmei Wang, PhD;3 & Fang Qiu, MS5 1 Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska 2 Department of Allied Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 3 Department of Health Services Research and Administration, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska 4 Center for Collaboration on Research Design and Analysis, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska 5 Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska
Abstract Funding: Nebraska Department of Health and Human Services, Cancer and Smoking Disease Research Funds Grant (NE LB506). For further information, contact: Shinobu Watanabe-Galloway, PhD, Department of Epidemiology, College of Public Health, 984395 Nebraska Medical Center, Omaha, NE 68198-4395; e-mail: [email protected]. doi: 10.1111/jrh.12074
Background: Although previous research has documented rural disparities in hospice use, limited data exist on the roles of geographic access in different types of end-of-life indicators among cancer survivors. Methods: Medicare claims data were used to identify beneficiaries with colorectal cancer who died in 2008 (N = 34,975). We evaluated rural-urban differences in ER visits 90 days before death, inpatient hospital admissions ࣘ90 days before death, intensive care unit (ICU) use ࣘ90 days before death, hospice care use at any time, and hospice enrollment
