Abstract
Background: Increasingly, nursing homes are the place of care for older Americans with cancer. Yet, few studies has characterized the quality of care for this growing population. Objective: Characterize the scope and quality of cancer care in U.S. nursing homes. Design: Secondary analysis of the national repository of the Minimum Data Set (MDS) Setting and Subjects: Nursing home residents noted to have cancer diagnosis on the MDS. Results: Of the 190,769 New Hampshire residents (8.8%) with a cancer diagnosis, 1 in 4 had weight loss (23.4%), received intravenous medications (27.7%), or used oxygen (25.4%). Overall, 45.3% had a do-not-resuscitate (DNR) order, with state variations ranging from 17.8% (New Jersey) to 70.5% (Wisconsin). More than 1 in 10 (12.0%) were defined as terminally ill, although only 29.3% of these received hospice services. Among patients with pain, half of those who survived to a second assessment had persistent, severe pain (51.3%), which also varied by state, ranging from 43.3% (Iowa) to 65.8% (Nevada). Active treatment was rare; less than 5% received chemotherapy or radiotherapy. However, 15.5% had parenteral and/or tube feedings for nutrition. Approximately, 1 in 10 New Hampshire residents had advanced cancer. Conclusion: Our findings suggest important opportunities to improve the quality of cancer care for older adults.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 273-279 |
| Number of pages | 7 |
| Journal | Journal of palliative medicine |
| Volume | 8 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 1 2005 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Nursing(all)
- Anesthesiology and Pain Medicine
Cite this
Palliative care needs of cancer patients in U.S. nursing homes. / Johnson, Vanessa M.P.; Teno, Joan; Bourbonniere, Meg; Mor, Vincent.
In: Journal of palliative medicine, Vol. 8, No. 2, 01.04.2005, p. 273-279.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Palliative care needs of cancer patients in U.S. nursing homes
AU - Johnson, Vanessa M.P.
AU - Teno, Joan
AU - Bourbonniere, Meg
AU - Mor, Vincent
PY - 2005/4/1
Y1 - 2005/4/1
N2 - Background: Increasingly, nursing homes are the place of care for older Americans with cancer. Yet, few studies has characterized the quality of care for this growing population. Objective: Characterize the scope and quality of cancer care in U.S. nursing homes. Design: Secondary analysis of the national repository of the Minimum Data Set (MDS) Setting and Subjects: Nursing home residents noted to have cancer diagnosis on the MDS. Results: Of the 190,769 New Hampshire residents (8.8%) with a cancer diagnosis, 1 in 4 had weight loss (23.4%), received intravenous medications (27.7%), or used oxygen (25.4%). Overall, 45.3% had a do-not-resuscitate (DNR) order, with state variations ranging from 17.8% (New Jersey) to 70.5% (Wisconsin). More than 1 in 10 (12.0%) were defined as terminally ill, although only 29.3% of these received hospice services. Among patients with pain, half of those who survived to a second assessment had persistent, severe pain (51.3%), which also varied by state, ranging from 43.3% (Iowa) to 65.8% (Nevada). Active treatment was rare; less than 5% received chemotherapy or radiotherapy. However, 15.5% had parenteral and/or tube feedings for nutrition. Approximately, 1 in 10 New Hampshire residents had advanced cancer. Conclusion: Our findings suggest important opportunities to improve the quality of cancer care for older adults.
AB - Background: Increasingly, nursing homes are the place of care for older Americans with cancer. Yet, few studies has characterized the quality of care for this growing population. Objective: Characterize the scope and quality of cancer care in U.S. nursing homes. Design: Secondary analysis of the national repository of the Minimum Data Set (MDS) Setting and Subjects: Nursing home residents noted to have cancer diagnosis on the MDS. Results: Of the 190,769 New Hampshire residents (8.8%) with a cancer diagnosis, 1 in 4 had weight loss (23.4%), received intravenous medications (27.7%), or used oxygen (25.4%). Overall, 45.3% had a do-not-resuscitate (DNR) order, with state variations ranging from 17.8% (New Jersey) to 70.5% (Wisconsin). More than 1 in 10 (12.0%) were defined as terminally ill, although only 29.3% of these received hospice services. Among patients with pain, half of those who survived to a second assessment had persistent, severe pain (51.3%), which also varied by state, ranging from 43.3% (Iowa) to 65.8% (Nevada). Active treatment was rare; less than 5% received chemotherapy or radiotherapy. However, 15.5% had parenteral and/or tube feedings for nutrition. Approximately, 1 in 10 New Hampshire residents had advanced cancer. Conclusion: Our findings suggest important opportunities to improve the quality of cancer care for older adults.
UR - http://www.scopus.com/inward/record.url?scp=18844378628&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=18844378628&partnerID=8YFLogxK
U2 - 10.1089/jpm.2005.8.273
DO - 10.1089/jpm.2005.8.273
M3 - Article
C2 - 15890038
AN - SCOPUS:18844378628
VL - 8
SP - 273
EP - 279
JO - Journal of Palliative Medicine
JF - Journal of Palliative Medicine
SN - 1096-6218
IS - 2
ER -