Patient characteristics and proportions receiving hospice services before death
| Variable* . | No hospice (n = 14 821) . | Hospice (n = 19 267) . | Total (N = 34 088) . | ||
|---|---|---|---|---|---|
| Histology, n (%) | |||||
| Leukemia | 4 148 (46.8) | 4 711 (53.2) | 8 859 | ||
| Myeloma | 2 739 (40.6) | 4 011 (59.4) | 6 750 | ||
| MDS/MPN | 2 146 (43.4) | 2 795 (56.6) | 4 941 | ||
| Lymphoma | 5 788 (42.8) | 7 750 (57.2) | 13 538 | ||
| Age at time of death, median (IQR), y | 77 (72-84) | 80 (75-86) | 79 (73-85) | ||
| Sex, n (%) | |||||
| Females | 6 294 (40.0) | 9 446 (60.0) | 15 740 | ||
| Males | 8 527 (46.5) | 9 821 (53.5) | 18 348 | ||
| Race/ethnicity, n (%) | |||||
| White non-Hispanic | 11 164 (40.8) | 16 210 (59.2) | 27 374 | ||
| White Hispanic | 1 177 (52.1) | 1 083 (47.9) | 2 260 | ||
| African American | 1 258 (51.1) | 1 206 (48.9) | 2 464 | ||
| Asian/other | 1 222 (61.4) | 768 (38.6) | 1 990 | ||
| Marital status, n (%) | |||||
| Married | 8 110 (45.0) | 9 894 (55.0) | 18 004 | ||
| Not married | 6 711 (41.7) | 9 373 (58.3) | 16 084 | ||
| Medicaid coinsurance, n (%) | |||||
| No | 11 589 (41.5) | 16 345 (58.5) | 27 934 | ||
| Yes | 3 232 (52.5) | 2 922 (47.5) | 6 154 | ||
| Poverty prevalence†, n (%) | |||||
| 0 to <5 | 3 528 (42.3) | 4 808 (57.7) | 8 336 | ||
| 5 to <10 | 3 974 (42.6) | 5 355 (57.4) | 9 329 | ||
| 10 to <20 | 4 152 (43.1) | 5 478 (56.9) | 9 630 | ||
| 20 to 100 | 3 028 (46.9) | 3 431 (53.1) | 6 459 | ||
| Unknown | 139 (41.6) | 195 (58.4) | 334 | ||
| Any prior chemotherapy‡, n (%) | |||||
| No | 2 747 (38.3) | 4 421 (61.7) | 7 168 | ||
| Yes | 5 975 (46.4) | 6 912 (53.6) | 12 887 | ||
| Performance status, n (%) | |||||
| Not poor | 11 653 (51.1) | 11 164 (48.9) | 22 817 | ||
| Poor | 3 168 (28.1) | 8 103 (71.9) | 11 271 | ||
| Dementia, n (%) | |||||
| No | 14 005 (44.1) | 17 763 (55.9) | 31 768 | ||
| Yes | 816 (35.2) | 1 504 (64.8) | 2 320 | ||
| NCI comorbidity index, median (IQR) | 2.9 (1.3-4.7) | 2.4 (1.1-4.4) | 2.7 (1.3-4.6) | ||
| Survival from diagnosis, mo, n (%) | |||||
| ≤6 | 4 642 (47.7) | 5 083 (52.3) | 9 725 | ||
| 6-12 | 1 917 (43.3) | 2 509 (56.7) | 4 426 | ||
| 12-24 | 2 085 (41.1) | 2 993 (58.9) | 5 078 | ||
| >24 | 6 177 (41.6) | 8 682 (58.4) | 14 859 |
| Variable* . | No hospice (n = 14 821) . | Hospice (n = 19 267) . | Total (N = 34 088) . | ||
|---|---|---|---|---|---|
| Histology, n (%) | |||||
| Leukemia | 4 148 (46.8) | 4 711 (53.2) | 8 859 | ||
| Myeloma | 2 739 (40.6) | 4 011 (59.4) | 6 750 | ||
| MDS/MPN | 2 146 (43.4) | 2 795 (56.6) | 4 941 | ||
| Lymphoma | 5 788 (42.8) | 7 750 (57.2) | 13 538 | ||
| Age at time of death, median (IQR), y | 77 (72-84) | 80 (75-86) | 79 (73-85) | ||
| Sex, n (%) | |||||
| Females | 6 294 (40.0) | 9 446 (60.0) | 15 740 | ||
| Males | 8 527 (46.5) | 9 821 (53.5) | 18 348 | ||
| Race/ethnicity, n (%) | |||||
| White non-Hispanic | 11 164 (40.8) | 16 210 (59.2) | 27 374 | ||
| White Hispanic | 1 177 (52.1) | 1 083 (47.9) | 2 260 | ||
| African American | 1 258 (51.1) | 1 206 (48.9) | 2 464 | ||
| Asian/other | 1 222 (61.4) | 768 (38.6) | 1 990 | ||
| Marital status, n (%) | |||||
| Married | 8 110 (45.0) | 9 894 (55.0) | 18 004 | ||
| Not married | 6 711 (41.7) | 9 373 (58.3) | 16 084 | ||
| Medicaid coinsurance, n (%) | |||||
| No | 11 589 (41.5) | 16 345 (58.5) | 27 934 | ||
| Yes | 3 232 (52.5) | 2 922 (47.5) | 6 154 | ||
| Poverty prevalence†, n (%) | |||||
| 0 to <5 | 3 528 (42.3) | 4 808 (57.7) | 8 336 | ||
| 5 to <10 | 3 974 (42.6) | 5 355 (57.4) | 9 329 | ||
| 10 to <20 | 4 152 (43.1) | 5 478 (56.9) | 9 630 | ||
| 20 to 100 | 3 028 (46.9) | 3 431 (53.1) | 6 459 | ||
| Unknown | 139 (41.6) | 195 (58.4) | 334 | ||
| Any prior chemotherapy‡, n (%) | |||||
| No | 2 747 (38.3) | 4 421 (61.7) | 7 168 | ||
| Yes | 5 975 (46.4) | 6 912 (53.6) | 12 887 | ||
| Performance status, n (%) | |||||
| Not poor | 11 653 (51.1) | 11 164 (48.9) | 22 817 | ||
| Poor | 3 168 (28.1) | 8 103 (71.9) | 11 271 | ||
| Dementia, n (%) | |||||
| No | 14 005 (44.1) | 17 763 (55.9) | 31 768 | ||
| Yes | 816 (35.2) | 1 504 (64.8) | 2 320 | ||
| NCI comorbidity index, median (IQR) | 2.9 (1.3-4.7) | 2.4 (1.1-4.4) | 2.7 (1.3-4.6) | ||
| Survival from diagnosis, mo, n (%) | |||||
| ≤6 | 4 642 (47.7) | 5 083 (52.3) | 9 725 | ||
| 6-12 | 1 917 (43.3) | 2 509 (56.7) | 4 426 | ||
| 12-24 | 2 085 (41.1) | 2 993 (58.9) | 5 078 | ||
| >24 | 6 177 (41.6) | 8 682 (58.4) | 14 859 |
IQR, interquartile range.
Percentages are by row, indicating the proportion of patients in each category receiving hospice services.
Individuals with income less than the federal poverty level in the county of residence.
Within 1 year prior to death, ascertained only for beneficiaries enrolled in Medicare Part D (n = 20 055).