From: Appendix E, Epidemiology of Serious Illness and High Utilization of Health Care
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Committee on Approaching Death: Addressing Key End of Life Issues; Institute of Medicine. Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life. Washington (DC): National Academies Press (US); 2015 Mar 19.
Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life.
Show detailsTABLE E-6Association of Functional Status and Medical Conditions with Medicare Costs in the Last 6 Months of Life
Patient Characteristics | Adjusted Rate Ratio | 95% Confidence Interval | |
---|---|---|---|
Functional status (reference: independent in activities of daily living) | |||
Stable moderate impairment | 1.12 | 0.92-1.36 | |
Stable severe impairment | 1.20 | 1.04-1.39 | |
Decline from independent to moderate impairment | 1.34 | 1.15-1.56 | |
Decline from moderate to severe impairment | 1.42 | 1.23-1.64 | |
Decline from independent to severe impairment | 1.64 | 1.46-1.84 | |
Dementia/Alzheimer's disease | 0.78 | 0.70-0.86 | |
Diabetes | 1.14 | 1.04-1.24 | |
Chronic kidney disease | 1.24 | 1.11-1.38 | |
Stroke/transient ischemic attack | 1.15 | 1.04-1.28 | |
Congestive heart failure | 1.08 | 0.98-1.18 | |
Cancer | 1.06 | 0.95-1.19 | |
Chronic obstructive pulmonary disease | 1.03 | 0.95-1.13 | |
Depression | 1.03 | 0.92-1.15 |
SOURCE: Health and Retirement Study and linked Medicare data, decedents 2000-2008. Adjusted for age, race, ethnicity, education, net worth, Medicaid, Medigap, nursing home residence, relative nearby, religiosity, Self Reported Health, three other chronic conditions, advance directive, regional hospital beds, and local pattern of end-of-life spending (Kelley et al., 2011).
- TABLE E-6, Association of Functional Status and Medical Conditions with Medicare...TABLE E-6, Association of Functional Status and Medical Conditions with Medicare Costs in the Last 6 Months of Life - Dying in America
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