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September 10, 2020

Hospital Deaths a Poor Quality Metric for Patients With Cancer

Author Affiliations
  • 1Department of Palliative, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas
JAMA Oncol. Published online September 10, 2020. doi:10.1001/jamaoncol.2020.1043

During the past 10 years, many organizations have implemented quality metrics for end-of-life care. One of the most important is inpatient hospital mortality,1 which is typically reported as a mortality ratio, ie, observed vs expected deaths, and is used by many major organizations to rank hospitals1,2; its use is supported by survey studies that have found that most patients express the desire to die at home.1,3,4 However, it is not clear whether patients in these studies have understood the complexity of end of life at home.

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