[Skip to Content]
[Skip to Content Landing]
Views 892
Citations 0
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.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words