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Restricting Symptoms Before and After Admission to Hospice

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Presentation on theme: "Restricting Symptoms Before and After Admission to Hospice"— Presentation transcript:

1 Restricting Symptoms Before and After Admission to Hospice
Shayan Cheraghlou, BA, Evelyne A. Gahbauer, MD, MPH, Linda Leo-Summers, MPH, Hans F. Stabenau, PhD, Sarwat I. Chaudhry, MD, Thomas M. Gill, MD  The American Journal of Medicine  Volume 129, Issue 7, Pages 754.e7-754.e15 (July 2016) DOI: /j.amjmed Copyright © 2016 Elsevier Inc. Terms and Conditions

2 Figure 1 Occurrence of any restricting symptoms (A) and mean number of restricting symptoms (B) in the 12 months before and 3 months after hospice admission. Values for the prevalence of symptoms were calculated by dividing the number of participants who reported any restricting symptoms that month by the total number of participants who completed interviews in the month. Error bars in (A) represent the asymptotic standard error. Errors in (B) represent the standard error. Dashed vertical line denotes the time of hospice admission. Months before hospice admission are denoted by negative values, whereas those afterwards are denoted by positive values. The number of participants varies before hospice admission because of missing values and decreases after hospice admission because of deaths. The American Journal of Medicine  , 754.e7-754.e15DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

3 Figure 2 Occurrence of specific restricting symptoms in the 12 months before and 3 months after hospice admission. Symptoms were categorized a priori according to how amenable they might be to hospice treatment: (A) most; (B) intermediate; (C) least. Values for the prevalence of symptoms were calculated by dividing the number of participants that reported the particular restricting symptom that month by the total number of participants who completed interviews in the month. Dashed vertical lines denote the time of hospice admission. Months before hospice admission are denoted by negative values, whereas those afterwards are denoted by positive values. The number of participants varies before hospice admission because of missing values and decreases after hospice admission because of deaths. The American Journal of Medicine  , 754.e7-754.e15DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

4 Figure 3 Occurrence of any restricting symptoms (A, B) and mean number of restricting symptoms (C, D) in the 12 months before and 3 months after hospice admission by hospice admission diagnosis and sex. Values for the prevalence of symptoms were calculated by dividing the number of participants that reported the particular restricting symptom that month by the total number of participants who completed interviews in the month. Dashed vertical line denote the time of hospice admission. Months before hospice admission are denoted by negative values, whereas those afterwards are denoted by positive values. The number of participants varies before hospice admission because of missing values and decreases after hospice admission because of deaths. At 3 months, none of the 5 survivors with organ failure had any restricting symptoms. The American Journal of Medicine  , 754.e7-754.e15DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

5 Supplemental Figure Occurrence of specific restricting symptoms in the 12 months before and 3 months after hospice admission among participants with at least one post-hospice interview. Symptoms were categorized a priori according to how amenable they might be to hospice treatment: (A) most; (B) intermediate; (C) least. Values for the prevalence of symptoms were calculated by dividing the number of participants that reported the particular restricting symptom that month according to the total number of participants who provided interviews in the month. Dashed vertical lines denote the time of hospice admission. Months before hospice admission are denoted by negative values, whereas those afterwards are denoted by positive values. The number of participants varies before hospice admission because of missing values and decreases after hospice admission because of deaths. The American Journal of Medicine  , 754.e7-754.e15DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions


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