In addition, death in a hospital has been associated with poorer quality of life and increased risk of psychiatric illness among bereaved caregivers. Patient recall of EOL discussions, spiritual care, or early palliative care, however, are associated with less-aggressive EOL treatment and/or increased utilization of hospice. Patient and family preferences may contribute to the observed patterns of care at the EOL. Significant regional variations in the descriptors of end-of-life (EOL) care remain unexplained. Conversely, about 55% of patients who died used hospice service however, the average length of stay was only 8.7 days, and 8.3% of patients were enrolled in the last 3 days of life. Approximately 6% of patients nationwide received chemotherapy in the last month of life. In addition, 24% of patients were admitted to an intensive care unit at least once.
Across the United States, 29% of patients died in a hospital, with 61.3% hospitalized at least once in the last month of life.
A report of the Dartmouth Atlas Project analyzed Medicare data from 2003 to 2007 for cancer patients older than 65 years who died within 1 year of diagnosis. People with cancer die under various circumstances. Despite progress in developing treatments that have improved life expectancies for patients with advanced-stage cancer, the American Cancer Society estimates that 609,360 Americans will die of cancer in 2022.
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