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May 29, 2026Journal of Clinical Oncology

Palliative care involvement at the end of life in advanced cancer.

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Authors

RSRhea SehgalTCTiana L. ClemonsCDCharles S. Day

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Overview

Retrospective cohort study examining palliative care's impact on spending and care patterns in advanced cancer patients.

Key Points

  • Evaluate the association of palliative care involvement in the final 30 days of life with healthcare expenditures and resource allocation in advanced cancer.
  • Conducted a retrospective cohort study from an integrated health system (2022-2025)
  • Defined palliative care exposure as ≥1 palliative encounter within 30 days of death
  • Analyzed financial and operational data from multiple sources including electronic health records.
  • Among 1,635 decedents, 195 received palliative care in the last 30 days.
  • Median total 30-day charges were not significantly different ($14,610 vs $17,100; p=0.054).
  • Palliative care was associated with lower spending on inpatient and procedural services and higher spending on pharmacy and hospice services (p=0.046).

Cite This Study

Sehgal et al. (2026) studied this question.

synapsesocial.com/papers/6a192e95fab5b468c4417b58https://doi.org/10.1200/jco.2026.44.16_suppl.12033
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cancer care at the end of life: system-wide expenditure in a national health service2025
  2. 2End-of-life care patterns associated with hospital-based palliative care consultation: a single-center cohort with national data linkage2026
  3. 3Impact of palliative care on hospital length of stay and charges in hospitalized patients with cancer at end of life.2024
  4. 4Evaluation of end-of-Life chemotherapy: a medical and economic challenge revealed by a retrospective observational study2025
  5. 5Enhancing end-of-life quality metrics: The role of palliative care in a community oncology practice.2025