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Percent of Cancer Patients Admitted to ICU during the Last Month of Life
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    Region
    (Click a region name
    below to view its profile)
    Percent of Cancer Patients Admitted to ICU during the Last Month of Life
    (Year: 2012; Region Levels: State)
    North Dakota 14.4%
    Maine 16.9%
    Minnesota 17.1%
    South Dakota 18.0%
    Wyoming 18.1%
    Vermont 19.2%
    New Hampshire 19.2%
    Wisconsin 19.9%
    Idaho 20.4%
    Iowa 20.4%
    Massachusetts 20.9%
    Rhode Island 20.9%
    New York 21.7%
    Oregon 21.7%
    Alaska 21.9%
    Mississippi 24.5%
    Montana 24.5%
    Arkansas 24.5%
    Utah 24.5%
    Nebraska 25.2%
    Colorado 25.3%
    Louisiana 26.8%
    Kansas 26.8%
    Hawaii 27.2%
    North Carolina 27.3%
    Maryland 27.4%
    Delaware 27.4%
    Oklahoma 27.4%
    Washington 27.5%
    New Mexico 27.6%
    District of Columbia 28.9%
    Georgia 29.1%
    South Carolina 29.1%
    Kentucky 29.3%
    Connecticut 29.3%
    Alabama 29.4%
    Indiana 29.5%
    Michigan 30.3%
    Ohio 31.1%
    West Virginia 31.1%
    Missouri 31.6%
    Tennessee 31.7%
    Virginia 32.3%
    Pennsylvania 32.6%
    Texas 33.8%
    Illinois 35.1%
    Florida 37.6%
    Arizona 37.7%
    New Jersey 38.2%
    Nevada 40.5%
    California 40.6%
    National Average 30.2%
    90th Percentile 37.6%
    50th Percentile 27.4%
    10th Percentile 18.1%
        • DENOMINATOR DEFINITION:
        • We identified a 20% sample of all Medicare beneficiaries who died between the ages of 66 and 99 years during the period 2003-07. Data for 2010-12 are based on a 100% sample of claims. We excluded beneficiaries without continuous Part A and Part B coverage in the last six months of life or who were enrolled in Medicare health maintenance organizations (i.e., Medicare Advantage). From these decedents, we identified those with poor prognosis cancer diagnoses on at least one hospital claim or at least two clinician visits in the last six months of life. We then categorized decedents into one of 26 cancer types based on their predominant cancer diagnosis using a modified Clinical Classification Software (CCS) approach; please see the Methods of our cancer report for details.

        • ADJUSTMENTS:
        • Although all of these patients died of serious cancer, groups of patients across hospitals or regions may have differed by other characteristics such as the composition of age, sex or race. All rates are adjusted with the following patient level characteristics: age, race (black/non-black), sex, cancer type, and non-cancer chronic conditions.




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    The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation, including the WellPoint Foundation, the United Health Foundation, the California HealthCare Foundation, and the Charles H. Hood Foundation.