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Percent of Cancer Patients Dying in Hospital
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    Region
    (Click a region name
    below to view its profile)
    Percent of Cancer Patients Dying in Hospital
    (Year: 2012; Region Levels: State)
    Wyoming 21.1%
    Wisconsin 19.4%
    West Virginia 25.3%
    Washington 24.2%
    Virginia 25.7%
    Vermont 28.3%
    Utah 17.7%
    Texas 20.9%
    Tennessee 24.5%
    South Dakota 20.4%
    South Carolina 23.0%
    Rhode Island 22.5%
    Pennsylvania 21.0%
    Oregon 20.1%
    Oklahoma 24.2%
    Ohio 17.3%
    North Dakota 28.8%
    North Carolina 22.6%
    New York 33.1%
    New Mexico 20.9%
    New Jersey 27.8%
    New Hampshire 22.4%
    Nevada 24.7%
    Nebraska 21.1%
    Montana 20.5%
    Missouri 23.8%
    Mississippi 25.6%
    Minnesota 20.0%
    Michigan 19.2%
    Massachusetts 26.1%
    Maryland 23.7%
    Maine 24.4%
    Louisiana 22.1%
    Kentucky 24.4%
    Kansas 20.0%
    Iowa 17.2%
    Indiana 23.7%
    Illinois 21.8%
    Idaho 21.3%
    Hawaii 23.1%
    Georgia 19.0%
    Florida 17.9%
    District of Columbia 30.5%
    Delaware 18.0%
    Connecticut 27.0%
    Colorado 17.1%
    California 29.4%
    Arkansas 22.2%
    Arizona 14.6%
    Alaska 31.1%
    Alabama 26.7%
    National Average 23.1%
    90th Percentile 28.8%
    50th Percentile 22.5%
    10th Percentile 17.7%
        • 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.

        • NUMERATOR DEFINITION:
        • We used discharge status of “expired” to identify patients dying in the hospital.

        • 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.