Percent of Cancer Patients Hospitalized during the Last Month of Life
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    (Click a region name
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    Percent of Cancer Patients Hospitalized during the Last Month of Life
    (Year: 2012; Region Levels: State)
    Wyoming 57.0%
    Wisconsin 57.1%
    West Virginia 63.3%
    Washington 59.2%
    Virginia 62.1%
    Vermont 55.2%
    Utah 54.9%
    Texas 62.2%
    Tennessee 64.3%
    South Dakota 58.4%
    South Carolina 60.1%
    Rhode Island 63.1%
    Pennsylvania 62.8%
    Oregon 55.2%
    Oklahoma 61.4%
    Ohio 61.0%
    North Dakota 58.5%
    North Carolina 59.6%
    New York 64.7%
    New Mexico 61.0%
    New Jersey 66.2%
    New Hampshire 58.2%
    Nevada 65.3%
    Nebraska 58.5%
    Montana 56.8%
    Missouri 61.8%
    Mississippi 62.6%
    Minnesota 53.9%
    Michigan 63.8%
    Massachusetts 60.6%
    Maryland 63.7%
    Maine 56.2%
    Louisiana 61.4%
    Kentucky 62.6%
    Kansas 58.3%
    Iowa 56.0%
    Indiana 62.1%
    Illinois 64.4%
    Idaho 55.2%
    Hawaii 52.9%
    Georgia 60.6%
    Florida 62.6%
    District of Columbia 62.8%
    Delaware 58.4%
    Connecticut 62.6%
    Colorado 56.5%
    California 64.3%
    Arkansas 63.5%
    Arizona 58.1%
    Alaska 60.1%
    Alabama 61.9%
    National Average 61.6%
    90th Percentile 64.3%
    50th Percentile 61.0%
    10th Percentile 55.2%
        • 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.