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Percent of Cancer Patients Hospitalized during the Last Month of Life
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    Region
    (Click a region name
    below to view its profile)
    Percent of Cancer Patients Hospitalized during the Last Month of Life
    (Year: 2012; Region Levels: State)
    Wyoming
    Wisconsin
    West Virginia
    Washington
    Virginia
    Vermont
    Utah
    Texas
    Tennessee
    South Dakota
    South Carolina
    Rhode Island
    Pennsylvania
    Oregon
    Oklahoma
    Ohio
    North Dakota
    North Carolina
    New York
    New Mexico
    New Jersey
    New Hampshire
    Nevada
    Nebraska
    Montana
    Missouri
    Mississippi
    Minnesota
    Michigan
    Massachusetts
    Maryland
    Maine
    Louisiana
    Kentucky
    Kansas
    Iowa
    Indiana
    Illinois
    Idaho
    Hawaii
    Georgia
    Florida
    District of Columbia
    Delaware
    Connecticut
    Colorado
    California
    Arkansas
    Arizona
    Alaska
    Alabama
    National Average
    90th Percentile 64.3%
    50th Percentile 61.0%
    10th Percentile 55.2%
        • 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.