• J Palliat Med · Feb 2004

    Medicare hospice referral criteria for patients with amyotrophic lateral sclerosis: a need for improvement.

    • Leo McCluskey and Gail Houseman.
    • Greater Philadelphia Chapter of the ALS Association, Fort Washington, Pennsylvania, USA. lfmcclusky@pahosp.com
    • J Palliat Med. 2004 Feb 1;7(1):47-53.

    AbstractWe conducted a retrospective review of 97 consecutive patients with amyotrophic lateral sclerosis (ALS) who were accepted into hospice care from a tertiary ALS center. Five patients met Medicare criteria at time of hospice enrollment. The mean number of hospice days was 85 (range, 1-534). All but 2 patients met hospice criteria proposed by the Columbia University ALS group. The present Medicare hospice criteria should be changed to reflect the reality of patients dying of ALS.

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