• William R Robinson, Kathy Morris, Mindy Luck, and Brian Pruitt.
• The Don and Sybil Harrington Cancer Center, Texas Tech University Health Sciences Center, Amarillo, USA.
• J Am Med Womens Assoc. 2002 Jan 1;57(2):82-4.

Objectiveto determine if there were sex differences in patients' use of hospice services in a regional cancer center in Texas from 1998 to 2000.MethodsA quality-of-life program for patients with cancer that included an end-of-life component was initiated in 1998 at a regional cancer center. The records of 1057 female and 986 male cancer patients who died from 1998 to 2000 were reviewed. Data on demographics, use of hospice care, length of stay, and location at time of referral were collected and analyzed.ResultsHospice utilization increased in women (47% v 64%; p<.001) and men (53% v 66%; p<.001) who died of cancer from 1998 to 2000. Length of stay (LOS) in hospice did not change for women, but decreased significantly for men over that time (31 days v 14 days, p<.001). The number of men with stays of 14 days or less increased significantly (30% v 53%, p<.001). Subjects whose LOS were less than 14 days were more likely to be hospital inpatients at time of referral.ConclusionsThe institution of a targeted end-of-life program was associated with increased utilization of hospice services in women with cancer at this regional cancer center. Length of stay in hospice was longer for women than men, and more men had very short (less than 14 day) stays. Hospice referrals from outpatient settings were associated with longer LOS.

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