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In a secondary model, we assessed the association between receipt of palliative chemotherapy and the intensity of end of life medical care without including characteristics that might have changed since the decision to start palliative chemotherapy was made (that is, performance status, quality of life, treatment preferences, and terminal illness acknowledgment), and the results did not change.
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Purpose Intensity of end-of-life care receives much attention in oncology because of concerns that high-intensity care is inconsistent with patient goals, leads to worse caregiver outcomes, and is expensive.
The energy intensity of end-uses will reduce further as a result of increased spending by electric utilities on DSM programs and activities.
Regional variation in the intensity of end-of-life care contributes significantly to the overall cost of health care.
However, this is one of the validated measurements that we can use with existing administrative data to assess the intensity of end-of-life cancer care [ 11, 13].
Overall, dialysis discontinuation rates provide a measure of intensity of end-of-life care that is consistent with measures used in prior work on geographic variation.
However, the regional variation documented in the current study is not an isolated finding; the pattern of regional variation in intensity of end-of-life care is consistent.
Patient race was missing in 9% of our cohort, and this variable is known to relate to the intensity of end-of-life care for hospitalized patients [ 19].
6 7 43 Our data, collected more than a decade later, extend these results by examining associations between palliative chemotherapy given months before death, at the time when most decision making about chemotherapy occurs, and the intensity of patients' end of life medical care and place of death.
A model of "low intensity" end-of-life care, Gundersen Lutheran Health System of La Crosse, Wis., encouraged every city resident to complete an advance directive, written instructions specifying patients' end-of-life care preferences.
The technique of rapidly changing the octave in which a melody is played, sometimes called "registral displacement", is used to present the figure in a more dramatic form that increases the intensity of the ending.
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