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Perspectives on Transfusions for Hospice Patients With Blood Cancers: A Survey of Hospice Providers.

Publication ,  Journal Article
Knight, HP; Brennan, C; Hurley, SL; Tidswell, AJ; Aldridge, MD; Johnson, KS; Banach, E; Tulsky, JA; Abel, GA; Odejide, OO
Published in: J Pain Symptom Manage
January 2024

CONTEXT: Patients with blood cancers have low rates of hospice use. While lack of transfusion access in hospice is posited to substantially contribute to these low rates, little is known about the perspectives of hospice providers regarding transfusion access in hospice. OBJECTIVES: To characterize hospice providers' perspectives regarding care for patients with blood cancers and transfusions in the hospice setting. METHODS: In 2022, we conducted a cross-sectional survey of a sample of hospices in the United States regarding their experience caring for patients with blood cancers, perceived barriers to hospice use, and interventions to increase enrollment. RESULTS: We received 113 completed surveys (response rate = 23.5%). Of the cohort, 2.7% reported that their agency always offers transfusions, 40.7% reported sometimes offering transfusions, and 54.9% reported never offering transfusions. In multivariable analyses, factors associated with offering transfusions included nonprofit ownership (OR 5.93, 95% CI, 2.2-15.2) and daily census >50 patients (OR 3.06, 95% CI, 1.19-7.87). Most respondents (76.6%) identified lack of transfusion access in hospice as a barrier to hospice enrollment for blood cancer patients. The top intervention considered as "very helpful" for increasing enrollment was additional reimbursement for transfusions (72.1%). CONCLUSION: In this national sample of hospices, access to palliative transfusions was severely limited and was considered a significant barrier to hospice use for blood cancer patients. Moreover, hospices felt increased reimbursement for transfusions would be an important intervention. These data suggest that hospice providers are supportive of increasing transfusion access and highlight the critical need for innovative hospice payment models to improve end-of-life care for patients with blood cancers.

Duke Scholars

Published In

J Pain Symptom Manage

DOI

EISSN

1873-6513

Publication Date

January 2024

Volume

67

Issue

1

Start / End Page

1 / 9

Location

United States

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Neoplasms
  • Humans
  • Hospices
  • Hospice Care
  • Hematologic Neoplasms
  • Cross-Sectional Studies
  • Anesthesiology
  • 42 Health sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Knight, H. P., Brennan, C., Hurley, S. L., Tidswell, A. J., Aldridge, M. D., Johnson, K. S., … Odejide, O. O. (2024). Perspectives on Transfusions for Hospice Patients With Blood Cancers: A Survey of Hospice Providers. J Pain Symptom Manage, 67(1), 1–9. https://doi.org/10.1016/j.jpainsymman.2023.09.024
Knight, Helen P., Caitlin Brennan, Susan Lysaght Hurley, Anna J. Tidswell, Melissa D. Aldridge, Kimberly S. Johnson, Edo Banach, James A. Tulsky, Gregory A. Abel, and Oreofe O. Odejide. “Perspectives on Transfusions for Hospice Patients With Blood Cancers: A Survey of Hospice Providers.J Pain Symptom Manage 67, no. 1 (January 2024): 1–9. https://doi.org/10.1016/j.jpainsymman.2023.09.024.
Knight HP, Brennan C, Hurley SL, Tidswell AJ, Aldridge MD, Johnson KS, et al. Perspectives on Transfusions for Hospice Patients With Blood Cancers: A Survey of Hospice Providers. J Pain Symptom Manage. 2024 Jan;67(1):1–9.
Knight, Helen P., et al. “Perspectives on Transfusions for Hospice Patients With Blood Cancers: A Survey of Hospice Providers.J Pain Symptom Manage, vol. 67, no. 1, Jan. 2024, pp. 1–9. Pubmed, doi:10.1016/j.jpainsymman.2023.09.024.
Knight HP, Brennan C, Hurley SL, Tidswell AJ, Aldridge MD, Johnson KS, Banach E, Tulsky JA, Abel GA, Odejide OO. Perspectives on Transfusions for Hospice Patients With Blood Cancers: A Survey of Hospice Providers. J Pain Symptom Manage. 2024 Jan;67(1):1–9.
Journal cover image

Published In

J Pain Symptom Manage

DOI

EISSN

1873-6513

Publication Date

January 2024

Volume

67

Issue

1

Start / End Page

1 / 9

Location

United States

Related Subject Headings

  • United States
  • Surveys and Questionnaires
  • Neoplasms
  • Humans
  • Hospices
  • Hospice Care
  • Hematologic Neoplasms
  • Cross-Sectional Studies
  • Anesthesiology
  • 42 Health sciences