{"id":"https://openalex.org/W2149991129","doi":null,"title":"HOSPITAL CARE UTILIZATION TRENDS IN PATIENTS WITH COPD AND LUNG CANCER IN THE 6 MONTHS PRIOR TO DEATH","display_name":"HOSPITAL CARE UTILIZATION TRENDS IN PATIENTS WITH COPD AND LUNG CANCER IN THE 6 MONTHS PRIOR TO DEATH","publication_year":2014,"publication_date":"2014-12-11","ids":{"openalex":"https://openalex.org/W2149991129","mag":"2149991129"},"language":"en","primary_location":{"id":"pmh:oai:ecommons.usask.ca:10388/ETD-2014-11-1816","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10388/ETD-2014-11-1816","pdf_url":null,"source":{"id":"https://openalex.org/S4377196608","display_name":"University Library - University of Saskatchewan (University of Saskatchewan)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I32625721","host_organization_name":"University of Saskatchewan","host_organization_lineage":["https://openalex.org/I32625721"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090071776","display_name":"Lejie Zheng","orcid":"https://orcid.org/0009-0004-6631-9361","observed_orcids":["https://orcid.org/0009-0004-6631-9361"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Lejie Zheng","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0009-0004-6631-9361","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5090071776"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.8179000020027161,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.8179000020027161,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.16110000014305115,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.002300000051036477,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lung-cancer","display_name":"lung cancer","score":0.9990000128746033},{"id":"https://openalex.org/keywords/hospital-utilization","display_name":"hospital utilization","score":0.8220000267028809},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.8629999756813049},{"id":"https://openalex.org/keywords/last-six-months-of-life","display_name":"last six months of life","score":0.8489999771118164},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.7699999809265137},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.5989999771118164},{"id":"https://openalex.org/keywords/rural-residence","display_name":"rural residence","score":0.43799999356269836},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.5709999799728394},{"id":"https://openalex.org/keywords/temporal-trends","display_name":"temporal trends","score":0.7680000066757202},{"id":"https://openalex.org/keywords/care-quality-indicators","display_name":"care quality indicators","score":0.5870000123977661},{"id":"https://openalex.org/keywords/saskatchewan","display_name":"Saskatchewan","score":0.3310000002384186}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7421303391456604},{"id":"https://openalex.org/C2776780178","wikidata":"https://www.wikidata.org/wiki/Q199804","display_name":"COPD","level":2,"score":0.6885882616043091},{"id":"https://openalex.org/C2776256026","wikidata":"https://www.wikidata.org/wiki/Q47912","display_name":"Lung cancer","level":2,"score":0.6374750137329102},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.551483154296875},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.47443118691444397},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.41339412331581116},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.26725518703460693}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:oai:ecommons.usask.ca:10388/ETD-2014-11-1816","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10388/ETD-2014-11-1816","pdf_url":null,"source":{"id":"https://openalex.org/S4377196608","display_name":"University Library - University of Saskatchewan (University of Saskatchewan)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I32625721","host_organization_name":"University of Saskatchewan","host_organization_lineage":["https://openalex.org/I32625721"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"thesis"},{"id":"pmh:oai:harvest.usask.ca:10388/ETD-2014-11-1816","doi":null,"is_oa":false,"landing_page_url":"https://hdl.handle.net/10388/ETD-2014-11-1816","pdf_url":null,"source":{"id":"https://openalex.org/S7407063267","display_name":"HARVEST (University of Saskatchewan)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},{"id":"mag:2149991129","doi":null,"is_oa":false,"landing_page_url":"https://harvest.usask.ca/bitstream/10388/ETD-2014-11-1816/4/ZHENG-THESIS.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":111,"referenced_works":["https://openalex.org/W81542336","https://openalex.org/W89874382","https://openalex.org/W102546209","https://openalex.org/W162884465","https://openalex.org/W207696868","https://openalex.org/W630548616","https://openalex.org/W1517757499","https://openalex.org/W1523408885","https://openalex.org/W1565893470","https://openalex.org/W1575652676","https://openalex.org/W1587119845","https://openalex.org/W1605317220","https://openalex.org/W1605353467","https://openalex.org/W1605407509","https://openalex.org/W1764681771","https://openalex.org/W1965090060","https://openalex.org/W1968944342","https://openalex.org/W1973948212","https://openalex.org/W1974021882","https://openalex.org/W1977410351","https://openalex.org/W1982128207","https://openalex.org/W1982610868","https://openalex.org/W1984926850","https://openalex.org/W1987416929","https://openalex.org/W1988247085","https://openalex.org/W1990886746","https://openalex.org/W1991495591","https://openalex.org/W1997243264","https://openalex.org/W2002885065","https://openalex.org/W2003154262","https://openalex.org/W2003674775","https://openalex.org/W2010246355","https://openalex.org/W2012699859","https://openalex.org/W2013713933","https://openalex.org/W2013795407","https://openalex.org/W2017702479","https://openalex.org/W2019815090","https://openalex.org/W2020511600","https://openalex.org/W2021504551","https://openalex.org/W2026558555","https://openalex.org/W2027399810","https://openalex.org/W2028309835","https://openalex.org/W2028587398","https://openalex.org/W2029770479","https://openalex.org/W2032290128","https://openalex.org/W2035419241","https://openalex.org/W2036293995","https://openalex.org/W2045133435","https://openalex.org/W2045616259","https://openalex.org/W2045932891","https://openalex.org/W2053337621","https://openalex.org/W2054365222","https://openalex.org/W2054931962","https://openalex.org/W2056508272","https://openalex.org/W2056885243","https://openalex.org/W2059540890","https://openalex.org/W2061235278","https://openalex.org/W2067724073","https://openalex.org/W2071727962","https://openalex.org/W2073859061","https://openalex.org/W2075832340","https://openalex.org/W2076149452","https://openalex.org/W2077201251","https://openalex.org/W2077523026","https://openalex.org/W2080981386","https://openalex.org/W2086189310","https://openalex.org/W2092266540","https://openalex.org/W2096258018","https://openalex.org/W2096448257","https://openalex.org/W2099192919","https://openalex.org/W2103861891","https://openalex.org/W2106787323","https://openalex.org/W2111795693","https://openalex.org/W2112162293","https://openalex.org/W2112646875","https://openalex.org/W2112692443","https://openalex.org/W2115590397","https://openalex.org/W2115868670","https://openalex.org/W2118228748","https://openalex.org/W2119523546","https://openalex.org/W2120757327","https://openalex.org/W2122061087","https://openalex.org/W2123726025","https://openalex.org/W2127951128","https://openalex.org/W2130501785","https://openalex.org/W2130908704","https://openalex.org/W2134120027","https://openalex.org/W2134205079","https://openalex.org/W2134232280","https://openalex.org/W2135482534","https://openalex.org/W2138340716","https://openalex.org/W2139524347","https://openalex.org/W2141086527","https://openalex.org/W2142218093","https://openalex.org/W2143553703","https://openalex.org/W2149879926","https://openalex.org/W2151061913","https://openalex.org/W2159697705","https://openalex.org/W2162105909","https://openalex.org/W2165340553","https://openalex.org/W2168279738","https://openalex.org/W2169468152","https://openalex.org/W2310176410","https://openalex.org/W2395201251","https://openalex.org/W2412665452","https://openalex.org/W2417262433","https://openalex.org/W2515280055","https://openalex.org/W2916955620","https://openalex.org/W2917647036","https://openalex.org/W4293108566","https://openalex.org/W4320300890"],"related_works":["https://openalex.org/W2115590397","https://openalex.org/W2032290128","https://openalex.org/W4388845096","https://openalex.org/W4303985252","https://openalex.org/W7028700543","https://openalex.org/W2911910708","https://openalex.org/W3100997765","https://openalex.org/W2808334447","https://openalex.org/W2122061087","https://openalex.org/W3217400854"],"abstract_inverted_index":{"Background:":[0],"Hospital":[1],"care":[2,13,49,80,115,237,318,361,436,477,505,540],"utilization":[3,26,50,116,385,407],"has":[4],"been":[5],"described":[6],"as":[7,128,178,185,508],"a":[8,96],"key":[9],"measurable":[10],"indicator":[11],"of":[12,42,57,70,106,132,149,153,163,197,204,268,278,294,303,321,326,335,338,343,351,357,364,369,390,396,404,413,435,441,447,465,488,525,531,537,546],"quality":[14],"in":[15,24,52,78,103,137,142,226,263,274,290,299,315,330,347,382,402,408,503],"patients":[16,28,60,387,547],"with":[17,29,63,66,84,112,122,193,241,307,420,549],"terminal":[18],"respiratory":[19,550],"diseases.":[20],"Knowledge":[21],"about":[22],"patterns":[23,51,487],"service":[25,406,467],"for":[27,284,443],"advanced":[30,448],"Chronic":[31],"Obstructive":[32],"Pulmonary":[33],"Disease":[34],"(COPD),":[35],"however,":[36],"is":[37,450,480,552],"fairly":[38],"limited.":[39],"The":[40,218],"goal":[41],"this":[43,138,143],"study":[44,98,144,426,492],"was":[45,159,378,460],"to":[46,75,108,255,258,312],"investigate":[47],"health":[48,79,101,539],"the":[53,104,129,160,186,205,264,275,291,300,331,348,383,409,433,439,486,529,543],"last":[54,265,276,301,332,349,410],"six":[55,266,292,333,411],"months":[56,267,293,334,412],"life":[58,414,442],"among":[59,81,386],"who":[61,68,243,388,394,445,454],"died":[62,69,225,244,389,395,446,455],"COPD":[64,85,124,180,251,308,322,339,365,391,421,449],"compared":[65],"those":[67,242,393,453],"lung":[71,126,183,246,327,344,370,397,423,457],"cancer,":[72,247,458],"and":[73,90,119,151,168,211,229,280,353,375,422,472,513],"also":[74],"examine":[76],"variations":[77],"individuals":[82],"living":[83,548],"between":[86,117,359,417,475],"sex,":[87],"age,":[88],"comorbidity,":[89,147],"temporal":[91],"trends.":[92],"Methods:":[93],"We":[94,494],"conducted":[95],"retrospective":[97],"using":[99],"administrative":[100],"data":[102],"province":[105],"Saskatchewan":[107,174],"identify":[109],"indicators":[110],"associated":[111],"greater":[113],"hospital":[114,384,405,466],"1997":[118,167,374],"2006.":[120],"Those":[121],"either":[123],"or":[125,182,214,392],"cancer":[127,184,328,345,371],"underlying":[130],"cause":[131],"death":[133],"(UCOD)":[134],"were":[135,176,191,207,212,252,309,415],"included":[136,145],"study.":[139],"Characteristics":[140],"examined":[141],"socio-demographics,":[146],"location":[148],"death,":[150],"use":[152],"institutional":[154,526],"services.":[155],"Multiple":[156],"logistic":[157],"regression":[158],"primary":[161],"method":[162],"analysis.":[164],"Results:":[165],"Between":[166,373],"2006,":[169,376],"7,114":[170],"persons":[171,306],"covered":[172],"by":[173,462],"Health":[175],"identified":[177],"having":[179],"(N=2,332)":[181],"UCOD":[187],"(N=4,782).":[188],"Approximately":[189],"60%":[190],"males":[192],"an":[194,316,519],"average":[195],"age":[196],"74.2":[198],"years":[199],"(S.D.":[200],"=10.1":[201],"years).":[202],"Half":[203],"decedents":[206],"rural":[208],"dwellers":[209],"(47.0%),":[210],"married":[213],"common":[215],"law":[216],"(51.6%).":[217],"majority":[219],"had":[220,230,281,354],"multiple":[221],"comorbid":[222],"conditions":[223],"(60.3%),":[224],"hospitals":[227,259],"(73.5%),":[228],"never":[231],"received":[232],"services":[233,501,527],"from":[234,245,250,452,456],"long-term":[235,360],"supportive":[236,476],"institutions":[238],"(74.3%).":[239],"Compared":[240],"people":[248,444],"dying":[249,419],"less":[253],"likely":[254,311],"be":[256,313],"admitted":[257],"(OR=0.71,":[260],"95%CI:":[261,271,288,297],"0.64-0.80":[262],"life;":[269,295,336],"OR=0.81,":[270],"0.70-":[272],"0.93":[273],"month":[277,302,350],"life)":[279,352],"shorter":[282],"LOS":[283],"each":[285],"admission":[286],"(OR=0.78,":[287],"0.70-0.87":[289],"OR=0.67,":[296],"0.60-0.75":[298],"life).":[304],"However,":[305],"more":[310,469,498],"managed":[314,502],"intensive":[317],"settings":[319],"(5.3%":[320],"subjects":[323,329,340,346,366,418],"vs.":[324,341,367],"1.7%":[325],"4.3%":[337],"0.06%":[342],"higher":[355],"numbers":[356],"transfers":[358,474],"facilities":[362],"(7.7%":[363],"3.2%":[368],"subjects).":[372],"there":[377],"no":[379,481],"significant":[380,482],"change":[381,483],"cancer.":[398,424],"Conclusions:":[399],"Marked":[400],"differences":[401],"terms":[403],"observed":[416,484],"Our":[425],"results":[427],"support":[428],"previous":[429],"work":[430],"indicating":[431],"that":[432],"nature":[434],"management":[437],"at":[438],"end":[440],"different":[451],"which":[459],"reflected":[461],"reduced":[463],"likelihood":[464],"usage,":[468],"ICU":[470],"admissions,":[471],"frequent":[473],"facilities.":[478],"There":[479],"regarding":[485,522],"hospitalization":[489],"over":[490],"10-year":[491],"period.":[493],"would":[495,517],"suggest":[496],"collecting":[497],"information":[499],"on":[500,542],"other":[504],"settings,":[506,512],"such":[507],"emergency":[509],"departments,":[510],"out-patient":[511],"clinics,":[514],"etc.":[515],"This":[516],"allow":[518],"in-depth":[520],"examination":[521],"what":[523],"types":[524],"influenced":[528],"usage":[530],"in-patient":[532],"care.":[533],"In":[534],"addition,":[535],"education":[536],"all":[538],"professionals":[541],"complex":[544],"needs":[545],"illnesses":[551],"required.":[553]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
