{"id":"https://openalex.org/W68217097","doi":"https://doi.org/10.1161/circ.125.suppl_10.ap240","title":"Abstract P240: End of Life Costs in Community Patients with Heart Failure","display_name":"Abstract P240: End of Life Costs in Community Patients with Heart Failure","publication_year":2012,"publication_date":"2012-03-13","ids":{"openalex":"https://openalex.org/W68217097","doi":"https://doi.org/10.1161/circ.125.suppl_10.ap240","mag":"68217097"},"language":"en","primary_location":{"id":"doi:10.1161/circ.125.suppl_10.ap240","doi":"https://doi.org/10.1161/circ.125.suppl_10.ap240","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circ.125.suppl_10.ap240","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"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/A5084957131","display_name":"Shannon M. Dunlay","orcid":"https://orcid.org/0000-0001-5145-7420","observed_orcids":["https://orcid.org/0000-0001-5145-7420"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shannon M Dunlay","raw_affiliation_strings":["Mayo Clinic, Rochester, MN","Shannon M Dunlay Mayo Clinic, Rochester, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Shannon M Dunlay Mayo Clinic, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041424888","display_name":"Nilay D. Shah","orcid":"https://orcid.org/0000-0002-8597-3447","observed_orcids":["https://orcid.org/0000-0002-8597-3447"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nilay D Shah","raw_affiliation_strings":["Mayo Clinic, Rochester, MN","Nilay D Shah Mayo Clinic, Rochester, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Nilay D Shah Mayo Clinic, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073473935","display_name":"Holly VanHouten","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Holly K VanHouten","raw_affiliation_strings":["Mayo Clinic, Rochester, MN","Holly K VanHouten Mayo Clinic, Rochester, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Holly K VanHouten Mayo Clinic, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5065857137","display_name":"Veronique Lee Roger","orcid":"https://orcid.org/0000-0002-9347-7865","observed_orcids":["https://orcid.org/0000-0002-9347-7865"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Veronique L Roger","raw_affiliation_strings":["Mayo Clinic, Rochester, MN","Veronique L Roger Mayo Clinic, Rochester, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Veronique L Roger Mayo Clinic, Rochester, MN","institution_ids":["https://openalex.org/I1330342723"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1330342723"],"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":"125","issue":"suppl_10","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":0.5893999934196472,"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":0.5893999934196472,"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/T10198","display_name":"Heart Failure Treatment and Management","score":0.3788999915122986,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular 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/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.004699999932199717,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.996999979019165},{"id":"https://openalex.org/keywords/end-of-life-costs","display_name":"end-of-life care costs","score":0.8619999885559082},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.6650000214576721},{"id":"https://openalex.org/keywords/community-dwelling-patients","display_name":"community-dwelling patients","score":0.8370000123977661},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.628000020980835},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.671999990940094},{"id":"https://openalex.org/keywords/last-months-of-life","display_name":"last months of life","score":0.6579999923706055},{"id":"https://openalex.org/keywords/economic-burden","display_name":"economic burden","score":0.6710000038146973}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9126646518707275},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.6088425517082214},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.6031559705734253},{"id":"https://openalex.org/C126451531","wikidata":"https://www.wikidata.org/wiki/Q2852035","display_name":"Years of potential life lost","level":4,"score":0.55257648229599},{"id":"https://openalex.org/C182299520","wikidata":"https://www.wikidata.org/wiki/Q1289588","display_name":"Total cost","level":2,"score":0.5217369794845581},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4647487998008728},{"id":"https://openalex.org/C122048520","wikidata":"https://www.wikidata.org/wiki/Q2913954","display_name":"Percentile","level":2,"score":0.45099401473999023},{"id":"https://openalex.org/C6964187","wikidata":"https://www.wikidata.org/wiki/Q659256","display_name":"Indirect costs","level":2,"score":0.450298011302948},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.42320728302001953},{"id":"https://openalex.org/C3019354653","wikidata":"https://www.wikidata.org/wiki/Q5690885","display_name":"Medical costs","level":3,"score":0.41746094822883606},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.39266476035118103},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.35933759808540344},{"id":"https://openalex.org/C133925201","wikidata":"https://www.wikidata.org/wiki/Q188419","display_name":"Life expectancy","level":3,"score":0.24416899681091309},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2315896451473236},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.1410829722881317},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C121955636","wikidata":"https://www.wikidata.org/wiki/Q4116214","display_name":"Accounting","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circ.125.suppl_10.ap240","doi":"https://doi.org/10.1161/circ.125.suppl_10.ap240","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circ.125.suppl_10.ap240","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2138716353","https://openalex.org/W2126616096","https://openalex.org/W2557003267","https://openalex.org/W2520362658","https://openalex.org/W2104554295","https://openalex.org/W2982263031","https://openalex.org/W3138165344","https://openalex.org/W2560720086","https://openalex.org/W2167881961","https://openalex.org/W2495115660"],"abstract_inverted_index":{"Background:":[0],"Heart":[1],"failure":[2],"(HF)":[3],"care":[4,304],"constitutes":[5],"an":[6],"increasing":[7],"economic":[8],"burden":[9],"on":[10],"the":[11,21,27,75,115,149,170,195,206,212,226,234,246,268,290,297],"healthcare":[12,22],"system,":[13],"and":[14,66,133,201,253,281],"has":[15],"become":[16],"a":[17,44,282],"key":[18],"focus":[19],"in":[20,35,74,194,205,211,225,267,289],"debate.":[23],"Costs":[24,107,208],"incurred":[25,73],"at":[26],"end":[28,39,298],"of":[29,40,47,97,124,153,188,199,222,230,239,257,271,274,285,299,303],"life":[30,41,154,231,240,258],"can":[31],"be":[32,309],"particularly":[33,266,310],"high":[34,261],"some":[36],"populations,":[37],"however,":[38],"costs":[42,72,100,147,183,224,241,259,276],"among":[43,262],"community":[45,263],"population":[46],"HF":[48,61,98,126,264,286,295],"patients":[49,127,191,287,293],"have":[50],"not":[51,243],"been":[52],"well":[53],"delineated.":[54],"Methods:":[55],"Olmsted":[56],"County":[57],"residents":[58],"with":[59,169,218,294],"incident":[60],"from":[62,103],"1987-2006":[63],"were":[64,82,101,108,128,155,192],"identified":[65],"followed":[67],"until":[68,105],"death.":[69,106,237],"Direct":[70],"medical":[71],"last":[76,150,196,227],"6":[77,95,151,197,228],"months":[78,96,152,198,213,229],"prior":[79,214],"to":[80,110,215],"death":[81,216],"obtained":[83],"using":[84,114],"population-based":[85],"administrative":[86],"data":[87,137],"through":[88],"2010.":[89],"For":[90],"those":[91],"that":[92,305],"died":[93,130,204,288],"within":[94,148],"diagnosis,":[99],"included":[102],"diagnosis":[104],"inflated":[109],"2010":[111],"U.S.":[112],"dollars":[113],"general":[116],"Consumer":[117],"Price":[118],"Index":[119],"(CPI).":[120],"Results:":[121],"A":[122,186],"total":[123,182,187,223],"862":[125],"identified,":[129],"during":[131,173,233,279],"follow-up,":[132],"had":[134],"complete":[135],"cost":[136],"(mean":[138],"age":[139,252],"79.4":[140],"years,":[141],"46.4%":[142],"male,":[143],"56.5%":[144],"EF\u226550%).":[145],"Median":[146],"$12,069":[156],"per":[157,177],"person":[158],"(25":[159],"th":[160,162],"-75":[161],"percentile":[163],"$1768":[164],"-":[165],"$30,841,":[166],"mean":[167,179],"$24,052),":[168],"majority":[171],"accumulated":[172,232,278],"hospitalizations":[174,307],"(median":[175],"$8849":[176],"person,":[178],"$20,263,":[180],"84.2%":[181],"for":[184,251],"population).":[185],"596":[189],"(69.1%)":[190],"hospitalized":[193],"life,":[200,300],"235":[202],"(27.3%)":[203],"hospital.":[207,291],"progressively":[209],"increased":[210],"(Figure),":[217],"nearly":[219],"half":[220],"(43.4%)":[221],"month":[235,270],"before":[236],"End":[238,256],"did":[242],"change":[244],"over":[245],"study":[247],"period":[248],"(p=0.154":[249],"adjusted":[250],"sex).":[254],"Conclusions:":[255],"are":[260,277],"patients,":[265],"final":[269],"life.":[272],"Most":[273],"these":[275],"hospitalizations,":[280],"large":[283],"proportion":[284],"Among":[292],"nearing":[296],"alternative":[301],"strategies":[302],"avoid":[306],"may":[308],"cost-saving.":[311]},"counts_by_year":[],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2016-06-24T00:00:00"}
