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Survival Variations Based on Hospice Qualifying Condition: A Retrospective Review
Patrick D Crowley1, Leslie R Siegel2,3, Francis X Whalen3,4
1Division of Public Health, Infectious Disease, and Occupational Medicine, Mayo Clinic, Rochester, MN, USA.
The American Journal of Hospice & Palliative Care
|August 26, 2025
Summary
Hospice patients
Area of Science:
- Gerontology
- Palliative Care
- Biostatistics
Background:
- Hospice enrollment serves diverse patient conditions.
- Limited recent data exists on survival duration post-hospice enrollment.
- Key demographic and diagnostic factors influencing survival are under-examined.
Purpose of the Study:
- To analyze survival durations after hospice enrollment.
- To investigate the impact of age, sex, and hospice-qualifying conditions (HQC) on survival.
- To identify patient subgroups with longer hospice survival.
Main Methods:
- Utilized existing patient data for analysis.
- Calculated age at enrollment and recorded sex.
- Classified patients into nine hospice-qualifying condition categories.
- Employed Wilcoxon rank-sum tests for survival comparisons.
Main Results:
- Median survival was 17.36 days; "Infectious" HQC had the shortest median survival (4.69 days), while "Other" had the longest (28.53 days).
- Women (19.34 days) and older patients (20.51 days) exhibited longer median survival than men (15.37 days) and younger patients (15.03 days).
- 9.47% of patients survived at least 6 months, with higher rates observed in women (10.99%), older individuals (12.44%), and those with dementia (16.46%).
Conclusions:
- Survival duration in hospice varies significantly by age, sex, and diagnosis.
- Findings suggest potential biases in hospice applicability assessments.
- Understanding these survival differences is vital for patient and family expectations and care planning.
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