Advance care planning among Medicare beneficiaries with dementia undergoing surgery.

ABSTRACT:

Importance

Advance care planning (ACP), in which patients or their surrogates discuss goals and preferences for care with physicians, attorneys, friends, and family, is an important approach to help align goals with actual treatment. ACP may be particularly valuable in patients with advanced serious illnesses such as Alzheimer's disease and related dementias (ADRDs) for whom surgery carries significant risks.

Objective

To determine the frequency, timing, and factors associated with ACP billing in Medicare beneficiaries with ADRD undergoing nontrauma inpatient surgery.

Design

This national cohort study analyzes Medicare fee-for-service claims data from 2016 to 2017. All patients had a 6-month lookback and follow-up period.

Setting

National Medicare fee-for-servi

SUBMITTER: Shah SK 

PROVIDER: S-EPMC8373690 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature