{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Bell SG"],"funding":["NCI NIH HHS"],"pagination":["515-520"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC11265618"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["27(4)"],"pubmed_abstract":["<b><i>Introduction:</i></b> Therapeutic alliance (TA), or the extent to which patients feel a sense of caring and trust with their physician, may have an impact on health care utilization. We sought to determine if TA is associated with: (1) emergency department (ED) visits within 30 days of death and (2) hospice enrollment. <b><i>Methods and Materials:</i></b> This is a secondary analysis of data from a randomized clinical trial. We used restricted cubic splines to assess the relationship between TA scores and health care utilization. <b><i>Results:</i></b> Six hundred seventy-two patients were enrolled in the study, with 331 (49.3%) dying within 12 months. Patients with higher TA were less likely to have an ED visit in the last 30 days of life, but there was no evidence of a relationship between TA and enrollment in hospice. <b><i>Conclusions:</i></b> Higher TA was associated with decreased ED visits within 30 days of death. There was no association between TA and rates of hospice enrollment. Clinical Registration Number: NCT02712229."],"journal":["Journal of palliative medicine"],"pubmed_title":["Associations of Health Care Utilization and Therapeutic Alliance in Patients with Advanced Cancer."],"pmcid":["PMC11265618"],"funding_grant_id":["P30 CA047904","R01 CA197103","R37 CA262025"],"pubmed_authors":["Smith KJ","Chu E","Bell SG","White DB","Belin SC","Althouse AD","Arnold RM","Schenker Y","Thomas TH"],"additional_accession":[]},"is_claimable":false,"name":"Associations of Health Care Utilization and Therapeutic Alliance in Patients with Advanced Cancer.","description":"<b><i>Introduction:</i></b> Therapeutic alliance (TA), or the extent to which patients feel a sense of caring and trust with their physician, may have an impact on health care utilization. We sought to determine if TA is associated with: (1) emergency department (ED) visits within 30 days of death and (2) hospice enrollment. <b><i>Methods and Materials:</i></b> This is a secondary analysis of data from a randomized clinical trial. We used restricted cubic splines to assess the relationship between TA scores and health care utilization. <b><i>Results:</i></b> Six hundred seventy-two patients were enrolled in the study, with 331 (49.3%) dying within 12 months. Patients with higher TA were less likely to have an ED visit in the last 30 days of life, but there was no evidence of a relationship between TA and enrollment in hospice. <b><i>Conclusions:</i></b> Higher TA was associated with decreased ED visits within 30 days of death. There was no association between TA and rates of hospice enrollment. Clinical Registration Number: NCT02712229.","dates":{"release":"2024-01-01T00:00:00Z","publication":"2024 Apr","modification":"2026-06-01T19:20:40.328Z","creation":"2025-06-26T03:06:04.696Z"},"accession":"S-EPMC11265618","cross_references":{"pubmed":["38574330"],"doi":["10.1089/jpm.2023.0559"]}}