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Percent of Cancer Patients Admitted to ICU during the Last Month of Life
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    Percent of Cancer Patients Admitted to ICU during the Last Month of Life
    (Year: 2012; Region Levels: State)
    California 40.6%
    Nevada 40.5%
    New Jersey 38.2%
    Arizona 37.7%
    Florida 37.6%
    Illinois 35.1%
    Texas 33.8%
    Pennsylvania 32.6%
    Virginia 32.3%
    Tennessee 31.7%
    Missouri 31.6%
    West Virginia 31.1%
    Ohio 31.1%
    Michigan 30.3%
    Indiana 29.5%
    Alabama 29.4%
    Connecticut 29.3%
    Kentucky 29.3%
    South Carolina 29.1%
    Georgia 29.1%
    District of Columbia 28.9%
    New Mexico 27.6%
    Washington 27.5%
    Oklahoma 27.4%
    Delaware 27.4%
    Maryland 27.4%
    North Carolina 27.3%
    Hawaii 27.2%
    Kansas 26.8%
    Louisiana 26.8%
    Colorado 25.3%
    Nebraska 25.2%
    Utah 24.5%
    Arkansas 24.5%
    Montana 24.5%
    Mississippi 24.5%
    Alaska 21.9%
    Oregon 21.7%
    New York 21.7%
    Rhode Island 20.9%
    Massachusetts 20.9%
    Iowa 20.4%
    Idaho 20.4%
    Wisconsin 19.9%
    New Hampshire 19.2%
    Vermont 19.2%
    Wyoming 18.1%
    South Dakota 18.0%
    Minnesota 17.1%
    Maine 16.9%
    North Dakota 14.4%
    National Average 30.2%
    90th Percentile 37.6%
    50th Percentile 27.4%
    10th Percentile 18.1%
        • We identified a 20% sample of all Medicare beneficiaries who died between the ages of 66 and 99 years during the period 2003-07. Data for 2010-12 are based on a 100% sample of claims. We excluded beneficiaries without continuous Part A and Part B coverage in the last six months of life or who were enrolled in Medicare health maintenance organizations (i.e., Medicare Advantage). From these decedents, we identified those with poor prognosis cancer diagnoses on at least one hospital claim or at least two clinician visits in the last six months of life. We then categorized decedents into one of 26 cancer types based on their predominant cancer diagnosis using a modified Clinical Classification Software (CCS) approach; please see the Methods of our cancer report for details.

        • ADJUSTMENTS:
        • Although all of these patients died of serious cancer, groups of patients across hospitals or regions may have differed by other characteristics such as the composition of age, sex or race. All rates are adjusted with the following patient level characteristics: age, race (black/non-black), sex, cancer type, and non-cancer chronic conditions.


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    The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation, including the WellPoint Foundation, the United Health Foundation, the California HealthCare Foundation, and the Charles H. Hood Foundation.