Impact of a Palliative Care Consult Service

Kevin Whitford, Nilay D. Shah, James Moriarty, Megan Branda, Bjoerg Thorsteinsdottir

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Established hospital palliative care consult services (PCCS) have been associated with reduced costs and length of stay, decreased symptom burden, and increased satisfaction with care. Using a retrospective case-control design, we analyzed administrative data of patients seen by PCCS while hospitalized at the Rochester, Minnesota Mayo Clinic hospitals from 2003 to 2008. The PCCS patients were matched to 3:1. A total of 1477 patients seen by the PCCS were matched with 4431 patients not seen. Costs for patients seen and discharged alive were US$35 449 (95% confidence interval [CI] US$34 157-US$36 686) compared to US$37 447 (95% CI US$36 734-US$38 126), without PCCS consultation. Costs for PCCS patients that died during hospitalization were US$54 940 (95% CI US$51 483-US$58 576) and non-PCCS patients were US$79 660 (95% CI US$76 614-US$83 398).

Original languageEnglish (US)
Pages (from-to)175-182
Number of pages8
JournalAmerican Journal of Hospice and Palliative Medicine
Issue number2
StatePublished - Mar 2014


  • administrative data
  • case-control
  • costs
  • outcomes
  • palliative care
  • propensity score

ASJC Scopus subject areas

  • General Medicine


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