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In end-of-life cancer care, geography may be destiny

20:00 EDT 8 Jul 2018 | AAAS

(Harvard Medical School) Research reveals dramatic geographic differences in end-of-life care spending across the United States.Spending variations stemmed from doctors' beliefs about end-of-life care and style of practice and from availability of health care services.Patient beliefs and preferences did not contribute to spending differences.Health care spending in the last month of life for patients with end-stage cancer in some regions is twice as high as that in other regions.The additional spending is wasteful and possibly harmful.

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