The number of cancer patients dying every day is higher in states with more hospice care facilities, a new report has found.
The study by the University of Pittsburgh Medical Center and the National Cancer Institute (NCI) looked at death rates in the US between 2003 and 2014.
It also looked at the state-by-state spread of COVID-19.
It found that the average rate of death in the 14 states with the highest rate of hospice facilities was 9.9 per 100,000 residents.
But the rate of deaths was lower in all but five states.
Hospice deaths in Texas were the highest in the country at 16.9 deaths per 100000 residents, followed by Oklahoma at 14.6, Florida at 11.5 and Arkansas at 11, the report said.
It found that among the 12 states with fewer than 10,000 hospice beds, the death rate was 11.9.
Among the 10 states with at least 10,400 hospice rooms, the rate was 10.8.
Among the 15 states with 10,800 beds, death rates were 8.7 per 100 million residents.
Among those with 10 million beds, mortality rates were 7.3 per 100.
Michele Fazio, a professor of epidemiology at the University at Buffalo and a co-author of the study, said that states with higher hospice rates were generally healthier.
The researchers found that while hospice mortality rates in some states have increased, the trend has been toward a decrease over time.
For instance, in Texas, where hospice deaths are about 5.5 times higher than the national average, the proportion of people who die within 24 hours has been steadily decreasing since 2004.
The number of people with COVID and the rate at which they develop complications have also declined, according to the study.
Deaths from COVID declined from about 1.5 million deaths in 2002 to about 1 million in 2014, the NCI report said, which was lower than the 2.5 deaths per 1 million people per year in the United States.
It said this decline has been driven by changes in the distribution of COVI cases and deaths.
According to the NCID, the current rate of COV-19 death is 2.9 people per 100 000 people in the USA, which is more than double the rate in 2005.
Death rates in other parts of the world, such as China, Russia, Japan, India and South Korea, are also higher than that of the USA.