Racial/Ethnic Differences in Inpatient Palliative Care Consultation for Patients With Advanced Cancer

作者: Rashmi K. Sharma , Kenzie A. Cameron , Joan S. Chmiel , Jamie H. Von Roenn , Eytan Szmuilowicz

DOI: 10.1200/JCO.2015.61.6458

关键词:

摘要: Purpose Inpatient palliative care consultation (IPCC) may help address barriers that limit the use of hospice and receipt symptom-focused for racial/ethnic minorities, yet little is known about disparities in rates IPCC. We evaluated association between race/ethnicity IPCC patients with advanced cancer. Patients Methods metastatic cancer who were hospitalized January 1, 2009, December 31, 2010, at an urban academic medical center participated study. Patient-level multivariable logistic regression was used to evaluate Results A total 6,288 (69% non-Hispanic white, 19% African American, 6% Hispanic) eligible. Of these patients, 16% whites, 22% Americans, 20% Hispanics had (overall P < .001). Compared Americans a greater likelihood receiving (odds ratio, 1.21; 95% CI, 1.01 1.44), even after adjust...

参考文章(42)
Craig C. Earle, Bridget A. Neville, Mary Beth Landrum, John Z. Ayanian, Susan D. Block, Jane C. Weeks, Trends in the Aggressiveness of Cancer Care Near the End of Life Journal of Clinical Oncology. ,vol. 22, pp. 315- 321 ,(2004) , 10.1200/JCO.2004.08.136
Arif H. Kamal, Keith M. Swetz, Elise C. Carey, Andrea L. Cheville, Heshan Liu, Suzanne R. Ruegg, Timothy J. Moynihan, Jeff A. Sloan, Judith S. Kaur, Palliative Care Consultations in Patients With Cancer: A Mayo Clinic 5-Year Review Journal of Oncology Practice. ,vol. 7, pp. 48- 53 ,(2011) , 10.1200/JOP.2010.000067
Alexander K. Smith, Craig C. Earle, Ellen P. McCarthy, Racial and Ethnic Differences in End‐of‐Life Care in Fee‐for‐Service Medicare Beneficiaries with Advanced Cancer Journal of the American Geriatrics Society. ,vol. 57, pp. 153- 158 ,(2009) , 10.1111/J.1532-5415.2008.02081.X
Katherine Baicker, Amitabh Chandra, Jonathan S. Skinner, John E. Wennberg, Who you are and where you live: how race and geography affect the treatment of medicare beneficiaries. Health Affairs. ,vol. 23, ,(2004) , 10.1377/HLTHAFF.VAR.33
Amresh Hanchate, Andrea C. Kronman, Yinong Young-Xu, Arlene S. Ash, Ezekiel Emanuel, Racial and ethnic differences in end-of-life costs why do minorities cost more than whites? JAMA Internal Medicine. ,vol. 169, pp. 493- 501 ,(2009) , 10.1001/ARCHINTERNMED.2008.616
Ziad Obermeyer, Maggie Makar, Samer Abujaber, Francesca Dominici, Susan Block, David M. Cutler, Association between the Medicare hospice benefit and health care utilization and costs for patients with poor-prognosis cancer JAMA. ,vol. 312, pp. 1888- 1896 ,(2014) , 10.1001/JAMA.2014.14950
Kimberly S. Johnson, Maragatha Kuchibhatla, James A. Tulsky, What Explains Racial Differences in the Use of Advance Directives and Attitudes Toward Hospice Care Journal of the American Geriatrics Society. ,vol. 56, pp. 1953- 1958 ,(2008) , 10.1111/J.1532-5415.2008.01919.X
Alexi A Wright, Baohui Zhang, Alaka Ray, Jennifer W Mack, Elizabeth Trice, Tracy Balboni, Susan L Mitchell, Vicki A Jackson, Susan D Block, Paul K Maciejewski, Holly G Prigerson, Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment. JAMA. ,vol. 300, pp. 1665- 1673 ,(2008) , 10.1001/JAMA.300.14.1665
Kimberly S. Johnson, Racial and Ethnic Disparities in Palliative Care Journal of Palliative Medicine. ,vol. 16, pp. 1329- 1334 ,(2013) , 10.1089/JPM.2013.9468
Muriel Jean-Jacques, Stephen D. Persell, Romana Hasnain-Wynia, Jason A. Thompson, David W. Baker, The Implications of Using Adjusted Versus Unadjusted Methods to Measure Health Care Disparities at the Practice Level American Journal of Medical Quality. ,vol. 26, pp. 491- 501 ,(2011) , 10.1177/1062860611403135