Abstract
Inpatient palliative care consultation (IPCC) may help address barriers that limit the use of hospice and the receipt of symptom-focused care for racial/ethnic minorities, yet little is known about disparities in the rates of IPCC. We evaluated the association between race/ethnicity and rates of IPCC for patients with advanced cancer. Patients with metastatic cancer who were hospitalized between January 1, 2009, and December 31, 2010, at an urban academic medical center participated in the study. Patient-level multivariable logistic regression was used to evaluate the association between race/ethnicity and IPCC. A total of 6,288 patients (69% non-Hispanic white, 19% African American, and 6% Hispanic) were eligible. Of these patients, 16% of whites, 22% of African Americans, and 20% of Hispanics had an IPCC (overall P < .001). Compared with whites, African Americans had a greater likelihood of receiving an IPCC (odds ratio, 1.21; 95% CI, 1.01 to 1.44), even after adjusting for insurance, hospitalizations, marital status, and illness severity. Among patients who received an IPCC, African Americans had a higher median number of days from IPCC to death compared with whites (25 v 17 days; P = .006), and were more likely than Hispani...Continue Reading
References
Nov 15, 1995·Annals of Internal Medicine·L I IezzoniY D Mackiernan
Jul 1, 1993·Journal of General Internal Medicine·J M GarrettM Danis
Jul 23, 1998·Medical Care·M E CowenY Shyr
May 14, 1999·Journal of the American Geriatrics Society·E W MebaneM K Goldstein
Jul 15, 1999·Social Science & Medicine·L J BlackhallS P Azen
Dec 28, 1999·JAMA : the Journal of the American Medical Association·S J GoodlinR S Phillips
Dec 19, 2001·Medical Care·Beth A VirnigRishi Dholakia
Jan 30, 2003·Medical Care·Sherry WeitzenVincent Mor
May 29, 2003·Critical Care Medicine·Howard B DegenholtzMichael J Miller
Jul 2, 2003·Journal of the American Geriatrics Society·K Allen GreinerJasjit S Ahluwalia
Nov 19, 2003·Journal of Palliative Medicine·Thomas J SmithMary Ann Hager
Jan 15, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Craig C EarleJane C Weeks
Jul 3, 2004·Health Services Research·Nuha A LackanJames S Goodwin
Sep 29, 2004·Health Affairs·Katherine Baicker, Amitabh Chandra
Oct 4, 2005·The Gerontologist·Jung Kwak, William E Haley
Aug 17, 2006·Journal of Palliative Medicine·Joan D PenrodR Sean Morrison
Apr 25, 2007·Critical Care Medicine·Sally A NortonTimothy E Quill
Mar 29, 2008·Journal of Palliative Medicine·Badi El OstaEduardo Bruera
May 14, 2008·Health Affairs·Katherine Baicker
May 15, 2008·Palliative Medicine·S R ConnorN A Christakis
Jul 1, 2008·Journal of Palliative Medicine·Lilian Liou Cohen
Sep 6, 2008·Journal of the American Geriatrics Society·Kimberly S JohnsonJames A Tulsky
Sep 10, 2008·Archives of Internal Medicine·R Sean MorrisonUNKNOWN Palliative Care Leadership Centers' Outcomes Group
Oct 9, 2008·JAMA : the Journal of the American Medical Association·Alexi A WrightHolly G Prigerson
Dec 5, 2008·Journal of the American Geriatrics Society·Alexander K SmithEllen P McCarthy
Mar 11, 2009·Archives of Internal Medicine·Baohui ZhangHolly G Prigerson
Mar 11, 2009·Archives of Internal Medicine·Amresh HanchateEzekiel Emanuel
Apr 24, 2009·Journal of General Internal Medicine·Amber E BarnatoElliott S Fisher
Sep 8, 2010·The New England Journal of Medicine·Jennifer S TemelThomas J Lynch
Feb 5, 2011·Chest·Sarah MuniJ Randall Curtis
May 3, 2011·Journal of Oncology Practice·Arif H KamalJudith S Kaur
May 26, 2011·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Muriel Jean-JacquesDavid W Baker
May 27, 2011·Journal of the American Medical Informatics Association : JAMIA·Adam WrightDavid W Bates
Feb 9, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Thomas J SmithJamie H Von Roenn
Mar 20, 2012·Home Health Care Services Quarterly·Jeff LagunaAlexis Coulourides-Kogan
May 31, 2012·Journal of Health Care for the Poor and Underserved·Camille P Wicher, Mary Ann Meeker
Jul 11, 2012·The American Journal of Hospice & Palliative Care·Joseph SaccoDeborah Viola
Oct 1, 2013·Journal of Palliative Medicine·Kimberly S Johnson
Nov 20, 2013·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Patricia A Ganz, Laura A Levit
Oct 3, 2014·BMC Medical Informatics and Decision Making·Heidi V RussellVivian Ho
Nov 12, 2014·JAMA : the Journal of the American Medical Association·Ziad ObermeyerDavid M Cutler
Citations
Feb 17, 2018·Journal of Palliative Medicine·Marvin Omar Delgado-GuayEduardo Bruera
Dec 13, 2017·Palliative & Supportive Care·Jill B HamiltonValarie C Worthy
Jun 13, 2018·Journal of Palliative Medicine·Crystal E BrownJ Randall Curtis
Jan 12, 2019·Journal of Palliative Medicine·Katherine C Brooks
Mar 8, 2019·PloS One·Chih-Hung WangWen-Jone Chen
Mar 15, 2019·The American Journal of Hospice & Palliative Care·Erica C KayeJustin N Baker
Apr 9, 2019·Palliative & Supportive Care·J Nicholas Dionne-OdomErin E Kent
Apr 10, 2019·Journal of Palliative Medicine·Elizabeth WagnerRuth A Engelberg
May 1, 2019·Annals of the American Thoracic Society·Anand S IyerMarie A Bakitas
Feb 6, 2020·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jennifer J Griggs
Jul 2, 2019·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Kate M LillieJennifer L Shaw
Dec 9, 2017·Pediatric Blood & Cancer·Erica C KayeJustin N Baker
Jun 4, 2020·The American Journal of Hospice & Palliative Care·Kimberley T LeeKimlin T Ashing
Nov 17, 2017·The American Journal of Hospice & Palliative Care·Emily B RosenfeldDaniel S Kapp
May 31, 2018·Journal of Oncology Practice·William F PirlErin Kobetz
May 5, 2017·Epidemiologic Reviews·Sarina R IsenbergThomas J Smith
Dec 31, 2016·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Betty R FerrellThomas J Smith
Jul 25, 2020·Trials·Kristen Allen WattsMarie Bakitas
May 7, 2020·The American Journal of Hospice & Palliative Care·Kimberley LeeFabian M Johnston
Aug 23, 2017·The American Journal of Hospice & Palliative Care·Katie J WiskarBarret Rush
Jun 19, 2020·The Neurohospitalist·Kaitlyn LillemoeAriane Lewis
Jun 30, 2019·Journal of Racial and Ethnic Health Disparities·Shena GazawayAutumn Schumacher
Jul 19, 2020·BMJ Supportive & Palliative Care·Matthieu FrascaSimone Mathoulin-Pelissier
Dec 17, 2020·The American Journal of Hospice & Palliative Care·Minh-Thuy NguyenSabrina E Sanchez
Dec 19, 2020·Journal of Palliative Medicine·Colleen WebberPeter Tanuseputro
Jan 4, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Amy J DavidoffCarolyn J Presley
Dec 29, 2020·Journal of Pain and Symptom Management·Derek MoriyamaJeffrey T Berger
Jan 12, 2021·The American Journal of Hospice & Palliative Care·Katie E NelsonPatricia M Davidson
Nov 30, 2019·Journal of Pain and Symptom Management·Maureen L SaphireAmy J Davidoff
Jan 20, 2021·Journal of General Internal Medicine·Lauren T StarrSalimah H Meghani
Oct 31, 2020·Journal of Geriatric Oncology·Ramy SedhomKaren Bandeen-Roche
Mar 26, 2021·Journal of Pain and Symptom Management·Meaghann S WeaverDavid J Alfandre
Apr 28, 2021·Journal of General Internal Medicine·Zhimeng JiaJoan M Teno
Jun 25, 2021·Journal of Palliative Medicine·Rita C CroomsLaura P Gelfman
Jul 20, 2021·Neuro-oncology Practice·Meghan PriceC Rory Goodwin
Jul 29, 2021·The American Journal of Hospice & Palliative Care·Lauren T StarrSalimah H Meghani
Aug 20, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Nicholas P DeGrooteKatharine E Brock
Oct 13, 2021·Journal of Palliative Medicine·Julia L FrydmanLaura P Gelfman