Trends and Racial Disparities of Palliative Care Use among Hospitalized Patients with ESKD on Dialysis

Journal of the American Society of Nephrology : JASN
Yumeng WenLili Chan

Abstract

Study findings show that although palliative care decreases symptom burden, it is still underused in patients with ESKD. Little is known about disparity in use of palliative care services in such patients in the inpatient setting. To investigate the use of palliative care consultation in patients with ESKD in the inpatient setting, we conducted a retrospective cohort study using the National Inpatient Sample from 2006 to 2014 to identify admitted patients with ESKD requiring maintenance dialysis. We compared palliative care use among minority groups (black, Hispanic, and Asian) and white patients, adjusting for patient and hospital variables. We identified 5,230,865 hospitalizations of such patients from 2006 through 2014, of which 76,659 (1.5%) involved palliative care. The palliative care referral rate increased significantly, from 0.24% in 2006 to 2.70% in 2014 (P<0.01). Black and Hispanic patients were significantly less likely than white patients to receive palliative care services (adjusted odds ratio [aOR], 0.72; 95% confidence interval [95% CI], 0.61 to 0.84, P<0.01 for blacks and aOR, 0.46; 95% CI, 0.30 to 0.68, P<0.01 for Hispanics). These disparities spanned across all hospital subtypes, including those with higher p...Continue Reading

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Citations

Jan 4, 2020·Seminars in Dialysis·Deidra C Crews, Tessa K Novick
Sep 1, 2019·Journal of the American Society of Nephrology : JASN·Vanessa Grubbs
Dec 17, 2020·The American Journal of Hospice & Palliative Care·Minh-Thuy NguyenSabrina E Sanchez
Feb 5, 2021·The American Journal of Hospice & Palliative Care·Mohsen BazarganLucy W Kibe
Apr 9, 2021·Journal of the American Society of Nephrology : JASN·Keren LadinDaniel E Weiner
Jul 20, 2021·Neuro-oncology Practice·Meghan PriceC Rory Goodwin
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Sep 2, 2021·The American Journal of Hospice & Palliative Care·Lindsay HainesKatherine Courtright
Sep 4, 2021·The American Journal of Hospice & Palliative Care·Mohsen BazarganShahrzad Bazargan-Hejazi
Oct 3, 2021·Journal of the American Society of Nephrology : JASN·Josephine P Briggs, Donald Wesson

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