Race, Ethnicity, and End-of-Life Care in Dialysis Patients in the United States
Race, Ethnicity, and End-of-Life Care in Dialysis Patients in the United States
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DOI：
10.1681/asn.2017121297
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发表时间：
2018-09-01
影响因子：
13.6
通讯作者：
Reule, Scott
中科院分区：
文献类型：
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作者：
Foley, Robert N.;Sexton, Donal J.;Reule, Scott
临终关怀是维持性透析患者的重要考虑因素，特别是当死亡迫在眉睫，生活质量较差时。迄今为止，对ESRD患者临终关怀中种族和民族差异的研究主要局限于白人和黑人患者的比较。方法：我们使用美国肾脏数据系统文件进行了一项回顾性全国研究，以确定美国透析患者的临终关怀是否存在种族或民族差异。主要结局是在非医院或临终关怀环境中停止透析和死亡的综合结果。在2000年至2014年期间死亡的1,098,384例透析患者中，与非西班牙裔白人人群相比，来自任何少数群体的患者出现主要结局的可能性更低(10.9%对22.6%，P
Background End-of-life care is a prominent consideration in patients on maintenance dialysis, especially when death appears imminent and quality of life is poor. To date, examination of race- and ethnicity-associated disparities in end-of-life care for patients with ESRD has largely been restricted to comparisons of white and black patients.Methods We performed a retrospective national study using United States Renal Data System files to determine whether end-of-life care in United States patients on dialysis is subject to racial or ethnic disparity. The primary outcome was a composite of discontinuation of dialysis and death in a nonhospital or hospice setting.Results Among 1,098,384 patients on dialysis dying between 2000 and 2014, the primary outcome was less likely in patients from any minority group compared with the non-Hispanic white population (10.9% versus 22.6%, P