Racial Disparities in Utilization of Palliative Care Among Patients Admitted With Advanced Solid Organ Malignancies.
Racial Disparities in Utilization of Palliative Care Among Patients Admitted With Advanced Solid Organ Malignancies.
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DOI：
10.1177/1049909120922779
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Johnston FM
中科院分区：
文献类型：
--
作者：
Lee K;Gani F;Canner JK;Johnston FM
人们越来越认识到在晚期癌症患者的护理中早期纳入姑息治疗服务的重要性。以临终关怀为基础的姑息治疗在黑人癌症患者中仍未得到充分利用，关于癌症患者使用非临终关怀为基础的姑息治疗服务的种族差异的文献有限。本研究的主要目的是描述种族差异在使用住院姑息治疗会诊（IPCC）的晚期癌症患者谁住进医院在美国。这项回顾性队列研究分析了2012年至2014年间入院的204,175例晚期癌症患者。该队列通过国家住院患者数据集确定。使用国际疾病分类第九次修订代码来识别接受姑息治疗咨询的情况。其中，57.7%的死亡患者接受了IPCC治疗，而10.5%的活着出院。在多变量logistic回归模型中，出院的黑人患者接受姑息治疗咨询的可能性明显低于白人患者（比值比[OR]: 0.69, 95% CI: 0.62-0.76）。住院期间死亡是种族与接受姑息治疗咨询之间关系的重要修饰因子。晚期癌症患者对IPCC的使用存在显著的种族差异。
There is increasing recognition of the importance of early incorporation of palliative care services in the care of patients with advanced cancers. Hospice-based palliative care remains underutilized for black patients with cancer, and there is limited literature on racial disparities in use of non-hospice-based palliative care services for patients with cancer. The primary objective of this study is to describe racial differences in the use of inpatient palliative care consultations (IPCC) for patients with advanced cancer who are admitted to a hospital in the United States. This retrospective cohort study analyzed 204 175 hospital admissions of patients with advanced cancers between 2012 and 2014. The cohort was identified through the National Inpatient Dataset. International Classification of Disease, Ninth Revision codes were used to identify receipt of a palliative care consultation. Of this, 57.7% of those who died received IPCC compared to 10.5% who were discharged alive. In multivariable logistic regression models, black patients discharged from the hospital, were significantly less likely to receive a palliative care consult compared to white patients (odds ratio [OR] black: 0.69, 95% CI: 0.62–0.76). Death during hospitalization was a significant modifier of the relationship between race and receipt of palliative care consultation. There are significant racial disparities in the utilization of IPCC for patients with advanced cancer.
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影响因子：
45.3
作者：
Ferrell, Betty R.;Temel, Jennifer S.;Smith, Thomas J.
通讯作者：
Smith, Thomas J.
DOI：
10.1177/1049909119827933
发表时间：
2019-06-01
影响因子：
1.9
作者：
McCleskey, Sara G.;Cain, Cindy L.
通讯作者：
Cain, Cindy L.
影响因子：
45.3
作者：
Bakitas, Marie A.;Tosteson, Tor D.;Ahles, Tim A.
通讯作者：
Ahles, Tim A.
DOI：
10.1177/1049909118809975
发表时间：
2019-04-01
影响因子：
1.9
作者：
Rubens, Muni;Ramamoorthy, Venkataraghavan;Viamonte-Ros, Ana
通讯作者：
Viamonte-Ros, Ana
影响因子：
5.7
作者：
Lepore, Michael J.;Miller, Susan C.;Gozalo, Pedro
通讯作者：
Gozalo, Pedro