Trial reportJournal of palliative medicine2014
Race, income, and education: associations with patient and family ratings of end-of-life care and communication provided by physicians-in-training.
Trial report in Journal of palliative medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit.Intensive care medicine · 2024Guideline
- Interventions for interpersonal communication about end of life care between health practitioners and affected people.The Cochrane database of systematic reviews · 2022Pooled it
- Mobile Application-Based Communication Facilitation Platform for Family Members of Critically Ill Patients: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Improving racial disparities in unmet palliative care needs among intensive care unit family members with a needs-targeted app intervention: The ICUconnect randomized clinical trial.Contemporary clinical trials · 2021Trial
- The Influence of Race/Ethnicity and Education on Family Ratings of the Quality of Dying in the ICU.Journal of pain and symptom management · 2016Trial
- A Descriptive Qualitative Study of Religion and Spirituality's Role in Critical Illness Decision-Making Among Black and White Family Caregivers.CHEST critical care · 2025Article
- Real Patient Participation in Workplace-Based Assessment of Health Professional Trainees: A Scoping Review.Evaluation & the health professions · 2024Article
- Article
- Exploring the Use of Wearable Sensors and Natural Language Processing Technology to Improve Patient-Clinician Communication: Protocol for a Feasibility Study.JMIR research protocols · 2022Article
- Religious coping and acceptability and outcome of short-term psychotherapeutic treatments for depression among low-income homebound older adults.Aging & mental health · 2021Article
- Race and Ethnicity and Satisfaction With Communication in the Intensive Care Unit.The American journal of hospice & palliative care · 2020Article
- Family Perceptions of Quality of End-of-Life Care in Stroke.Palliative medicine reports · 2020Article
- Perceptions of Family Decision-makers of Nursing Home Residents With Advanced Dementia Regarding the Quality of Communication Around End-of-Life Care.Journal of the American Medical Directors Association · 2018Article
- Quality of Communication and Trust in Patients With Serious Illness: An Exploratory Study of the Relationships of Race/Ethnicity, Socioeconomic Status, and Religiosity.Journal of pain and symptom management · 2018Observational
- Elucidating patient-perceived role in "decision-making" among African Americans receiving lung cancer care through a county safety-net system.Journal of cancer survivorship : research and practice · 2016Article
- Advance Directives and Communication Skills of Prehospital Physicians Involved in the Care of Cardiovascular Patients.Medicine · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundMinority race and lower socioeconomic status are associated with poorer patient ratings of health care quality and provider communication.
objectiveTo examine the association of race/ethnicity or socioeconomic status with patients' and families' ratings of end-of-life care and communication about end-of-life care provided by physicians-in-training.
methodsAs a component of a randomized trial evaluating a program designed to improve clinician communication about end-of-life care, patients and patients' families completed preintervention survey data regarding care and communication provided by internal medicine residents and medical subspecialty fellows. We examined associations between patient and family race or socioeconomic status and ratings they gave trainees on two questionnaires: the Quality of End-of-Life Care (QEOLC) and Quality of Communication (QOC).
resultsPatients from racial/ethnic minority groups, patients with lower income, and patients with lower educational attainment gave trainees higher ratings on the end-of-life care subscale of the QOC (QOCeol). In path models, patient educational attainment and income had a direct effect on outcomes, while race/ethnicity did not. Lower family educational attainment was also associated with higher trainee ratings on the QOCeol, while family non-white race was associated with lower trainee ratings on the QEOLC and general subscale of the QOC.
conclusionsPatient race is associated with perceptions of the quality of communication about end-of-life care provided by physicians-in-training, but the association was opposite to our hypothesis and appears to be mediated by socioeconomic status. Family member predictors of these perceptions differ from those observed for patients. Further investigation of these associations may guide interventions to improve care delivered to patients and families.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.