Evidence map›Paper›PMID 29951996›Full record

ArticleHealth services research2018

Regional Practice Patterns and Racial/Ethnic Differences in Intensity of End-of-Life Care.

Shi-Yi Wang, Sylvia H Hsu, Siwan Huang, Kathy C Doan, Cary P Gross, Xiaomei Ma

Abstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
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  6. Article
  7. Aggressiveness of end-of-life cancer care: what happens in clinical practice?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shi-Yi WangDepartment of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, CT.
Sylvia H HsuDepartment of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, CT.ORCID 0000-0001-9815-8604
Siwan HuangDepartment of Biostatistics, Yale University School of Public Health, New Haven, CT.
Kathy C DoanDepartment of Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT.
Cary P GrossCancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center, Yale Cancer Center and Yale University School of Medicine, New Haven, CT.
Xiaomei MaDepartment of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, CT.

Funding

Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI MEGAN C KING · 1985 to 2026
$85.0M
Development and Evaluation of a Decision Analysis Based Decision AidK01HS023900 · AHRQ · YALE UNIVERSITY · PI WANG, SHIYI · 2015 to 2019
$754k
AHRQ HHS K01 HS023900NCI NIH HHS P30 CA016359
6 · The paper itself

Abstract

objectiveTo examine whether regional practice patterns impact racial/ethnic differences in intensity of end-of-life care for cancer decedents. DATA SOURCES: The linked Surveillance, Epidemiology, and End Results (SEER)-Medicare database. STUDY

designWe classified hospital referral regions (HRRs) based on mean 6-month end-of-life care expenditures, which represented regional practice patterns. Using hierarchical generalized linear models, we examined racial/ethnic differences in the intensity of end-of-life care across levels of HRR expenditures. PRINCIPAL

findingsThere was greater variation in intensity of end-of-life care among Hispanics, Asians, and whites in high-expenditure HRRs than in low-expenditure HRRs.

conclusionsLocal practice patterns may influence racial/ethnic differences in end-of-life care.

Indexed as

SEER ProgramTerminal CareAgedAsianBlack or African AmericanBlack PeopleEthnicityFemaleHealth ExpendituresHispanic or LatinoHumansInsurance Claim ReviewMaleMedicareNeoplasmsReferral and Consultationend-of-life caregeographic variationRacial differencesregional practice patterns

Identifiers

PMID29951996
PMCPMC6232508

What OpenQuestion holds

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Registered trials

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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.