ArticleJournal of the American Society of Nephrology : JASN2019
Trends and Racial Disparities of Palliative Care Use among Hospitalized Patients with ESKD on Dialysis.
Article in Journal of the American Society of Nephrology : JASN, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Adapting a pain coping skills training intervention for people with chronic pain receiving maintenance hemodialysis for end stage Kidney disease.Journal of behavioral medicine · 2025Trial
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- Article
- Disease and Race-Based Differences in Inpatient Palliative Care Consultation in Cancer and Noncancer Serious Illnesses.Journal of the American Geriatrics Society · 2025Article
- Use of Palliative Care Among Adults With Newly Diagnosed Heart Failure: Insights From a US National Insured Patient Sample.Journal of the American Heart Association · 2024Article
- Disparities in end-of-life care for minoritized racial and ethnic patients during terminal hospitalizations in New York State.Journal of the American Geriatrics Society · 2024Article
- Minimizing bias when using artificial intelligence in critical care medicine.Journal of critical care · 2024Article
- Naming racism as a root cause of inequities in palliative care research: a scoping review.BMC palliative care · 2024Article
- Palliative and supportive care underutilization for patients with locally advanced pancreatic cancer: review of the NCDB.ESMO gastrointestinal oncology · 2024Article
- Advance Care Planning and Palliative Care Consultation in Kidney Transplantation.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024Article
- Rates, patterns, and predictors of specialty palliative care consultation among patients with acute-on-chronic liver failure.JHEP reports : innovation in hepatology · 2024Article
- Effect of ethnicity and socioeconomic deprivation on uptake of renal supportive care and dialysis decision-making in older adults.Clinical kidney journal · 2023Article
- Current trends in hospice care usage for dialysis patients in the USA.Journal of nephrology · 2023Article
- Trends in Racial and Ethnic Disparities in the Receipt of Lifesaving Procedures for Hospitalized Patients With Decompensated Cirrhosis in the US, 2009-2018.JAMA network open · 2023Article
- Decision-making about dialysis: Beyond just dialysis or death.Journal of the American Geriatrics Society · 2023Article
- Factors Affecting Hospice Use Among Adolescents and Young Adult Cancer Patients.Journal of adolescent and young adult oncology · 2023Article
- AASLD Practice Guidance: Palliative care and symptom-based management in decompensated cirrhosis.Hepatology (Baltimore, Md.) · 2022Article
- Inpatient palliative care use by patients with sickle cell disease: a retrospective cross-sectional study.BMJ open · 2022Article
- Full Code to Do-Not-Resuscitate: Culturally Adapted Palliative Care Consultations and Code Status Change Among Seriously Ill Hispanic Patients.The American journal of hospice & palliative care · 2022Article
- Opportunities to Improve Palliative Care Delivery in Trauma Critical Illness.The American journal of hospice & palliative care · 2022Article
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9 authors.
Funding
Abstract
backgroundStudy 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.
methodsTo 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.
resultsWe 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 (
conclusionsDespite a clear increase during the study period in provision of palliative care for inpatients with ESKD, significant racial disparities occurred and persisted across all hospital subtypes. Further investigation into causes of racial and ethnic disparities is necessary to improve access to palliative care services for the vulnerable ESKD population.
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