Evidence map›Paper›PMID 32372699›Full record

ArticleThe American journal of hospice & palliative care2021

Racial Disparities in Utilization of Palliative Care Among Patients Admitted With Advanced Solid Organ Malignancies.

Kimberley Lee, Faiz Gani, Joseph K Canner, Fabian M Johnston

Open access · greenAbstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% of its field
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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Kimberley LeeDepartment of Oncology, 1466Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0002-3346-0885
Faiz GaniDepartment of Surgery, 1466Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Joseph K CannerDepartment of Surgery, 1466Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Fabian M JohnstonDivision of Surgical Oncology, Department of Surgery, 1466Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Johns Hopkins University · US

Funding

I TITRATE PC: An Implementation based Community Health Worker Intervention to address Disparities in Palliative CareR01MD016935 · NIMHD · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Fabian M Johnston · 2022 to 2026
$2.8M
NHLBI Training Program in PharmacoepidemiologyT32HL139426 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI G. Caleb Alexander, JODI B. SEGAL · 2018 to 2026
$2.5M
Promoting Early Utilization of Palliative Care for African Americans Using Culturally Informed Patient NavigationK08HS024736 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI JOHNSTON, FABIAN M · 2016 to 2020
$738k
AHRQ HHS K08 HS024736FDA HHS U01 FD005942NHLBI NIH HHS T32 HL139426NIMHD NIH HHS R01 MD016935
6 · The paper itself

Abstract

backgroundThere 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.

objectiveThe 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.

designThis 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.

resultsOf 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).

conclusionsDeath 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.

Indexed as

HospicesNeoplasmsHealthcare DisparitiesHospitalizationHumansPalliative CareRetrospective StudiesUnited StatesblackdisparitiesinpatientNational Inpatient Samplepalliative care

Identifiers

PMID32372699
PMCPMC8787808
OpenAlexW3023428520

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.