Evaluation of Racial Disparities in Hospice Use and End-of-Life Treatment Intensity in the REGARDS Cohort | Zendy

Katherine Ornstein | Zendy; David L. Roth | Zendy; Jin Huang | Zendy; Emily B. Levitan | Zendy; J. Rhodes | Zendy; Chanee Fabius | Zendy; Monika M. Safford | Zendy; Orla C. Sheehan | Zendy

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Evaluation of Racial Disparities in Hospice Use and End-of-Life Treatment Intensity in the REGARDS Cohort

Author(s) -

Katherine Ornstein,

David L. Roth,

Jin Huang,

Emily B. Levitan,

J. Rhodes,

Chanee Fabius,

Monika M. Safford,

Orla C. Sheehan

Publication year - 2020

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2020.14639

Subject(s) - medicine , end of life care , population , logistic regression , cohort study , proxy (statistics) , cohort , gerontology , death certificate , demography , cause of death , family medicine , emergency medicine , palliative care , environmental health , disease , nursing , machine learning , sociology , computer science

Key Points Question Are there differences between Black and White patients in the use of hospice and intensity of end-of-life treatment? Findings In this cohort study of 1212 decedents, Black individuals were significantly less likely to use hospice and more likely to have multiple emergency department visits and hospitalizations and undergo intensive treatment in the last 6 months of life compared with White individuals regardless of cause of death. Meaning Despite the increase in the use of hospice care in recent decades, racial disparities in the use of hospice care and the intensity of end-of-life treatment remain.

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