333) Both African American and white patients and families receiving a counselor-based palliative consultation in the hospital make profound changes in their preferences for life-sustaining treatments. |
PMID:24085311 DOI:10.1177/1049909113506782 |
2015 The American journal of hospice & palliative care |
* The influence of race on end-of-life choices following a counselor-based palliative consultation. |
- Black Americans are more likely than whites to choose aggressive medical care at the end of life. We present a retrospective cohort study of 2843 patients who received a counselor-based palliative care consultation at a large US southeastern hospital. Before the palliative consultation, 72.8% of the patients had no restrictions in care, and only 4.6% had chosen care and comfort only (CCO). After the consult, these choices dramatically changed, with only 17.5% remaining full code and 43.3% choosing CCO. Both before and after palliative consultation, blacks chose more aggressive medical care than whites, but racial differences diminished after the counselor-based consultation. Both African American and white patients and families receiving a counselor-based palliative consultation in the hospital make profound changes in their preferences for life-sustaining treatments. |
(1)247 on | (10)3 approach | (19)2 chemotherapy | (28)2 physical |
(2)10 method | (11)3 hydrogels | (20)2 computer-tailored | (29)2 rehabilitation |
(3)10 therapies | (12)3 information | (21)2 financing | (30)2 retrospective |
(4)5 cross-sectional | (13)3 study | (22)2 learning | (31)2 scaffolds |
(5)5 upon | (14)3 techniques | (23)2 methods | (32)2 strategy |
(6)4 survey | (15)3 therapeutic | (24)2 modelling | (33)2 studies |
(7)4 tissue | (16)2 NPWT | (25)2 morphometry | (34)2 telephone |
(8)3 CRT | (17)2 RUTF | (26)2 nutrient | (35)2 vaccination |
(9)3 anti-bullying | (18)2 and | (27)2 palliative |
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